Integrated Care, Integrating Peer Support - Shared screen with speaker view
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Hello everyone. I am from Washington DC, Dreamers and Achievers Center Inc.
Greetings Everyone - I’m in Duluth, MN — a Certified Peer Support Specialist, in between paid employment, but nonetheless helping out others in the community on a volunteer basis. Thanks for having this Webinar.
hello from the ancestral homelands of the Jamestown S'Klallam tribe - on the Olympic peninsula of Washington - just due south of what is now known as Victoria, BC - near Sequim, WA
Integration without co-optation!!
Well the slides be sent out to us?
The sound is difficult to hear.
sound doesn't work
the audio is in and out. What Juan was saying Beth is that in NC we integrate primary care medical services into behavioral health centers. We have funding for 5 years through a federal grant. We have 3 providers that are piloting it and as a peer run technical assistance center, my work is to support the authentic use of peer supporters into these integrated care settings. One of the settings is here and will speak next. They are UNC Wakebrook. I hope this clarifies
I hate that we are having audio issues. Our apologies
What kind of data are you identifying to help document and make your point? I have been finding qualitative data to be essential for a more complete understanding. Is that the case there as well?
zoom is struggling today :(
Great question, Jacek. Dr. Waters will share some of that but we will also discuss it in our learning collaborative next Tuesday
I don't see the learning collaborative on my schedule. I usually get your announcements, but could you please email the registration link to firstname.lastname@example.org
one of the areas we are targeting as we move forward is the connection between peer support and health outcomes (i.e. do people that have peer supporters have better, equal or worse outcomes), as well as defining integrated care models with valued and authentic peer support as an equal part of the team
engagement in trusting, respectful relationships is a key that we see peer supporters significantly impacting
I agree with Jacek - so happy to learn about this at this level.
The two factors identified over decades of research about what actually affects healing, no matter the treatment or modality used, have been relationship and trust. So, for me, that means that Peer Specialists have an edge on other practitioners for being able to affect healing, all other factors being equal.
absolutely. Its been so interesting to hear the medical community recognize and appreciate peer supporters, partly due to the relationships and also the wisdom they bring that cannot be replicated
Our experience can't be taught.
So true, Jacek.
We are gold to these systems, not only for healing, but being central to all system planning and evaluation. IMHO
certainly true when its being done well :) Otherwise, peer supporters become a co-opted version of case management
The empowerment/strength-based lens is quite different from the disease/treatment-based lens historically emphasized in medical training and primary care, and has revolutionized my practice as I continue to learn from our integrated peers and other team members.
And just for an incredibly horrible punctuation of your point, Cherene, a Portland OR organization is now advertising for a "Peer Case Manager." We here are horrified.
definitely a different way of understanding and connecting with people that is not hierarchical, directive, right?
Jeremy - CAFE TAC
"Peer case manager"? Wow.
Strengths-based is antithetical to a "pathology" orientation for developing a healing path.
the PSS in integrated care settings will have emotional CPR, intentional peer support, Alternatives to Suicide and When the Conversation Turns to Suicide trainings available to them this year
and Hearing Voices Network
What a great selection of trainings! I have certification in two, and working on the Common Ground curriculum from Pat Deegan.
they are scholarships so no cost to the PSS or organization
Common Ground is a good one. I haven't been through Personal Medicine yet but am interested in it as well
How did you do that!!?? Cost has often been left to the "student" or their employer.
another good one is the Wellness Coaching training through BU, based on the 8 Dimensions of Wellness
Peggy Swarbrick is herself still doing incredible things to help system transformation wherever desired.
Part of our role is to introduce our state to practices that are specific to peer support (rather than things like motivational interviewing or mental health first aid). So as we are advancing the role, the state was willing to fund these trainings and make them available throughout the state. We have funding for arount 80 PSS to have access to these trainings this year.
Peggy is amazing.
https://jobs.macslist.org/job/vffd2t/peer-case-manager/portland/or You will see that this position is in an area dealing with drug and alcohol treatment, so the concept of "Peer" there is within an "illness" model compatible with the medical model conceptual model.
Jeremy - CAFE TAC
It would make more sense to say "We are hiring a Case Manager, and we are actively seeking applicants that identify as peers."
Jeremy - CAFE TAC
We will likely go past the top of the hour so we can take a few questions. Hopefully you're able to stay with us!
or simply say we are hiring a Case Manager and a preferred qualification is someone with lived substance use recovery experience so people are clear that the role is different and we value lived experience for all of our roles but not confuse "case manager", "lived experience," and "peer" as all the same. sigh.
Jeremy - CAFE TAC
If not, please join the follow-up Learning Community conversation next Tuesday at 2 PM ET! Keep an eye out for the link in your email inbox!
This is a current job posting from an IRTS - Intensive Residential Treatment Service that is about to open here in Duluth, MN — note that this Mental health Rehabilitation Worker includes the option to have lived mental health experience as counted toward job experience. This IRTS also is hiring Certified Peers. The facility is ready for Recipients — which is what they are calling persons served.
Peggy was advising me way back around 2007 as I was working in a state hospital setting where the hospital was actually beginning a truly Recovery-based transformation. When USDOJ demanded some changes in Oregon, the hospital reactively reverted back to a meat-and-potatoes medical model structure in hopes of avoiding USDOJ takeover of our system. Tragic discontinuation of true Recovery processes as they retained the "Recovery" terminology in policies while "expert" processes resumed.
Jacek — I previously worked as a Human Service Technician in a State of MN CBHH - Community Behavioral Health Hospital. That was a non-peer role (before I received Peer training). Now I understand our State Hospital CBHH hospitals (16 bed facilities) now hire Certified Peers.
Wonderful presentation, and stimulated some great chat discussion too. Thank you!