ARKANSAS STATE TARGETED RESPONSE TO THE OPIOID …Arkansas State Targeted Response to the Opioid...

ARKANSAS STATE TARGETED RESPONSE TO THE OPIOID CRISIS

June 2018 Strategic Plan: Year Two

Arkansas State Targeted Response to the Opioid Crisis

TABLE OF CONTENTS

INTRODUCTION...........................................................................................................................................3

Recap of Year One.......................................................................................................................................................3

SECTION 1: YEAR TWO ACTIVITIES.............................................................................................................5

1. Expand MAT.................................................................................................................................................................5

Table 1. Map of the eight (8) funded treatment providers and their catchment areas......................................5

Table 2. Opioid Treatment Programs in Arkansas...................................................................................................6

Table 3. DATA 2000 DEA-Waivered Physicians in Arkansas..........................................................................6-11

1.1 Development of MAT Infrastructure.........................................................................................................................11

UAMS MATRIARC & Project ECHO........................................................................................................................11

Covering the Costs of MAT Services.....................................................................................................................12

Table 4. Example STR Rate Sheet.............................................................................................................................12

1.2 Populations of Focus....................................................................................................................................................12

Pregnant and Parenting Women Original Strategic Plan.................................................................................12

Revised Plan Moving Forward on Pregnant and Parenting Women.....................................................................12

Individuals Re-Entering the Community from Incarceration Original Strategic Plan...............................13

Revised Plan Moving Forward on Individuals Re-Entering the Community from Incarceration.........................13

Individuals Who Have Received Naloxone as Part of an Overdose............................................................13

Plan Moving Forward...................................................................................................................................................13

1.3 Peer Recovery Strategy.............................................................................................................................................14

Table 5. Peer Recovery Committee Composition.....................................................................................................14

Table 6. Comprehensive Peer Recovery Specialist Launch Plan......................................................................14-17

1.4 Updating ADMIS..........................................................................................................................................................17

Plan Moving Forward on Updating ADMIS.......................................................................................................17-18

SECTION 2: SUSTAINABILITY AND LOOKING TOWARDS THE FUTURE.....................................................18

2 Sustainability................................................................................................................................................................18

Strategic Workgroups................................................................................................................................................18

Table 7. Coordinating Council Membership......................................................................................................18-19

Funding Source...........................................................................................................................................................19

Meeting the Needs of Patients/Clients.................................................................................................................19

SECTION 3: CONCLUSION..........................................................................................................................20

2 Conclusion........................................................................................................................................................................20

APPENDIX A: PEER RECOVERY SUPPORT SPECIALIST MATERIALS......................................................21-32

REFERENCES...............................................................................................................................................33


Arkansas State Targeted Response to the Opioid Crisis S T R A T E G I C P L A N : Y E A R T W O

INTRODUCTION

The Arkansas Department of Human Services Division of Aging, Adult & Behavioral Health Services (DAABHS)

was awarded funding in the amount of $3,901,297.00 per year over two years ($7,802,594.00 total) in

May of 2017 from the Substance Abuse and Mental Health Services Administration (SAMHSA). With the State

Targeted Response (STR) to the Opioid Crisis funds, DAABHS decided to build an infrastructure that does the

following: (1) expand access to medication-assisted treatment (MAT) in the state for under- and uninsured

individuals, (2) train first responders, family and by-standers on the administration of Naloxone use in the

event of an overdose, and (3) launch a peer recovery support specialists program in the eight funded

provider facilities. STR funds are specifically focused on three populations of focus: (1) pregnant and

parenting women, (2) individuals re-entering the community from incarceration, and (3) individuals who

received Naloxone as part of an overdose. However, additional populations of focus were to be identified

during the progression of the grant.

This document outlines DAABHS’s strategic plan for year two of the STR grant, including carry-over funds from

year one.

Recap of Year One

The STR year one began on May 1, 2017 and ended on April 30, 2018. The following chart summarizes the

activities and steps taken during year one of the STR grant with brief highlight descriptions.

October 2017

October 23, 2017-STR Project Director hired.

Introduced to Federal Partner during regularly scheduled monthly meeting on the 15

th of every month.-Anna De Jong

November 2017

Attended Clinton School of Public Service for Facing Addiction Across America Speaker Series.

Attended 2017 Prescription Drug Abuse Prevention Summit.

Attended Arkansas Coordinating Council Meeting.

Completed STR Opioid Mid-Year Report (Federal).

Completed Substance Abuse and Mental Health Services Administration Opioid STR Evaluation (Federal).

Monthly Phone Meeting With Federal Partner.

4 of 8 STR treatment provider contracts legislatively reviewed and approved.


December 2017

1st week long peer recovery provider training was completed during the

week of 11/27/2017-12/01/2017.


January 2018

8 Funded treatment providers received STR introductory letter, a list of required forms (Assurance Statement-to be completed and returned by STR treatment facilities), web-link to Federal Opioid Treatment Regulations. Reminded providers to stay in compliance with applicable state and local statues, regulations, ordinances, and licensing certification requirements.

Regularly scheduled monthly meeting with Federal Partner. Discussed the progress of the STR grant and any issues encountered.

Completed Performance Indicators and Deliverables for the various contracts to be signed in the STR grant. These include the 8 funded providers contracting with DBHS to provide opioid treatment services.

Drafting Performance Indicators for a new partnership with UAMS to offer pregnant and parenting women Medication-Assisted Treatment (MAT) through telemedicine in rural Arkansas and Re-entry contract through the Arkansas Community Corrects (ACC).

Visited Quapaw House for tour of facility.

February 2018

Completed and submitted STR Non-Competing Mid-Year Continuation


Started and completed Opioid Continuation Year 2 STR Grant Application. Confirmed receipt by SAMHSA.

Treatment & STR Project Director Attended Community Anti-Drug Coalitions of America (CADCA) meeting in Washington D.C.

Introduced to new Federal Partner Contact Person-Jamal Bankhead-established monthly meeting time and date. (3

rd Thursday of every month).

Received verbal confirmation that remaining funds for first year of STR would be allowed to roll over into 2

nd. Official notification to be sent by

Federal Government.

Project Director set up an account with SAMHSA's Performance Accountability and Reporting System (SPARS).

March 2018

Held 1st STR 8 funded treatment provider meeting.

Added 2 new contracts to the already existing 7 STR contracts under STR-Pregnant and Parenting: Perinatal Opioid Use Disorder and Re-Entry-expand substance use disorder (SUD) treatment related recovery services.

Held meeting between Drug Enforcement Agency (DEA) and 8 funded treatment providers took place to discuss concerns about responsibilities of patient prescribed treatment medication.

Attended Monthly Coordinating Council Meeting and provided update on where STR grant is and what projects are upcoming.

Monthly phone conference call took place between SAMHSA and STR Team to discuss carryover funds from year one and whether travel


Section 1: Year Two Activities

1. EXPAND MAT

All of the eight funded treatment providers under the STR grant were utilized under the pre-existing

Prescription Drug Overdose (PDO) grant because of their ability to provide evidence based treatment within

the state of Arkansas (see Table 1 below) . Each of the eight treatment providers received funding under the

STR grant to expand MAT services.

Currently, only one out of the eight funded treatment providers is engaged in MAT services. As such, the

primary focus of the year two strategic plan is geared towards expanding MAT.

Arkansas has only six (6) federally and state licensed Opioid Treatment Programs (OTPs) (see Table 2) and

approximately 114 office-based opioid treatment (OBOT) physicians who are DEA-

waivered under the Drug Addiction Treatment Act of 2000 (DATA 2000) listed on

the SAMHSA website (unable to verify due to clinicians who choose to remain

anonymous) (see Table 3 below).

The number of licensed OTPs in Arkansas (6) is relatively low compared with the

bordering states of Louisiana (10), Missouri (16), Oklahoma (18), Tennessee (15),

and Texas (31) with the exception of Mississippi (5).

reimbursement for treatment providers could be included in STR even though it was not originally budgeted for. Response was yes as long as it does not affect the overall budget by more than 25%.

April 2018

Attended 2018 National RX Drug Abuse & Heroin Summit-Atlanta, Georgia.

Research Program Analyst hired (3/12/2018).

Peer Recovery Coordinator to be hired (4/23/2018).

3rd

Rotation of week-long peer recovery provider training-4/23/2018.

Monthly call with STR Federal Partner to take place on-4/27/2018.

Area Program

1 Decision Point

2 Health

Resources of

Arkansas

3 Mid-South

Health Systems

4 Harbor House,

Inc.

5 Quapaw House

6 New Beginnings

C.A.S.A

7

Southwest

Arkansas

Counseling and

Mental Health

Center

8 Recovery

Centers of

Arkansas (RCA)

Table 1. Map of the eight (8)

funded treatment providers and

their catchment areas


Table 2. Opioid Treatment Programs in Arkansas

Program Name Street City State Zip Code

Northeast Arkansas Treatment Services, LLC

912 Osler, Suite B Jonesboro AR 72401

University of Arkansas for Medical Sciences Substance Abuse Treatment Clinic

4301 West Markham St., Slot #835

Little Rock AR 72250-7199

CATAR Clinic 4260 Stockton Drive North Little Rock AR 72117

Springdale Treatment Center 7255 Meeshow Drive Springdale AR 72762

Arkansas Treatment Services, PA

408 Hazel Street Texarkana AR 71854

Crossroads Treatment Center of West Memphis, PC

103 S. Avalon Street West Memphis AR 72301

Additionally, of the 114 or so DATA 2000 DEA-waivered physicians in Arkansas, it is unclear how many are

actually providing MAT services and treating patients with opioid use disorder (OUD).

Table 3. DATA 2000 DEA-Waivered Physicians in Arkansas

First Last Deg.

Address City County

Dr. Kalyan Akkineni M.D.

5808 Callaway Lane Fort Smith SEBASTIAN

Todd Anderson NP 117 N 2nd Augusta WOODRUFF

Dr. Thomas Atkinson M.D.

Springdale Treatment Center7255 Meeshow Dr., Ste A

Springdale WASHINGTON

Dr. Thomas Atkinson M.D.

1792 East Joyce, Suite 3P.O. Box 9690

Fayetteville

WASHINGTON

Dr. Samuel Bayles M.D.

LifeStrategies5918 Lee Avenue Little Rock PULASKI

Dr. Samuel Bayles M.D.

2801 Lee Avenue Little Rock PULASKI

Brian Bell 8000 River Pointe Drive#10A34 Maumelle PULASKI

Dr. Daniel Bennett M.D.

Jonesboro Clinic1000 E. Matthews Avenue, Suite B

Jonesboro CRAIGHEAD

Dr. Keith Berner M.D.

601 West MapleSuite 403 Springdale WASHINGTON

Dr. John Bethell M.D.

4260 Stockton DriveSuite A North Little Rock

PULASKI

Dr. Ewa Beyga MD 1500 Dodson Street Fort Smith SEBASTIAN

Dr. Steven Blevins M.D.

4301 West MarkhamSlot 568 Little Rock PULASKI

Dr. Jacob Boydstun D.O.

4301 W. Markham Street #554 Little Rock PULASKI

Dr. Terry Brown D.O.

2900 Hawkins Drive Searcy WHITE


Donna Brown 4354 Stockdnar North Little Rock

PULASKI

Lena Burns NP 290 South Highway 45 Bonanza SEBASTIAN

Dr. Charles Cale M.D.

Stockton Medical Group Of NW Arkansas8 Colt Square Drive

Fayetteville

WASHINGTON

Christopher

Cargile 4301 West MarkhamSlot 568 Little Rock PULASKI

Dr. Aaron Carson M.D.

VA of the Ozarks1100 North College Avenue.

Fayetteville

WASHINGTON

Dr. Miguel Casillas M.D.

Stockton Medical Group of Jonesboro5510 Southwest Drive, Suite 8

Jonesboro CRAIGHEAD

Dr. Miguel Casillas M.D.

Stockton Medical Group of North Little Rock4260 Stockton Drive, Suite A

North Little Rock

PULASKI

Karen Chase 3805 McCain Park DriveSuite 112 North Little Rock

PULASKI

Dr. Ira Chatman M.D.

Interventional Pain Management17 Medical Plaza

Mountain Home

BAXTER

Hilary Chunn 505 W. Grand Hot Springs

GARLAND

Dr. Jessica Coker M.D.

4301 West Markham Street Little Rock PULASKI

Dr. Althea Conley M.D., PHD

403 West Oak Street; Suite 105 El Dorado UNION

Dr. Willis Courtney MD 5100 West 12th Street Little Rock PULASKI

Thomas Cunningham NP 4253 N. Crossover Road Fayetteville

WASHINGTON

Dr. John Davis MD Veteran Health Care System of the Ozarks1100 North College Avenue

Fayetteville

WASHINGTON

Dr. David Diffine M.D.

1100 Medical DriveSuite C Blytheville MISSISSIPPI

Dr. Bradley Diner M.D.

4 Executive Center Court Little Rock PULASKI

Dr. Toni Dolllinger MD 4340 West MarkhamUAMS PRI Little Rock PULASKI

Dr. Richard Doncer M.D.

Stockton Medical Group of North Little Rock4260 Stockton Drive, Suite A

North Little Rock

PULASKI

Clayton Ellison PA 812 Mountain Pine Road Hot Springs

GARLAND

Dr. John Erwin M.D.

Hamilton West Family Medicine1629 Airport Road, SuiteB

Hot Springs

GARLAND

Dr. Clifford Evans M.D.

45 Coolbreeze Drive Morrilton CONWAY

Dr. Larry Felts M.D.

PO BOX 17357 Jonesboro CRAIGHEAD


Dr. Gina Ferrari M.D.

3700 Cliff Drive Fort Smith SEBASTIAN

Alexander

Ghobadimanesh

MD 2908 Hawkins Drive Searcy WHITE

Dr. Dalton Gray II, M.D.

Stockton Medical Group of NWA8 Colt Square Drive

FAYETTEVILLE

WASHINGTON

Dr. Joseph Guise M.D.

4301 West Markham StreetSlot 589

Little Rock PULASKI

Dr. Peter Guresky M.D.

1912 Osler DriveSuite B Jonesboro CRAIGHEAD

Dr. John Gustavus M.D.

201 Country Club Road Sherwood PULASKI

Dr. Kevin Hale M.D.

1629 Airport Road Hot Springs

GARLAND

Dr. Steven Halter M.D.

505 West Grand Avenue Hot Springs

GARLAND

Dr. Rex Harris MD, Jr

451 S Holly St Siloam Springs

BENTON

Dr. James Hawk 303 West Newman Street Harrison BOONE

Dr. Archie Hearne M.D.

1001 Wright Avenue Little Rock PULASKI

Dr. Sheila Hellman M.D.

PO Box 915 Jonesboro CRAIGHEAD

Dr. Sheila Hellman M.D.

260 Southwest Drive Jonesboro CRAIGHEAD

Dr. Donnie Holden M.D.

801 Carlton Springdale WASHINGTON

Dr. Lara Huffman 4400 Shuffield Drive Little Rock PULASKI

Dr. Joe Hughes MD McPherson Women's Unit 302 Corrections Drive

Newport JACKSON

Dr. Juan Hughes M.D.

1301 South Waldron RoadSuite B Fort Smith SEBASTIAN

Amelia Jackson NP 1101 Jackson Street SW Gravette BENTON

Dr. Thomas Jefferson M.D.

1100 North University Suite 260 Little Rock PULASKI

Michael Johnson MD 116 West Tyler West Memphis

CRITTENDEN

Dr. Kyle Johnson MD Stockton Medical Group8 Colt Square Drive

Fayetteville

WASHINGTON

Dr. Melanie Jones M.D.

8400 Highway 386 East Wrightsville

Pulaski

Dr. Thomas Jones M.D.

128 Highway 71 North De Queen SEVIER

Dr. Santosh Kale M.D.

Community Family Medical1139 Arkansas Highway 77

Marion Crittenden

Dr. Kristi Kindrick M.D.

10301 Mayo Drive Barling SEBASTIAN


Dr. Kristy King M.D.

500 South University AvenueSuite 305

Little Rock PULASKI

Dr. Sudhir Kumar M.D.

1801 Lindauer Road Forrest City

SAINT FRANCIS

Dr. Nihit Kumar M.D.

4301 West Markham StreetSlot 589

Little Rock PULASKI

Dr. Kris Lewonowski M.D.

Stockton Medical Group of NWA8 West Colt Square Drive

FAYETTEVILLE

WASHINGTON

Dr. Brad Lindsey M.D.

2425 Prince StreetSuite 3 Conway FAULKNER

Dr. Cathy Luo M.D.

350 East Millsap Road Fayetteville

WASHINGTON

Dr. Michael Mancino M.D.

4301 West Markham StreetUAMS Department of Psychiatry, # 848

Little Rock PULASKI

Angela Martin NP 1314 W Collin Raye Drive DeQueen SEVIER

Dr. Sharron Mason M.D.

113 Lakeshore Drive Hot Springs

GARLAND

Dr. Teresa Maxwell MD Stockton Medical Group of North Little Rock4260 Stockton Drive, Suite A

North Little Rock

PULASKI

Dr. Dewey McAfee D.O.

710-A Dewitt Henry DrivePO BOX 1028

Beebe WHITE

Dr. James Merritt M.D.

1109 South Main Street Searcy WHITE

Dr. Sarah Minor D.O.

3834 Central AveSuite A Hot Springs

GARLAND

Dr. William Mizell D.O.

Quapaw House Inc.812 Mountain Pine Road

Hot Springs

GARLAND

Dr. Susan Mokhtari M.D.

116 West Tyler AvenueSuite A West Memphis

CRITTENDEN

Dr. Martha Morrison M.D.

601 West MapleSuite 403 Springdale WASHINGTON

Dr. Jeanne Murphy M.D.


Little Rock PULASKI

Dr. Ravi Nahata M.D.

2200 Fort Roots Drive North Little Rock

PULASKI

Cynthia Nelson 319 Coolwood Terr Hot Springs

GARLAND

Dr. Suzanne Nicholas M.D.

Stockton Medical Group of NWA8 Colt Square Drive

Fayetteville

WASHINGTON

Dr. Lonnie Parker M.D.

Stockton Medical Group of Texarkana4415 Jefferson Ave., Suite B104

Texarkana MILLER

Dr. Lonnie Parker M.D.

Stockton Medical Group of Hot Springs1 Mercy Lane, Suite 403

Hot Springs

GARLAND

Arpit Patel MD 245 MADISON STREET CLARENDON

Monroe

Dr. Madison Patrick M.D 1000 E Matthews AvenueSuite. B Jonesboro CRAIGHEAD


Hillary-Paige

Potter PA 17 Medical Plaza Mountain Home

BAXTER

Kevin Price 1618 North A Street Fort Smith SEBASTIAN

Dr. Shefa Rahman M.D.

SPRINGWOODS BEHAVIORAL HEALTH1955 WEST TRUCKERS DRIVE

FAYETTEVILLE

WASHINGTON

Dr. Michelle Ransom MD 14913 Cooper Orbit Road Little Rock PULASKI

Dr. Jennifer Ranz M.D.

403 West Oak StreetSuite 105 El Dorado UNION

Dr. Khalid Rayaz M.D.

4260 Stockton Drive North Little Rock

PULASKI

Dr. Robert Reichard M.D.


Little Rock PULASKI

Dr. James Robinette M.D.

801 Osler DriveSuite A Jonesboro CRAIGHEAD

Dr. Thomas Robinson M.D.

1 Lile Court, Suite 103 Little Rock PULASKI

Dr. Cindy Rossetti M.D.

1811 Executive Square Jonesboro CRAIGHEAD

Amy Sanders NP 4300 W 7th Street Little Rock PULASKI

Dr. Randal Scholma MD 515 Enterprise DriveSuite 300 Lowell BENTON

Dr. Eugene Shelby M.D.

137 Circle Drive Hot Springs

GARLAND

Daniel Sherwood Mercy Clinic--Eureka Springs121 East Van Buren, Suite D

Eureka Springs

CARROLL

Dr. Meraj Siddiqui M.D.

1700 Harrison StreetSuite T Batesville INDEPENDENCE

Dr. Leslie Smith M.D.

700 South Schiller Street Little Rock PULASKI

Heather Stallings NP 160 Greene 721 RoadSuite 4 PARAGOULD

GREENE

Heather Stallings NP 1707 Linwood DriveSte B Paragould GREENE

Dr. Kenneth Stephens M.D.

Living Hope Southeast, LLC600 Highway 425 North Suite B

Monticello DREW

Dr. Zachary Stowe M.D.

4301 West Markham Street, Unit #843Psychiatric Research Institute

Little Rock PULASKI

Dr. Marion Stowers M.D.

1100 East Poplar, Outpatient SpecialtyClinic

Clarksville Johnson

Dr. Robert Strayhan M.D.

Vista Health Services801 Arkansas Boulevard

Texarkana MILLER

Dr. Abdalla Tahiri M.D.

1 St. Vincent Circle, Suite 320 Little Rock PULASKI

Dr. Abdalla Tahiri M.D.

9600 Baptist Health DriveSuite 340 Little Rock PULASKI

Dr. Sejal Thakor MD 602 West UnionSuite#B OSCEOLA Mississippi

Dr. Lynn Thomas M.D.

14 Pine Manner Drive Little Rock PULASKI

Dr. Jeremy Thompson M.D 5 Farnham Loop Little Rock PULASKI


.

Dr. Mike Umerah M.D.


Little Rock PULASKI

Dr. Mohammed

Ur Rehman M.D.

8909 Lakeside Way Fort Smith SEBASTIAN

Dr. Michael Verser M.D.

812 Mount Pine Road Hot Springs

GARLAND

Dr. William Warren Jr., M.D.

900 South Shackleford RoadSuite 300

Little Rock PULASKI

Dr. James Weedman M.D.

1600 Arkansas BoulevardSuite 100 Texarkana MILLER

Dr. Aimee Widner M.D.

746 Wilburn Road Heber Springs

-

Doanld Wleklinski NP 324 Ravenwood Road Siloam Springs

BENTON

1.1 DEVELOPMENT OF MAT INFRASTRUCTURE

In order to expand MAT in the state of Arkansas, DAABHS has formed a number of strategic partnerships --

with the hope of developing additional partnerships -- with treatment facilities and health institutions to

expand the availability of MAT to the state’s rural and urban populations.

UAMS – MATRIARC & Project ECHO

DAABHS has partnered with the University of Arkansas for Medical Sciences (UAMS) on a pilot program to

make MAT available to the rural parts of the state through its Medication Assisted Treatment Recovery

Initiative for Arkansas Rural Communities (MATRIARC) project. MATRIARC will bring providers across the state

improved access to addiction psychiatry for management of OUD. By utilizing MATRIARC’s services, treatment

providers will have access to an addiction psychiatrist free of charge via telephone to provide consultation to

primary care physicians (PCPs), general psychiatrists, advanced practice nurses (APNs), physician assistants

(PAs) and mental health professionals providing MAT for OUD patients. In order to address the rural-urban

divide, MATRIARC will utilize Project ECHO, an innovative web-based video conferencing tool out of the

University of New Mexico, which allows health practitioners the ability to connect with rural communities to

deliver comprehensive care, particularly in regards to OUD. DAABHS is currently in the process of seeking

approval from the local Drug Enforcement Agency (DEA) office on regulatory requirements for providing

electronic prescriptions and the delivery of prescriptions via the United States Postal Service (USPS).

P L A N M O V I N G F O R W A R D F O R U A M S M A T R I A R C & P R O J E C T E C H O :

Continue to expound upon newly developed MAT infrastructures while still remaining flexible enough to adapt to newly discovered evidence-based practices (as one model does not fit all client's needs).

Build partnerships with rural healthcare providers throughout the state and provide training tools for these new partnerships (e.g., telemedicine technologies, MAT shadow training for prospective providers, assist with identifying additional funding sources for the expansion of MAT, etc.).


Covering the Cost of MAT Services

Under the STR grant, DAABHS is covering the cost of under- and uninsured patients who are seeking MAT.

Each of the eight funded treatment providers will be reimbursed for an MAT team (see Table 4 below).

Table 4. Example STR Rate Sheet

1.2 POPULATIONS OF FOCUS

The three initial populations of focus: (1) pregnant and parenting women, (2) individuals re-entering the

community from incarceration, and (3) individuals who received Naloxone as part of an overdose; will be a

source of continued effort during year two of the STR grant with additional populations to be added as

identified through the current Alcohol, Drug, and Management System (ADMIS).

Pregnant and Parenting Women Original Strategic Plan:

Because of significant staffing changes within UAMS, critical/key staff identified and needed to initiate the

initial proposal of the grant were not available to carryout the grants strategic plan of MAT for the pregnant

and parenting population proposed.

R E V I S E D P L A N M O V I N G F O R W A R D O N P R E G N A N T A N D P A R E N T I N G W O M A N :

UAMS Perinatal Program: In order to address the needs of the pregnant and parenting women in

Arkansas, DAABHS has partnered with UAMS to provide a technology-based collaborative care model

that will be employed to expand the availability of treatment and optimize treatment procedures for OUD

in underserved pregnant adolescent and adult women, thirteen (13) years of age and older with opioid

use disorder living in rural Arkansas. Psychiatric assessment via telemedicine and access to substance

abuse counseling will be combined with a personalized approach addressing comorbid mental illnesses,

hazardous perinatal exposures, trauma, and socioeconomic burdens to develop a model of care that

enhances health outcomes, treatment, and supports recovery. The goals of this project are to 1) expand

current capacity, enhance interactions with rural care providers, and optimize participation through

PROGRAM NAME POSITION /TITLE RATE COST/MONTH ANNUAL COST

[BLANK]

Clinician

FTE

[dollar amount TBD]

[dollar amount TBD]

Peer Recovery

Support Specialists

FTE

Medication Assisted

Treatment

Transportation

Office Visits

Rate Medicaid

TOTAL


individualized treatment planning; and 2) improve clinical and social outcomes of pregnant adolescent and

adult women with opioid use disorders by encouraging hope and independence. Measurable

objectives/outcomes will include access to care (e.g., number of contacts), patient adherence, abstinence,

and retention in a technology-based collaborative care model, rates of psychiatric illness, and perinatal

outcomes. This program is utilizing STR funds in the amount of $253,828.00.

Individuals Re-Entering the Community from Incarceration Original

Strategic Plan:

Collaboration was reported to be ongoing with the Arkansas Community of Corrections (ACC) and Dr. Zaller

of UAMS. The original STR plan for this population of focus was that the Division of Behavioral Health would

utilize a pilot program using MAT with inmates having and OUD when they are released from prison in Pulaski

and Jefferson County. The idea was not to duplicate the population being utilized under the New Re-entry

grant applied for during the month of January 2018 by ADHS - DAABHS.

Because of significant staffing changes within the Arkansas Community Corrections, critical/key staff identified

and needed to initiate the original proposal of the grant were not available to carryout the grants strategic

plan of MAT for those re-entering the community from incarceration.

R E V I S E D P L A N M O V I N G F O R W A R D O N I N D I V I D U A L S R E - E N T E R I N G T H E C O M M U N I T Y :

ACC Re-entry Pilot Program: Program was designed to assist individuals re-entering their communities

from incarceration with the hope of having a more successful transition. DAABHS has partnered with

the Arkansas Community of Correction (ACC) to pilot a new program in Pulaski County which aims to

provide ex-inmates with two free doses of extended release injectable Naltrexone (Vivitrol). Vivitrol

has been praised in the medical community for its effectiveness in treating individuals with OUD in

correctional settings because of its temporal longevity and its efficacy for preventing the effects of

opioid use to the brain in the case of a relapse. This revised plan is utilizing STR funds in the amount of

$193,479.00.

Individuals Who Have Received Naloxone as Par t of an Overdose

DAABHS has focused on Individuals who have received Naloxone (Narcan) as part of an overdose by

ensuring that these individuals are encouraged to seek treatment from the first-responders who administered

the life-saving antidote. The STR grant has paid for nearly 4,500 doses of Narcan, or "Narcan kits", to be

distributed to first-responders in Arkansas. Each of these "Narcan kits" comes complete with a card that

includes a message which lists the name and number for the specific treatment provider in their catchment

area. The end result anticipated is that the individuals seek the treatment and a path towards recovery.

P L A N M O V I N G F O R W A R D :

Success has been reached under the original naloxone plan; therefore, the focus of the original plan

will continue into year two. To date, there have been 102 "lives saved" due to the administration of

Narcan in the state (recorded by the Arkansas State Police Department).


1.3 PEER RECOVERY STRATEGY

In year two of the STR grant, a large amount of emphasis will be placed on developing a sustainable

comprehensive peer recovery strategy. DAABHS has recently hired the Peer Recovery Coordinator under the

STR grant, Jimmy McGill, who is leading the effort to build a peer recovery support specialist framework in

order to ensure successful and sustained recovery.

A key aspect of the peer recovery strategy is the formation of the Peer Recovery Committee (PRC) chaired by

Jimmy McGill (see Table 5 below for the composition of the committee). Among other things, the PRC will be

responsible for mapping out the steps to implement the peer recovery launch plan under the STR grant.

Table 5. Peer Recovery Committee Composition

Name Agency Position

Jimmy McGill DAABHS Recovery Coordinator

Adam Reynolds Recovery Centers of Arkansas IOP Housing Coordinator

Kim Brown Mid-South Health Systems SAT Coordinator

Robert Lovell Harbor House, Inc. RDS Director, I.T.

Myriam Carter Hope House Director

Andrew Trevino DAABHS Policy Coordinator

The PRC has established a comprehensive launch plan (Table 6 below) that all eight funded treatment

providers will be charged to carry out through the hiring of well-qualified peer recovery support specialists

for their facilities (see also Appendix A for Peer Recovery Support Specialist Materials).

Table 6. Comprehensive Peer Specialist Launch Plan

Peer Specialist

Launch Plan

The Peer Specialist (PS) is an active member of a treatment team and provides peer support services to clients with serious mental illness or substance use disorder. Under supervision of the treatment facility where the PRSS is employed, the PRSS will function as a role model to peers; exhibiting competency in personal recovery and use of coping skills; serve as a consumer advocate, providing consumer information and peer support for clients in outpatient and inpatient settings.

PRSS performs a wide range of tasks to assist peers of all ages, from young adult to old age, in regaining independence within the community and mastery over their own recovery process. Recovery resources such as booklets, tapes, pamphlets and other written materials will be utilized by the Peer Specialist in the provision of services.

Gender Specific Peer Recovery Support Specialist


Each funded provider shall have a minimum of two PRSS’s of the opposite sex. One male PRSS for the male clients, as well as one female PRSS for the female clients.

Using a formal goal setting process, the PS will:

Assist clients in articulating personal goals for recovery through the use of one-to-one and group sessions. During these sessions the PS will support clients in identifying and creating goals and developing recovery plans with the skills, strengths, supports, and resources to aid them in achieving those goals.

Assist clients in working with their case manager or treatment team in determining the steps he/she needs to take in order to achieve these goals and self-directed recovery.

Assist clients in setting up and sustaining self-help (mutual support) groups, as well as means of locating and joining existing groups.

Utilize tools such as the Recovery Action Pan (RAP) to assist clients in creating their own individual recovery action plans.

Independently or with periodic assistance of higher graded treatment team members, utilize and teach problem solving techniques with individuals and groups; discussions will be utilized where clients will share common problems in daily living and methods they have employed to manage and cope with these problems. As one who has availed themselves to recovery services, the PS will share their own experiences and what skills, strengths, supports and resources they use. As much as possible, the PS will share their own recovery story and as the facilitator of these sessions, will demonstrate how they have directed their own recovery.

Use ongoing individual and group sessions to teach clients how to identify and combat negative self-talk and how to identify and overcome fears by providing a forum which allows group members and PS to share their experiences. By using identified literature, media, etc., clients will gain hope, learn to identify their strengths and combat negative self-talk.

Support clients’ vocational choices and assist them in choosing a job that matches their strengths, overcoming job-related anxiety by reviewing job applications, and providing interview tips and encouragement.

Assist clients in building social skills in the community.

Utilizing their recovery experience, the PS should provide the following services based on the needs of the individual client(s):

Teach and role model the value of every individual’s recovery experience.

Assist the client in obtaining decent and affordable housing of his/her choice in the most integrated, independent, and least intrusive or restrictive environment by taking them out to view housing, either driving them or riding with them on public transportation.

The PS models effective coping techniques and self-help strategies.

Serve as a recovery agent by providing and advocating for any effective recovery based services that will aid the client in daily living.


Assist in obtaining services that suit that individual’s recovery needs by providing names of staff, community resources and groups that may be useful. Inform clients about community and natural supports and how to use these in the recovery process. Community resources may include but not limited to: 12 Step Meetings, Rehabs, Social Security Office, Department of Family and Children Services, local YMCA, Library, Clients’ Service Organizations, Apartment Complexes and other types of housing, etc.

Assist clients in developing empowerment skills and combating stigma through self-advocacy. This will be accomplished through regular meetings, individual or group sessions. Through the use of role playing/modeling techniques the PS provides opportunities for others to show/demonstrate how they have handled similar problems, how to present themselves in certain situations, or how to handle problems that may arise in interactions with others.

With assistance from the Director, Program Coordinator/Team Leader, the Peer Specialist will work with the clients and other treatment team staff to develop a treatment/recovery plan based on each client’s needs and identified goals. Treatment/Recovery Plans will be reviewed and signed by the Coordinator/Team Leader and other participating treatment team staff. The PS will assist the treatment team in documenting the following on the client’s treatment/recovery plan:

Identifying goals

Assisting with treatment planning

Life skills coaching

Resource referral

Conducting recovery groups

Assisting with discharge planning

Individual sessions (one-on-one coaching)

The PS will maintain a working knowledge of current trends and developments in the Addiction recovery field by reading books, journals, and other relevant materials. The PS will continue to share recovery materials with others at continuing education seminars and other venues to be developed to support recovery-oriented services; and attending continuing education seminars and other in-services training when offered.

Knowledge Required by the Position:

a. Knowledge of the recovery process through their lived experience.

b. Knowledge and skill to teach and engage in basic problem-solving strategies to support individual clients in self-directed recovery.

c. Knowledge of the signs and symptoms of mental illness (i.e. drug -induced psychosis, withdrawal).

d. Knowledge and skill sufficient to use community resources necessary for independent living and ability to teach those skills to other individuals with Substance Use Disorder. Community resources may include but are not limited to: 12 Step Meetings, Department of Family and Children Services, local YMCA, Library, Client’s Service Organizations, Housing Providers, and etc. The PS may accompany clients to community resources to assist them in accessing these resources.


e. Knowledge of how to establish and sustain self-help (mutual support) and educational groups by soliciting input from the mental health and/or substance abuse consumers on their strengths and interests.

f. A valid driver’s license is required as some driving and/or transportation may be required to take clients to medical appointments, job sites, social activities and other community resources.

COMPLEXITY:

The work involves providing support services for the client that requires assisting them in establishing goals and mechanisms to reach those goals. Decisions on establishing goals and formal recovery action plans will always be made in conjunction with the client and case manager/treatment and reviewed with the supervisor. Decisions regarding what needs to be done involve choices that require a simple analysis such as organizing facts in narrative or logical order and comparing them to past solutions in similar cases or to applicable criteria. Actions to be taken or responses to be made, such as advice to the client differs depending on the facts of the situation.

SCOPE AND EFFECT:

The Peer Specialist assists and guides clients toward the identification and achievement of specific goals defined by the client and specified in the Individual Treatment Plan (ITP). The work involves a variety of routines, standardized tasks that facilitate work performed by higher level providers. Work performed by the incumbent will promote community socialization, recovery, self-advocacy, self-help, and development of natural supports.

PHYSICAL DEMANDS:

The Work is primarily sedentary. Typically, the employee will sit to do the work. However, there may be some walking; standing; bending; carrying of light items such as books, papers, etc., accessing transportation and driving a government car or van.

WORK ENVIRONMENT:

Work will be performed in a wide range of settings, including the medical center; in client, group or family homes; in community-based outpatient settings, community agencies; or in transport vehicles (public or government). Work area are often noisy, irregular and unpredictable and can be stressful at times. Clients demonstrate varying levels of recovery and symptoms.

1.4 UPDATING ADMIS

DAABHS continues to maintain the data collection system known as the Alcohol, Drug Management Information

System (ADMIS). This system is used to collect all Arkansas substance abuse admission and discharge data

that is submitted to the National Treatment Episode Data Set (TEDS) of the SAMHSA Center for Behavioral

Health Statistics and Quality. ADMIS is continuing to be the primary vehicle used to collect detailed data for

special studies or studies of special population groups, special alcohol/drug problems, and employment

status. The ADMIS system has provided current information that describes the clients and the treatment

provided to them to aid in planning, management, and evaluation of alcohol/drug treatment and

rehabilitation programs on both the state and national levels.

P L A N M O V I N G F O R W A R D O N U P D A T I N G A D M I S :

To utilize the three required federal reports by SAMHSA under the STR grant for: o Customizing treatment for clients


o Updating and outfitting the current system with data elements that capture the needed data

for future usage.

o Ensuring that all populations of need are identified and accounted.

Section 2: Sustainability and Looking Towards the F uture

2. SUSTAINABILITY

STRATEGIC WORKGROUPS:

In order to ensure sustainability, DAABHS has emphasized the need to develop sustainable relationships and

partnerships with providers and communities. The three workgroups in place will provide specific direction for

vital areas of the grant. The three workgroups consist of;

1. The Arkansas Alcohol and Drug Policy Coordinating Council (previously in existence before the STR

grant was awarded) which is a workgroup developed by the Governor of Arkansas and consists of

members ranging from the State Drug Director to the Police Chief and the Prosecutor's Office. The

Coordinating Council is tasked with oversight of substance abuse expenditures and policies.

Additionally, this workgroup has been tasked with providing critical input on the opioid crisis in

Arkansas and the progress of our prevention and treatment initiatives. (See Table 7 below for the full

composition of the Coordinating Council).

2. The Peer Recovery Committee (new workgroup created for the STR grant) is tasked with providing

oversight of peer recovery support specialists which includes establishing licensure and certification

requirements (refer to Table 5 above for the composition of the Peer Recovery Committee). This

workgroup also serves to map out steps to provide comprehensive peer support to clients during

recovery.

Table 7. Coordinating Council Membership

Category Agency

Arkansas Drug Director Governor’s Office Alcohol and Drug Abuse Prevention DBHS Statewide Law Enforcement Arkansas State Police Prison System Department of Correction (ADC) Probation Arkansas Community Correction (ACC) Finance Department of Finance & Administration Attorney General Attorney General State Crime Laboratory State Crime Laboratory Court System Administrative Office of the Courts Police Chief A Local Police Department County Sheriff A County Sheriff Department Drug Court Judge Drug Court Prosecuting Attorney A County Prosecuting Attorney Director of a publicly funded alcohol and drug abuse treatment program

Decision Point

Director of a drug abuse prevention program Community Services, Inc. Health Professional University of Arkansas at Monticello

Additional Members Specific to this Grant Category Agency

SAMHSA SAMHSA/CSAP Government Project Officer (GPO)


Model Program Benton Police Department* Pharmacist Arkansas Pharmacists Association Arkansas PDMP** Director State Medicaid Office DHS Division of Medical Services First Responder Training 1. Commission on Law Enforcement Standards & Training

2. University of Arkansas Criminal Justice Institute*** Physician’s Training UAMS Family Medical High-Need Communities Representatives of selected communities Health Literacy Curriculum University of Arkansas Cooperative Extension Service

FUNDING SOURCE:

For financial sustainability of the STR initiatives, funding sources will range from State General Revenue to

additional federal grants (if awarded). Additionally, Medicaid (through Arkansas Works), private insurance,

and out-of-pocket funding will serve as supplemental funding streams to sustain the goals of the grant.

PROGRAM STAFF:

The Arkansas Department of Human Services (DHS) continues to employ more than 7,500 employees working

within ten divisions in five support offices headquartered in Little Rock and 85 county offices statewide. Also

still in existence structurally is DHS-DAABHS's Arkansas Comprehensive Alcohol and Drug Abuse Prevention

and Treatment Plan, which serves as the Single State Agency to distribute federal funds from the SAPT Block

Grant, that funds and oversees community treatment centers, and funds drug safety educational programs

and prevention resource centers serving Arkansas’s 75 counties. Furthermore, the agency continues to be

responsible for licensing institutions that operate substance abuse treatment programs and monitoring

community prevention, intervention and education programs for compliance with state regulations. DAABHS

resumes its training of alcohol and drug abuse professionals through annual conferences and ongoing

workshops, is the State Opioid Maintenance Treatment Authority, and provides referrals for treatment and

prevention services. DAABHS remains the manager of the 230-bed Arkansas State Hospital for those with

acute behavioral health issues and the 310-bed Arkansas Health Center, a skilled nursing facility.

Specifically, as long as the opioid crisis remains a serious public health threat, the DAABHS Substance Abuse

Prevention, Treatment and Recovery teams will be responsible for ensuring sustainability in the OUD

prevention, treatment and recovery programming for the state of Arkansas. Appropriate staff shall include

the Substance Abuse Prevention, Treatment and Recovery Directors and their respective teams. These teams

will have the responsibility of periodically revisiting the current infrastructures in place, ensuring that evidence

based practices are continuously being administered, and the most effective and modern means of OUD

treatment remain available to clients.

MEETING THE NEEDS OF PATIENTS/CLIENTS:

Unfortunately, due to the nature of this crisis, there does not seem to be a clear "end-in-sight" in the need for

OUD prevention, treatment, and recovery services in the state of Arkansas. Therefore, the sustainability of the

STR programming is vitally important for the patients/clients in the state who rely on the lifesaving services

provided under the grant.

The overall objective of the grant funding is to meet the unique needs of the populations served. In a constant

and concerted effort to meet the needs of each individual affected by OUD and because time-limited start-


up grants eventually end, the STR existing plan will benefit vastly from timely and constant monitoring.

Monitoring in areas of community involvement, advisory committee feedback, discussion on additional funding

sources, political involvement as well as employer programs that assist employees with managing their

recovery through providing employee assistance programs (EAP) is needed.

SECTION 3: Conclusion

3. CONCLUSION

The Arkansas State Targeted Response to the Opioid Crisis year two strategic plan focuses on expanding

MAT by, first, continuing to build on the MAT infrastructure within the state, including the number of OTPs,

OBOT DATA-2000 DEA-waivered clinicians, and implementing the UAMS MATRIARC program and Project

ECHO. Second, the year two strategic plan will provide much needed contracts and services to the three initial

populations of focus: (1) pregnant and parenting woman, (2) individuals re-entering the community from

incarceration, and (3) individuals who received Naloxone as part of an overdose. This will be done through

the implementation of the UAMS Perinatal Program, the ACC Community Re-Entry Pilot Program, and the

continued "Narcan kit" initiative. Additional identification of new populations of focus will continue to be

ongoing through the current ADMIS system. Third, the year two strategic plan will stress the importance of

launching a comprehensive peer recovery program and updating the data and recording system, ADMIS.

Finally, sustainability – through long-term funding sources, strategic workgroups, program staff, and focusing

on the needs of the patients/clients – will be a key aspect of the strategy to ensure that individuals suffering

with OUD now and in the future have the vital services they need to find treatment and a path towards

recovery in the great state of Arkansas. The disease of addiction is preventable. Treatment works. Recovery

happens.


APPENDIX A: PEER RECOVERY SUPPORT SPEICALIST MATERIALS

Peer Recovery Support Specialist

Qualifications & Process

1. A minimum of 24 months clean (possible waiver available for exceptionally qualified candidates to be voted on and approved by the Peer Recovery Committee at their discretion).

2. Peer Recovery certification (Georgia model).

3. Application process.

4. Background check (no sex or murder charges).

5. A valid Driver’s License.

6. Mandatory drug test.

7. Lived experience with drug addiction and knowledge of successful recovery.

8. A minimum of one (1) professional letter of recommendation.

JOB SCOPE

Peer Recovery Support Specialists can and should assist the clinical process by performing such duties as:

Identifying goals

Assisting with treatment planning

Life skills coaching

Resource referral

Conducting recovery groups

Assisting with discharge planning

Individual sessions (one-on-one coaching)

Transportation to doctor’s office/pharmacy/appointments/etc. Drug and alcohol testing.

Peer Support Specialists cannot provide clinical services such as:

Therapy

Medication management

Psychosocial evaluations

Diagnostic assessment

Psychiatry services

Conduct therapy groups

How does it work? Peer Recovery Support Specialists use knowledge, skills, and experience, to help others work toward meaningful recovery from mental illness and/or substance use challenges. Another critical component that peers provide is the development of self-efficacy through role modeling and assisting peers with ongoing recovery through mastery of experiences and finding meaning, purpose, and social connections in their lives.

Gender Specific PRSS’s Each funded provider shall have a minimum of two PRSS’s of the opposite sex. One male PRSS for the male clients, as well as one female PRSS for the female clients.


Minimum Qualifications These standards include:

Lived Experience Peer Support Specialists must have lived experience with recovery of substance addiction.

Educational Standards Peer Support Specialists must have a minimum of a High School diploma or a GED. Trained as a PRSS, CIT.

Age Requirements Peer Support Specialists must be at least 18 years of age.

Time in Recovery Peer Support Specialists must have at least twenty four (24) months of continuous demonstrated recovery (possible waiver available for exceptionally qualified candidates).

Facilitating and Leading Recovery Groups In addition to conducting one-on-one coaching or mentoring and resource connecting activities, many PRSS’s facilitate or lead recovery-oriented group activities. Some of these activities are structured as support groups, while others have educational purposes. Many have components of both. The group activities that are structured as support groups typically involve the sharing of personal stories and some degree of collective problem-solving. Many of these groups are formed around shared identity, such as belonging to a common cultural or religious group, or shared experience related to the substance use disorder, such as the need to re-enter the community following incarceration, being HIV positive, or facing challenges in parenting. Many, but not all, group activities conducted by PRSS’s have a spiritual component. The group educational activities tend to focus on a specific subject or skill set, and may involve the participation of an expert as well as PRSS’s. Typical topics and activities include training in job skills, budgeting, managing credit, group processing, recovery concepts, triggers and high-risk situations and relapse prevention, as well as courses particularly targeted to people in recovery, such as conflict resolution grounded in recovery skills.

Building Community A person in early recovery is often faced with the need to abandon friends and/or social networks that promote and help sustain a substance use disorder, but has no alternatives to put in their place that support recovery. Peer recovery support service providers can help such peers make new friends and begin to build alternative social networks. PRSS’s often encourage recovery-oriented activities that range from opportunities to participate in team sports to family-centered holiday celebrations and to payday get-togethers that are alcohol-and drug-free. These activities provide a sense of acceptance and belonging to a group, as well as the opportunity to practice new social skills.

Working Environments

Listed below are the working environments of the Peer Recovery Support Specialist:

Inpatient treatment;

Intensive outpatient;

Outpatient; and

Aftercare.

Inpatient

Intakes and assessments.

Assist treatment staff with drug urinalysis.

One-on-one individual sessions (15 to 30 minutes).

Progress monitoring reports/data collection.


Minimum of one group daily.

72-hour release plan.

Recovery Action Plan (RAP).

30-minute staffing between Peer Support Specialist and clinician (weekly).

Intensive Outpatient (IOP) / Partial Day

Minimum of three groups weekly.

Minimum of one (1) one-to-one session with client weekly.

Connect client with recovery community.

Progress monitoring reports/data collection.

Assist treatment staff with drug urinalysis and MAT clinic.

Assist clients with immediate needs (appointments, SNAP, housing, court dates, etc.).

Advocacy on behalf of clients.

Build and utilize resources for client growth and development.

Outpatient

Minimum of two groups weekly.

Minimum of one (1) one-to-one session with client weekly.

Assist client maintaining connection with recovery community.

Continue monitoring reports/data collection.

Assist treatment staff with drug urinalysis.

Assist clients with immediate needs (appointments, SNAP, housing, court dates, etc.).

Advocacy on behalf of clients.

Build and utilize resources for client growth and development.

Transportation to doctor’s office/pharmacy, etc...

Aftercare

Follow up progress reports/data collection.

Continue to be the role model and sharing lived experience.

Meet with client for two (2) hours weekly (for one month).

Meet with client bi-weekly (for one month).

Follow-up by phone two (2) hours per month (for 4 months).

Transportation to doctor’s office/pharmacy.


APPLICATION FORARKANSAS PEER RECOVERY SPECIALIST

Part I – Contact Information

Date:

Name:

Last First Middle Initial

Present Address:

Street City State Zip

Home Phone: ( ) Cell Phone: ( )

Email Address (required):

Part II – Recovery Statement

Briefly describe your lived experience and recovery journey to include the date your recovery began.

Part III – Education & Training

What is your highest level of education?

☐ H.S. Diploma ☐ G.E.D. ☐ Some college ☐ Associate ☐ Bachelor’s ☐ Master’s

☐Doctorate

Name of School(s)

Demographic Information (for statistical purposes only) *optional*

Race/Ethnicity

☐African American ☐ Latino/Hispanic ☐Multiracial ☐ Native American ☐ Asian

American ☐Caucasian ☐Other_______________________________


Foreign Languages Spoken

☐Spanish ☐French ☐ Vietnamese ☐ ASL ☐Other____________________________

Gender

☐Male ☐Female

Age Range

☐18-30 ☐31-45 ☐ 46-60 ☐ 60+

Date Approved: _________________(for office use only) Part IV – Supplemental Information

1. Have you served in the Military?

☐Yes ☐No

2. Do you have experience working with any special populations or groups?

☐Veterans ☐ Homeless ☐Addictions ☐Victims of Trauma ☐ Families

☐Intellectual/Developmental Disabilities ☐Youth ☐

Others___________________________

3. Name some of your skills or areas of expertise: (for example, crisis management, working with faith based groups, working with supported employment, technology expertise)

Part V – PLEASE READ THE FOLLOWING QUESTIONS CAREFULLY BEFORE ANSWERING

4. What does recovery mean to you? What factors are important in your own recovery?

5. Please describe what Peer Support means to you:


6. Why do you want to become a Peer Support Specialist?

7. Do you think that it is important to share recovery stories as part of being a Peer Support Specialist? Why?


8. What strengths do you have that will help you be a great Peer Support Specialist?

9. Please describe the ways you have been active in your community in the past six months. Please highlight roles that would aid in your work as a Peer Support Specialist. Do not include things that you do to maintain your own recovery.

10. One key to recovery is the use of natural supports in your life. Please describe your support system and how they can help you if you are selected for the Peer Support Training?


11. How are you maintaining your recovery today?

Part VI – Current & Previous Employment/Volunteer Experience

12. Are you currently employed as a Peer Support Specialist: ☐Yes ☐No – see B and C

below

A. If yes, please have employer fill out form on page 7.

What is your job title? ____________________________________________________ Name of Employer? ______________________________________________________ How many hours do you work a week? _______________________________________ What is your hourly wage? _________________________________________________ How long have you been employed in this position? _____________________________ Employer’s Contact Information_____________________________________________ _______________________________________________________________________

B. If no, are you looking for work as a PSS? _________________________________

C. If no, are you currently working in another capacity? What is your job title? _______________________________________________________ Name of your employer? _____________________________________________________


May we contact your employer? ☐ Yes ☐ No

Employer’s contact information: _______________________________________________

Please list your other work experience for the past five years beginning with your most recent job held previous to the one listed in #3 above. If you were self-employed, provide business name. Attach additional sheets if necessary.

Employer or Volunteer Agency Position/Title Location

Please list 3 professional and personal references (not related to you):

Name Telephone number

I certify that I have given true, accurate, and complete information on this form to the best of my knowledge. I certify that I am at least 18 years of age and have a minimum of eighteen months demonstrated continuous and current recovery before applying for certification. I understand that any false information or omissions may be grounds for rejection of my application or corrective action. I certify that I have only acted in ways which did not abuse, neglect or exploit any consumer or family member situation in my role as a Peer Support Specialist. All personal information provided in this form will remain confidential and data will only be used in graphs creating a nonidentifying profile of those completing the certification process.

SIGNATURE OF APPLICANT _________________________ DATE_________________


Arkansas Peer Performance Competency Evaluation Form

Employee Name Date

Need

coa

chin

g to

better

ass

ist

clie

nts

Meets

client

needs

Exce

ls

Peer competencies

□ □ □ Peer staff initiates contact with clients across the continuum of recovery

pretreatment, concurrent treatment, post‐treatment. Initiates contact in

varied settings (community, home, recovery centers, courts, hospitals,

treatment centers, probation/parole offices, etc.).

□ □ □ Peer staff demonstrates capacity to be non‐judgmental and attentively

listen, and reflect accurate understanding of the client’s experiences and

feelings. Clarifies their understanding of information when in doubt of the

meaning.

□ □ □ Peer staff demonstrates skills in motivational enhancement and understands

the

stages of change, and demonstrates capacity to engage clients in “quit

talk,” give affirmations, develop discrepancy, and honors client’s self‐

efficacy, self-determination, and client choice.

□ □ □ Uses and models recovery oriented principles with clients: multiple

pathways, client choice, informed consent, self‐determination, many

pathways, empowerment, self‐advocacy, fostering independence, etc.

□ □ □ Uses respectful, person‐centered, recovery‐oriented language in written

and verbal interactions with clients, family members, community members,

and others.

□ □ □ Validates and normalizes client recovery experiences.

□ □ □ Assists and supports clients to set goals and to dream of future possibilities.

Proposes strategies to help a peer accomplish tasks or goals. Provides

concrete assistance to help clients accomplish goals, and then celebrates


client efforts and accomplishments.

□ □ □ Inspires hope through the sharing of recovery stories, recognizing when to

share experiences and when to listen.

□ □ □ Describes personal recovery practices and helps clients discover recovery

practices that work for them. Peer is open to exploring many paths to

recovery with their clients.

□ □ □ Appreciates and respects the cultural and spiritual beliefs and practices of

clients and their families, demonstrating an understanding of peer’s own

personal values and culture and how these may contribute to biases,

judgments and beliefs.

□ □ □ Recognizes and responds to the complexities and uniqueness of each peer’s

process of recovery, tailoring services and supports to meet the

preferences and unique needs of peers and their families.

□ □ □ Helps clients to function as a member of their treatment/recovery support

team.

□ □ □ Participates in maintaining up‐to‐date information about community

resources and services, assisting peers to find, investigate, select, and use

needed and desired resources and services.

□ □ □ Accompanies peers to community activities and appointments when

requested and participates in community activities with peers when

requested.

□ □ □ Assist clients in system navigation (traditional institutions of care, criminal

justice, child welfare, SNAP, TANF, WIC, etc.)

□ □ □ Educates family members and other supportive individuals about recovery

and recovery supports. Coordinates efforts with clients' family members

and other natural supports.

□ □ □ Uses approaches, recommendations and linkages that match the

preferences and needs of clients.

□ □ □ Recognizes signs of distress and threats to safety among clients and in their

environments, provides reassurance to clients in distress.

□ □ □ Strives to create safe spaces when meeting with peers, acting to address

distress or a crisis by using knowledge of local resources, treatment,

services and support preferences of peers and assists peers in developing

advance directives and other crisis prevention tools.


□ □ □ Conveys client’s point of view when working with colleagues.

□ □ □ Documents information as required by program policies and procedures.

□ □ □ Follows laws and rules concerning confidentiality and respects others’ rights

for privacy. Can describe client rights, responsibilities, informed consent,

and obligations of mandatory reporting.

□ □ □ Complies with agency specific policies regarding peer‐client practices and

boundaries, social media rules, financial policies, smoking policies, etc.

□ □ □ Works together with other colleagues to enhance the provision of services

and

supports, assertively engaging providers from mental health services,

addiction services, and physical medicine to meet the needs of clients.

Coordinates efforts with health care providers to enhance the health and

wellness of clients.

□ □ □ Partners with community members and organizations to strengthen

opportunities for clients.

□ □ □ Strives to resolve conflicts in relationships with clients and others in their

support

network.

□ □ □ Can recognize and respond to risk, crises and emergency indicators

affecting client

welfare and safety.

□ □ □ Recognizes and responds to the traumatic experiences of vulnerable

populations

(cultural/ethnic minorities, sexual minorities, people in poverty, people

experiencing

homelessness, those with a history of military service, etc.).

□ □ □ Exercises appropriate self‐care.


References

SAMHSA Buprenorphine Practitioner Locator Tool:

https://www.samhsa.gov/medication-assisted-treatment/physician-program-data/treatment-physician-

locator?field_bup_physician_us_state_value=AR

SAMHSA Opioid Treatment Program Directory:

https://dpt2.samhsa.gov/treatment/directory.aspx

UAMS MATRIARC:

http://psychiatry.uams.edu/clinical-care/cast/matriarc/

https://www.samhsa.gov/medication-assisted-treatment/physician-program-data/treatment-physician-locator?field_bup_physician_us_state_value=AR

https://www.samhsa.gov/medication-assisted-treatment/physician-program-data/treatment-physician-locator?field_bup_physician_us_state_value=AR

https://dpt2.samhsa.gov/treatment/directory.aspx

http://psychiatry.uams.edu/clinical-care/cast/matriarc/

ARKANSAS STATE TARGETED RESPONSE TO THE OPIOID …Arkansas State Targeted Response to the Opioid...

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