Peer Support

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Providing Support  and Supervision to Peers  in a Housing First Program Alice Colegrove, DrPH MISSION:Housed a SAMHSA CABHI‐State grant

Massachusetts Department of Public Health Bureau of Substance Abuse March 2016

Objectives  Learn the differing roots/fields that Peer Support

Specialists (PSS) come from

 Increase understanding of the nuances of

supporting/ supervising of PSSs

 Complete an org-chart of the supports and

supervisors that PSSs currently have (or may have) in our various contexts

 Begin assigning improved terms to the supports

of PSSs in our various contexts

MA Department of Public Health  Bureau of Substance Abuse “MISSION:Housed”

MA Department of Public Health Bureau of Substance Abuse “MISSION:Housed”







MA Department of Public Health  Bureau of Substance Abuse “MISSION:Housed”  Training shelter and street outreach staff on opioid

addiction, medicated assisted treatment, overdose prevention  Train shelter and street outreach staff on Trauma Informed Care  Train staff on Traumatic Brain Injury as it relates to homelessness and COD  Train staff on military culture and Battlemind

MA Department of Public Health  Bureau of Substance Abuse “MISSION:Housed”  SOAR training and integration across the state  Health care integration work with Boston Health Care for

the Homeless  MassHealth review of permanent supportive housing services benefits, with eye for the development of a menu of options for these services based on client/consumer need

MA Department of Public Health  Bureau of Substance Abuse “MISSION:Housed” •

A Welcome video from our team!  (Introduction from our PN and PSSs)

Definition of “Peer Support”  A person able to provide 

support to someone who  is struggling with a  particular issue, because  they had the same, or  similar, experience.

kintsugi

Roots of Recovery:  Substance Use & Mental Health  Substance “Abuse”:             peers helping one another       (self‐help)  Mental Health:          medical treatment; clinical  support groups; advocates  eventually started non‐ medical peer recovery groups

Shared Recovery Experiences  Substance abuse  Mental health disorders  Veterans  Homelessness

What a Peer Support Specialist is & is not A PSS is‐  Equal to client  Working with a client  Down to earth  Equal to clinicians

A PSS is not  Overseeing a client  Working for a client  Clinical  Subordinate to clinicians

MISSION:Housed  Direct Service Staff org chart

Team  Supervisor Employment  Supervisor

DMH  consultant

RN supervisor Peer  Navigator

Supported  Employment  Specialist

RN Care  Coordinator

Case  Managers

Peer Support  Specialists

Support and Supervision Support  Asking questions  Offering examples and  suggestions  Listening

Supervision  Administrative details  Educating and offering  clinical explanations  Listening

Non‐Clinical  Support/Consultation

Team  Supervisor Employment  Supervisor

Supported  Employment  Specialist

DMH  consultant

RN supervisor Peer  Navigator RN Care  Coordinator

Case  Managers

Peer Support  Specialists

Support from a Peer Navigator  Assists PSSs with complex 

Peer  Support  Specialists

Peer  Navigator

DMH  and/or  Recovery  Coach  consultant

cases  Allows for job  advancement in the field  Extra benefit: Can advocate  for the value of/aid in the  understanding of PSSs in  your agency/State

Small group Exercise 1) Create an org chart that contains Peers (or where  Peers could be potentially used) in your setting  2) List terms that are typically used for staff support 3) List topics that are typically dealt with/discussed in  supervision (clinical and non‐clinical topics) 4) What is working well? 5) Are there areas of support and terms that could be  improved?