SENATE HEALTH COMMITTEE: 9-0, 3/27/19
AYES: Pan, Stone, Durazo, Grove, Hurtado, Leyva, Mitchell, Monning, Rubio
SENATE APPROPRIATIONS COMMITTEE: 6-0, 5/16/19
AYES: Portantino, Bates, Bradford, Hill, Jones, Wieckowski
SUBJECT: Mental health services: peer support specialist certification
SOURCE: Los Angeles County Board of Supervisors
Mental Health Services Oversight and Accountability Commission
This bill requires the Department of Health Care Services (DHCS) to establish a program for certifying peer support specialists; requires DHCS to amend its Medicaid state plan and to seek any federal waivers or state plan amendments to implement the certification program; and permits DHCS to implement, interpret, and make specific the certification program through available means, as specified, until regulations are adopted.
READ FULL ANALYSES
SENATE RULES COMMITTEE
Office of Senate Floor Analyses
Fax: (916) 327-4478
Collaborating with Pool of Consumer Champions (POCC) and Mental Health Services Oversight & Accountability Commission (MHSOAC), we would like to send a very special thank you for everyone who joined us in celebrating Peer2Peer Support
Peer Respites: Expanding Peer2Peer Support
May 15, 2019
Peer2Peer Program of the day
Second Story Peer Respite Home (Santa Cruz County)
Share! Recovery House (Los Angeles County)
Blackbird House (Santa Clara County)
Sally’s Place (Alameda County)
Photos of the day:
Ideas from Breakout Groups
Expanding Peer2Peer Support
During the event 5/15/19, participates were asked how we could continue to network and grow peer respites throughout California. The responses below, categorized by themes, were the outcomes of the ongoing discussions throughout the day. This is the community voice.
To Build Support for Peer Respites: Advocacy
- Educate the community, politicians, churches, schools, community service centers and other service providers, etc.
- Provide exceptional services at existing respites, will lead to word of mouth
- Create a tax incentive (or other financial incentive) to rent or sell a house for peer respite
- Good data to communicate successes
- Tax on Big Pharma to fund peer respite
- Social media campaign using #CAPeerRespites
- Connecting with faith-based organizations that have supportive mindset about mental health treatment/care/peer support
- Utilize connections like news outlets to do local public interest stories spotlighting local peer respites (human kindness, compassion)
- Create a “Peer Respite Day” during mental health month
- Approach legislators to create bills
- Determining messages and resources
- Multimedia, TV, social media, radio, advertisements
Building a Network to Expand & Strengthen Peer Respite
- Create a long-term strategic plan with existing peer respites to create a movement for peer respites in all counties
- Peer respite working group to plan for Medi-Cal billing if SB 10 passes
- Bimonthly meetings among existing peer respites for collaboration, sharing, learning, advising
- Identify a “welcomer,” a point of contact to welcome others (new peer respites?)
- Visit other peer sites
- Build fellowship within peer community (ex: cookout)
- Knowing people who will donate supplies or a house
- Understanding and leveraging funding: seeking donations from corporations
- Create info sheet about using MHSA money to fund peer respites
- Potential statewide respite coalition partners: existing peer respites, county allies, other peer-run organizations, CAMHPRO, MHSOAC, established recover-focused nonprofits, provider organizations
To Improve Peer Respite
- Child care for parents who need peer respite, link to child-care providers (and funds)
- Pet care at peer respites
- Community gardens
- Emotional support animals at peer respites
- Lift restrictions requiring diagnosis and/or taking medications (for those that have those requirements)
- Consistent, consumer-produced statewide quality guidelines for peer respites
- Make peer respite more accessible to people who don’t have housing
- Gather community input on needs
- Creating activities that engage understanding: yoga, exercise, music, art
Toward Peer Respite in Contra Costa County
- Public comment, presentation, plant seeds CPAW: monthly meeting for MHSA, 1st Thursday, 3-5PM in Concord
- Apply to be on MHC (1st Wednesday, 4:30-6:30 South, West, Central) and CPAW
- BOS meetings
- Community forums and outreach
- Contra Costa Mental Health/Behavioral Health Services
- POCC/Friends of Adeline
- Peer programs
- Contra Costa College & Spirit Program, Spirit Alumni Group
- Social Inclusion meeting
- RI: lost advocacy
- Surveys of community
- Build every tier of needed resources – peer respite is just one part; use available empty housing, explore co-housing and kibbutz model
SB 10 will be heard at the Appropriations Committee
Monday April 8, 2019.
ANTHONY PORTANTINO, Chair
10 a.m. – John L. Burton Hearing Room (4203) at Capitol
Dear Senator Portantino,
The Steinberg Institute is a leading nonprofit public policy institute that supports and encourages effective and comprehensive mental health policymaking. We are the proud sponsors of SB 10 (Beall) that would call upon the state to standardize high-quality peer and family support services. READ ENTIRE LETTER
Eric Bailey now works for Sacramento’s chapter of the National Alliance on Mental Illness, using his lived experience with bipolar disorder to help connect people suffering from mental health issues to the care they need.
California lawmakers are considering a bill that could help build a workforce of people living with mental illness to help guide others in need of services toward care.
When Eric Bailey landed in a San Diego hospital after a mental health crisis in 2013, he says he was at the end of his rope.
“At the moment of being ready to discharge, I had zero idea what I was doing,” he said. “I had no vehicle there at the time, my wife was leaving me, I’d lost my job, I was losing my apartment as well.”
Bailey didn’t know where to go. Then a stranger approached him and told him he’d been in that same psychiatric ward, and that he could help. READ FULL ARTICLE
Following emotional testimony from supporters
The Senate Health Committee Wednesday
Unanimously passed SB 10 (Senator Jim Beall)
which would establish a certification process for peer providers of mental health and substance abuse services. Peers are people who draw on experiences with mental illness and/or substance use disorder and recovery, bolstered by specialized training, to deliver valuable support services in a treatment setting.
Witnesses Wednesday included Khatera Tamplen, a peer herself who is consumer empowerment manager at Alameda County Behavioral Health Care Services and chair of the state Mental Health Services Oversight and Accountability Commission, which co-sponsored the bill along with the Steinberg Institute. Also speaking was Keris Jän Myrick, Discipline Chief for Peer Services for the Los Angeles County Department of Mental Health, who was featured in a New York Times article for being a successful executive with a diagnosis of schizoaffective disorder and obsessive-compulsive disorder. Myrick was accompanied by LA County Director of Mental Health Jon Sherin, who said getting a certification process was his top priority.
Across California, peer providers are already used in many settings. However, there is no statewide standard of practice, consistent curriculum, training standards, supervision standards, or certification protocol in California, which now one of only two states (the other is South Dakota) that does not have peer certification. Yet peer support programs have emerged nationwide as an evidence-based practice with proven benefits to both peers and the clients they assist, including reduced hospitalizations, alleviation of depression and enhanced self-advocacy.
A peer support program also creates a career ladder so that consumers and family members working in mental health care have the opportunity to fully contribute, translating their experience into meaningful employment.
The first Hearing date for SB 10, Peer, Parent, Transition-Age, and Family Support Specialist Certification Program, has been set.
Wednesday March 27
Senate Health Committee Room 4203
Support letters are due a week before the hearing, so by 3/20
Webinar A: Advocacy Basics
Thurs., Feb. 21, 2019 at 10:00 AM
What will be covered:
- What is advocacy, who are stakeholders and why advocate.
- Consumer roots of the law, the Mental Health Service Act (MHSA) and regulations for Stakeholder involvement in planning mental health services.
- A bird’s eye view of who the County decision-makers are and how you can participate.
- Access to basic terms and acronyms used in Behavioral Health and where you can go to find county contacts.
Webinar B: Best Community Planning Practices
Thurs., Mar. 7, 2019 at 10:00 AM
What will be covered:
- Types of County meetings and various stakeholder participation or roles
- Meeting mechanics, culture and etiquette
- MHSA stakeholder community planning best principles & practices applied to different stakeholder roles.
- What to look for in county budgets and plans.
- More resources to become a meaningful stakeholder
Webinar C: Community Planning; How to Work It
Thurs., Mar. 21, 2019 at 10:00 AM
What will be covered:
- More on applying the MHSA community planning best principles & practices
- How you compose and give public comment.
- How you get on decision-making boards/councils.
- Next steps to being a meaningful stakeholder.
Karin Lettau, Director of Training
Sally Zinman, CAMHPRO Executive Director