At Resilience, Inc. we are discovering the next steps toward transformation on the evolutionary ladder of recovery and wellness. The skills and knowledge gained over the past 20 years have allowed the field to make dramatic shifts in the approaches taken to facilitate recovery from emotional distress, addiction and hard times.
The challenge now is to create a new pathway toward resilient community living. By building on the “Aha!” moment of recovery we can create a lifetime of self-sustaining and resilient living. This is a challenge, but based on the faith it took to believe in the miracle of recovery, we trust the human spirit to be resilient.
Rise and Shine with Us!
Message From Lori Ashcraft: Newsletter
We are certainly getting our share of April showers here in Northern California. Lots of us are tired of the rain, but not me. I love it. But I sympathize with those who complain anyway. Why not? We can’t change it anyway.
Speaking of changing things, last night I was thinking about the phrase that began to change the way we look at case management. “I’m not a case and I don’t want to be managed.” This simple phrase became the battle cry for all those on case management who wanted to be treated differently. They wanted to have a say in their treatment planning. They wanted to be treated with respect. I first heard this phrase in the early 80’s as it fell from the lips of Jay Mahler, a highly respected peer pioneer and advocate in California. Jay played a significant role in bringing into being what’s known as “the millionaire tax” that has enhanced the funding of recovery and peer programs in California.
Many professionals welcomed this shift from “managing” to “inspiring” since they knew managing wasn’t working. Trying to manage and control people did not promote recovery and healing.
I had already learned this from my early work as a care manger and I’ve shared some of those stories with you. I have another one to share this time that was the experience that finally drove this home for me. This one, Debbie’s story, is about a teenager. I think teenagers get listened to less than anyone, and I was no exception when it came to Debbie. I thought I knew what was best for her. In fact, I thought I knew more about everything than she did. Boy, was I off on the wrong foot! Take a look for yourself by going to our website by clicking on this tab Resources. Then, scroll to the bottom of the webpage and click on “Debbie’s Story” (in orange).
I’d like to think things have changed a lot since then, but I still hear awful stories about how Case Management is being carried out in some places. The addition of peers to Case Management Teams has the potential of making significant positive changes if they are given the latitude to influence the process.
CAMHPRO has a quarterly rotation of a Spotlight with a Guest Presenter of Model Peer Support Practices, Peer Support 4 Peer Supporters (PS4PS) with a Guest Co-Facilitator, and Updates on CA Peer Specialist Standardization. THANKS TO THE CO-FACILITATOR VOLUNTEERS!
May, Aug, Nov, Feb:
Peer Model Spotlight—Next May 9
Topic: Changing Organizational Culture
Co-facilitator Kristen Mungcal, Program Manager, San Bernardino County
June, Sep, Dec, Mar:
State Peer Standardization–Next June 13
Co-facilitator: Catherine Clay, VP of Client Advisory, Los Angeles Region
July, Oct, Jan, April:
Peer Support 4 Peer Supporters (PS4PS)–Next July 11
Co-facilitator: Brian K. Hollander, Program Manager, Independent Living Resource Center, Inc., Santa Barbara
You only need to register once for this monthly webinar with your correct email. If you have already registered you will receive a reminder email each month with your unique link to join.
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.
We are pleased to share the last in a series of journal publications from the 2012 National Survey of Mental Health Peer-Run Organizations: “Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice“, published in Community Mental Health Journal, was coauthored by Elizabeth Siantz and Laysha Ostrow
Abstract: This study examined peer-run organizations’ attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts (OR = 5.05; p < 0.05), planned efforts (OR = 4.27; p < 0.05) to encourage physical healthcare, and staff size (OR = 1.09; p < 0.05) were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.
The Reclaiming Employment Business Directory is a “living” directory of mental health and social change small businesses in the U.S. that are operated by people with a psychiatric history. Each week the Reclaiming Employment Business Directory featured business will be highlighted in the directory as well as advertised across our social media platforms.
Peer Respite.net provides a national directory of voluntary, short-term, overnight programs that provide community-based, non-clinical crisis support to help people find new understanding and ways to move forward.
To visit the directory click HERE.
To submit a Peer Respite to be added to the directory click HERE.
California Poll: Access to Mental Health Care, Insurance Coverage, and Affordability Rank among Californians’ Top Health Care Priorities for the New Governor and Legislature
Most Californians Say Their Community Does Not Have Enough Mental Health Providers
Large Majorities across Parties Say Medi-Cal is Important to the State;
Most Residents Say Program is Important to Their Families;
Access to Care Remains a Challenge for Some Enrollees
Californians rank making health care more affordable among their top overall priorities for the state’s new governor and legislature, with 45 percent citing it as “extremely important,” just behind improving public education (48%) and ahead of affordable housing (40%), finds a new KFF (Kaiser Family Foundation)/California Health Care Foundation poll examining state health policy issues.
Among health issues, Californians’ top priorities are ensuring people with mental health problems can get treatment (49% say it is “extremely important”), making sure all Californians have access to health coverage (45%), and reducing what people pay for their health care (41%).
Mental health access ranks in the top two health priorities for Democrats, Republicans and independents alike. Half (52%) of all Californians say their community does not have enough mental health providers to serve local needs.
“We have never before seen the public place such strong emphasis on access to mental health treatment in our national or state polls,” said KFF’s President and CEO Drew Altman.
“There is a strong sense of urgency in these mental health findings,” said Sandra R. Hernández, president and CEO of the California Health Care Foundation. “Californians are telling us loud and clear that more should be done to expand and improve mental health treatment.”
The poll also gauges Californians’ views on the Medi-Cal program and finds an overwhelming majority (91%) say Medi-Cal is “very” or “somewhat” important to the state, including large majorities of Democrats (97%), independents (90%), and Republicans (80%). About six in 10 Californians (59%) say Medi-Cal is personally important to them and their families.
The state-wide survey of 1,404 California residents was conducted before new Gov. Gavin Newsom unveiled his budget plan and priorities, which include proposals to expand health care access, affordability and coverage. Its findings highlight many of the challenges Californians face in these areas as the governor, legislature and other policymakers weigh potential solutions. For example:
More than four in 10 Californians (44%) say they or someone in their household delayed or skipped medical care in the past year because of the cost. The share rises to more than half for people who are uninsured (54%) as well as those with incomes below 200% of the federal poverty level (55%).
One in five (20%) say they have had problems paying household medical bills in the past year. The share is higher among those who suffer from a debilitating health condition (34%).
Worries about affording unexpected medical bills (63%) outrank worries about affording routine out-of-pocket medical costs (56%) and worries about affording other basic needs, including transportation (53%) and housing (52%).
Most Californians (57%) say residents with mental health conditions are not able to get needed services, and nearly half (48%) say the same about people with alcohol and drug use problems. The share reporting lack of access is even higher among those who say they or a family member sought treatment for these problems in the past 12 months.
Nearly a quarter (23%) of Californians say they had to wait longer than they thought reasonable to get an appointment for medical care in the past 12 months. This includes one in three (33%) Medi-Cal enrollees.
Among those who say they or a family member sought treatment for a mental health condition in the past year, about a quarter (23%) say they had to wait longer than they thought reasonable to get an appointment for mental health care, a share rising to four in ten (42%) for Medi-Cal enrollees.
In addition to half of Californians citing a shortage of mental health providers, about a third say their communities don’t have enough primary care doctors (35%) or specialists (33%) to serve local residents, and a quarter say they don’t have enough hospitals (27%). People living in the San Joaquin Valley and the Inland Empire are more likely than other Californians to say their local community lacks adequate numbers of providers.
The poll finds Californians strongly support one potential idea for addressing regional provider shortages: a large majority (83%) say the state government should provide medical and nursing students with scholarships and financial help if they agree to work in areas with too few providers.
Half (50%) of the uninsured in California say they have been without insurance for at least two years. The main reason people report for being uninsured is that insurance is too expensive or they cannot afford it.
Worries about immigration status may also contribute to some uninsured Californians’ reluctance to seek coverage. Among the uninsured, 40 percent say they are worried that signing up for insurance could draw attention to their or a family member’s immigration status.
Although ensuring access to insurance is a top priority for Californians, residents hold mixed views on establishing a single-payer health system in the state. About half the public (48%) favors such a plan, while four in 10 (40%) oppose it. Notably, six in ten California Republicans (62%) strongly oppose such a plan, while about half as many Democrats (32%) strongly support it.
Views on the Affordable Care Act and Covered California
Most Californians (58%) view the Affordable Care Act favorably, making the national health reform law somewhat more popular in California than the country as a whole. This may be largely due to the fact that California leans Democrat, and Democrats are more supportive of the law than independents or Republicans.
Most Californians (56%) also say the state-run health insurance marketplace, Covered California, is working well. This includes majorities of Democrats (70%) and independents (55%), but only a third of Republicans (34%).
Designed and analyzed by researchers at KFF and the California Health Care Foundation, the California Health Policy Survey was conducted from November 12-December 27, 2018 among a random digit dial telephone sample of 1,404 adults living in California. Interviews were conducted in English and Spanish by landline (476) and cell phone (928). The margin of sampling error including the design effect for the full sample is plus or minus 3 percentage points. For results based on subgroups, the margin of sampling error may be higher.
Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.