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 Consumer Workgroup
• SAMHSA Grant
• Consumer Workgroup
• Agenda for today’s meeting
 Discuss peer specialist roles at the Brattleboro Retreat

• Goals
 Approval for 2 peer specialist positions at the Brattleboro Retreat
  What is a Peer Specialist?
Someone defined as a peer who currently
or formerly received mental health
services and self identifies as a person
living in recovery with a mental illness
         Why a Peer Specialist?
• Growing increasingly common in acute
  care settings –Brattleboro Retreat has always been on the
  cutting edge of new and innovative treatment modalities

• Playing vital roles in helping to transform
  hospital to more recovery-oriented
• Benefits to Patient
• Benefits to Staff
• Consumer Movement
      Recovery Model ( 2004)
10 Fundamental Components of Recovery
•   Self-Direction
•   Individualized and person centered
•   Empowerment
•   Holistic
•   Non-linear
•   Strength-based
•   Peer support
•   Respect
•   Responsibility
•   Hope
  Job Description/Qualifications
• Job Description
  A Peer Specialist is a person with a mental illness experience who helps others diagnosed with
  mental illnesses. The role of the Peer Specialist is to promote wellness and to support people in
  achieving their chosen goals. The Peer Specialist provides support to patients during the
  admission process, attending treatment team meetings, helping patients identify their strengths,
  assisting patients to avert crises and de-briefing patients following a restraint or crisis event and
  providing emotional support, modeling recovery and giving people hope that recovery is possible.

• Job Qualifications
  - a personal experience as a recipient of mental health services. Past hospitalizations helpful.
  History of recovery and willingness to disclose
  -An understanding of and commitment to the SAMHSA recovery principles
  -Basic knowledge and understanding of mental health and community resources
  -Demonstrated ability to support patients and model self-advocacy
  -Strong organizational skills and ability to manage multiple tasks and priorities
  -Good written and verbal communication shills
  -WRAP trained recommended
  -Bachelors degree and/or 5 yrs. experience working with recipients of mental health services
  -An ability to establish trusting relationships with peers, including excellent interpersonal skills
               Job Description (cont.)
•   Job Responsibilities
    -Individual contact with patients at admission or as close to admission as possible and prior to
    -Conducts individual debriefings with patients after incidents
    -Collaborates with unit staff and supervisors to ensure a participatory process for patients and
    their treatment Understands and is able to communicate unit rules to patients in a manner that is
    supportive and respectful to patients and hospital policies
    -Assist patients in developing and review hospital after care crisis/safety plans
    - Adheres to all policies and procedures of the Brattleboro Retreat
    - Reinforces patient safety plan or therapeutic intervention survey
    -Articulates and interprets to staff how person with mental illness may be experiencing treatment
    - Promotes a culture of recovery through ongoing trainings for staff and a weekly groups for
    - Participate in treatment team meetings
    -Work with patients at risk for crises
    - Address minor complaints
    -Help develop hospital policies
                             Data Review
• POC’s- Reviewed POC data from June 2009 – May 2010. Question #5 “Were you
   involved as much as you wanted in decisions about your treatment overall scored the lowest
   (ranging from 48.25-78.6 satisfaction) of all questions on the POC.

• Seclusion and Restraint Data for
  Adolescent and Children’s inpatient units-Of
   177 S&R’s 71 happened on day shift, 104 on 2nd shift and 2 on 3rd shift.

• Admission rates per day- T3 from Jan – Nov 2010 saw an
   average of 39 admissions per month or 1.2 admissions per day. Osgood 1 had an average of 17
   admissions per month or 0.6 admission rate per day

• Time of day/ Day of S&R during
  hospitalization – most happened in middle and towards the end of
   hospitalization (slightly more than 50%). We had made the assumption that most S&R’s happened
   early in a patients admission
       Conclusion/Next Steps
• Evidence and data supports peer specialists in
  inpatient settings.
• Creates increased patient satisfaction, improves
  overall hope and recovery and would reduce
  seclusion and restraint rates even further.
• Continue to further develop consumer advisory
• Consumer workgroup is committed to working
  closely and supporting the Retreat with the
  development, implementation and monitoring of
  these positions

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