Peer Support & Recovery Best Practices Debbie Jones, MSW Recovery/Volunteer Coordinator Teach, Empower, Advocate for Community Health Peer- Run, Peer-Driven Spiral of Recovery 1
Defining Best Practices in Peer Support & Recovery Challenges and Recommendations for incorporating Best Practices (Consumer Survivor Initiative for Mississauga - Halton LHIN) 2
A Brief History Peer support and advocacy movement 1970 s Social movement parallels with civil rights, gay rights and women s rights movements 1990 s two major shifts in health care in NA: Recovery philosophy Evidence based medicine best practices 3
Defining Best Practices A best practice is a method or technique that has consistently shown results superior to those achieved with other means, and that is used as a benchmark. Evidence-based practices are methods or techniques that have documented outcomes and ability to replicate as key factors. "best practices" and "evidence-based practices" are often used interchangeably. 4
Research Validated Best Practice A program, activity or strategy that has the highest degree of proven effectiveness supported by objective and comprehensive research and evaluation. Field Tested Best Practice A program, activity or strategy that has been shown to work effectively and produce successful outcomes and is supported to some degree by subjective and objective data sources. Promising Practice A program, activity or strategy that has worked within one organization and shows promise during its early stages for becoming a best practice with long term sustainable impact. A promising practice must have some objective basis for claiming effectiveness and must have the potential for replication among other organizations. 5
Rigorous, scientific approaches are not a good fit with Recovery philosophy or with mental health care in general Mental health care better fit with the social sciences which employ a broad range of approaches to research including anecdotal, qualitative and participatory action research 6
1. Involvement of the consumer in every stage. 2. Broader methods including participatory action research and other qualitative approaches to research. 3. Looking at broader outcomes including quality of life outcomes that are a good fit with recovery philosophy. 7
4. Understanding that relationships are at the core of best practices in recovery 5. Incorporating consumer preferences into the practices model 6. Considering consumer actions i.e. cost/ benefit of treatment plan 8
1. Defining what constitutes peer support 2. Ensuring extensive Consumer involvement 3. Clear Role definitions for peer support workers 4. Employing Standardized training 9
5. Health care worker education across the system 6. Staged implementation of new peer support programs 7. Examination of environmental factors - e.g. unionized work place 10
From: AgrAbility http://fyi.uwex.edu/agrability/staff-development/peer-support-resources-toc/peersupport-resources/ 11
Secondment & Paid Staff Training & Skills Development Program Delivery Volunteer Development Expansion into Mississauga System Navigation Education Sustainability Outreach Peer Navigator Programs Advocacy Quality Control Mentoring Community Training Organizational Model Existing and Future Directions 12
Quality Control Accreditation (2012) Continuous Quality Improvement (CQI) Committee Marketing & Communications Committee(branding) Governance Committee OCAN Ongoing Program Evaluation CSI Lead Role Research 13
Research & Evaluation Community Needs Assessment Program Evaluation HOPE Scale and WHO Quality of Life Questionnaire Literature Reviews Strategic Planning Continuous Quality Improvement 6/3/2014 14
Proposed expansion into Mississauga Supporting new and existing peer support programs and peer support workers Expand training across the Mental Health & Addictions systems 15
Peer Support Programs What Role Can Play? Core Skills Training, Facilitator Training, OCAN Training Ongoing support via Peer Support for Peer Supporters Program Ongoing training and education A community of peers Program template tried and true program design Program materials and training manuals Policies and Procedures Years of experience in Peer Support Best Practices based on research and evaluation 16
Core Skills Training 20 hours intensive training in peer support skills OCAN Training for volunteers and staff working in CSI s Facilitator Training advanced facilitation training for group leaders Concurrent Disorders Peer Support Training specialized training for volunteers and staff working in concurrent disorders peer support 17
Questions or Comments? Debbie Jones djones@shhalton.org 905-693-8771, ext. 320 18