 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
us psychiatric rehabilitation association texas
related publications
related publications
The Comprehensive Mental Health Plan for Texas Update Report
This report updates the Comprehensive Mental Health Plan for Texas refining its
priority goals with specific work plans.
Read the 2006 CMHP report
FY 2007 Texas Adult Mental Health (AMH) Consumer Survey
In state fiscal year (FY) 2007, Texas conducted its 11th annual Adult Mental
Health (AMH) Survey. The AMH Survey, designed by the federal Mental Health
Statistics Improvement Program (MHSIP), measures consumer perception of
state mental health services as part of a broader federal effort to evaluate the
performance of the mental health system. This report presents the FY 2007
Texas AMH Survey statewide results. An accompanying report presents the FY
2007 results for the Texas Youth Services Survey for Families (YSSF), which
measures the perception of parents whose children have received state mental
health services.
FY 2007 Texas Youth Services Survey for Families (YSSF)
In state fiscal year (FY) 2007, Texas conducted its sixth annual Youth Services
Survey for Families (YSSF). The YSSF, designed by the federal Mental Health
Statistics Improvement Program (MHSIP), measures consumer perception of
state mental health services as part of a broader federal effort to evaluate the
performance of the mental health system. This report presents the Texas FY
2007 YSSF statewide results. An accompanying report presents the FY 2007
results for the Adult Mental Health (AMH) Survey, which measures the
perception of adults who have received state mental health services.
The Future Mental Health System in Texas: Recommendations for
Mental Health Transformation, Report of the Mental Health
Transformation Workgroup to the Senate of Texas Committee on
Health and Human Services, November 1, 2006
Mental Health System Transformation Grant Abstract
Mental Health Needs Assessment, "Voices Transforming Texas:
Texas Assessment of Mental Health Needs and Resources"
Executive Summary of Mental Health Needs Assessment
Comprehensive Mental Health Plan for the State of Texas
Goals and Strategies
National Reports on Mental Health Transformation
President's New Freedom Commission on Mental Health Reports
From Study to Action: A Strategic Plan for Transformation of
Mental Health Care
National Consensus Statement on Mental Health Recovery
Administration and Policy
SAMHSA Resources
Children and Families
CMHS Programs
Consumer/Survivor
Culture and Ethnicity
Disaster/Trauma
Education
Elderly
Español
Faith and Spirituality
Funding
HIV/AIDS
Homelessness/Housing
Mental Health Care System
Mental Illnesses/Disorders
Organization and Financing
Prevention
Professional Resources
Protection & Advocacy
Psychiatry and Psychology
Rural Mental Health
Self-Directed Care
Services Research
State/Territory Resources
Statistics
Stigma
Stress and Anxiety
Substance Abuse/Addiction
Suicide
Surgeon General Reports
Treatment and Recovery
Violence against women
Women and Men
National Gay & Lesbian Task Force
Women, Violence and Trauma
Work/Community Support
Peer Supports for Adults (The Georgia Model)
Y3022
Adult Peer Supports –This service provides structured, scheduled activities that
promote socialization, recovery, self-advocacy, development of natural supports,
and maintenance of community living skills, under the direct supervision of a
mental health professional. A Consumer Peer Support Center maintains
adequate staff support to enable a safe, structured environment in which
consumers can meet and provide mutual support.
Services are geared toward consumers with severe and persistent mental
illness. These consumers may have concomitant substance abuse disorders or
concomitant mental retardation.
Typically, will operate during day/evening/weekend hours near public
transportation or access to transportation services. A Peer Supports service
must be operated for no less than twelve (12) hours a week, no less than four
(4) hours per day, no less than three (3) days per week.
Consumers actively participate in decision-making and the operation of the
programmatic supports. There will be scheduled activities that may include:
meals and snacks, art and other recreational/leisure activities, educational
seminars, informal and formal peer support meetings, and planning/feedback
committees. The service promotes socialization, recovery, self-sufficiency, self-
advocacy, the development of natural supports and maintaining those skills
learned in other support services.
The purpose of a Peer Supports service is to provide an opportunity for
consumers to direct their own recovery and advocacy process and to teach and
support each other in the acquisition and exercise of skills needed for
management of symptoms and for utilization of natural resources within the
community.
Level of Benefit
Low Intensity (under review)
Target Population
Adult with serious and persistent mental illness
Initial Authorization
900 units (unit = 1 hour)
Re-Authorization
900 units (unit = 1 hour)
Admission Criteria
1. Consumer must have primary behavioral health issues AND
2. Level of functioning does not preclude services in an unstructured
environment without professional presence.
3. Requires and would benefit from support of peers for the acquisition of skills
needed for management of symptoms and for utilization of natural resources
within the community AND
4. Needs assistance to develop self-advocacy skills in order to achieve
decreased dependency on the mental health system OR
5. Needs assistance and support to prepare for a successful work experience
OR
6. Needs peer modeling in order to take increased responsibilities for his/her
own recovery OR
7. Needs peer supports in order to maintain daily living skills.
Continuing Stay Criteria
1. Continues to meet admission criteria AND
2. Progress notes document consumer progress relative to goals identified in
the Service Plan, but treatment goals have not yet been achieved
3. Consumer chooses not to participate with other alternative treatment/support
option. AND
4. Internal concurrent review should occur every six (6) months
Discharge Criteria
1. Goals of consumer’s individualized service plan have been substantially met.
2. There is demonstrable functional stability and treatment compliance with
minimal support for at least 3 months.
3. Consumer/family requests discharge
4. Transfer to another service/level
Service Exclusions
Not offered in conjunction with Intensive Day Treatment
May be offered with Community Support and Psychosocial Rehabilitation (which
do require ongoing utilization review)
Clinical Exclusions
1. Consumers who require one-to-one supervision for protection of self and
others.
2. Presence of any psychiatric condition or behavior requiring a more intensive
Level of Care
3. Legal status precluding this Level of Care
Additional Service Criteria:
A. Required Components
1. A Peer Supports service may operate as:
· a program within a freestanding Peer Support Center;
· a program within an existing clinical service provider without a Peer Support
Center;
· a program within a Peer Support Center that is within a clinical service
provider; or
· a program within a larger clinical or community human service provider
administratively, (either with or without a Peer Support Center, but with complete
programmatic autonomy.
2. A Peer Supports service must be operated for no less than twelve (12) hours
a week, no less than four (4) hours per day, no less than three (3) days per
week, typically during day, evening and weekend hours.
3. The governing board of a freestanding Peer Center must be composed of
75% consumers and represent the cultural diversity of the population of the
community being served. The board is encouraged to have either board
members or operating relationships with persons with legal and accounting
expertise. For programs that are part of a larger organizational structure that is
not consumer led and operated, the Peer Supports Program must have an
advisory body with the same composition as for a freestanding Peer Center’s
board. The board or advisory committee must have the ability to develop
programmatic descriptions and guidelines (consistent with state and federal
regulations, accreditation requirements, and sponsoring agency operating
policies), review and comment on the Peer Support Program’s budgets, review
activity offerings, and participate in dispute resolution activities for the program.
4. Consumers participating in the service at any given time must be given the
opportunity to participate in and make decisions about the activities that are
conducted or services offered within the Peer Supports program, and about the
schedule of those activities and services, as well as other operational issues.
5. Regardless of organizational structure, the service must be directed, and led
by consumers themselves.
6. Peer Supports may include meals or other social activities for purpose of
building peer relationships, but meals should not be the central or core activity
offered. The focus of the service is skill maintenance and enhancement, and
building individual consumers’ capacity to advocate for themselves and other
consumers.
7. Peer Supports should not be operated in isolation from the rest of the
programs within the facility or organization with which it is affiliated. The Program
Leader must be able to call multi-disciplinary team meetings regarding a
participating consumer’s needs and desires, and a Peer Specialist providing
services for and with a participating consumer must be allowed to participate in
multi-disciplinary team meetings.
B. Staffing Requirements
1. The program must be under the clinical supervision of a MHP, preferably a
consumer who is a Georgia certified Peer Specialist, and preferably who is
credentialed by IAPSRS as an Associate Psychosocial Rehabilitation
Professional (APRP) or Registered Psychiatric Rehabilitation Professional
(RPRP), or who can demonstrate activity toward attainment of certification as a
Certified Psychiatric Rehabilitation Professional (CPRP).[1] All staff are
encouraged to seek and obtain Georgia certification as a Peer Specialist and
IAPSRS APRP, RPRP or CPRP credentials.
2. The individual leading and managing the day-to-day operations of the
program (leader) must be a Georgia certified Peer Specialist, who is an APRP,
RPRP, CPRP or can demonstrate activity toward attainment of APRP, RPRP, or
CPRP registration or certification.
3. The Program Leader must be employed by the sponsoring agency at least
0.5 FTE.
4. The Program Leader and Georgia certified Peer Specialists in the Peer
Supports program may be shared with other programs so long as the Program
Leader is able to be present no less than 75% of the hours the Peer Supports
program is in operation, and so long as the Program Leader and the Georgia
certified Peer Specialists are available as required for supervision and clinical
operations, and so long as they are not counted in consumer to staff ratios for
two different programs operating at the same time.
5. Services must be provided and/or activities led by staff who are Georgia
certified Peer Specialists or other consumers, under the supervision of a
Georgia certified Peer Specialist. A specific activity may be taught by persons
who are not consumers but are invited guests.
6. There must be at least two Georgia certified Peer Specialists on staff either in
the Peer Supports Program or in a combination of Peer Supports and other
programs and services operating within the agency.
7. There must be a maximum face-to-face ratio of an average of not more than
thirty (30) consumers to one (1) certified Peer Specialist, based on average
daily attendance of consumers in the program.
8. There must be a maximum face-to-face ratio of an average of not more than
fifteen (15) consumers to one (1) direct service/program staff, based on the
average daily attendance of consumers in the program.
9. All staff must have an understanding of recovery and psychosocial
rehabilitation principles as defined by the Georgia Consumer Council and
psychosocial rehabilitation principles published by IAPSRS and must possess
the skills and ability to assist other consumers in their own recovery processes.
C. Clinical Operations
1. This service must operate at an established site approved to bill Medicaid for
services. However, individual or group activities may take place off-site in natural
community settings as is appropriate to the participating consumers’ Individual
Services Plans (ISPs) developed by each individual for him/herself, with
assistance from the Program staff.
2. This service may operate in the same building as other day services;
however, there must be a distinct separation between these services in staffing,
program description, and physical space during the hours the Peer Supports
program is in operation, except as provided above.
3. Adequate space, equipment, furnishings, supplies, and other resources must
be provided in order that services can be provided effectively and so that the
program environment is clean and in good repair. Space, equipment,
furnishings, supplies, transportation, and other resources for consumer use
within the Peer Supports program must not be substantially different from space
provided for other uses for similar numbers of individuals.
4. Staff of the Peer Supports Program must be treated as equal to any other
staff of the facility or organization and must be provided equivalent opportunities
for training (both mandated and offered) and pay and benefits that are
competitive and comparable to other staff based on experience and skill level.
5. Weekly progress notes must document consumer progress relative to
functioning and skills related to goals identified in his/her ISP.
6. Daily attendance of each consumer participating in the program must be
documented for billing purposes.
7. When this service is used in conjunction with Psychosocial Rehabilitation, and
ACT, documentation must demonstrate careful planning to maximize the
effectiveness of this service as well as appropriate reduction in service amounts.
Utilization of this service in conjunction with these services will be subject to
UM/UR review.
8. Each consumer should set his or her own individualized goals and assess his
or her own skills and resources related to goal attainment. Goals are set by
exploring strengths and needs in the consumer’s living, learning, social, and
working environments. Implementation of services may take place individually or
in groups.
9. Each consumer must be provided opportunity for peer assistance in the
development and acquisition of needed skills and resources necessary to
achieve stated goals.
10. A Peer Supports program must offer a range of skill-building and recovery
activities developed and led by consumers. These activities must include those
that will most effectively support achievement of the individual consumer’s
rehabilitation and recovery goals.
11. The program must have a Peer Supports Organizational Plan addressing
the following:
A service philosophy reflecting recovery principles as articulated by the Georgia
Consumer Council, August 1, 2001. This philosophy must be actively
incorporated into all services and activities, e.g.:Ø View each individual as the
director of his/her rehabilitation and recovery process;
Ø Promote the value of self-help, peer support and personal empowerment to
foster recovery;
Ø Promote information about mental illness and coping skills.
Ø Promote peer-to-peer training of individual skills, social skills,
community/natural resources, and group and individual advocacy;
Ø Promote supported employment and education that fosters self-determination
and career advancement;
Ø Support each consumer to “get a life” using natural occurring resources to
replace the resources of the mental health system no longer needed.
Ø Support each consumer to fully integrate into accepting communities in the
least intrusive environment that promotes housing of his/her choice.
Ø Actively seek ongoing consumer input into program and service content so as
to meet each individual’s needs and goals and foster the recovery process.
A description of the particular consumer empowerment models utilized, types of
activities offered, and typical daily curriculum and schedule; if offered, meals
should be described as an adjunctive peer relationship building activity rather
than as a central activity. A description of the staffing pattern, plans for staff who
have or will achieve Peer Specialist and APRP credentials, and how staff are
deployed to ensure that the required staff-to-consumer ratios are maintained,
including how unplanned staff absences, illnesses, etc. are accommodated; A
description of how consumer staff within the agency will be given opportunities to
meet with or otherwise receive support from other consumers (including Georgia
certified Peer Specialists) both within and outside the agency; A description of
how consumers will be encouraged and supported to seek Georgia certification
as a Peer Specialist, e.g., participation in training opportunities; peer or other
counseling regarding anxiety about test-taking, assistance with study skills,
information about training and testing opportunities, opportunities to hear from
and interact with consumers who are already certified, additional opportunities
within the agency after certification, etc. A description of how the consumer staff
will participate in clinical team meetings at the request of a consumer and the
procedure for the Program Leader requesting a team meeting; A description of
the hours of operation, the staff assigned, and the types of services and
activities provided for and by consumers as well as for families, parents, and/or
guardians; A description of the program’s decision-making processes including
how consumers direct decision-making about both individual and program-wide
activities and about key policies and dispute resolution processes; A description
of how consumers participating in the service at any given time will be given the
opportunity to participate in and make decisions about the activities that are
conducted or services offered within the Peer Supports program, and about the
schedule of those activities and services, as well as other operational issues. A
description of the space, furnishings, materials, supplies, transportation, and
other resources available for consumers participating in the Peer Supports
services; A description of the governing body and/or advisory structures
indicating how this body/structure meets requirements for consumer leadership
and cultural diversity; A description of how the plan for services and activities will
be modified or adjusted to meet the needs specified in each consumer’s ISP. A
description of how consumer requests for discharge and change in services or
service intensity are handled.
--------------------------------------------------------------------------------
[1] NOTE: The International Association of Psychosocial Rehabilitation Services
(IAPSRS) is changing its registration of professionals from APRP and RPRP to
CPRP. This process will allow currently registered individuals a specified number
of years in which to receive the training and testing required for the new
certification as a CPRP. After that time, the APRP and RPRP registration will
end. Professionals seeking certification for the first time will be required to follow
the CPRP certification requirements.
All Rights Reserved (http://www.gacps.org)
Community reintegration for people with psychiatric disabilities: challenging
systemic barriers to service provision and public policy through participatory
action research
Authors: Mansha Mirza a; Andrea Gossett b; Nathan Kai-Cheong Chan a;
Larry Burford c; Joy Hammel ab
Affiliations: a Department of Disability Studies, University of Illinois, Chicago,
Illinois, USA
b Department of Occupational Therapy, University of Illinois, Chicago, Illinois,
USA
c Independent Disability Activist,
DOI: 10.1080/09687590802038829
Publication Frequency: 7 issues per year
Published in: Disability & Society, Volume 23, Issue 4 June 2008 , pages 323 -
336
Subjects: Disability; Disability Studies;
Formats available: HTML (English) : PDF (English)
Previously published as: Disability, Handicap & Society (0267-4645) until 1994
Article Requests: Order Reprints : Request Permissions
Abstract
People with psychiatric disabilities represent a growing group within the
population of nursing home residents in the USA. Despite a preference for living
in community-based settings, the availability of supportive services for
community living is hindered by barriers at both the service provision and public
policy levels. Therefore, understanding and responding to the community living
and participation needs of people with psychiatric disabilities is a highly relevant
area for action research. This paper discusses a participatory action research
endeavor carried out in collaboration with key personnel at Centers for
Independent Living who work to provide community reintegration services for
individuals with psychiatric disabilities. The events of this 15 month partnership
are extensively described, analyzed and discussed. Findings reflect the critical
need for communication, dialogue and action to support people with psychiatric
disabilities in the community.
Keywords: psychiatric disability; community participation; participatory research
http://www.informaworld.
com/smpp/content~content=a793638702~db=all~jumptype=rss
This report updates the Comprehensive Mental Health Plan for Texas refining its
priority goals with specific work plans.
Read the 2006 CMHP report
FY 2007 Texas Adult Mental Health (AMH) Consumer Survey
In state fiscal year (FY) 2007, Texas conducted its 11th annual Adult Mental
Health (AMH) Survey. The AMH Survey, designed by the federal Mental Health
Statistics Improvement Program (MHSIP), measures consumer perception of
state mental health services as part of a broader federal effort to evaluate the
performance of the mental health system. This report presents the FY 2007
Texas AMH Survey statewide results. An accompanying report presents the FY
2007 results for the Texas Youth Services Survey for Families (YSSF), which
measures the perception of parents whose children have received state mental
health services.
FY 2007 Texas Youth Services Survey for Families (YSSF)
In state fiscal year (FY) 2007, Texas conducted its sixth annual Youth Services
Survey for Families (YSSF). The YSSF, designed by the federal Mental Health
Statistics Improvement Program (MHSIP), measures consumer perception of
state mental health services as part of a broader federal effort to evaluate the
performance of the mental health system. This report presents the Texas FY
2007 YSSF statewide results. An accompanying report presents the FY 2007
results for the Adult Mental Health (AMH) Survey, which measures the
perception of adults who have received state mental health services.
The Future Mental Health System in Texas: Recommendations for
Mental Health Transformation, Report of the Mental Health
Transformation Workgroup to the Senate of Texas Committee on
Health and Human Services, November 1, 2006
Mental Health System Transformation Grant Abstract
Mental Health Needs Assessment, "Voices Transforming Texas:
Texas Assessment of Mental Health Needs and Resources"
Executive Summary of Mental Health Needs Assessment
Comprehensive Mental Health Plan for the State of Texas
Goals and Strategies
National Reports on Mental Health Transformation
President's New Freedom Commission on Mental Health Reports
From Study to Action: A Strategic Plan for Transformation of
Mental Health Care
National Consensus Statement on Mental Health Recovery
Administration and Policy
SAMHSA Resources
Children and Families
CMHS Programs
Consumer/Survivor
Culture and Ethnicity
Disaster/Trauma
Education
Elderly
Español
Faith and Spirituality
Funding
HIV/AIDS
Homelessness/Housing
Mental Health Care System
Mental Illnesses/Disorders
Organization and Financing
Prevention
Professional Resources
Protection & Advocacy
Psychiatry and Psychology
Rural Mental Health
Self-Directed Care
Services Research
State/Territory Resources
Statistics
Stigma
Stress and Anxiety
Substance Abuse/Addiction
Suicide
Surgeon General Reports
Treatment and Recovery
Violence against women
Women and Men
National Gay & Lesbian Task Force
Women, Violence and Trauma
Work/Community Support
Peer Supports for Adults (The Georgia Model)
Y3022
Adult Peer Supports –This service provides structured, scheduled activities that
promote socialization, recovery, self-advocacy, development of natural supports,
and maintenance of community living skills, under the direct supervision of a
mental health professional. A Consumer Peer Support Center maintains
adequate staff support to enable a safe, structured environment in which
consumers can meet and provide mutual support.
Services are geared toward consumers with severe and persistent mental
illness. These consumers may have concomitant substance abuse disorders or
concomitant mental retardation.
Typically, will operate during day/evening/weekend hours near public
transportation or access to transportation services. A Peer Supports service
must be operated for no less than twelve (12) hours a week, no less than four
(4) hours per day, no less than three (3) days per week.
Consumers actively participate in decision-making and the operation of the
programmatic supports. There will be scheduled activities that may include:
meals and snacks, art and other recreational/leisure activities, educational
seminars, informal and formal peer support meetings, and planning/feedback
committees. The service promotes socialization, recovery, self-sufficiency, self-
advocacy, the development of natural supports and maintaining those skills
learned in other support services.
The purpose of a Peer Supports service is to provide an opportunity for
consumers to direct their own recovery and advocacy process and to teach and
support each other in the acquisition and exercise of skills needed for
management of symptoms and for utilization of natural resources within the
community.
Level of Benefit
Low Intensity (under review)
Target Population
Adult with serious and persistent mental illness
Initial Authorization
900 units (unit = 1 hour)
Re-Authorization
900 units (unit = 1 hour)
Admission Criteria
1. Consumer must have primary behavioral health issues AND
2. Level of functioning does not preclude services in an unstructured
environment without professional presence.
3. Requires and would benefit from support of peers for the acquisition of skills
needed for management of symptoms and for utilization of natural resources
within the community AND
4. Needs assistance to develop self-advocacy skills in order to achieve
decreased dependency on the mental health system OR
5. Needs assistance and support to prepare for a successful work experience
OR
6. Needs peer modeling in order to take increased responsibilities for his/her
own recovery OR
7. Needs peer supports in order to maintain daily living skills.
Continuing Stay Criteria
1. Continues to meet admission criteria AND
2. Progress notes document consumer progress relative to goals identified in
the Service Plan, but treatment goals have not yet been achieved
3. Consumer chooses not to participate with other alternative treatment/support
option. AND
4. Internal concurrent review should occur every six (6) months
Discharge Criteria
1. Goals of consumer’s individualized service plan have been substantially met.
2. There is demonstrable functional stability and treatment compliance with
minimal support for at least 3 months.
3. Consumer/family requests discharge
4. Transfer to another service/level
Service Exclusions
Not offered in conjunction with Intensive Day Treatment
May be offered with Community Support and Psychosocial Rehabilitation (which
do require ongoing utilization review)
Clinical Exclusions
1. Consumers who require one-to-one supervision for protection of self and
others.
2. Presence of any psychiatric condition or behavior requiring a more intensive
Level of Care
3. Legal status precluding this Level of Care
Additional Service Criteria:
A. Required Components
1. A Peer Supports service may operate as:
· a program within a freestanding Peer Support Center;
· a program within an existing clinical service provider without a Peer Support
Center;
· a program within a Peer Support Center that is within a clinical service
provider; or
· a program within a larger clinical or community human service provider
administratively, (either with or without a Peer Support Center, but with complete
programmatic autonomy.
2. A Peer Supports service must be operated for no less than twelve (12) hours
a week, no less than four (4) hours per day, no less than three (3) days per
week, typically during day, evening and weekend hours.
3. The governing board of a freestanding Peer Center must be composed of
75% consumers and represent the cultural diversity of the population of the
community being served. The board is encouraged to have either board
members or operating relationships with persons with legal and accounting
expertise. For programs that are part of a larger organizational structure that is
not consumer led and operated, the Peer Supports Program must have an
advisory body with the same composition as for a freestanding Peer Center’s
board. The board or advisory committee must have the ability to develop
programmatic descriptions and guidelines (consistent with state and federal
regulations, accreditation requirements, and sponsoring agency operating
policies), review and comment on the Peer Support Program’s budgets, review
activity offerings, and participate in dispute resolution activities for the program.
4. Consumers participating in the service at any given time must be given the
opportunity to participate in and make decisions about the activities that are
conducted or services offered within the Peer Supports program, and about the
schedule of those activities and services, as well as other operational issues.
5. Regardless of organizational structure, the service must be directed, and led
by consumers themselves.
6. Peer Supports may include meals or other social activities for purpose of
building peer relationships, but meals should not be the central or core activity
offered. The focus of the service is skill maintenance and enhancement, and
building individual consumers’ capacity to advocate for themselves and other
consumers.
7. Peer Supports should not be operated in isolation from the rest of the
programs within the facility or organization with which it is affiliated. The Program
Leader must be able to call multi-disciplinary team meetings regarding a
participating consumer’s needs and desires, and a Peer Specialist providing
services for and with a participating consumer must be allowed to participate in
multi-disciplinary team meetings.
B. Staffing Requirements
1. The program must be under the clinical supervision of a MHP, preferably a
consumer who is a Georgia certified Peer Specialist, and preferably who is
credentialed by IAPSRS as an Associate Psychosocial Rehabilitation
Professional (APRP) or Registered Psychiatric Rehabilitation Professional
(RPRP), or who can demonstrate activity toward attainment of certification as a
Certified Psychiatric Rehabilitation Professional (CPRP).[1] All staff are
encouraged to seek and obtain Georgia certification as a Peer Specialist and
IAPSRS APRP, RPRP or CPRP credentials.
2. The individual leading and managing the day-to-day operations of the
program (leader) must be a Georgia certified Peer Specialist, who is an APRP,
RPRP, CPRP or can demonstrate activity toward attainment of APRP, RPRP, or
CPRP registration or certification.
3. The Program Leader must be employed by the sponsoring agency at least
0.5 FTE.
4. The Program Leader and Georgia certified Peer Specialists in the Peer
Supports program may be shared with other programs so long as the Program
Leader is able to be present no less than 75% of the hours the Peer Supports
program is in operation, and so long as the Program Leader and the Georgia
certified Peer Specialists are available as required for supervision and clinical
operations, and so long as they are not counted in consumer to staff ratios for
two different programs operating at the same time.
5. Services must be provided and/or activities led by staff who are Georgia
certified Peer Specialists or other consumers, under the supervision of a
Georgia certified Peer Specialist. A specific activity may be taught by persons
who are not consumers but are invited guests.
6. There must be at least two Georgia certified Peer Specialists on staff either in
the Peer Supports Program or in a combination of Peer Supports and other
programs and services operating within the agency.
7. There must be a maximum face-to-face ratio of an average of not more than
thirty (30) consumers to one (1) certified Peer Specialist, based on average
daily attendance of consumers in the program.
8. There must be a maximum face-to-face ratio of an average of not more than
fifteen (15) consumers to one (1) direct service/program staff, based on the
average daily attendance of consumers in the program.
9. All staff must have an understanding of recovery and psychosocial
rehabilitation principles as defined by the Georgia Consumer Council and
psychosocial rehabilitation principles published by IAPSRS and must possess
the skills and ability to assist other consumers in their own recovery processes.
C. Clinical Operations
1. This service must operate at an established site approved to bill Medicaid for
services. However, individual or group activities may take place off-site in natural
community settings as is appropriate to the participating consumers’ Individual
Services Plans (ISPs) developed by each individual for him/herself, with
assistance from the Program staff.
2. This service may operate in the same building as other day services;
however, there must be a distinct separation between these services in staffing,
program description, and physical space during the hours the Peer Supports
program is in operation, except as provided above.
3. Adequate space, equipment, furnishings, supplies, and other resources must
be provided in order that services can be provided effectively and so that the
program environment is clean and in good repair. Space, equipment,
furnishings, supplies, transportation, and other resources for consumer use
within the Peer Supports program must not be substantially different from space
provided for other uses for similar numbers of individuals.
4. Staff of the Peer Supports Program must be treated as equal to any other
staff of the facility or organization and must be provided equivalent opportunities
for training (both mandated and offered) and pay and benefits that are
competitive and comparable to other staff based on experience and skill level.
5. Weekly progress notes must document consumer progress relative to
functioning and skills related to goals identified in his/her ISP.
6. Daily attendance of each consumer participating in the program must be
documented for billing purposes.
7. When this service is used in conjunction with Psychosocial Rehabilitation, and
ACT, documentation must demonstrate careful planning to maximize the
effectiveness of this service as well as appropriate reduction in service amounts.
Utilization of this service in conjunction with these services will be subject to
UM/UR review.
8. Each consumer should set his or her own individualized goals and assess his
or her own skills and resources related to goal attainment. Goals are set by
exploring strengths and needs in the consumer’s living, learning, social, and
working environments. Implementation of services may take place individually or
in groups.
9. Each consumer must be provided opportunity for peer assistance in the
development and acquisition of needed skills and resources necessary to
achieve stated goals.
10. A Peer Supports program must offer a range of skill-building and recovery
activities developed and led by consumers. These activities must include those
that will most effectively support achievement of the individual consumer’s
rehabilitation and recovery goals.
11. The program must have a Peer Supports Organizational Plan addressing
the following:
A service philosophy reflecting recovery principles as articulated by the Georgia
Consumer Council, August 1, 2001. This philosophy must be actively
incorporated into all services and activities, e.g.:Ø View each individual as the
director of his/her rehabilitation and recovery process;
Ø Promote the value of self-help, peer support and personal empowerment to
foster recovery;
Ø Promote information about mental illness and coping skills.
Ø Promote peer-to-peer training of individual skills, social skills,
community/natural resources, and group and individual advocacy;
Ø Promote supported employment and education that fosters self-determination
and career advancement;
Ø Support each consumer to “get a life” using natural occurring resources to
replace the resources of the mental health system no longer needed.
Ø Support each consumer to fully integrate into accepting communities in the
least intrusive environment that promotes housing of his/her choice.
Ø Actively seek ongoing consumer input into program and service content so as
to meet each individual’s needs and goals and foster the recovery process.
A description of the particular consumer empowerment models utilized, types of
activities offered, and typical daily curriculum and schedule; if offered, meals
should be described as an adjunctive peer relationship building activity rather
than as a central activity. A description of the staffing pattern, plans for staff who
have or will achieve Peer Specialist and APRP credentials, and how staff are
deployed to ensure that the required staff-to-consumer ratios are maintained,
including how unplanned staff absences, illnesses, etc. are accommodated; A
description of how consumer staff within the agency will be given opportunities to
meet with or otherwise receive support from other consumers (including Georgia
certified Peer Specialists) both within and outside the agency; A description of
how consumers will be encouraged and supported to seek Georgia certification
as a Peer Specialist, e.g., participation in training opportunities; peer or other
counseling regarding anxiety about test-taking, assistance with study skills,
information about training and testing opportunities, opportunities to hear from
and interact with consumers who are already certified, additional opportunities
within the agency after certification, etc. A description of how the consumer staff
will participate in clinical team meetings at the request of a consumer and the
procedure for the Program Leader requesting a team meeting; A description of
the hours of operation, the staff assigned, and the types of services and
activities provided for and by consumers as well as for families, parents, and/or
guardians; A description of the program’s decision-making processes including
how consumers direct decision-making about both individual and program-wide
activities and about key policies and dispute resolution processes; A description
of how consumers participating in the service at any given time will be given the
opportunity to participate in and make decisions about the activities that are
conducted or services offered within the Peer Supports program, and about the
schedule of those activities and services, as well as other operational issues. A
description of the space, furnishings, materials, supplies, transportation, and
other resources available for consumers participating in the Peer Supports
services; A description of the governing body and/or advisory structures
indicating how this body/structure meets requirements for consumer leadership
and cultural diversity; A description of how the plan for services and activities will
be modified or adjusted to meet the needs specified in each consumer’s ISP. A
description of how consumer requests for discharge and change in services or
service intensity are handled.
--------------------------------------------------------------------------------
[1] NOTE: The International Association of Psychosocial Rehabilitation Services
(IAPSRS) is changing its registration of professionals from APRP and RPRP to
CPRP. This process will allow currently registered individuals a specified number
of years in which to receive the training and testing required for the new
certification as a CPRP. After that time, the APRP and RPRP registration will
end. Professionals seeking certification for the first time will be required to follow
the CPRP certification requirements.
All Rights Reserved (http://www.gacps.org)
Community reintegration for people with psychiatric disabilities: challenging
systemic barriers to service provision and public policy through participatory
action research
Authors: Mansha Mirza a; Andrea Gossett b; Nathan Kai-Cheong Chan a;
Larry Burford c; Joy Hammel ab
Affiliations: a Department of Disability Studies, University of Illinois, Chicago,
Illinois, USA
b Department of Occupational Therapy, University of Illinois, Chicago, Illinois,
USA
c Independent Disability Activist,
DOI: 10.1080/09687590802038829
Publication Frequency: 7 issues per year
Published in: Disability & Society, Volume 23, Issue 4 June 2008 , pages 323 -
336
Subjects: Disability; Disability Studies;
Formats available: HTML (English) : PDF (English)
Previously published as: Disability, Handicap & Society (0267-4645) until 1994
Article Requests: Order Reprints : Request Permissions
Abstract
People with psychiatric disabilities represent a growing group within the
population of nursing home residents in the USA. Despite a preference for living
in community-based settings, the availability of supportive services for
community living is hindered by barriers at both the service provision and public
policy levels. Therefore, understanding and responding to the community living
and participation needs of people with psychiatric disabilities is a highly relevant
area for action research. This paper discusses a participatory action research
endeavor carried out in collaboration with key personnel at Centers for
Independent Living who work to provide community reintegration services for
individuals with psychiatric disabilities. The events of this 15 month partnership
are extensively described, analyzed and discussed. Findings reflect the critical
need for communication, dialogue and action to support people with psychiatric
disabilities in the community.
Keywords: psychiatric disability; community participation; participatory research
http://www.informaworld.
com/smpp/content~content=a793638702~db=all~jumptype=rss
