Washington state Certified Peer Counselor Exam Study Guide

SAMHSA definition of recovery correct answer: Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. SAMHSA's elements of recovery correct answer: Hope, person-driven, many pathways, holistic, peer support, relational, culture, addresses trauma, strengths/responsibility, respect Resiliency correct answer: the ability to adapt effectively and recover from disappointment, difficulty, or crisis Differing ideas about recovery in substance use disorders correct answer: abstinence vs. harm reduction Families are integral to recovery for children correct answer: true, support system, advocates, environmental change medical model vs. recovery model of care correct answer: medical: languages are overly clinical, disempowering, do not promote hope. Recovery: language and practices that are person centered and promote hope and other recovery concepts Person First Language correct answer: Placing the individual ahead of the challenge. Power with. Model this. Strengths based. No jargon. Two ways peer supporters support recovery correct answer: Inspire hope and possibility. Support peers to get in touch with their own inner wisdom. Working with, not giving to, not doing for. Not sage on the stage but guide on the side. share your own story of hope and overcoming challenges, support choice and empowerment, encourage opportunities for additional support hope is essential for recovery correct answer: the turning point when we start to have the smallest belief that our lives can improve. The belief that a positive outcome or better situation lies ahead. Peer partner skills correct answer: listen actively, support engagement, ask recovery supported questions. SOLER, seat towards peer, open posture, lean toward peer, eye contact, relax Listen to meaning, feeling, values correct answer: quietly without judgement, lean in with curiosity, check your bias and your story, pay attention to feeling and nonverbal cues Demonstrating understanding correct answer: paraphrasing, reflecting feeling, responding to meaning Orienting correct answer: what's going to happen, why (what's in it for peer, why do it), how the process happens types of questions correct answer: open ended, direct, clarifying Recovery story correct answer: focus on hope, share only when relevant, ask permission, just the salt and pepper Supporting peers / trauma resiliency correct answer: safety, trustworthiness/transparency, peer support, collaboration and mutuality, empowerment voice and choice, cultural historical and gender issues short stories correct answer: share the message not the mess approaching conflict correct answer: acknowledge there is a problem, emphasize ground rules, look for areas of agreement, affirm value of different opinions, listen to everyone's point of view, define conflict early, create solutions, choose a solution peer partnering correct answer: attending, listening, paraphrasing, validating, feeling heard, present moment, empathy, open ended questions support self advocacy correct answer: use our own recovery story, support self advocacy, model community advocacy self advocacy planning correct answer: start with strengths. Name the need, help do research, identify gatekeeper, make a plan, role play, repeat, prepare for no Ethics correct answer: equitable and fair, do no harm, respect and mutuality, when in doubt ask your supervisor DAP note correct answer: Data, Assessment, Plan individualized service plan updated correct answer: every 6 months SMART goals correct answer: Specific Measurable Attainable Relevant Timely behavioral health correct answer: a state of mental/emotional being and/or choices and actions that affect wellness. Behavioral health problems include substance abuse or misuse, alcohol and drug addiction, serious psychological distress, suicide, and mental and substance use disorders when is certification as a peer counselor required by the state of wa correct answer: to be medicaid reimbursable describe where peer supporters might work correct answer: outpatient, peer bridger, housing or employment, crisis, pact WAC 182-538D-0200 correct answer: defines peer counselors as a person who is recognized by a medicaid agency as a person who self identifies as a consumer of behavioral health services. Parent or legal guardians of a child under the age of 18 who has applied for, are eligible for, or have received services may also become a peer counselor. Youth peer supporter role correct answer: relate to youth culture, support young people. parent peer supporter role correct answer: parent of child with behavioral health challenge, knows the system and can offer hope recovery coach correct answer: Recovery coaching is a person-centered, strengths-based support for people who suffer from their own or someone else's addictions. peer role is and is not correct answer: build hope, empowerment, self advocacy, building blocks of recovery. Is not a clinician, does not give advice, talk about medications or medical issues, work outside the scope of their jobs, focus on their own problems. process for becoming certified peer counselor correct answer: meet qualifications. Apply for training. be accepted. Complete prerequisite online training. complete in person training. take written and oral exam. Apply for aacr. why is self advocacy important, what part does it play in recovery correct answer: leads to empowerment and self-determination. Advocacy vs self advocacy correct answer: we may advocate directly with treatment teams with families with the community, may advocate for involvement of the person. Self-advocacy peer advocates for themselves. how do strengths play a part in self advocacy correct answer: explore peer's strengths, starting with strengths is the first part of developing self advocacy steps of advocacy correct answer: name and define the problem or need, do research, find out who can help you, write out what you want to say, deliver your message, decide how to handle rejection, evaluate your efforts grievance correct answer: complaint, any expression of dissatisfaction with services. Person can call agency, BHA-ASO or their MCO to file a grievance. letters can be mailed as well. ombuds correct answer: help resolve any dissatisfaction with services, reconsideration of denials, reduction or termination of services, and can offer information about the fair hearing process. what two state agencies administer medicaid behavioral health services correct answer: Health care authority and division of behavioral health and recovery Center for medicare and medicaid services (CMS) correct answer: Federal. administers bulk of funding for behavioral health services in public system. medicaid services delivered for both mental health and substance use disorders. Division of behavioral health and recovery (DBHR) correct answer: State. administer behavioral health services for medicaid enrollees. medicaid state plan. receives state dollars from legislature, federal block grant funds, competes for other grants. differences in requirements for mental health and substance use disorders. Behavioral health organization (BHO) correct answer: Behavioral health organization means a single- or multiple-county authority or other entity operating as a pre- paid health plan with which the medicaid agency or the agency's designee contracts for the delivery of community outpatient and inpatient mental health and substance use dis- order services Behavioral health agency (BHA) correct answer: local. agencies contract with MCOs to administer direct services. licensed bha. must be certified by doh. Managed Care Organization (MCO) correct answer: Regional. contracts with HCA to administer medicaid services to enrollees. do not administer direct services. Enrollees can choose from different MCOs available in their regions. what kinds of mental health services are authorized by medicaid correct answer: crisis services, group treatment, family services, individual treatment, free standing evaluation and treatment centers, peer support, residential treatment, intakes and assessments what kinds of substance use services are authorized by medicaid correct answer: withdrawal management, plus those noted in mh who has access to crisis services correct answer: available in every community throughout the state, 24 hours a day to any person who needs them what is an evaluation and treatment center correct answer: "Evaluation and treatment facility" means any facility which can provide directly, or by direct arrangement with other public or private agencies, emergency evaluation and treatment, outpatient care, and timely and appropriate inpatient care to persons suffering from a mental disorder, what is CLIP, how do children qualify correct answer: children's long term intensive program. includes both local and state approval. what is WISe correct answer: wraparound with intensive services. Provides comprehensive behavioral health services to medicaid eligible individuals up to 21 years with complex behavioral health needs what is a system of care correct answer: A system of care incorporates a broad, flexible array of services and supports for a defined population(s) that is organized into a coordinated network, integrates service planning and service coordination and management across multiple levels, is culturally and linguistically competent, builds meaningful partnerships ... describe what involuntary inpatient services are for both mental health and substance use disorders correct answer: If a person seems at risk of danger to themselves or others and is unwilling to be hospitalized a designated crisis responder may evaluate them to see if the state should detain them and hospitalize involuntarily. what are co-occurring services correct answer: simultaneous services for mental health and substance use stigma correct answer: strong feeling of disapproval or lack of respect that most people in a society have about something society does not approve of prejudice correct answer: preconceived opinion that is not based on reason or actual experience Discrimination correct answer: when we act on prejudice. Behaving differently, usually unfairly, toward the members of a group. privilege correct answer: a special right, advantage, or immunity granted or available only to a particular person or group of people. values are correct answer: part of our culture and identity. describe at least 5 words that describe sexual orientation and what they mean correct answer: Asexual, bisexual, gay, lesbian, questioning, queer what role might spirituality play in a person's recovery correct answer: contributes to overall wellness. Some recovery programs are based on spirituality. describe how culture could influence behavioral health treatment correct answer: culture affects our behavioral health from how we understand our issues to how they should be treated to understanding their impact describe how a peer could include culture in interactions correct answer: you could share what has been helpful for you, you can talk about goals and how to get there, you can talk to the treatment team or your clinical supervisor for direction describe a 12 step program and the kinds of programs there are correct answer: focused on recovery, high standards of confidentiality, sponsors, peer support. Overeaters anonymous, sex addicts anonymous, gamblers anonymous, etc. describe what the consumer survivor movement is correct answer: political movements by people who have been in mental health services, history rooted in mistreatment and injustice. Consumer coined by federal government. Survivor, ability to take back their lives after treatment that has been traumatizing. describe two mental health national advocacy organizations correct answer: Mental health america. National alliance on mental illness. name two large family organizations correct answer: Federation of families for children's mental health. Family run executive director leadership association. mandatory reporter correct answer: a person mandated by law to report abuse or neglect to the proper authorities Duty to Warn/Duty to Protect correct answer: Exceptions to HIPPA determined in the 1974 case of Tarasoff v. Regents of the University of California that allows a therapist to not only warn someone of their patients intentions to harm them, but to also protect them by calling the authorities or taking whatever other steps necessary vulnerable adult correct answer: over 60 and unable to care for themselves, incapacitated, developmental disability, living in a facility, receiving certain assistance from agencies or providers holistic health correct answer: emphasizes the well-being of every aspect of what makes a person whole and complete. nutrition, sleep, stress reduction, spirituality, emotional nurturing, social connections, education, work or vocation, exercise, safe housing How nutrition and exercise impact behavioral health correct answer: nutrition can impact whether a person is able to learn, work, how a growing body develops, how aging body stays strong, affects your mood, mental health, behavior. Exercise can improve health, mood, and reduce anxiety. 3 health concerns common to peers correct answer: heart disease, chronic pain, diabetes. motivational interviewing correct answer: a collaborative, person-centered form of guiding to elicit and strengthen motivation for change Stages of Change correct answer: precontemplation, contemplation, preparation, action, maintenance WRAP correct answer: wellness recovery action plan. Promotes 5 key concepts of recovery: hope, personal responsibility, education, self advocacy, support. WRAP sections correct answer: wellness toolbox, daily maintenance plan, stressors and stressor action plan, early warning signs and action plan, when things break down and action plan, crisis plan, post crisis plan.