Evidence for Peer Positions (2020) This document provides 4 detailed examples of fact-based evidence for Peer Support Specialists and the kind of work that’s available.
Forced treatment is coercive, has poorer results, higher costs and drives some consumers away from the MH system compared to voluntary community-based services.
Peer Support is recognized by the U.S. Center for Medicaid & Medicare Services (CMS) as an evidenced based model of care
Peer Respitesshow statistically significant improvements in healing, empowerment, and satisfaction. Average psychiatric hospital costs were $1,057 for respite-users compared with $3,187 for non-users
Individual Placement & Supports (IPS) Supported Employment with Peer SpecialistsResearch from around the world, finds that overall IPS is more effective than other vocational rehabilitation services at providing competitive employment.
Principle author Senator Jim Beall, Principal Co-author Assemblymember Marie Waldron, Co-authors Senator Wiener and Senator Wilk Assembly members Aguiar-Curry, Arambula Aguiar-Curry, Grayson, Ramos and Wicks CAMHPRO a co sponsor
Senator Jim Beall Champions Mental Health Legislation to Certify Peers
Today, long-time mental health champion Senator Jim Beall introduced legislation SB 803 to create state certification for mental health care providers known as Peer Support Specialists.
Last year, Senator Beall’s bipartisan effort, SB 10, made it to the Governor’s desk with unanimous votes, where it was vetoed. Sen. Beall is reintroducing this legislative initiative as an effort to make strategic, cost-effective reforms to California’s mental health programs.
“Statewide certification of Peer Support Specialists will ultimately save the state money while improving mental health outcomes. The Governor and I have the same goals- help people and use our resources wisely. SB 803 will improve our system in an ongoing, sustainable way.”
A peer is a person who draws on lived experience with mental illness and/or substance use disorder and recovery, bolstered by specialized training, to deliver valuable support services in a mental health and/or substance use setting. “It is time that peers are validated as an essential and professional part of the behavioral health workforce” asserts Sally Zinman, Executive Director of California Association of Mental Health Peer Run Organizations (CAMHPRO).
The state is facing a shortage of qualified mental health professionals to ensure all Californians receive care. Peer Support Specialists are a much needed addition to the workforce.
Dr. Jonathan Sherin, Director of the Los Angeles County Department of Mental Health, emphasized that LA County is ready to take action. “LA County looks to expand upon and professionalize its peer support programs in a sustainable manner which will not be possible until we secure statewide certification and a reliable reimbursement mechanism. Leveraging lived experience through peer support is critical to the service transformation we need in California. The state must make the most of every resource available to address our mental health crisis; recognizing and resourcing Peer Support Specialists statewide will be a wise investment.”
The U.S. Department of Veterans Affairs and 48 states have a certification process in place or in development for mental health peer support specialists. The federal Centers for Medicare and Medicaid Services released guidance in 2007 for establishing a certification program for peers to enable the use of federal Medicaid (Medi-Cal in California) financial participation with a 50% match.
Studies show that peers contribute to the ability of people with mental illness and substance abuse to obtain education and employment, contributing to the California economy rather than depending on social safety nets alone.
“Research demonstrates that the utilization of qualified peer support specialists has measurable benefits to clients including reduced hospitalizations, improved functioning, and alleviation of depression and other symptoms. The time has come for California to embrace peer support as an evidence-based model and put in place a certification program that will standardize best practices” stated Maggie Merritt, Executive Director of the Steinberg Institute, a Sacramento-based non-profit mental health public policy institute.
In California, demand for peer services is growing, but there is no statewide scope of practice, training standards, supervision standards, or certification.
“California has an important opportunity to deliver quality, cost-effective, evidence-based mental health services and add diversity to our mental health workforce by certifying Peer Support Specialists,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California (CBHDA). “While California faces a severe shortage of mental health professionals needed to serve our diverse communities, the specific services delivered by trained, supervised peers have shown to improve client outcomes and reduce costs at the same time. But California can only realize these benefits for our mental health clients in Medi-Cal if we join the 48 states that have already recognized the effectiveness of Peer Support Services through certification.”
SB 803, The Peer Support Specialist Certification Act of 2020 establishes a statewide certification program for peer support specialists and provides the structure needed to maximize the federal match for peer services under Medi-Cal.
The legislation is applauded by a broad and large coalition of supporters, and is sponsored by California Association of Mental Health Peer Run Organizations, County Behavioral Health Directors Association of California, County of Los Angeles Board of Supervisors, and Steinberg Institute.
*From the website*
Joint accomplishments include urgently addressing California’s affordability crisis by passing the Nation’s strongest statewide rent protections, expanding health care coverage and passing legislation to lower prescription drug prices
Focused on effective government by fortifying state against natural disasters and economic downturns – passing historic wildfire safety legislation and creating largest rainy day fund Ensuring justice for all Californians by passing historic clean drinking water legislation and taking on powerful institutions on behalf of everyday Californians
“Together, we have accomplished a great deal this year to help California families get ahead and made historic progress on some of the state’s most intractable challenges.”
SACRAMENTO — Governor Gavin Newsom took his final actions of the 2019 legislative season today and thanked the Legislature for their work and accomplishment on enacting 870 bills in the following statement:
“I want to take a moment to congratulate the Legislature on their work this year and to thank Senate President pro Tempore Toni Atkins and Speaker of the Assembly Anthony Rendon for their leadership. Together, we have accomplished a great deal this year – through the budget and legislation – that helps California families get ahead and tackles some of the state’s most intractable problems.
“This year, California passed the nation’s strongest renter protection package. Our state made record housing and homeless investments paired with big new tools for housing production. We moved California closer to universal health care coverage by expanding coverage, increasing Covered California subsidies for middle-income Californians and taking on rising prescription drug prices.
“California, faced with catastrophic wildfires, invested $1 billion to prevent, mitigate and recover from wildfires, disasters and emergencies. And in July, our state enacted something that few people thought could be done – wildfire legislation that moved California closer to a safer, reliable and affordable energy future.
“Our state is doing more now than at any point in our history to help California families tackle the challenges of affordability and provide opportunity to all Californians – more than doubling tax cuts for working families, expanding paid family leave, increasing access to early childhood education, and taking on payday lenders.
“On education, California brought disparate sides in the education community together and forged a historic agreement on changes to charter school law that was years in the making. We invested more in K-14 education than at any point in our history, and put on next year’s ballot the chance to make long-overdue investments in school infrastructure and safety. California made two years of community college tuition-free, increased financial aid for parents pursuing a college degree and kept tuition from rising in our UC and CSU systems.
“We have helped defend our state from Trump’s attacks – blocking the Administration from using state lands to open up drilling on protected federal lands. We took on the long-standing challenge of clean drinking water systems, became the first ever to require SMOG tests for semi trucks and convinced four major auto-makers to stand up for higher emission standards and oppose the Trump administration.
“California is once again striking out against injustice and leading the nation by example. We passed one of the country’s strongest police use-of-force laws, and outlawed private, for-profit prisons. California became the first state in the nation to stand up to the NCAA’s long-standing profiteering from student athletes. California took first-in-the-nation steps to strengthen our gun safety laws, protect workers and defend reproductive health care rights. We continued to make progress reforming our criminal justice system – eliminating a major mandatory minimum sentence and establishing a system to seal arrest and conviction records for low-level offenses.
“We are proving that our state is successful not despite our diversity, but because of it. California isn’t just defending our vibrant immigrant communities. We are affording all Californians – regardless of immigration status – the chance to serve their communities and give back.
“In California, we are putting in place new reforms of agencies that don’t serve the public as well as they should – pushing the DMV to join the 21st century, giving new authority to the California Public Utilities Commission (CPUC) to enforce wildfire safety standards, and recasting the priorities of our state’s agency that regulates oil and gas extraction.
“California did all of this while living within our means: creating the largest rainy day fund in California history, paying down pension liabilities and eliminating our state’s wall of debt.
“In my inaugural, I spoke of the California Dream as a house – one that must be built on a strong fiscal foundation. For that reason, I am returning a number of bills to the Legislature without my signature that would significantly increase costs outside of the state’s regular budget process.
“We have clearly achieved a great deal together, and I commend the Legislature for their hard work. I look forward to our continued partnership as we head into the new year and continue to tackle challenges of affordability and work to expand opportunity to all Californians.”
In his final action of the 2019 legislative season, the Governor today vetoed a number of bills that would significantly increase costs outside of the state’s regular budget process. In total, Governor Newsom vetoed bills this year costing $1.2 billion, increasing to $3 billion annually at full implementation. He also took action on a number of other bills.
I am thrilled to let you know that SB 10, which will create state certification for peers, is on its way to the Governor.
Your unwavering support and enthusiasm has gotten us this far, and we need a final push to make sure the bill gets signed. We are hopeful that this new administration will keep its promise to take action on mental health. Let’s make sure they know how important this is to so many people.
The Governor’s office needs to hear from us- as soon as possible. Attached is a template letter that you can personalize. Please deliver to the Governor, or email to Sunshine and Tania, cc-d.
Please share this with anyone that might like to join in. Thank you for all you have done and are still doing to make peer certification a reality in California.
(From Steinberg Facebook Post): SB 10 (Beall), which would establish a statewide peer support specialist certification program, received bipartisan support with a 79-0 vote and passed off the Assembly Floor today. The Steinberg Institute is a proud co-sponsor along with the Los Angeles County Department of Mental Health and the Mental Health Services Oversight and Accountability Commission. Thank you to Asm Waldron and Senator Beall for your leadership on this important issue.
CONSTITUENCY PERSPECTIVES PANEL: Youth, Adult, Family of Adult, Parent, Cultural
GROWING PEER SUPPORT IN THE GREATER BAY AREA REGION
COLLABORATIVE GROUP ACTION PLANNING
Who should attend: County BH Directors, Family, Peers & Peer Run Programs of the Greater Bay Area Regional Counties (Alameda, Contra Costa, Marin, Monterey, Napa, San Benito, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano & Sonoma) Open to all others.
SUBJECT: Mental health services: peer support specialist certification
SOURCE: Los Angeles County Board of Supervisors
Mental Health Services Oversight and Accountability Commission Steinberg Institute
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 Floor_5-21-19 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
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
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
Community forums and outreach
Contra Costa Mental Health/Behavioral Health Services
POCC/Friends of Adeline
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.
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.