Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 1
Rutgers, The State University of New Jersey
Peer Support: State Credentials, Continuing Education, and Retention/Recruitment Strategies
Amy B. Spagnolo & Rita CroniseFebruary 6, 2020
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 2
NatCon20.orgDownload the NatCon20 Preliminary Program and discover more incredible speakers,
workshops, tracks, engagement opportunities and more online at
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 3
Peer SupportState Credentials, Continuing Education, and Recruitment & Retention Strategies
Rutgers, The State University of New Jersey
PresentersDr. Amy B. Spagnolo & Rita Cronise
Rutgers the State University, Department of Psychiatric Rehabilitation and Counseling
Professions
Rita Cronise, M.S.Amy B. Spagnolo, Ph.D.
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 4
Roles Certification Hiring Continuing Ed
Objectives
What is a Peer Support Specialist?
• Life altering lived experience• Training in core competencies• Regular supervision
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 5
Where do Peer Support Specialists work? • Peer-run organizations• Behavioral health• Housing• ACT• VA• Advocacy• Crisis response• Criminal justice• Supported employment
How are they paid?
• Long tradition of volunteerism (WOC)
• 1980’s: Community Support Program (CSP)
• 2007: Reimbursement from Medicaid CMS
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 6
Peer-Run Respite Funding
Source: 2018 PREF (Peer Respite Essential
Features) Survey Program Operations Report: Funding,
Staffing, Evaluation
(Live & Learn, 2019)
How is Medicaid Reimbursement used?
1. Medicaid State Plan Amendment
2. Waiver Programs
Open Minds, 2019
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 7
Medicaid Guidance to the States
Peer providers should be self-identified consumers in recovery from mental health and/or substance use disorders
1) Training and credentialing2) Care Coordination3) Supervision
Letter from the CMS Director, 2007
Peer Specialist Training and Certification Programs: A National Overview.
Texas Institute for Excellence in Mental Health (TIEMH), School of Social Work, University of Texas at Austin.
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 8
Updates (2020):AR = YesCO = YesNV = YesOH=In DevelopmentCA=New Legislation
Peer Specialist CertificationU.S. Government Accounting Office Report
(US GAO, 2018)
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 9
Appendix: Medicaid
Reimbursement for Peer Services
Beyond CertificationTechnical Assistance, Conferences, and
Communities of Practice
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 10
SAMHSA Mental Health Consumer Technical Assistance Centers*
* Subject to change
National Peer-Led Associations and Advocacy Organizations
Formerly the International Association of Peer Supporters (iNAPS)
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 11
SAMHSAAddiction Recovery Support
Technical Assistance *National Recovery Institute
at Faces and Voices of Recovery
*National Peer-Run Center for Addiction Recovery
National Allies (Not Peer-Run)
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 12
SAMHSATechnology
Transfer Centers
Addiction, Mental Health and Prevention
National Peer Conferences
*In 2020 Peerpocalypse and Alternatives are collaborating to offer the conference together
Peer Support Canada National Conference on Peer Support, June 25 & 26, 2020
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 13
National Conferences by Allies (Not Peer-Run)
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 14
NatCon20.orgDownload the NatCon20 Preliminary Program and discover more incredible speakers,
workshops, tracks, engagement opportunities and more online at
Communities of Practice
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 15
One of the most vital ways we sustain ourselves is by building communities;
places where we know we are not alone.
– bell hooks
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 16
Entering or Re-Entering Higher Education
What is the Academic Career Ladder for Peer Support Specialists?
Peers are Entering or Re-entering Higher Education
• First Career• Change in Career• Career Advancement• Moving into Supervision
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 17
Demographic Data / Academy of Peer Services (2015 - 2018)
Education Prior to Enrollment
0
500
1000
1500
2000
2500
3000
3500
4000
Graduate Bachelor Associate Some college High school
n %
24%
31%
20%
Graduate Bachelor Associate Some College High School
11% 14%
First career?Continuing education may include steps on the rung of an academic ladder.
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 18
Undergraduate Certificate in Peer Support
Changing careers?
Even more rungs may be available on an academic career ladder.
Here are some options.
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 19
Behavioral Health
Recruitment and Retention
Strategies for Employers of Peer Support Specialists
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 20
Retention Strategies
• Clear job descriptions
• An accepting culture
• Supervisor understands the role (preferably having been one)
• Living wage• Career ladder
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 21
Resources for Hiring, Supervision, and RetentionNew York City
Workforce Integration of Peer and Community Health Worker Roles: A needs-based toolkit to
advance organizational readiness
PhiladelphiaPeer Support Toolkit
SUMMARY
The State of Peer Support Workforce: Certification and Funding
Continuing Education and Communities of Practice
Entering or Re-Entering the AcademicCareer Ladder
Recruiting and Retention Strategies
Peer SupportMaking a Difference
www.aps-community.org
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Peer Support: State Credentials, Continuing Education, Recruitment, and Retention
Broadcast on January 6, 2020
Rutgers Faculty: Amy Spagnolo and Rita Cronise 22
Rutgers, The State University of New Jersey
Contact InformationAmy Spagnolo, Ph.D.
Rita Cronise, [email protected]
Rita Cronise, M.S.Amy B. Spagnolo, Ph.D.
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