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A comprehensive set of questions and answers for the peer support specialist certification exam. it covers key concepts such as person-centered approaches, motivational interviewing techniques, recovery models, trauma-informed care, and cultural humility. The questions delve into the principles of recovery, relevant legislation (ada, olmstead decision, lanterman-petris-short act), and essential skills for peer support specialists. This resource is invaluable for those preparing for the certification exam.
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Question 1
Person-centered
A person-centered approach is where the person is placed at the center of the service and treated as a
Person first.
Question 2
What are the oars tools in motivational interviewing?
O open-ended questions invite others to "tell their story" in their own words without
Leading them in a specific direction (as opposed to questions that can be answered yes
Or no). Be cautious about asking too many questions as it can damage the peer
Relationship.
A affirmations are statements and gestures that recognize a person's strengths and
Acknowledge behaviors that lead in the direction of positive change, no matter how
Large or small.
R reflections/ reflective listening ensures that the person's words are interpreted
Correctly and their inner wisdom is respected.
S summaries are a type of reflective listening which helps to ensure that there is clear
Communication between the speaker and listener. Summaries can provide a stepping
Stone towards change.
Reflections/
Question 3
What is the tool "elicit- provide-elicit" in motivational interviewing?
Elicit — ask permission to give information or ask which information the person is asking for.
● "would it be all right if i tell you about a few self -help support groups that have worked
For other people?'
● "would you like to know about....?"
● "what would you like to know about....?"
Question 4
What are whole health goals?
Whole person health involves looking at the whole person instead of looking at health as fragments of
Diseases, symptoms and problems. It is shifting from only thinking about 'what is the matter with you?'
To thinking about what matters to you.
Question 5
What are the basic five stages in the recovery process?
Pre-contemplation not ready
Contemplation getting ready
Preparation ready
Action making change
Maintenance keeping up change
Question 6
What is "recovery" according to the substance abuse mental health services administration
(samhsa)?
Samhsa definition: "a process of change through which individuals improve their health and wellness,
Live a self-directed life, and strive to reach their full potential." this definition does not describe recovery as an end state, but rather as a process. Complete symptom remission is neither a prerequisite of
Recovery nor a necessary outcome of the process. Recovery can have many pathways that may include
Professional clinical treatment; use of medications; support from families and in schools; faith-based
Question 10
What is the olmstead decision?
The olmstead decision in 1999 was a major milestone with the u.s. supreme court. The olmstead
Decision affirmed the idea that nobody can be separated from society and denied the right to make
Decisions for themselves. In the olmstead decision, the court concluded that people with disabilities
Have a right to receive state-funded supports in the community, rather than in facilities, affirming the
Argument that had been made by advocates for decades. Evidence provided supported the fact that
Having these choices isn't more expensive, in fact, it costs less. The legacy of the olmstead decision is
That community living isn't just a preference, it's a civil right. You have the right to access supports you
May need in your home rather than a facility.
Question 11
What is the lanterman-petris-short act?
In 1967, california passed the lanterman-petris-short act to, "end the inappropriate, indefinite, and
Involuntary commitment of persons with mental health disorders, people with developmental
Disabilities, persons impaired by chronic alcoholism, and to eliminate legal disabilities. "
Question 12
How do peer support specialists create healing relationships?
Peer support specialists have the ability to create healing relationships based on respect, compassion,
Open and honest communication, active listening and cultural humility.
Question 13
What is cultural humility?
Cultural humility involves an ongoing process of self-exploration and self-critique combined with a
Willingness to learn from others. It means entering a relationship with another person with the intention
Of honoring their beliefs, customs, and values. It means acknowledging differences and accepting that
Person for who they are.
Question 14
Cultural humility principles:
Question 15
What is person-first language?
"person-first" language describes what a person has, not who a person is.
Question 16
What is structural racism?
Systemic and structural racism are forms of racism that are pervasively and deeply embedded in systems,
Laws, written or unwritten policies, and entrenched practices and beliefs that produce, condone and
Perpetuate widespread unfair treatment and oppression of people of color, with adverse health
Consequences. In california, communities of color face persistent health disparities including higher rates
Of asthma, diabetes, and obesity, resulting in a shorter life span, less wealth, and less opportunity. There
Are connections between behavioral health conditions and trauma, health disparities, and social
Inequity, which help explain such disparities.
Question 17
What is trauma?
Trauma is extreme stress brought on by shocking or unexpected circumstances or events that overwhelm
A person's ability to cope.
Question 20
Group facilitation skills
Peer support specialists can apply basic group facilitation techniques, practice effective communication
Skills and be non-judgmental. They can welcome new members and help existing members transition
Smoothly. They can encourage group sharing and disclosing using methods consistent with the type
Of group. They can support everyone in the group through good times and challenging times
Question 21
What is self-care?
Peer support specialists recognize the importance of self-care. They can identify their own triggers,
Actively manage their recovery and maintain their support system. They can discuss the tools they use
For taking care of themselves and model healthy responses to stress and professional demands.
Question 22
What is burnout?
A psychophysiological response due to frequent but generally ineffective efforts to meet excessive demands, involving a psychological, emotional, and sometimes physical withdrawal from activity in response to excessive stress or dissatisfaction
Question 23
What is compassion fatigue?
State of burnout and secondary traumatic stress
Question 24
What is recovery capital?
Any resource that can be tapped to initiate and sustain recovery from alcohol and other drug problems
Social capital: healthy, stable relationships
Material capital: finances and housing
Human capital: health, skills, employment
Cultural capital: values, beliefs, attitudes
Question 25
What are co-occurring disorders?
Diagnosis of two or more disorders at the same time (dual-diagnosis) ex. Mental health and substance use disorders
Question 26
What is harm reduction?
A set of practical strategies and ideas aimed at reducing negative consequences associated with drug use
Question 27
What is medication-assisted recovery?
Medication-assisted treatment (mat) is used to treat substance use disorders as well as sustain recovery
And prevent overdose. Medication-assisted treatment (mat) is the use of medications, in combination
With counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of
Substance use disorders.
Question 28
What is conflict resolution?
The process of solving a disagreement in a manner that satisfies everyone involved. Peer support specialists personally address conflict and difficult interpersonal relationships in the
Workplace. They use de-escalation techniques. They use the organizational/ departmental chain of command
To address or resolve issues.
Question 33
What is safety and crisis planning?
With people to create pre-crisis plans, fostering their recovery and resilience, and support their goals.
A pre-crisis plan, for example, could be a wellness recovery action plan which includes a wellness
Toolbox and a list of known stressors.
Peer support specialists can de-escalate people who are upset and know and respond to risk indicators
Planning for future behavioral health crises could include creating a wrap, a plan for success, a
Psychiatric advanced directive. It could also include identifying self-help support groups that the person
Can attend so that they have groups and a support system in place before the crisis occurs.
Peer support specialists take action to address distress or a crisis using knowledge of local resources,
Treatment, services, and support preferences of peers.
Question 34
What are peer progress notes for medi-cal billing?
Written documentation that describes an individual's progress toward achieving objectives that
Are identified on a care plan.
Question 35
What is hipaa?
Health insurance portability and accountability act of 1996. Protected health information (phi), under the us health insurance portability and accountability act
(hipaa), is any information about health status, provision of health care, or payment for health care that
Can be linked to a specific individual. This is interpreted rather broadly and includes any part of a
Patient's medical record or payment history, including behavioral health.
Question 36
What is 42 cfr part 2?
A federal rule called 42 cfr part 2 protects the confidentiality of substance abuse patient records from
Disclosure without express patient consent. The regulations apply to records created by federally assisted
Programs for the treatment of substance use disorders (sud). With limited exceptions, 42 cfr part 2
Requires written (not verbal) patient consent for disclosures of protected health information even for the
Purposes of treatment, payment, or health care operations.
Question 37
What is digital literacy?
Use online and virtual tools to provide access to a range of activation and self-care tools and resources
That the individual may find useful in achieving their whole health goals.
Question 38
8 dimensions of wellness according to samhsa
Emotional, financial, social, spiritual, occupational, physical, intellectual, and environmental.