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Integrated Care, Integrating Peer Support - Shared screen with speaker view
Dorothy Adams
14:20
Hello everyone. I am from Washington DC, Dreamers and Achievers Center Inc.
Terry Wasnick
16:10
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.
Sandy Goodwick
17:36
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
Jacek/Jack Haciak
20:33
Integration without co-optation!!
Susan Dembowczyk
21:56
Well the slides be sent out to us?
Terry Wasnick
23:30
The sound is difficult to hear.
Cherene (she/her)
23:39
YASSS,Jacek
Sandy Goodwick
23:50
sound doesn't work
Beth Sikma
29:34
WHAT??
Cherene (she/her)
34:40
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
Cherene (she/her)
36:40
I hate that we are having audio issues. Our apologies
Jacek/Jack Haciak
37:08
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?
Cherene (she/her)
37:35
zoom is struggling today :(
Cherene (she/her)
39:03
Great question, Jacek. Dr. Waters will share some of that but we will also discuss it in our learning collaborative next Tuesday
Jacek/Jack Haciak
42:48
Thank you!
Jacek/Jack Haciak
44:47
I don't see the learning collaborative on my schedule. I usually get your announcements, but could you please email the registration link to hja4@msn.com
Jacek/Jack Haciak
45:57
Thank you
Cherene (she/her)
51:29
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
Jacek/Jack Haciak
52:31
Wonderful!
Cherene (she/her)
54:30
engagement in trusting, respectful relationships is a key that we see peer supporters significantly impacting
Terry Wasnick
54:46
I agree with Jacek - so happy to learn about this at this level.
Jacek/Jack Haciak
56:09
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.
Cherene (she/her)
57:27
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
Jacek/Jack Haciak
57:47
Our experience can't be taught.
Terry Wasnick
58:20
So true, Jacek.
Jacek/Jack Haciak
59:19
We are gold to these systems, not only for healing, but being central to all system planning and evaluation. IMHO
Cherene (she/her)
01:00:07
certainly true when its being done well :) Otherwise, peer supporters become a co-opted version of case management
Jessica Waters
01:00:43
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.
Jacek/Jack Haciak
01:01:34
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.
Cherene (she/her)
01:01:40
definitely a different way of understanding and connecting with people that is not hierarchical, directive, right?
Cherene (she/her)
01:01:57
NO, Jacek!!!!!
Jeremy - CAFE TAC
01:02:52
"Peer case manager"? Wow.
Jacek/Jack Haciak
01:03:21
Strengths-based is antithetical to a "pathology" orientation for developing a healing path.
Cherene (she/her)
01:03:36
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
Cherene (she/her)
01:03:52
and Hearing Voices Network
Jacek/Jack Haciak
01:04:28
What a great selection of trainings! I have certification in two, and working on the Common Ground curriculum from Pat Deegan.
Cherene (she/her)
01:04:41
they are scholarships so no cost to the PSS or organization
Cherene (she/her)
01:05:06
Common Ground is a good one. I haven't been through Personal Medicine yet but am interested in it as well
Jacek/Jack Haciak
01:05:31
How did you do that!!?? Cost has often been left to the "student" or their employer.
Cherene (she/her)
01:05:58
another good one is the Wellness Coaching training through BU, based on the 8 Dimensions of Wellness
Jacek/Jack Haciak
01:08:03
Peggy Swarbrick is herself still doing incredible things to help system transformation wherever desired.
Cherene (she/her)
01:08:16
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.
Cherene (she/her)
01:08:40
Peggy is amazing.
Jacek/Jack Haciak
01:09:46
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
01:11:04
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
01:11:55
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!
Cherene (she/her)
01:12:33
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
01:12:41
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!
Terry Wasnick
01:14:06
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.
Terry Wasnick
01:14:09
https://www.ahlhealthcaregroup.com/jobs/mental-health-rehab-worker-mhrw/
Jacek/Jack Haciak
01:14:16
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.
Terry Wasnick
01:16:09
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.
Jacek/Jack Haciak
01:17:17
Wonderful presentation, and stimulated some great chat discussion too. Thank you!
Cherene (she/her)
01:17:28
thank you!