Indianas Certified Recovery Specialist Program

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Indianas Certified Recovery Specialist Program
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Overview

• Program Background and Purpose
• Role of the CRS
• Guidelines for Becoming a Certified Recovery
  Specialist
• Training Curriculum
• Questions and Answers

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Program Background and Purpose
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Why have Certified Recovery Specialists?

• The Indiana Division of Mental Health and
  Addiction wants to ensure that consumers of
  mental health services have the most effective
  treatment available in the least restrictive
  settings.
• Certified Recovery Specialists are a viable
  option to supplement treatment for consumers.
• CRS instill hope, choice, and empowerment for
  recovering individuals.

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Theoretical Foundations Values

• Recovery creates and supports services, practices
  and policies that facilitate safety, hope, choice
  and empowerment.
• Partnership Building offers meaningful and
  sustained quality maximized through multiple
  stakeholder involvement.
• Optimal Treatment involves the implementation of
  evidence-based practices.
• Client-Centered focuses on individualized needs.

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Quality Practices Underlying Evidence-Based
Practices

• The nature and quality of the therapeutic
  relationship is critical.
• Quality practices are inclusive and continuous.
• Quality practices are individualized and match
  services to the needs, strengths, preferences,
  and values of the recipient.
• Quality practices promote responsible
  partnerships via informed and shared
  decision-making.
• Quality practices are dynamic.
• Quality practices are outcome oriented and
  continuous.
• Quality practices are culturally competent.

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CMS Guidance

• States utilizing peer support services must
  comply with all Federal Medicaid regulations and
  policy.
• Peer support providers should be self-identified
  consumers who are in recovery from mental
  illness.
• Supervision and care coordination are core
  components of peer support services.
• Peer support providers must be sufficiently
  trained to deliver services.

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CMS Guidance Continued

• Supervision must be provided by a competent
  mental health professional (as defined by the
  State).
• Amount, duration and scope of supervision will
  vary depending on State Practice Acts,
  demonstrated competency and experience of the
  peer support provider, as well as the service
  mix.
• Supervision may range from direct oversight to
  periodic care consultation.

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CMS Guidance Continued

• Peer support services must be coordinated within
  the context of a comprehensive, individualized
  plan of care that includes specific
  individualized goals.
• States should use a person-centered planning
  process to help promote participant ownership of
  the plan of care. Such methods actively engage
  and empower the participant, and individuals
  selected by the participant, in leading and
  directing the design of the service plan to
  ensure that it reflects the needs and preferences
  of the participant in achieving the specific,
  individualized goals that have measurable results
  and are specified in the service plan.

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CMS Guidance Continued

• Peer support providers must complete training and
  certification as defined by the State.
• Training must provide peer support providers with
  a basic set of competencies necessary to perform
  the peer support function.
• Ongoing continuing educational requirements for
  peer support providers must be in place.

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Where will Certified Recovery Specialists work?

• CRS will work with consumers within community
  mental health centers and state operated
  facilities.
• They will be employees of those organizations.
• The services that they provide within CMHCs will
  be reimbursed to the employer through Medicaid
  Rehab Option billing as of July 1, 2010.
• Completing the program does not guarantee
  employment.
• Conditions of employment will be negotiated
  individually by employing agency.

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Earlier Programs

• Depression Bi-Polar Support Alliance Peer Support
  Specialist Training
• META Peer Employment Training Program (Arizona)
• Certified Peer Support Specialist Training (South
  Carolina)
• Certified Peer Specialist Training (Illinois)
• The Georgia Model (Iowa)
• Transformation Center (Massachusetts)
• Peer Specialist Training Program in Michigan
• Intentional Peer Support (New Hampshire)
• Consumer Connections Peer to Peer Core Training
  (New Jersey)

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First Group in Arizona - 2006

• Participants experienced gains of perceived
  empowerment, attitudes toward recovery and
  self-concept. One hundred percent of the trainees
  went on to obtain positions within the mental
  health agency in which they received the training
  and 89 percent were still working 12 months after
  they were hired.
• 29 percent of the jobs were full time
• 52 percent part time
• 19 percent were hourly
• Findings suggest that a specific, manualized peer
  training program was able to improve
  participants recovery and employability. (Bill
  Anthony, Lori Ashcraft, Eugene Johnson, et.al.)

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Arizona Program

• One year after the Peer Support staff began
  working in the two hospital facilities, there
  was, according to hospital administration, a
• reduction of
• 36 in the use of seclusion
• 48 reduction in the use of restraint
• 56 reduction in hospital readmission rates

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Role of the CRS
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What will Certified Recovery Specialists do?

• They will support recovery by talking,
  encouraging, being a role model, assisting in
  problem-solving, and motivating consumers to
  manage their own recovery effectively.

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How have CRS fit into other programs?

• in residential programs
• mental health support services
• partial hospital and partial care programs
• screening centers
• self help centers
• peer counselors
• outreach workers
• job coaches
• medication appointment advocates

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Mass. Job Description (Excerpt)

• Assist clinicians in evaluation and crisis
  intervention in various hospital and community
  based settings.
• Assists with the high-volume flow of client care
  in the urgent care center and in the community
  greets clients, provides support during the
  evaluation process, helps gather client
  information as part of the evaluation process.
• Assists with follow-up client contact, referrals,
  and resource linkages.
• Participates in Staff meetings and other
  program/systems meetings
• Assist people with psychiatric disabilities to
  identify personal priorities, preferences,
  strengths, and interests in order to help them
  establish goals consistent with their worldview.
• Promotes use of natural supports within the
  neighborhood and community of people with
  psychiatric disabilities.
• Gather information about community agencies and
  families to assist staff in provision of
  services.

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Limitations

• 1      CRS do not work with consumers they have
  been with or are in treatment with as fellow
  patients.
• 2      CRS do not work with consumers who share
  staff with them, i.e. Psychiatrist, Nurses and so
  forth.
• 3      CRS do not work with consumers who are
  friends, or are who are persons they socialize
  with away from work settings.

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How will working affect benefits?

• Earning income may affect entitlements and must
  be considered when applying for work.
• Applicants are encouraged to apply for Vocational
  Rehabilitation Assistance immediately to access
  maximum information and benefits.
• Providers planning to hire CRS will want to
  consult with VR to maximize hiring benefits.

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Guidelines for Becoming a Certified Recovery
Specialist
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What are the qualifications?

• Must be at least 18 years old.
• Must be a resident of Indiana.
• Must have at least a high school diploma or GED.
• Must be willing to identify yourself as a person
  in recovery from mental illness.
• Must provide current or past treatment
  verification signed by providing office.
• Must attend training and pass the certification
  exam.

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What is the training like?

• Five consecutive days of training
• Five locations in Indiana
• 20 modules
• Multiple instructors
• Tutoring opportunities
• Attendance is required.
• No cost to participants
• Trainings will take place beginning in January of
  2010.

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What if I need assistance in attending the
training?

• Be detailed on the training application regarding
  the type of assistance needed.
• Check with Department of Vocational
  Rehabilitation to access possible training
  benefits.
• Lunch will be provided each day.
• A 25 card will be provided.

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Daily Training Schedule
900 910 Opening and recap 910 1040
Session I 10401050 Break 10501220
Session II 1220135 Lunch and Break 135
305 Session III 305 315 Break 315
430 Session IV and close
Each training will have a dedicated Trainer for
the week as well as a resource person to assist
with issues that may be uncovered in training.
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Certification Requirements

• Attend (10 points/module 200 points)
• Opportunity to make up missed sessions online
• Must earn minimum of 90 of attendance points.
• Complete Module Evaluations
• Pass exam (80) online in 2-hour block.
• Preparation support online, handouts, tutoring
  calls, additional special arrangements if needed.
  One retake allowed.

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Training Curriculum
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(No Transcript)
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What does the curriculum include?

• 20 modules
• 4 modules per day
• Modules cover issues of recovery and how to
  facilitate them.

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CRS Modules
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Where will the trainings be?

• Indianapolis
• Ft. Wayne
• Richmond
• Evansville
• Merrillville

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When will trainings take place?

• Richmond January 11 15, 2010
• Ft. Wayne January 18 22, 2010
• Evansville February 1 5, 2010
• Merrillville March 15 19, 2010
• Indianapolis March 29 April 2, 2010

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Evaluation Activities

• Demographics of participants
• A pre and post test over all curriculum content
• The Empowerment Scale pre/post ratings
• The Recovery Attitudes Questionnaire pre/post
• An item analysis of final test scores as they
  related to content will be obtained.
• Statistical associations among trainee
  characteristics, trainee satisfaction, and test
  scores can be examined using Pearson correlation.
  
• Quarterly conference calls with facilitators
• Module satisfaction ratings
• Overall satisfaction ratings

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How do individuals register for training?

• Visit the CRS website at www.certifiedrecoveryspec
  ialist.org
• Watch for the posting of further details about
  training locations.
• Application may be made through any PC with
  Internet access and completed online.
• Applications may be downloaded, completed, faxed
  or mailed back to the address provided.
• Treatment Verification forms may be downloaded
  and mailed or faxed back.
• After completing the application, applicants will
  be invited to view a web-based module prior to
  attending the training.

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What is asked on the application?

• Demographic and contact information
• Education attainment
• Previous job experience
• Indications of special accommodations needed for
  the training
• Written answers regarding personal recovery and
  what has been beneficial, motivation for becoming
  a CRS

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What if applicant is already working as a
Recovery Specialist?

• Must be employed as CRS for one year.
• Must have been trained through a Certified Peer
  Specialist National Training Program within last
  five years and show documentation of successful
  passing of exam.
• Must supply proof of employment, copy of job
  description.
• DMHA will review and determine status.

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What if applicant has been trained somewhere else
but has not yet worked in the field?

• Must verify Certified Peer Specialist National
  Training Program within last two years.
• DMHA will review and determine status.
• All questions regarding applicability of prior
  experience to this program should be directed to
  Bruce Van Dusen of the Indiana Division of Mental
  Health and Addiction.

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QUESTIONS?

• Visit www.certifiedrecoveryspecialist.org
• Or call Tiffany Wicker or Martha Levey
• 317-471-0000

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Bruce Van Dusen, AAS

• Office of Family and Consumer Affairs Bureau
  Chief Bruce.VanDusen_at_fssa.in.gov 317-232-7912
  Indiana Government Center South 402 West
  Washington Street, Room W353 Indianapolis, IN
  46204