';
Uncategorized

0 797

The Vital Role of Peer Support Specialists During a Mobile Crisis Visit

In times of crisis, the need for immediate and comprehensive behavioral health support is paramount. Mobile crisis visits play a crucial role in addressing urgent situations, and the integration of certified peer support specialists during these visits is proving to be a transformative approach.

Certified peer support specialists bring a unique skill set with lived experience to support their work, which builds client rapport and trust. This contributes to filling the behavioral health therapy gap during mobile crisis interventions, giving a client the tools they need to continue care, and providing a road map that supports the recovery journey.

BHL has compiled a list of six reasons why certified peer support specialists should always be integrated as part of your mobile crisis team:

  1. Lived experience: A beacon of understanding in crisis – Peer support specialists bring a profound sense of empathy and understanding to mobile crisis visits through their lived experiences. Having faced their own mental health challenges, they create a connection with individuals in crisis, offering a beacon of hope and shared understanding in times of extreme vulnerability.
  2. Skill building and coping strategies: Immediate support for crisis moments – Crises demand immediate coping strategies. Peer support specialists are adept at providing on-the-spot skill-building exercises tailored to the individual’s needs. These practical approaches help individuals navigate the intensity of the crisis and lay the foundation for continued coping beyond the immediate moment.
  3. Cultural competency: Addressing crisis with sensitivity – Cultural competency becomes even more critical in crises. Peer support specialists, often possessing diverse backgrounds and experiences, can navigate the intricacies of cultural differences with sensitivity. This ensures that crisis interventions are culturally sensitive, fostering trust and effective communication during these challenging moments.
  4. Complementary support: Augmenting crisis intervention teams – Integrating peer support specialists into mobile crisis intervention teams enhances the overall support provided. Their unique perspective adds a complementary layer to the skills of behavioral health professionals, creating a more holistic and adaptable response to crises.
  5. Community integration: Building supportive networks amid crisis – Crisis moments can be isolating, exacerbating feelings of loneliness. Peer support specialists work towards community integration even during crisis visits, encouraging individuals to reconnect with their support networks. This emphasis on community reinforces the importance of social connections in the recovery process.
  6. Advocacy and guided navigation: Navigating the crisis landscape – Navigating a mental health crisis can be overwhelming. Peer support specialists act as advocates, guiding individuals through the crisis landscape. Their presence ensures that individuals receive the necessary support during and after the crisis, facilitating access to appropriate resources and services.
  7. In the urgent and sensitive realm of mobile crisis visits, peer support specialists emerge as invaluable allies. Through their lived experiences, skill-building capabilities, cultural competency, complementary support, community integration efforts, and advocacy, these specialists significantly fill the behavioral health therapy gap during critical moments. As we continue to prioritize immediate and holistic mental health care, the integration of peer support specialists in mobile crisis interventions proves to be a pivotal step towards a more compassionate and effective crisis response system.

0 1244

As Pennsylvania pushes to legalize recreational marijuana, recent research suggests doing so could have harmful effects for adolescents, including a potential increase in suicide.

The study, “Cannabis use disorder, suicide attempts, and self-harm among adolescents: A national inpatient study across the United States,” examined the association between cannabis use disorder (CUD) and suicide/self-harm in a large, nationally representative sample of hospitalized adolescents. It found that adolescents with CUD were 40 percent more likely to experience a suicide attempt or self-harm.

Although the inpatient study does not directly tie an increase in adolescent suicide to legalization of recreational marijuana, there is an association between marijuana legalization and the increased risk of cannabis use disorder among adolescents. As more adolescents experience CUD, then, the potential for more suicides also increases.

In his 2024-2025 Budget Book, Governor Shapiro, acknowledging that all of Pennsylvania’s neighboring states except West Virginia have legalized recreational marijuana, says now is the time for the commonwealth to do so as well. His budget proposes legalization of adult use marijuana effective July 1, 2024, with sales within Pennsylvania beginning January 1, 2025.

The governor’s plan estimates about $14.8 million in revenue in the industry’s first year of operation, with more than $250 million in annual tax revenue expected once the industry is established.

In its review of the inpatient study, the Recovery Research Institute (RRI) suggests policymakers develop policies and funding structures that appropriately educate the public about the risks of cannabis use, and support those who are currently using, as a way to potentially help reduce the public health burden of cannabis use and suicidal behaviors among adolescents.

For treatment providers, RRI points out that cannabis use was uniquely associated with suicidal behaviors among adolescents being treated in an inpatient setting over and above well-known risks such as depression. Furthermore, those with both CUD and depression were at an even greater risk, concluding, then, that it is likely helpful to conduct thorough screenings for each of these issues if an individual presents with one of them.

The governor has proposed millions of dollars to address Pennsylvania’s growing mental health needs. With legalization of recreational marijuana seemingly inevitable in the commonwealth’s near future, even more resources will be needed to address the inevitable substance use disorder (SUD) and mental health issues Pennsylvanians of all ages will likely face following legalization. With a quarter of a billion dollars expected in eventual annual revenue from legalized marijuana, a significant portion of that sum must be committed to SUD and mental health treatment providers.

0 1253

By Jason Snyder, Director, Substance Use Disorder Treatment Services, BH Division, RCPA

In September 2023, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a report, “Recovery from Substance Use and Mental Health Problems Among Adults in the United States.”

Although the definition and concept of recovery from addiction have been morphing for some time, the self-reported data contained in the report, coupled with SAMHSA’s definition of recovery, lays out starkly that what is considered recovery today is far different from what it has been considered historically. In some ways, it begs the question, then, “What is the purpose of addiction treatment?” What are the implications for addiction treatment providers, who for decades have operated with a mission of helping their patients stop their use of drugs and alcohol?

Using data from the 2021 National Survey on Drug Use and Health (NSDUH), SAMHSA’s report shows that 70 million adults aged 18 or older perceived that they ever had a substance use or mental health problem. For substance use specifically, of the 29 million adults who perceived that they ever had a substance use problem, 72 percent (or 20.9 million) considered themselves to be in recovery or to have recovered from their drug or alcohol use problem (see SAMHSA’s press release).

Of the 72 percent who considered themselves to be in recovery or to have recovered from their drug or alcohol use problem:

  • 65 percent reported using alcohol in the past year;
  • 68 percent reported using marijuana in the past year;
  • 60 percent reported using cocaine in the past year; and
  • 61 percent reported using hallucinogens in the past year.

Curiously, it doesn’t appear that respondents were asked whether they used illicit opioids in the past year.

To the traditional addiction treatment provider and many in the recovery community today, recovery and drug and alcohol use can’t co-exist. One possible but unlikely explanation for the SAMHSA-reported data is that all of the respondents who identified as being in recovery but having used drugs or alcohol in the past year is that their recovery began within the last year. This would presume that their definition of recovery includes abstinence. But this is not likely. Consider SAMHSA’s definition of recovery:

“Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life; and strive to reach their full potential.”

No mention of abstinence from drugs and alcohol. What this means is that for millions of people, recovery can and does include moderated use of drugs and alcohol.

In 2004, SAMHSA’s Center for Substance Abuse Treatment said, “Treatment for substance use disorders is designed to help people stop alcohol or drug use and remain sober and drug free. Recovery is a lifelong process.” Twenty years later, it’s a far different message coming from SAMHSA.

As recently as 2019, the Pennsylvania Certification Board defined recovery as highly individualized, requiring abstinence from all mood and mind-altering substances, and may be supported by using medication that is appropriately prescribed and taken.

Talk about evolution and conflict.

Nora Volkow, director of the National Institute on Drug Abuse, said “Healthcare and society must move beyond this dichotomous, moralistic view of drug use and abstinence and the judgmental attitudes and practices that go with it.”

So what does this mean for addiction treatment providers? What, then, is the purpose of addiction treatment? One managed care organization in Pennsylvania recently talked about the purpose of addiction treatment in much the same way as SAMHSA defines recovery, addressing health, home, purpose, and community. This would seem to mean that providers are now expected to address not only addiction but myriad social determinants of health as well. In fact, it is what payers expect providers to do today.

This is a sea change. The addiction treatment system was not built in this way. This is not to say that it is not evolving or cannot evolve along with the definitions of treatment and recovery. But to do so will require much broader systemic change than philosophical and cultural changes within addiction treatment organizations. Regulation and payment structure must also change to reflect the changing expectations and demands placed on providers.

0 1072
Photo by a href=httpsunsplash.com@davies_designsutm_content=creditCopyText&utm_medium=referral&utm_source=unsplashDavies Designs Studioa on a href=httpsunsplash.comphotosbrown-and-green-leaves-on-white-surface-rb5HXpLEuYoutm_content=creditCopyText&utm_medium=referral&utm_source=unsplashUnsplasha

0 2568

(shared by the mother of two sons with intellectual & developmental disabilities/autism, Nechel spoke at the Capitol at one of our recent rallies)

My name is Nechel. My education is in art education. I am no doctor, so do your own research, I can only speak from my experiences, and would like to share them with you.

I have two sons, 22/21; both are on the autism spectrum. My 22-year-old was diagnosed at three years and has high functioning Asperger’s with severe generalized anxiety. Secondary diagnoses are sensory integration disorder, OCD, ADHD. My 21-year-old was diagnosed at 11 months old. He actually has two primary diagnoses – severe autism with aggression and ID. Secondary diagnosis – SI, OCD, language delay, ADHD.

Both sons struggled with childhood sicknesses like most do, including allergies, RSV, croup, ear infections, sinus infections, etc. My youngest son suffered more with these illnesses, which exacerbated the aggressive behaviors! He was taking an average of eight antibiotics per year! He has had six sets of ear tubes, tonsillectomy, sinuses were cauterized, but still needed to be on antibiotics several times a year! His health was impacting behaviors and therapies profoundly. I went on a mission to get my sons healthier.

We have tried many therapies and services over the years, both outpatient and in school. We have utilized Occupational Therapy, Speech Therapy, and assistive technology for language including devices such as “Say it Sam,” and Prologue2go. We have explored/accessed BCBA, BSC, TSS, MT, talk, special school programs, social groups, different foods, and therapies such as play, equine, and music. We have been to specialists, and experimented with homeopathic medicine, and many medication trials!!

I have been using all natural items I have researched in determining each boy’s needs. I capsulize several items for ease of dispensing and avoiding sensory issues. The silver tastes like water so I add to drinks. My sons use immune boosting supplements such as a multivitamin, D3, B-complex, Zinc, Magnesium, Probiotics, and Melatonin. For anxiety, one of my sons uses CBD, Bergamot tablet/roll-on, and Valerian root. My 22-year-old son is now off all prescription medications. My 21-year-old has now gone almost five years with no need for antibiotics, and five fewer prescriptions!

Both use natural remedies such as Mullein EO, sovereign silver liquid/nasal spray PRN for allergies. At the onset of any illness symptoms, we use oregano, elderberry, increase D3, increase Zinc, C, and sovereign silver (liquid, spray).

Due to dietary selectiveness, I utilize a vegetable and fruit-based protein powder with probiotics to bake cookies/brownies. Utilize whatever way works for your child. Amazing flavor, several flavor options, with no chalkiness! I replace flour with this product, undetected!

One experience I would like to share is extraordinary. I learned about Red Pine Needle Oil. Several studies on this refer to use in people with autism, Alzheimer’s, and Dementia, in regards to language, mental clarity, and neurological transmitter repair. In the studies I reviewed, EVERY participant showed some type of improvement! So I had nothing to lose! My oldest son, at age 20, had very limited functional language. He spoke in one word responses, and never wrote anything independently. On the second day using red pine needle oil, he spoke independently and clearly, “Pennsylvania polka calendar!” On the fourth day, he said “I love you” to me for the first time ever, independently and clearly! By the second week, he was writing independently, legibly, and spelled “beach hotel!!!” Of course, his favorite place on Earth. Since then, we hear new language all the time. He writes many requests/words!!!

What if we utilized these methods alongside traditional therapies? What if you had a child to work with that was healthier, clearer thinking, lower anxiety, with behaviors lessened? How much more effective would these traditional therapies be?? With this holistic approach, how much more progress could we attain with our amazing children?? Take it day by day! Start with one product and grow it! Don’t forget, you are all warriors!

–Nechel

0 2221

In urban, rural, and suburban communities across the country, transportation to services and programs that support recovery from substance use disorder (SUD) is consistently identified as a significant barrier to access. Danny’s Ride, a Pennsylvania nonprofit that provides rides to recovery services for people living with SUD, is working to remove that barrier.

The Danny’s Ride model is designed so that recovery service providers identify the people who need rides to get to critical services and programs that support their recovery and ensures the rider arrives when and where they’re expected to be.

Danny’s Ride uses Roundtrip, a sophisticated, technology-based transportation company that provides 24 hours a day/seven days a week support for all rides and connects ride requests with rideshare operators, including Uber and Lyft. Staff uses the platform to set up rides (Riders are unable to change the ride details). The average ride cost is about $30, with funding for the rides provided by grants, governmental agencies, and fundraising dollars. A standard arrangement for Danny’s Ride includes single county authorities, which then contract with county providers, including treatment and recovery support providers.

Danny’s Ride started in Lehigh County but has expanded to multiple counties across the state. In addition, it is working on a pilot project with the criminal justice system in multiple counties in Pennsylvania. The organization’s intention is to continue to expand to more counties.

Danny’s Ride was founded in November 2020 by Nancy Knoebel, in honor of her son Danny Teichman. Danny died on November 11, 2016, after taking Kratom to help manage the impact of post-acute withdrawal syndrome resulting from stopping his use of buprenorphine as part of his recovery plan. His decision to stop using medication was driven in large part by stigma directed at medications to treat opioid use disorder and, in turn, at him as a person using the medication. He was one week shy of turning 28. Danny was a “ride giver” both in his recovery community and with friends and family.

Providers interested in more information about working with Danny’s Ride can visit DannysRide.org, email info@dannysride.org, or call 484-265-1411.

0 813
Non-profit organization is seeking a Chief Financial Officer for its administrative offices. This person acts in the capacity of financial advisor to the non-profit organization, providing financial analysis, budget control, and accounting methods. The CFO also oversees the fiscal, payroll, accounts payable, and accounts receivable departments. The ideal candidate will have strong written and verbal communication skills, experience working with local government funding, and experience working with QuickBooks Accounting Software. Degree in Finance and Accounting or other related field required combined with a minimum of 7-10 years of financial management experience. Certified Public Accountant (CPA) and Master’s Degree in Finance and Accounting preferred. Equivalent combination of education and experience may be acceptable. Please submit a letter of interest, resume, and salary requirements to: 250 Pierce Street, Suite 301, Kingston, PA 18704; www.ihrser.com; or sweiss@ihrser.com.

0 987
ODP Right to Know Information as of 09-26-22
  1. RE ODP Fiscal Impact 001 Redacted
  2. RE DCWDSP Workforce Improvement Redacted
  3. RE [External] time To Talk Tomorrow Redacted
  4. RE [External] REODPFinWork Redacted
  5. RE [External] VFEA Wage Ranges Request For Fo Redacted
  6. RE [External] Strategic SCO Rate Setting Mtg Redacted
  7. RE [External] Requested AWC Information Redacted
  8. RE [External] Request For Meeting Redacted
  9. RE [External] RE Time To Talk Tomorrow Redacted
  10. RE [External] RE Revised FY21 22 AAW Fee Range D Redacted
  11. RE [External] RE Rate Assumptions Redacted
  12. RE [External] RE Rate Assumptions Redacted (2)
  13. RE [External] RE PA ODP IDA Service List For R Redacted
  14. RE [External] RE ODP Financial Workgroup Redacted
  15. Re [External] RE ODP Financial Workgroup Redacted (2)
  16. RE [External] RE ODP Financial Workgroup 004 Redacted
  17. RE [External] RE ODP Financial Workgroup 003 Redacted
  18. Re [External] RE ODP Financial Workgroup 002 Redacted
  19. RE [External] RE ODP Financial Workgroup 001 Redacted
  20. Workgroup Presentation
  21. Workgroup PPT Redacted
  22. Residential Ineligible Fee Ranges 11232021
  23. Residential Ineligible Fee Ranges 11232021
  24. Residential And Residential Ineligible Fee Ranges 20211104
  25. Residential And Residential Ineligible Fee Ranges 20211104
  26. REreadysomeratesstartfilling Redacted
  27. REreadyratesstartfilling001 Redacted
  28. REODPRateAssumptionSurveyQPro Redacted
  29. REODPFinWorkgroup Redacted
  30. REExStrategicSCORateSetMtg Redacted
  31. REExReqAWCinfo Redacted
  32. REExODPFinancialWork Redacted
  33. REExIDAFY21 22impactanalysis Redacted
  34. RE Workgroup Presentation Redacted
  35. RE Residential Vacancy Factor Redacted
  36. RE Rate Assumptions Survey Redacted
  37. RE Provider Staffing And Vacancy Survey Redacted
  38. RE PAR Presentation Redacted
  39. RE ODP Rates Redacted
  40. RE ODP Rate Assumption Survey QPro Redacted
  41. RE ODP Fiscal Impact Redacted
  42. RE [External] RE ID Rate Refresh Redacted
  43. RE [External] RE FY21 22 IDA Waivers Fee Rang Redacted
  44. RE [External] RE FY21 22 IDA Waivers Fee Rang 002 Redacted
  45. RE [External] RE FY21 22 IDA Waivers Fee Rang 001 Redacted
  46. RE [External] RE Exceptional Rate Tool Redacted
  47. RE [External] RE Exceptional Rate Tool 002 Redacted
  48. RE [External] RE Exceptional Rate Tool 001 Redacted
  49. RE [External] RE Current BLS Data IDA Redacted
  50. RE [External] RE April 2022 Rate Comment And Res Redacted
  51. RE [External] RE April 2022 Rate Comment And Res 001 Redacted
  52. RE [External] PA ODP IDA Service List For Revie Redacted
  53. RE [External] ODP IDA Waiver Rate Updates Redacted
  54. RE [External] ODP Financial Workgroup Redacted
  55. RE [External] ODP Financial Workgroup
  56. RE [External] ODP Financial Workgroup Staffing Redacted
  57. RE [External] ODP Financial Workgroup Staffing 001 Redacted
  58. RE [External] ODP Financial Workgroup Next Meet Redacted
  59. RE [External] ODP Financial Workgroup Next Meet Redacted (2)
  60. RE [External] IDA Residential Fees Redacted
  61. RE [External] FY21 22 IDA Waivers Residential Redacted
  62. RE [External] FY21 22 IDA Waivers Non Resident Redacted
  63. RE [External] FY 2021–2022 IDA Fee Development R Redacted
  64. RE [External] Concern About Reduced Pay For Enhan Redacted
  65. RE [External] Checking In Redacted
  66. RE [External] AWC Admin Fee Development Redacted
  67. RE [External] AWC Admin Fee Development 003 Redacted
  68. RE [External] AWC Admin Fee Development 002 Redacted
  69. RE [External] AWC Admin Fee Development 001 Redacted
  70. RE [External] Agency With Choice Redacted
  71. RE [External] Agency With Choice Redacted (2)
  72. RE [External] 99 Meeting Agenda IDA Rate Refres Redacted
  73. RE [External] RE ODP Financial Workgroup CPS T Redacted
  74. RE [External] RE ODP Financial Workgroup CPS T Redacted (2)
  75. RE [External] RE ODP Financial Workgroup CPS T 003 Redacted
  76. RE [External] RE ODP Financial Workgroup CPS T 002 Redacted
  77. RE [External] RE ODP Financial Workgroup CPS T 001 Redacted
  78. RE [External] RE ODP Financial Workgroup CPS T 001 Redacted (2)
  79. RE [External] RE IDA Residential Updates Redacted
  80. RE [External] RE IDA Rate Assumption Adjustment Redacted
  81. [ODP SCO GROUP] ODP Rate Assumption Survey Due S
  82. [ODP AE MEMBERSHIP] FINAL REMINDER ODP Rate Assu
  83. [External] Rate Assumption Survey Redacted
  84. [External] Workgroup
  85. [External] VFEA Wage Ranges
  86. [External] Validation Check For AAW Fiscal Impact
  87. [External] Updated IDA FY 21 22 Residential Ineli
  88. [External] Transportation Trip Cost Report Form
  89. [External] Revised VFEA And AWC Wage Range Exhibi
  90. [External] Revised FY 2021 2022 Non Residential ID
  91. [External] Residential Hours Log
  92. [External] Requested AWC Information
  93. [External] RE Workgroup Residential Consumers By Redacted
  94. [External] RE VFEA Wage Ranges Redacted
  95. [External] RE Transportation Trip Cost Report For Redacted
  96. [External] RE Times Redacted
  97. [External] Re Staff Vacancies And Overtime Redacted
  98. [External] RE Question On Healthcare Assumption D Redacted
  99. [External] RE PA ODP IDA Service List For Revie Redacted
  100. [External] RE ODP Financial Workgroup Redacted
  101. [External] RE Job Classifications Redacted
  102. [External] RE IDA Wage Range Data Redacted
  103. [External] RE IDA Residential Updates Redacted
  104. [External] RE IDA Residential Updates 001
  105. [External] RE IDA Rate Refresh Request Resident Redacted
  106. [External] RE IDA Rate Refresh Request Resident 001 Redacted
  107. [External] RE IDA Rate Assumption Adjustments Redacted
  108. [External] RE IDA Rate Assumption Adjustments 001 Redacted
  109. Non Residential FY 21 22 IDA Fee Ranges Standard And Enhanced Communication
  110. Non Residential FY 21 22 IDA Fee Ranges Standard And Enhanced Communication
  111. FW VF EA Wage Ranges Redacted
  112. FW Vendor Fiscal Employer Agent Wage Ranges
  113. FW [External] RE Rate Assumptions Redacted
  114. FW [External] ODP Financial Workgroup Staffing Redacted
  115. FW [External] ODP Financial Workgroup Staffing 002 Redacted
  116. FW [External] ODP Financial Workgroup Staffing 001 Redacted
  117. FW [External] IDA FY 21 22 Fiscal Impact Analysis Redacted
  118. ExODP FinWorkStaffing Redacted
  119. [External] IDA Residential Services Workgroup S
  120. [External] IDA FY 21 22 Fiscal Impact Analysis
  121. [External] HTTS Rate Assumption Letter
  122. [External] FY21 22 IDA Waivers Residential & In 001
  123. [External] FY21 22 IDA Waivers Residential & In
  124. [External] FY21 22 IDA Waivers Non Residential 001
  125. [External] FY21 22 IDA Waivers Non Residential
  126. [External] FY 2021–2022 IDA Fee Development Repor
  127. [External] FY 21 22 IDA PDS And AWC Admin Fee Ran
  128. [External] FW Rate Assumption Survey
  129. [External] FW ODP Financial Workgroup Staffing Redacted
  130. [External] AWC Admin Fee Assumptions
  131. [External] Additional Information For AWC Response
  132. [External] 6100.571(b)(7) Geographic Cost Differen
  133. [External] 99 Meeting Agenda IDA Rate Refresh Re Redacted
  134. [External] 99 IDA Rate Refresh Meeting Notes
  135. [External] RE FY21 22 IDA Waivers Fee Range Up
  136. [External] RE Current BLS Data IDA Redacted
  137. [External] RE April 2022 Rate Comment And Respons Redacted
  138. [External] RE April 2022 Rate Comment And Respons 002 Redacted
  139. [External] RE April 2022 Rate Comment And Respons 001 Redacted
  140. [External] RE [ODP POLICY AND OPERATIONS] POD FYI Redacted
  141. [External] Rate Setting Considerations
  142. [External] PDS Fee Assumptions
  143. [External] PA Regional Wage Comparison
  144. [External] PA ODP IDA Service List For Review
  145. [External] ODP Financial Workgroup Staffing Hour Redacted
  146. [External] ODP Financial Workgroup Staffing Hour Redacted (2)
  147. [External] Life Sharing Follow Up