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Meaningful Peer Involvement in Behavioral Health and Criminal Justice Collaboratives. LaVerne D. Miller, GAINS Center Lena Franklin, Recovery in Community, Inc. Overview of Presentation. Challenges Reaching Some Common Ground Roles for Peers Overcoming Systems and Organizational Challenges

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meaningful peer involvement in behavioral health and criminal justice collaboratives

Meaningful Peer Involvement in Behavioral Health and Criminal Justice Collaboratives

LaVerne D. Miller, GAINS Center

Lena Franklin, Recovery in Community, Inc.

overview of presentation
Overview of Presentation
  • Challenges
  • Reaching Some Common Ground
  • Roles for Peers
  • Overcoming Systems and Organizational Challenges
  • Impact of Peer Advisors/Peer Staff
  • Peers in Action: Recovery Community, Inc.
  • Recommended Resources
  • Q and A

www.gainscenter.samhsa.gov  800.311.4246

challenges
Challenges
  • Behavioral Health and Criminal Justice Collaboratives face unique but surmountable challenges in integrating Peers into joint projects. Some of these challenges are:
  • History
  • Different definitions
  • Varying strategies to integrate peers
  • Varying policies, practices and customs regarding the recruitment, hiring and supervision of peers

www.gainscenter.samhsa.gov  800.311.4246

reaching some common ground
Reaching Some Common Ground
  • Essential that collaborative partners reach a formal consensus on some of the following issues:
  • What constitutes meaningful involvement?
  • Who is a peer?
  • What constitutes recovery? Is recovery an expected outcome of behavioral health and criminal justice collaboratives?
  • Qualifications/Requirements for Peer Advisors and Staff
  • Recruitment, Hiring and Supervision of Peer Staff
  • Staff Training

www.gainscenter.samhsa.gov  800.311.4246

what is meaningful involvement
What is Meaningful Involvement?

You Know It When You See It

Peers are involved in a variety of roles including leadership roles and have responsibility for project planning, implementation, service delivery and evaluation.

www.gainscenter.samhsa.gov  800.311.4246

how do you achieve meaningful involvement
How Do You Achieve Meaningful Involvement?
  • Clear understanding of impact that the involvement of Peers can have across all project domains
  • Leadership and will
  • Assess
  • Identify and eliminate or mitigate barriers
  • Deep commitment to transforming organizational/collaborative culture
  • Set clear goals, objectives and timetables
  • Evaluate

Like recovery, meaningful involvement is a journey and not the destination

www.gainscenter.samhsa.gov  800.311.4246

who is a peer
Who is a Peer?
  • A person with lived experience in both the behavioral health and criminal justice systems

www.gainscenter.samhsa.gov  800.311.4246

qualifications and requirements
Qualifications and Requirements
  • Qualifications and other requirements should ensure that the Peer can perform the essential job/volunteer functions. Partners are encouraged to reach a consensus on qualifications and other requirements. However the following minimum “objective qualifications” are suggested:
  • High School/GED
  • Graduation from a Peer Specialist or similar training program
  • Experience paid/unpaid
  • Not currently on parole/probation (some exceptions may apply)

www.gainscenter.samhsa.gov  800.311.4246

a word about hiring policies
A Word About Hiring Policies
  • Most Behavioral Health Organizations and Criminal Justice Organizations have formal “restrictions” or “limitations” on hiring individuals with certain types of convictions or involvement with the criminal justice system
  • Custom may play an even greater role with CJ organizations
  • May be great differences in policies, practices and customs of partners

www.gainscenter.samhsa.gov  800.311.4246

developing common policies
Developing Common Policies
  • Creates an opportunity to examine policies, practices and customs regarding recruitment, screening, hiring, supervision, career ladders and discipline
  • Early identification and resolution of real or potential conflicts
  • Transparent
  • Gives peers greatest opportunity to become involved in a wider range of activities
  • Continuous opportunity to reexamine rationales and reasonableness of policies, practices and customs

www.gainscenter.samhsa.gov  800.311.4246

potential roles for peers
Potential Roles for Peers

Advisory

Peer Specialists

Peer Mentors

Advisor Consultants (frequently in areas other than peer support)

Case Managers

Benefits Advisement

Employment Counselors

Wellness Coaches

Advocates

www.gainscenter.samhsa.gov  800.311.4246

potential settings
Potential Settings
  • Prisons
  • Jails
  • Court

Where else?

www.gainscenter.samhsa.gov  800.311.4246

what constitutes recovery
What Constitutes Recovery?
  • SAMHSA /CMHS Definition:
most commonly self reported cause for relapse
Most Commonly Self-Reported Cause for Relapse
  • Unresolved trauma
  • Loss of hope
  • Grief over losses
  • Family reunification
  • Lack of “community” and feelings of “connectedness”
  • Lack self-directed crisis planning
  • Absence of role models
  • Low expectations
  • Lack of meaningful activity
  • Financial matters (credit, student loans and child support)
  • Undisclosed or unresolved criminal/civil matters
helpful tips
Helpful Tips
  • Collaborate with existing peer operated programs
  • Develop job/task descriptions
  • Reasonable Accommodations
  • In House Training (include partners)
  • Develop MOU with partners addressing the issue of confidentiality and “privilege”

www.gainscenter.samhsa.gov  800.311.4246

resources
Resources

www.gainscenter.samhsa.gov  800.311.4246

peer recovery coach
Peer Recovery Coach
  • Definition of “Peer Recovery Coach”

www.gainscenter.samhsa.gov  800.311.4246

peer recovery coach1
Peer Recovery Coach
  • Care coordination
  • Community integration
  • Recovery goal development and planning
  • Promoter of self advocacy
  • Liaison to traditional and nontraditional community supports

www.gainscenter.samhsa.gov  800.311.4246