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New Peer Opportunities for Growth and Success. Ron Manderscheid, PhD Exec Dir, NACBHDD Adj Prof, JHSPH. Thank You All Peers!. Shout Out: Thank You. Peer Support. Thank you for bringing us peer support; it is essential to help us cope with our future.

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new peer opportunities for growth and success

NewPeer Opportunities for Growth and Success

Ron Manderscheid, PhD

Exec Dir, NACBHDD

Adj Prof, JHSPH

shout out thank you
Shout Out: Thank You
  • Peer Support. Thank you for bringing us peer support; it is essential to help us cope with our future.
  • Recovery. Thank you for bringing us recovery; it defines a critical goal for health reform.
  • Resiliency. Thank you for bringing us resiliency; it defines an exceptional new opportunity.
the new will be very different
The New Will Be Very Different
  • Peers will be working in health homes, not in separated specialty settings.
  • Peers also will be engaged in disease prevention and health promotion activities.
  • Peers will be working directly with communities and populations, not just individual people.
  • Peers will be emerging leaders in many different roles.
steps on the way to the new
Steps On the Way to the New
  • Help uninsured persons become insured, wherever they are.
  • Help the separated mental health and substance usesystemsget linked with primary care.
  • Help move our new agenda to prevention, promotion, and wellbeing.
  • Learn the important new roles that peers will have; these roles include both advocacy and businessopportunities.
help people become insured
Help People Become Insured
  • Reach out to uninsured persons and get them linked to an insurance navigator, an enrollment assister, and/or a federally qualified health center.
  • Train our specialty providers to be more effective at this type of outreach.
help people become insured1
Help People Become Insured
  • PEER OPPORTUNITIES:
    • Advocate for the State Medicaid Expansion
    • Advocate for the Essential Health Benefit
    • Create a State Coalition for Whole Health
help systems become linked
Help Systems Become Linked
  • Link mental health and substance use programs with primary care programs. Peers have great potential to work in health homes to deliver needed careto clients who have physical illnesses, but no behavioral health conditions.
  • Create the political environment for communities and counties to develop public collaboratives that will foster health homes.
  • Be very bold: Propose a peer-operated health home.
help systems become linked1
Help Systems Become Linked
  • PEER OPPORTUNITIES:
    • Provide technical assistance to State governments and to Qualified Health Plans on Peer Services in Health Homes
    • Offer Peer Services for Health Homes to Qualified Health Plans
    • Build COSP Health Homes and the Accountable Care Organizations to operate them.
learn important new roles
Learn Important New Roles
  • Peers have great potential to implement disease prevention and health promotion interventions in health homes, in public health programs, and in communities.
learn important new roles1
Learn Important New Roles
  • PEER OPPORTUNITIES:
    • Organizeand deliver community interventions that reduce trauma.
    • Organize and deliver community interventions that promote good health.
    • Organize an integrated community health collaborativethat promotes the wellbeing of an entire community.
understanding the new approach
Understanding the New Approach

Very Healthy

I

I

No Disease________ I_________Severe Disease

I

I

I

Very Unhealthy

applying the new approach
Applying the New Approach

Very Healthy

I

PEERS IN FUTURE I PEERS SOON

No Disease________ I_________Severe Disease

I

PEERS SOON I PEERS NOW

I

Very Unhealthy

public health principles
Public Health Principles
  • Public Health Principles We Need to Learn:
    • Prevent rather than treat
    • Intervene earlier rather than later
    • Intervene with populations rather than persons
    • Always assess effects
full model
Full Model

Social and Physical Determinants of Health 

Health Status

Disease Prevention and Health Promotion 

Prevent or Delay Disease ->

Care for Persons Who are Ill

full model with example
Full Model with Example

Social and Physical Determinants of Health 

POVERTY TRAUMA

Health Status

TRAUMA  MENTAL ILLNESS AND SUB USE

Disease Prevention and Health Promotion 

REDUCE POV EFFECTS/INCREASE WELLBEING

Prevent or Delay Disease ->

NO OR DELAYED BEHAVIORAL CONDITIONS

Care for Persons Who are Ill

DELIVER PEER SUPPORTED INTEGRATED CARE

let me emphasize
Let Me Emphasize:
  • Most of this new work will require leadership and will be done outside of traditional behavioral healthcare.
let s rally
Let’s Rally…
  • 1-2 We love you!
now all together
Now, All Together…
  • 1-2 We love you!
  • 3-4 Peers of yore!
  • 5-6 Help us fix!
  • 7-8 You are great!
and again
And again…
  • 1-2 We love you!
  • 3-4 Peers of yore!
  • 5-6 Help us fix!
  • 7-8 You are great!
contact information
Contact Information
  • Ron Manderscheid, PhD
  • Executive Director,
  • Natl Assn Co BehHlth & Dev DisDirswww.nacbhdd.org
  • 25 Massachusetts Ave, NW, Ste 500
  • Washington, DC 20001
  • The Voice of Local Authorities in the Nation's Capital!
  • 202-942-4296 (O); 202-553-1827 (M); rmanderscheid@nacbhd.org