Indiana Certified Peer Support Professional (CPSP) Training Modules - Participant Manual, Module 1

Indiana Certified Peer Support Professional (CPSP) Training Modules 1 Module 1: Setting the Stage 2  3 Objectives 1. Introduce facilitators 2. Introduce participants 3. Establish cla...

Indiana Certified Peer Support Professional (CPSP) Training Modules 1 Module 1: Setting the Stage 2  3 Objectives 1. Introduce facilitators 2. Introduce participants 3. Establish classroom expectations (Tasks) 4. Set stage (Foreword) 5. Identify common experiences to build group relationships 3  4 Introductions 4  5 We Are So Glad You Are Here! We are glad you are here! This training is the introduction to peer support services, and it is the first step towards becoming a certified peer support professional. In order to successfully complete the training, participants will need to play an active role in the class and participate in activities, follow the manual and review additional material in the manual that may not be directly covered in class and complete any assignments outside of class as assigned by the facilitator. Please ask questions, ask for help, and let us know if you are concerned about any aspect of the training. 5  6 Introduction Activity  Name  Where I live now  One interesting thing about me  What I look forward to learning this week 6  7 Tasks 7  8 Tasks 1. Sign in 2. Orientation to the facility 3. Create our ground rules 4. Review the schedule Participants are responsible for signing in to each session time period. Cover basic orientation to the facility including, as appropriate, restroom location, smoking areas/rules, refreshments/vending machines, parking, etc. Group sets ground rules so that each member can get the most out of the class. Some rules to consider having: Confidentiality One person talks at a time Respect Phones Start/End on Time Questions welcome at any time/parking lot After creating rules, post as reminders to everyone. Offer that if anyone has anything else to add or are concerned about to see facilitator on a break or before/after class. Please remember that you are expected to be here for this entire training. Refer to the training attendance policy Schedule – Will review in upcoming Slide 8  9 A note about stigma  Obligation to fight stigma in all forms  Model appropriate and non-stigmatizing language  Help check each other As future CPSPs, we have an obligation to fight stigma in all forms. What does stigma mean? What are some examples of stigmatizing language and for you? How can we speak in a way that supports recovery and does not define people as their illness? Add rules and examples from the class to the rules. What would you prefer us to use? Make sure the individuals in the group understand that it is not acceptable to use stigmatizing language in this training or as a CPSP. It is possible that some people are not familiar with certain phrases that are stigmatizing. For example: “Committed Suicide” is stigmatizing. “Died by Suicide” is appropriate. “Crazy” vs. “Lives with a mental health disorder.” “Alcoholic/Addict” versus “substance use disorder”. Sometimes those of us in recovery are thoughtful about not using stigmatizing language with others, but when we refer to our own illness or recovery, we use stigmatizing language. We should be as kind to ourselves as we are to others. Encourage all members of the class to help identify when stigmatizing language is used and work together to re-phrase language appropriately. 9  10 Training schedule The following is the training schedule for the week. Class is scheduled from 8:00am to 5:00pm every day. There will be breaks throughout the day. If you need additional breaks, or to just stand up, please feel free to do so as needed. There will also be one hour allotted for lunch each day. It is expected that you will attend all sessions. If you need to miss a session, you will need to make it up at another training session. Review the module topics for the training. 10  11 Diaphragmatic Breathing Activity After reviewing all that content we are going to cover; we might all need a minute to catch our breath! Do a breathing/mindfulness activity – Diaphragmatic Breathing Getting started: Place one hand on your chest and the other on your stomach. Take a slow deep breath and pay attention to which hand moves. When breathing from the diaphragm only the stomach hand should move up and down (or mostly). It can help to think of how babies sleep, how their tummy moves up and down. Or you might imagine your stomach as a balloon, filling with air and expanding as you inhale, then letting out the air and shrinking as you exhale. Slow down your rate of breathing: Take in enough air to fill the space, then let it out slowly. Sometimes breathing out through the nose is easier because it is a smaller opening, which will help to control the rate of exhalation. Pause briefly after exhaling before inhaling again. Some people tend to hold their breath too long at first; the pause should come after exhaling. Imagery can be helpful in maintaining a slow and steady rhythm. For example, a wave is a helpful image for some. The image of climbing up a slide (inhaling) and then sliding down (exhaling. Meditational component: To help slow your thoughts and focus attention on breathing, count your breaths as you inhale, and think "relax," "calm," or some similar thought as you exhale. Continue counting your breaths until you get to "10" and then start over at "1." It is perfectly natural for other thoughts to 11 come into your mind. Try not to get angry or frustrated, just allow the thoughts to pass through your mind and bring your attention back to counting as often as you need to. Some people find it helpful to concentrate mostly on the physical sensation of their breathing, others on the counting or "relax" statement. Experiment with different methods and do whatever works best for you. When you are providing CPSP services, some of the individuals that they are supporting may be experiencing similar feelings to what you are experiencing today and to be sure to provide support the way you would wish to be treated. 11  12 Set the Stage 12  13 Vision Statement “In Indiana, regardless of your time and place in life, there’s a peer for that.” “In Indiana, regardless of your time and place in life, there’s a peer for that.” This Vision Statement was created by the Certification Committee which was made up of stakeholders from DMHA and the statewide peer community in 2021. 13  14 CPSP Qualifications  18+ years of age  Personal lived experience of recovery from a mental health condition, substance use, or problem gambling and/or  Personal lived experience assisting a family member with a mental health condition, substance use or problem gambling  High School Diploma Equivalent  Live or work in Indiana at least 51% of the time To be a member of this training, you had to meet the CPSP Qualifications included on the slide. 18+ years of age Personal lived experience of recovery from a mental health condition, substance use, or problem gambling and/or Personal lived experience assisting a family member with a mental health condition, substance use or problem gambling High School Diploma Equivalent Live or work in Indiana at least 51% of the time Indiana Certified Peer Support Professional (CPSP) combines mental health, substance use, community health worker and family training into one certification. Certified Peer Support Professionals (CPSP) formerly known as CHW/CRSs had a name change effective July 1, 2023. As a part of this change, a new curriculum, naming convention, and standardized peer certification process was developed. 14  15 Join the Poll 15 Poll Question 1 16  17 Concept of Recovery Recovery considers an individual’s wellness from a whole person point of view including: relationships, involvement within their community, general wellbeing, and a sense of empowerment Peer Support focuses on health and recovery rather than illness and disability. Peer Support is strength focused. Recovery considers an individual’s wellness from a whole person point of view including: o relationships, o involvement within their community, o general wellbeing, o and a sense of empowerment Peer Support focuses on health and recovery rather than illness and disability. Peer Support is strength focused. 17  18 What does a CPSP do? Name: What does a Peer Specialist Do? Source: Psych Hub Link: https://youtu.be/SMO3F1mjSaA Time: 5:07 Minutes 18  19 Substance Use and Mental Health Services Administration - SAMHSA  U.S. Federal Government Agency  Excellent resource for information, research, publications, etc.  Established the Office of Recovery https://www.samhsa.gov/about-us/who-we-are/offices-centers/or SAMHSA is which is the Federal Mental Health and Substance Use Authority. They are also home to the Office of Recovery. Substance Use and Mental Health Services Administration (SAMHSA) is a U.S. Federal Government Agency that is the source of funding for many mental health and substance use programs nationally. They are a federal agency responsible for administering mental health and substance use dollars allocated from congress to each state and territory. SAMHSA is an excellent resource for information, research, publications, etc. Home of the SAMHSA Office of Recovery - A national clearing house and resource for recovery-oriented care across the mental health, substance use, and co-occurring domains, the Office promotes a recovery-oriented system of care working in partnership with recovery community leaders, tracking progress over time and identifying to resolve barriers to system transformation. Established to evaluate and initiate policy, programs, and services with a recovery focus and ensure the voices of individuals are represented. The Office will support the growth and expansion of recovery support services across the country. Set the national peer support standards that are the foundation of this certification program. 19  20 What is Recovery? Name: What is Recovery? Source: Houston Recovery Center Contents: Quotes from recovery support specialists working for Houston Recovery Center on what recovery means to them. Includes photos of specialists Time: 2:20 minutes https://youtu.be/2mZvkuqUrnI 20  21 SAMHSA Definition of Recovery Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. 21  22 SAMHSA Dimensions of Recovery Four major dimensions that support a life in recovery are: 1. Health 2. Home 3. Purpose 4. Community SAMHSA has four major dimensions that support a life in recovery. 1. Health: Overcoming or managing one’s disease(s) or symptoms; abstaining from drugs or alcohol (for those with a substance use issue); making informed, healthy choices that support physical and emotional wellbeing. 2. Home: A stable and safe place to live. 3. Purpose: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. 4. Community: Relationships and social networks that provide support, friendship, love, and hope. 22  23 SAMHSA’s 8 Dimensions of Wellness Each dimension of wellness can affect overall quality of life.  Social  Physical  Occupational  Intellectual  Financial  Spiritual  Environmental  Emotional https://store.samhsa.gov/sites/default/files/d7/images/sma16-4953.jpg SAMHSA Dimensions of Wellness https://store.samhsa.gov/sites/default/files/d7/priv/sma16-4958.pdf IMPROVING OUR PHYSICAL WELLNESS: A healthy body. Good physical health habits. Nutrition, exercise, and appropriate health care. These make up the physical dimension of wellness. A few ways we can get there might be choosing things that make our body feel good and trimming back the things that bring us down. We can also feel better by creating a routine that balances activity with inactivity, and that is manageable within our obligations and needs. Our body is intelligent, and learning to listen to it more deeply may be very important and empowering. IMPROVING OUR INTELLECTUAL WELLNESS: The Intellectual Wellness Dimension involves many things that keep our brains active and our intellect expanding. In a broad sense, this dimension can involve looking at different perspectives of an issue and taking them into consideration. Through a number of activities—from learning about current events to organizing game nights in your home or community center—you can broaden your perspective and understand diverse points of view. IMPROVING OUR FINANCIAL WELLNESS: There are many definitions of what constitutes being financially well, but overall, the Financial Wellness Dimension involves things such as income, debt, and savings, as well as a person’s understanding of financial processes and resources. A person’s satisfaction with their current financial situation and future prospects also comes into play. 23 IMPROVING OUR ENVIRONMENTAL WELLNESS: The Environmental Wellness Dimension involves being able to be safe and feel safe. This can include: Accessing clean air, food, and water; Preserving the areas where we live, learn, and work; Occupying pleasant, stimulating environments that support our well-being; and Promoting learning, contemplation, and relaxation in natural places and spaces. IMPROVING OUR SPIRITUAL WELLNESS: The Spiritual Wellness Dimension is a broad concept that represents one’s personal beliefs and values and involves having meaning, purpose, and a sense of balance and peace. It includes: Recognizing our search for meaning and purpose in human existence; and Developing an appreciation for life and the natural forces that exist in the universe. IMPROVING OUR SOCIAL WELLNESS: The Social Wellness Dimension involves having healthy relationships with friends, family, and the community, and having an interest in and concern for the needs of others and humankind. IMPROVING OUR OCCUPATIONAL WELLNESS: The Occupational Wellness Dimension involves participating in activities that provide meaning and purpose and reflect personal values, interests, and beliefs, including employment. IMPROVING OUR EMOTIONAL WELLNESS: The Emotional Wellness Dimension involves the ability to express feelings, adjust to emotional challenges, cope with life’s stressors, and enjoy life. It includes knowing our strengths as well as what we want to get better at, and living and working on our own but letting others help us from time to time. 23  24 Discussion What pathways to recovery and wellness are you familiar? Pathways to Recovery: Every person in recovery has a unique story about their path to recovery and the twists and turns that path has taken. Recovery pathways are highly personalized, building on the strengths, talents, coping abilities, and resources of each individual. There is no ‘one way’ to get to recovery. This is why we say there are multiple pathways to recovery. We will be discussing the various pathways to recovery which include harm reduction. This sets the stage for multiple pathways to recovery framework, and DMHA support. 24  25 SAMHSA- Process of Recovery  The process of recovery is highly personal and occurs via many pathways.  Recovery is characterized by continual growth and improvement in one’s health, wellness and managing setbacks. The process of recovery is highly personal and occurs via many pathways. It may include clinical treatment, medications, faith-based approaches, peer support, family support, self- care, and other approaches. Recovery is characterized by continual growth and improvement in one’s health and wellness and managing setbacks. Because setbacks are a natural part of life, resilience becomes a key component of recovery. The process of recovery should be trauma informed. Trauma-Informed Care (TIC) is an approach in the human service field that assumes that an individual is more likely than not to have a history of trauma. Trauma informed service involves understanding, anticipating, and responding to issues, expectations, and special needs that are often present in survivors of trauma. This includes reducing the risk of re-traumatization. You will need to shift the focus from asking What’s wrong with you to What has happened to you? For example, you should not ask What’s wrong with you, you can simply say, How can I help you? 25  26 Process of Recovery  Process of recovery doesn’t follow a straight line  Involves personal growth and risk-taking as steps are taken towards ever- increasing wellness  Begins with hope for the future and a belief that something new and different is possible  CPSP's plays a role in inspiring hope, fostering empowerment, and encouraging personal growth through change and adaptation  Power of hope to inspire a person toward risk-taking in his/her steps towards change  Supporting people wherever they are in the process of recovery, and gauging their readiness to attempt something new in a manner that builds on their strengths and promotes self-determination. Process of recovery doesn’t follow a straight line Involves personal growth and risk-taking as steps are taken towards ever-increasing wellness Begins with hope for the future and a belief that something new and different is possible CPSP's plays a role in inspiring hope, fostering empowerment, and encouraging personal growth through change and adaptation Power of hope to inspire a person toward risk-taking in his/her steps towards change Supporting people wherever they are in the process of recovery, and gauging their readiness to attempt something new in a manner that builds on their strengths and promotes self-determination. 26  27 Join the Poll by Web 27  28 QUIZ What are the 4 Dimensions of Recovery: A. Medication, Sobriety, Employment, and Spirituality. B. Health, Home, Purpose, and Community. C. Home, Wellness, Friendships, and Services. 28  29 Pulling it together 29  30 Group Discussion  How are we alike?  What is special and unique about peer work? How are we alike? A peer is defined as someone with equal standing in a group. The goal is not to have power over the person supported, that is not what peer support is about. The person’s lived experience is important to and to be learned from. Finding the common ground with those you support is the foundation of peer work. Discuss: What is special and unique about peer work? Reminder that peer support is evidenced based – meaning it is known to be effective and that extensive research has been completed regarding the efficacy of peer work. 30  31 Conclusion 1. Introduced facilitators 2. Introduced participants 3. Established classroom expectations (Tasks) 4. Set the stage (Foreword) 5. Identified common experiences to build group relationships 31