A peer support specialist is a person with "lived experience" who has been trained to support those who struggle with mental health, psychological trauma, or substance use. Their personal experience of these challenges provide peer support specialists with expertise that professional training cannot replicate. [1]
Some roles filled by peer support specialists include assisting their peers in articulating their goals for recovery, learning and practicing new skills, helping them monitor their progress, supporting them in their treatment, modeling effective coping techniques and self-help strategies based on the specialist's own recovery experience, supporting them in advocating for themselves to obtain effective services, and developing and implementing recovery plans. [2]
In 2007, the Department of Health and Human Services recognized peer support services as an evidence-based practice. It also informed all 50 state Medicaid directors that The Centers for Medicare and Medicaid Services would pay for peer support services, provided that peer support specialists--like other types of healthcare providers--were governed by a statewide training and credentialing program. [3] As of 2016, [update] 42 US states, the District of Columbia, and the Veterans' Administration have adopted such programs to train and certify individuals to work as peer support specialists. [4]
Recovery plans can take many forms. A key component of the recovery management model is a personal recovery plan which is drawn up by the individual looking for support, and reviewed with an RSS. This plan is instrumental for individuals in the process of their recovery.
Central to such plans are the overall health and well-being of each individual, not just their mental health. Components often include support groups and individual therapy, basic health care maintenance, stable housing, improvements in family life and personal relationships, and community connections. The plan may also include education goals, vocational development and employment. Some plans outline a timetable for monitoring, and/or a plan for re-engagement when needed to balance the health and overall quality of life of each individual.
Peer recovery support specialists can be found in an increasing variety of settings, including community-based recovery centers. Funding for peer recovery programs comes from a combination of federal and state agencies as well as local and national charities and grant programs, such as Catholic Charities and the United Way. [5]
When peer support specialists work in publicly funded services, they are required to meet government and state certification requirements. Since the adaptation of the Recovery Management Model by state and federal agencies, peer support specialist courses have been offered by numerous state, nonprofit and for-profit entities such as Connecticut Community for Addiction Recovery, [6] PRO-ACT (Pennsylvania Recovery Organization-Achieving Community Together), [7] The McShin Foundation, [8] Tennessee Certified Peer Recovery Specialist Training and Program, [9] Appalachian Consulting Group, [10] and the State of New York's Office of Addiction Services. [11] PARfessionals has developed the first internationally approved online training program for peer support specialists in the fields of mental health and addiction recovery. In addition, numerous for-profit firms offer peer support specialist training. Training includes courses on the ethics of a recovery coach, recovery coaching core competencies, clinical theories as stages of change, motivational interviewing, and co-occurring disorders. [12]
Adapted for the recovery support specialist by William L. White: [13] [14]
Drug rehabilitation is the process of medical or psychotherapeutic treatment for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs such as cannabis, cocaine, heroin or amphetamines. The general intent is to enable the patient to confront substance dependence, if present, and stop substance misuse to avoid the psychological, legal, financial, social, and physical consequences that can be caused.
A halfway house is an institute for people with criminal backgrounds or drug abuse tendencies to learn the necessary skills to re-integrate into society and better support and care for themselves.
Peer support occurs when people provide knowledge, experience, emotional, social or practical help to each other. It commonly refers to an initiative consisting of trained supporters, and can take a number of forms such as peer mentoring, reflective listening, or counseling. Peer support is also used to refer to initiatives where colleagues, members of self-help organizations and others meet, in person or online, as equals to give each other connection and support on a reciprocal basis.
Guidance and counseling is a process of helping an individual become fully aware of his/ herself and the ways in which he is responding to the influence of his/her environment. Counseling is a generic term for any of professional counseling that treats dysfunction occurring within a group of related people. This term describes a preventive system of counseling that works to combat psychological impairment through the improvement and development of community support. A community is defined as a group of interacting individuals who share a commonality. This commonality can be anything from location of residence to career interest, but a community counselor will use this common characteristic to council groups of people.
A mental health professional is a health care practitioner or social and human services provider who offers services for the purpose of improving an individual's mental health or to treat mental disorders. This broad category was developed as a name for community personnel who worked in the new community mental health agencies begun in the 1970s to assist individuals moving from state hospitals, to prevent admissions, and to provide support in homes, jobs, education, and community. These individuals were the forefront brigade to develop the community programs, which today may be referred to by names such as supported housing, psychiatric rehabilitation, supported or transitional employment, sheltered workshops, supported education, daily living skills, affirmative industries, dual diagnosis treatment, individual and family psychoeducation, adult day care, foster care, family services and mental health counseling.
Transitional living refers to any type of living situation that is transitional. The primary purpose or mission of transitional living environments is temporary. Transitional living facilities often offer low cost housing. Transitional living residents that cater to those recovering from economic hardship often graduate from a shelter to lesser crowded living situation. Transitional living may or may not have other common threads among residents. Transitional living provides professional support, education, and a stable living environment. Common types of transitional living include transitioning from jail or prison, an addiction treatment center or a mental health facility. They may also target homelessness, especially among youth. Transitional living is provided by many well known private and non profit organizations, by government, churches and other charitable organizations.
Psychiatric rehabilitation, also known as psych social rehabilitation, and sometimes simplified to psych rehab by providers, is the process of restoration of community functioning and well-being of an individual diagnosed in mental health or emotional disorder and who may be considered to have a psychiatric disability.
The Canadian Mental Health Association (CMHA) is the Canadian association founded on April 22, 1918, by Dr. Clarence M. Hincks and Clifford W. Beers. Originally named the Canadian National Committee for Mental Hygiene, it is one of the largest and oldest voluntary health organizations operating in Canada.
Sober companion, sober coach, sobriety coach or recovery coach are titles all representing the same job in the field of addiction, providing one-on-one assistance to newly recovering individuals. The goal is to help the client maintain total abstinence or harm reduction from any addiction, and to establish healthy routines at home or after checking out of a residential treatment facility. Regulations do not exist for sober companions. A sober companion may be a part of a whole medical and/or a clinical team of professional(s), may be formally licensed as a mental health professional, or have well-respected experiential experience in the field and may work independently on their own.
The Alberta Adolescent Recovery Centre, or AARC, is a drug rehabilitation centre for adolescents and family members located in Calgary, Alberta. AARC specializes in treating young people suffering from drug addiction and alcoholism, and takes in clients who have been thought of as being too far-gone for recovery. The AARC program is a multifaceted drug treatment program that uses twelve-step recovery processes, peer pressure, family and group therapy. A survey conducted by AARC found they had an 80% success rate, and that former addicts can permanently abstain from using drugs or alcohol following treatment at the centre. Another study found that the "AARC program is a unique model for comprehensive, long-term adolescent substance use treatment with a high rate of treatment completion (80.5%)."
Recovery coaching is a form of strengths-based support for people with addictions or in recovery from alcohol, other drugs, codependency, or other addictive behaviors. They work with people who have active addictions, as well as those already in recovery. Recovery coaches are helpful for making decisions about what to do with one's life and the part addiction or recovery plays in it. They help clients find ways to stop addiction (abstinence), or reduce harm associated with addictive behaviors. These coaches can help a client find resources for harm reduction, detox, treatment, family support and education, local or online support groups; or help a client create a change plan to recover on their own.
The Human Resources Administration or Department of Social Services (HRA/DSS) is the department of the government of New York City in charge of the majority of the city's social services programs. HRA helps New Yorkers in need through a variety of services that promote employment and personal responsibility while providing temporary assistance and work supports. Its regulations are compiled in title 68 of the New York City Rules. The current Commissioner of HRA is Stephen Banks, who was appointed to the position in April, 2014 by Mayor Bill de Blasio. HRA is the largest city social services agency in the United States. It has a budget of $9.7 billion, employs over 14,000 people, and serves over 3 million New Yorkers.
Rise provides microfinancing and mentorship to entrepreneurs living with mental health and addiction challenges who are interested in pursuing self-employment. Business loans, leases, and other investments are offered depending on the stage of development, needs and capacity of each business. Rise provides business financing up to $25,000 throughout Ontario, with financing averaging from $3000 to $5000. The Rotman School of Management and Centre for Addiction and Mental Health participate in advisory functions, lending their respective expertise for business mentoring and mental health supports and services to the benefit of Rise clients. In January 2012, Rise received the Social Entrepreneurship in Mental Health Equity Award for Toronto social enterprises advancing mental health equity.
The Banyan is a non-governmental organization based in Chennai, India was founded in 1993 by Vandana Gopikumar and Vaishnavi Jayakumar to cater to the mentally ill and homeless women in the city.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
Clinical mental health counseling is a distinct profession with national standards for education, training, and clinical practice. Clinical mental health counselors operate from a wellness perspective, which emphasizes moving toward optimal human functioning in mind, body, and spirit, and away from distress, dysfunction, and mental illness. Counselors also view wellness and pathology as developmental in nature, and take into consideration all levels of a client's environment when conducting assessment and treatment. Counselors also frequently take a team approach, collaborating with other mental health professionals to provide the most comprehensive care possible for the client.
Sober Grid is a digital health company providing mental health addiction care around the world in over 170 countries.
PARfessionals is an Arkansas-based, private research development firm for Peer Support and Recovery Providers in Addictions.
Whole Health Action Management (WHAM) is a peer-led intervention to facilitate self-management to reach whole health goals through peer coaching and support groups. It is a method of utilizing the power of peer support to support healthcare delivery, and to counter high rates of chronic physical health conditions such as diabetes, heart disease and obesity among those with behavioral health diagnoses. The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) developed the WHAM program to "encourage increased resiliency, wellness, and self-management of health and behavioral health among people with mental illnesses, substance use disorders, and chronic physical health conditions." WHAM is based on a collaboration between peers and health professionals. Peers encourage clients to get routine health exams and comply with physician recommendations. They frequently discuss common health behaviors such as smoking cessation, physical exercise, stress reduction, and healthy food choices. WHAM is very similar to Peer Support Whole Health and Resiliency