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The Comprehensive Mental Health Plan for Texas Update Report publications
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
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