day 3 workshop 2 financing pps - fredla.org
TRANSCRIPT
FREDLA Parent Peer Support Institute
DAY THREE
www.fredla.org
Advancing Parent Peer Support: Practice, Program, & Policy
March 25, 2021
FREDLA Parent Peer Support Institute
Financing and Sustaining Parent Peer Support
www.fredla.org
Advancing Parent Peer Support: Practice, Program, & Policy
Presenters
Wendy Tiegreen, Director of Medicaid and Health System Innovation for the Georgia Department of Behavioral Health & Developmental Disabilities
Jane Plapinger, MPH, Executive Director Maryland Coalition of Families
Lisa Conlan Lewis, Executive Director of Parent Support Network of Rhode Island
What we do
•Family Peer Support & Services Navigation•Family Leadership Training•Young Adult Programming•Public Awareness•Public Policy and Advocacy
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Revenue by Program – FY21
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Family Peer Support ‐MH
53%
Family Peer Support ‐SU & PG26%
Family Peer Support ‐
Juvenile Services10%
Family Peer Support ‐ Child Welfare
2%
Family Engagement ‐Child Welfare
3%
Youth Programming
2%
Public Awareness2% Family Leadership
Training2%
Total = $5,444,567
We support families with…•Mental Health Disorders•Substance Use Disorders*•Child Welfare involvement•Problem Gambling*•Juvenile Services involvement•Children 0-5 years•An incarcerated parent•An adolescent at risk for substance use
* Any loved one
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MCF Grant Revenue – State FundingFY2021
Health74%
Education7%
Child Welfare10%
Juvenile Services9%
Total = $4,998,686
Health - Behavioral Health Administration
•Family Peer Support and Navigation•State health funds•Federal block grant funds•State problem gambling funds•SOAR (federal substance use) funds•Medicaid - 1915(i) state plan amendment
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Health - Behavioral Health Administration
Roles in Targeted Case Management:
•Family Peer Support•Outreach to families•Local Care Teams•Customized Goods & Services
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Health - Behavioral Health Administration
•Youth Leadership Development•Public Awareness
•Children’s Mental Health Awareness •Good Samaritan Ambassador Program
•State health funds
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Child Welfare
•Caregiver Engagement Project• State child welfare funds
•Family Peer Support – “Reunification” families in Baltimore City• Class action lawsuit settlement relating to health care for children in child welfare
•Parent Partner and Kinship Navigator Pilots• State child welfare funds • Future Plan: Families First funding
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DJS
•Family Peer Support and Navigation – 5-county pilot•Pending expansion through state RFP
•State juvenile services funds
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Education
•Family Leadership Training •US Dept. of Education - IDEA Discretionary Funds
•Promoting Positive Outcomes •US Dept. of Education
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MCF Grant Revenue – Other FundingFY2021
Local Grants (6)$196,208 44%
Local System of Care Grants (3)
23%
State Opioid Operational
Command Center33%
Total = $445,881
Key Strategy: Developing Relationships
•Look for opportunities to help state partners achieve:
•System transformation (child welfare, juvenile services)•A goal in their strategic plan (education)•Improved outcomes (behavioral health)•Prevention/early intervention (education/early childhood)•Draw down of federal funds (child welfare)
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Other Strategies
•Collect data – show you are serving their population and market what more you could do with dedicated staff
•Demonstrate impact (Family Empowerment Survey)•Become a provider in a Medicaid-funded program – grant funded or fee-for-service Medicaid
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Vision Statement: All Rhode Island children, youth, families, and adults can access and receive a comprehensive range of individualized behavioral health and related services, opportunities and supports to ensure they live in healthy homes and communities and have successful futures with purpose.
Mission statement: Families and Peers with behavioral health lived experience and our partners empower individuals, children, youth, families, and communities through dynamic supports, education, service delivery, and advocacy to prevent neglect, abuse, reduce disparities, and promote progress towards universal healing and wellness.
Funding Sources • Federal‐ Substance Abuse Mental Health Services Administration, Statewide Family Network Grants Program
• RI Department of Children, Youth and Families: State Revenue, Family/Parent Partner/Visitation‐ Direct Service Contract
• RI Department of Education (RIDE), State Discretionary Funds • RI Department of Children, Youth and families (DCYF): Federal partnership
Funds⁻ Federal‐State Children’s Mental Health Block Grants, Substance Use
Mental Health Services Administration (SAMHSA) ⁻ Federal‐Title IVB of the Social Security Act, Family Preservation Funds ⁻ Federal‐Community Based Child Abuse Prevention (CBCAP) Grant ⁻ Federal‐ Child Abuse Prevention and Treatment Act (CAPTA) Grant,
Administration for Children and Families
• Federal – Healthcare Resources Services Administration (HRSA)‐Opioid Impacted Family Support Program –Behavioral Health Paraprofessional workforce development
• RI Department of Labor, Apprenticeship Rhode Island • RI Department of Health: Federal‐CDC‐Statewide Street Outreach‐Opioid Hot
Spots • RI Department of Behavioral Health Care Developmental Disabilities & Hospitals
(BHDDH): Federal partnership funds⁻ Federal‐State Mental Health Block Grants, SAMHSA, Recovery Community
Centers ⁻ Federal‐State Overdose Response Grant (SOR) Funds, Pregnant Women
Perinatal Exposure & Families with OUD/SUD⁻ Federal‐Behavioral Health COVID Counseling‐Hospitality Industry
• Rhode Island Foundation/Private Donations
Funding Sources continued…
Family & Peer Service Delivery & Workforce Revenue Approaches
$610 Children & Families
Child Per month/ $20.04 per day
• Assigned Family Partner
• Wraparound Plan
• Nurturing Parenting
• Wellness Visits
• Supervised Visitation
• Transportation
$432Adults- 18 years and older
Peer Recovery Services$13.50 per 15 min. unit-up to 32 units per day
$8000Behavioral Health Peer Workforce Development
Federal Registered Apprenticeship Program• Certified Peer Recovery Specialists
• Certified Community Health Workers
• Pregnant Women-Family Support
with Opioid and other Substance Use
• Family & Youth Support Partners
• Trauma Informed Practice
Workforce
WORKING FOR POSITIVE OUTCOMES
• Rapid Response/Outreach
• Recovery Community Centers
• Assigned Peer Recovery Specialist
• Recovery & Wellness Plan
• Ongoing Workshops
• Wellness & Mutual Aid groups
• Transportation For more info:401‐467‐6855Lisa Conlan [email protected]
• Build Leadership & Executive Infrastructure‐Policies & Procedures • Fund Development & Partnership – Contracts, Grants, Marketing, Donations • Audit Ready Fiscal Book‐keeping‐ Fiscal Staffing/Vendors• Ensure Payroll/Human Resource ‐Staff/Vendors/Employee Assistance Program • Supervision & Workforce Development –Retention • Diversification – Braided Federal, State, and Private Funds• Cash Flow Cautions‐contracting arrangements, reimbursement, loans • Medicaid Feasibility – Preparation Application – Approval Goal: July 2021 • Public‐Private Foundations & Partnership • Fundraising/Private donations
Funding & Sustaining A Family‐Peer Run OrganizationStrategies & Lessons Learned
FREDLA Parent Peer Support Institute
Financing Parent Peer Support through Medicaid
www.fredla.org
Advancing Parent Peer Support: Practice, Program, & Policy
Wendy White TiegreenGeorgia Department of Behavioral Health
and Developmental Disabilities
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1st in Medicaid reimbursable CPS‐MH
Expanded Medicaid coverage to include addiction recovery and whole health (1st in the country)
CPS‐Y and CPS‐P Medicaid‐reimbursable as of late 2017
Georgia model became basis for 40+states and a dozen countries to adopt mental health Peer Support
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National Leaders
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Georgia: Brief History of Medicaid Peer Support
1999First Medicaid
Billable Peer Support Service
2001Adult Mental
Health Certification
2007Addition
of Wellness Elements to Peer Support Definition
2007CMS State Medicaid Directors Transmittal
**
2007CMS PRTF Demo
Waiver for Parent
and Youth Peer
Support
2010Medicaid CHIPRA Grant to develop Parent
and Youth Peer
Support
2012Medicaid Approval for Peer Support Whole Health
2012Medicaid Approval
for Addictive Disease Peer
Support
2013BIP and MFP for Parent
and Youth Peer
Support
2017Medicaid State Plan Approval for Parent and Youth
Peer Support
State Event
National Event* http://www.nasmhpd.org/sites/default/files/Mortality%20and%20Morbidity%20Final%20Report%208.18.08.pdf** https://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/smd081507a.pdf
Certified Peer Specialist (CPS) Core Competencies
• Georgia Credential: CPS• Core Competencies
• Lived experience as a recovery tool
• Mutual support
• Roles and responsibilities
• Boundaries
• Ethics
• Documentation
• Treatment team participation and support
• Goal setting and attainment
• Recovery principles
• Cultural competence
Certified Peer Specialist
Certified Peer Specialist: Certified peer specialists are individuals who are trained to use their lived experience with behavioral health conditions to empower adults, children, and families to sustain their recovery and wellness and create fulfilling lives in their communities.
There Are 4 Different Types of Peer Certifications in Georgia
Certified Peer Specialist -Addictive Diseases (CPS-AD
Certified Peer Specialist - Youth (CPS-Y)
Types of Peer Certifications
• Ages 18 ‐30 • Living with a behavioral health condition and is willing and able to self‐identify as a person who has or is receiving behavioral health services
• Uses that experience in helping other youth and young adults living with similar behavioral health conditions
• Age 18 and older• Living in recovery from addiction and abstinent from any drug use for over (2) years
• Supports other adults on their journey of recovery from substance use
Certified Peer Specialist - Parent (CPS-P)
• Parent or legal guardian of a child who is living with a mental health, substance use or a co occurring diagnosis
• Provides support to other parents who are raising a child with similar behavioral health conditions
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Certified Peer Specialist –Mental Health (CPS-MH)
• Age 18 and older• Living in recovery
with a mental health condition and is practicing recovery as related to that condition.
• Supports other adults on their journey of recovery with a mental health condition
MH & Whole Health MH & Forensic
Types of Peer Certifications – Ancillary CPS Credentials
• Certified as an Adult CPS • Earned additional certification to support individuals living with a MH condition in creating a plan that considers mental and physical wellness
• Support individuals with prevention, balancing healthcare, wellness, and navigating the health care system
• Age 18 and older• Living in recovery from addiction and abstinent from any drug use for over (2) years
• Support other adults on their journey of recovery from substance use
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Certified Peer Specialist (CPS) Certification
Status: June 2019 Tiegreen
Approximately 2,500 unduplicated Certified Peer Specialists (CPSs) are certified in Georgia.
585
15272
1958
626
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CPSs
Adult MH
Adult AD
Parent
Forensic
Youth
WholeHealth
Georgia’s Foundation: Peer-Specific Services
Mental Health Peer SupportProgrammatic Model
Mental Health Peer SupportOne-to-One Model
Addictive Diseases Peer SupportProgrammatic Model
Addictive Diseases Peer SupportOne-to-One Model
Parent Peer SupportProgrammatic Model
Parent Peer SupportOne-to-One ModelYouth Peer Support
Programmatic Model
Youth Peer SupportOne-to-One Model
Whole Health & Wellness One-to-One Model
Peer MentorsState Hospital/Prison to Community
Transition
Health & Wellness Centers
Peer Warm Line Support
Recovery Community Center Services
Statewide Benefit
Special Targeted Initiatives
AD Peer Support in EDs (Opioid Response)
AD Peer Support in NICU
Parent Peer Support in Children’s Hospital ED
Peer Specialists – Local Interagency Planning
Teams for Youth
Peer Support – First Episode Psychosis
Grantees
Georgia’s Foundation: Peer-Engaged Services
Mental Health Peer SupportProgrammatic Model
Mental Health Peer SupportOne-to-One Model
Addictive Diseases Peer Support
Programmatic Model
Addictive Diseases Peer Support
One-to-One Model
Parent Peer SupportProgrammatic Model
Parent Peer SupportOne-to-One ModelYouth Peer Support
Programmatic Model
Youth Peer SupportOne-to-One Model
Whole Health & Wellness One-to-One Model
Peer Mentors:State Hospital to Community
Transition
Health & Wellness Centers
Case Management
Addictive Disease Support Services
Community Support Teams
Community Transition Planning
Family TrainingGroup Skills Training
Assertive Community Treatment
Psychosocial Rehabilitation Supported Employment
Community Support
Intensive CustomizedCare Coordination Crisis Stabilization
Programs
Peer Warm Line Support
Recovery Community Center
Services
Youth Intervention Model
Peer Support
Family Skills
Training
Parent Peer
Support
YouthPeer
Support
Case Management
Contact Information
• Presenter Contact Info:• Jane Plapinger ‐ [email protected]• Lisa Conlan Lewis ‐ [email protected]• Wendy White Tiegreen ‐[email protected]
• FREDLA Contact Info:• www.fredla.org• [email protected]