The Power of Peer Support In Michigan

1. The Power of Peer Support In Michigan Town Hall Meeting March 14, 2011

2. Welcome Michael J. Head Director, Mental Health and Substance Abuse Administration, Michigan Department of Community Health

3. Review of Agenda: Purpose of the Town Hall Meeting Irene Kazieczko, Director, Bureau of Community Mental Health Services, Michigan Department of Community Health, Co-Chair of Recovery Council, Marlene Lawrence CPSS, Director of SHARE Center, Co-Chair of Recovery Council

4. Discussion of front line views from peer support specialists in Michigan

5. Panel Participants Michael Head Irene Kazieczko Marlene Lawrence Ike Powell Pam Werner Tom Burden Braunwynn Franklin Marcia Probst

6. Recovery Council Outcomes  Guidance and direction to MDCH policies and practices Development and oversight of Michigan Recovery Center of Excellence and www.mirecovery.org website Implementation of Recovery Enhancing Environment survey Recovery Policy and Practice Guideline Implementation of statewide recovery curriculum and training initiative

7. Anti Stigma Statewide Committee Outcomes Literature review of anti stigma materials and training tools across the country Soon to be released statewide Toolkit For more information contact: Colleen Jasper, Director of Consumer Relations, Michigan Department of Community Health, Co-Chair of Anti Stigma Committee jasper@michigan.gov

8. Pillars of Peer Support Outcomes from the Carter Center National Summit Ike Powell, Appalachian Consulting Group

9. In November 2009, representatives from 23 states, including Michigan, that were billing Medicaid for Peer Support Services met for two days at the Carter Center in Atlanta, GA for the first Pillars of Peer Support Services Summit.

10. The focus question for the summit was:“What is it going to take to support and sustain this new workforce of Certified Peer Specialists?”

11. The state representatives came up with the “25 Pillars of Peer Support Services”. *A second summit for states not billing Medicaid for Peer Support Services was held in October 2010. Reports from both summits can be found at pillarsofpeersupport.org.

12. There are 5 pillars that relate to the certification process that leads to jobs designed specifically for people in recovery. Example: There are Clear Job and Service Descriptions that define specific duties that allow certified peer specialists to use their recovery and wellness experience to help others recover.

13. There are 5 pillars that relate to continuing education and advanced training that improves a persons employment and provider skills.  Example: There are opportunities for certified peer specialists to receive training in and deliver Peer Support Whole Health Services to promote consumer recovery and resiliency.

14. There are 5 pillars that relate to strengthening the peer-to-peer support network across the state. Example: There are on-going mechanisms for Networking and Information Exchange so that certified peer specialists stay connected to each other, share their concerns, learn from each one another’s experiences, and stay informed about upcoming events and activities.

15. There are 10 pillars that relate to agency and state support of the Peer Support Services program. Example: There is Competency-based Training for Supervisors of certified peer specialists which reinforces fidelity to the principles of peer support and emphasizes the role of peer specialists in building culturally competent and trauma informed systems of care that take into account the overall health and wellbeing of persons served.

16. As Appalachian Consulting Group has continued to work with states over the past year and a half, it has become clear that the peer specialist workforce flourishes in situations that embrace recovery and struggles in situations that do not.

17. Statewide Peer Support Specialist Initiatives  Pam Werner, Michigan Department of Community Health

18. Michigan’s Certified Peer Support Specialist Trained Workforce To date, 783 individuals have achieved certification as peer support specialists

19. Michigan Requirements for Certification Individuals in a journey of recovery submit an application Must be working at least 10 hours per week as a peer specialist as defined in the Medicaid Provider Manual Attend a 40 hour week training with 20 hours of additional Michigan based training Successful completion of a 4 hour examination Upon achievement of the above requirements, peers receive 3 credit hours from Lansing Community College

20. Professional Development Providing training in the most recent research and promising practices regarding innovations in mental health, including trauma informed care, whole health and wellness, and ethics

21. Initiatives to Support Workforce Development, implementation and sustainability of the 25 Pillars of Peer Support Medicaid covered service in Managed Care 1915(b)(c) Specialty Services Waiver Continuing education and professional development State and National collaborative partnerships Research project in partnership with Dr. Kate Lorig, Stanford Chronic Disease Self-Management Program, Texas A & M, Archstone Foundation & National Association of State Mental Health Program Directors

22. Michigan Peer Specialists United Tom Burden CPSS, Michigan Peer Specialists United Board President

23. Michigan Peer Specialists United Founded December 2009 Board members: Tom Burden, Chairman of the Board Marcia Probst, Vice Chair Linda Antinori, Treasurer Monica Evans , Secretary Pam Lang, Committees

24. July 2009 Peer Leadership Trainingat Higgins Lake Certified Peer Support Specialists selected a project to develop a statewide organization August 2009, first meeting of Peers at JIMHO in Lansing, following a Recovery Council Meeting 23 Peers attended the meeting committing time, energy and support to start the Association Goals brainstormed by the group included providing support to peers specialists, having a united voice, and promoting recovery

25. Current Activities Quarterly statewide planning meetings Conference calling to expand participation of peers across Michigan Fundraising as a 501 c(3) business Working with the Recovery Council to share knowledge and ideas Continue providing a unified voice

26. Future Pathways Build and support statewide peer networks Build partnerships with the State and County Agencies, on projects supporting recovery Promote recovery through advocacy at the State and Federal level. Develop education and training programs on stigma. Strengthen roles and provide support to CPSS

27. Michigan Peer Specialists United The Sky is the Limit

28. Peer Led Health and Wellness Braunwynn Franklin CPSS, New Center Community Mental Health Services

29. PATHPERSONAL ACTION TOWARDS HEALTH About the Program It is evidence based Developed and tested by Stanford University as the Chronic Disease Self-Management Program (CDSMP) Self Management Program where participants improve their health and feel better Builds skills and provides a network of supports for the day-to-day management of a chronic disease Workshops are 2 ½ hours once a week for a 6 week period

30. PATHReported Results & Benefits Increase in physical activities Better communication with family and friends Better communication with health care providers Better problem solving skills Increased relaxation Better breathing Healthier eating Making action plans

31. Peer Specialists in Integrated Health Smoking Cessation Peer led Whole Health with Appalachian Consulting Group Varied roles of peer specialists in integrated health care settings

32. Michigan Recovery Network Marcia Probst CPSS, Recovery Institute

33. Michigan Recovery Network is set up with two aspects: 1. To make it easier for Certified Peer Support Specialists and traditional staff to work together on finding the best and most sustainable ways to create or improve recovery culture Partner organizations can use the Recovery Self Assessment survey to measure their own recovery culture The Recovery Institute will assist partner organizations in developing strategic goals based on survey results and continued assistance in reach their goals Most of these efforts are focused on agencies in the South West Michigan area

34. Michigan Recovery Network is set up with two aspects: (continued) 2. Create a network between peer-run organizations throughout the state of Michigan to increase mutual support, communication and learning among organizations Recovery Institute will facilitate this effort by providing a webpage for easy information exchange including a blog to allow continued questions and discussion about different aspects of our work. A workgroup made up of several peer-run organizations is being established to determine the directions that they would like to see the network go based on the needs of peer-run organizations presented throughout the state.

35. Questions and feedback dialog from peer support specialists across the state