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1. SAMHSA definition of recovery: ANSWER- A process of change through which
individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.
2. SAMHSA's elements of recovery: ANSWER- Hope, person-driven, many pathways,
holis- tic, peer support, relational, culture, addresses trauma, strengths/responsibility, respect
3. Resiliency: ANSWER- the ability to adapt effectively and recover from
disappointment, difficulty, or crisis
4. Differing ideas about recovery in substance use disorders: ANSWER- abstinence
vs. harm reduction
5. How Families are integral to recovery for children: ANSWER- Just like a tree needs
a strong root system to grow, children need supportive families to thrive and recover from challenges, with family members acting as advocates and creating a positive environment for change.
6. medical model vs. recovery model of care: ANSWER- medical : ANSWER-
languages are overly clinical, disempowering, do not promote hope.
Recovery : ANSWER- language and practices that are person centered and promote hope and other recovery concepts
7. Person First Language: ANSWER- Placing the individual ahead of the challenge.
Power with. Model this. Strengths based. No jargon.
8. Two ways peer supporters support recovery: ANSWER- Inspire hope and possibility.
Support peers to get in touch with their own inner wisdom. Working with, not giving to, not doing for. Not sage on the stage but guide on the side. share your own story of hope and overcoming challenges, support choice and empowerment, encourage opportunities for additional support
9. Why is hope essential for recovery?: ANSWER- Hope is like a tiny spark in the dark,
showing us that things can get better. It's the first step towards believing in a brighter future, which is crucial for recovery.
10. Peer partner skills: ANSWER- listen actively, support engagement, ask recovery
support- ed questions.
SOLER : ANSWER- seat towards peer, open posture, lean toward peer, eye contact, relax
11. Listen to meaning, feeling, values: ANSWER- quietly without judgement, lean in with
curiosity, check your bias and your story, pay attention to feeling and nonverbal cues
12. Demonstrating understanding: ANSWER- paraphrasing, reflecting feeling,
responding to meaning
13. Orienting: ANSWER- what's going to happen, why (what's in it for peer, why do it),
how the process happens
14. types of questions: ANSWER- open ended, direct, clarifying
15. Recovery story: ANSWER- focus on hope, share only when relevant, ask permission,
just the salt and pepper
16. Supporting peers / trauma resiliency: ANSWER- safety,
trustworthiness/transparency, peer support, collaboration and mutuality, empowerment voice and choice, cultural historical and gender issues
17. short stories: ANSWER- share the message, not the mess
18. approaching conflict: ANSWER- acknowledge there is a problem, emphasize
ground rules, look for areas of agreement, affirm value of different opinions, listen to everyone's point of view, define conflict early, create solutions, choose a solution
19. peer partnering: ANSWER- attending, listening, paraphrasing, validating, feeling
heard, present moment, empathy, open ended questions
20. support self advocacy: ANSWER- use our own recovery story, support self
advocacy, model community advocacy
21. self advocacy planning: ANSWER- start with strengths. Name the need, help do
research, identify gatekeeper, make a plan, role play, repeat, prepare for no
22. Ethics: ANSWER- equitable and fair, do no harm, respect and mutuality, when in
doubt ask your supervisor
23. DAP note: ANSWER- Data, Assessment, Plan
24. What is an Individualized Service Plan?: ANSWER- a personalized roadmap for
mental health or substance use treatment, created collaboratively to meet the unique needs and preferences of the individual, similar to a customized fitness plan tailored to your specific goals and abilities.
25. individualized service plan updated: ANSWER- every 6 months
26. SMART goals: ANSWER-
Specific Measurable Attainable Relevant Timely
27. behavioral health: ANSWER- a state of mental/emotional being and/or choices and
ac- tions that affect wellness. It includes problems include substance abuse or misuse, alcohol and drug addiction, serious psychological distress, suicide, and mental and substance use disorders
28. when is certification as a peer counselor required by the state of wa: ANSWER- to
be medicaid reimbursable
29. describe where peer supporters might work: ANSWER- outpatient, peer bridger,
hous- ing or employment, crisis, pact
30. WAC 182-538D-0200: ANSWER- defines peer counselors as a person who is
recognized by a medicaid agency as a person who self identifies as a consumer of behavioral
42. what two state agencies administer medicaid behavioral health services: ANSWER- -
Health care authority and division of behavioral health and recovery
43. Center for medicare and medicaid services (CMS): ANSWER- Federal.
administers bulk of funding for behavioral health services in public system. medicaid services delivered for both mental health and substance use disorders.
44. Division of behavioral health and recovery (DBHR): ANSWER- State.
administer behavioral health services for medicaid enrollees. medicaid state plan. receives state dollars from legislature, federal block grant funds, competes for other grants. differences in requirements for mental health and substance use disorders.
45. Behavioral health organization (BHO): ANSWER- Regional.
Behavioral health organization means a single- or multiple-county authority or other entity operating as a pre- paid health plan with which the medicaid agency or the agency's designee contracts for the delivery of community outpatient and inpatient mental health and substance use disorder services
46. Behavioral health agency (BHA): ANSWER- Local.
agencies contract with MCOs to administer direct services. licensed Bha. must be certified by Department of Health.
47. Managed Care Organization (MCO): ANSWER- Regional. contracts with HCA to
adminis- ter medicaid services to enrollees. do not administer direct services. Enrollees can choose from different MCOs available in their regions.
48. what kinds of mental health services are authorized by medicaid: ANSWER- crisis
services, group treatment, family services, individual treatment, free standing eval- uation and treatment centers, peer support, residential treatment, intakes and assessments
49. what kinds of substance use services are authorized by medicaid?: ANSWER-
with- drawal management, plus those noted in mental health
50. How does a person usually get services?: ANSWER- A person can request services
at an agency
51. who has access to crisis services: ANSWER- available in every community
throughout the state, 24 hours a day to any person who needs them
52. what is an evaluation and treatment center: ANSWER- It means any facility which
can provide directly, or by direct arrangement with other public or private agencies, emergency evaluation and treatment, outpatient care, and timely and appropriate inpatient care to persons suffering from a mental disorder,
53. what is CLIP, how do children qualify: ANSWER- children's long term intensive
program. includes both local and state approval.
54. what is WISe: ANSWER- wraparound with intensive services. Provides
comprehensive behavioral health services to medicaid eligible individuals up to 21 years with complex behavioral health needs
55. what is a system of care: ANSWER- It incorporates a broad, flexible array of services
and supports for a defined population(s) that is organized into a coordinated network, integrates service planning and service coordination and management across mul- tiple levels, is culturally and linguistically competent, builds meaningful partnerships ...
56. describe what involuntary inpatient services are for both mental health and substance
use disorders: ANSWER- If a person seems at risk of danger to themselves or others and is unwilling to be hospitalized a designated crisis responder may evaluate them to see if the state should detain them and hospitalize involuntarily.
57. what are co-occurring services: ANSWER- simultaneous services for mental health
and substance use
58. stigma: ANSWER- strong feeling of disapproval or lack of respect that most
people in a society have about something society does not approve of
59. prejudice: ANSWER- preconceived opinion that is not based on reason or actual
experi- ence
60. Discrimination: ANSWER- when we act on prejudice. Behaving differently, usually
unfairly, toward the members of a group.
61. privilege: ANSWER- a special right, advantage, or immunity granted or available
only to a particular person or group of people.
62. How values are a part of culture: ANSWER- They are a culture's standard for
discerning what is good and just in society
63. Describe at least 5 words that describe sexual orientation: ANSWER- Asexual,
bisex- ual, gay, lesbian, questioning, queer
64. Asexual: ANSWER- having no sexual attraction to others
65. Bisexual: ANSWER- attracted to both sexes
66. Gay: ANSWER- A term that's generally used to define that men are attracted to other
men
67. Lesbian: ANSWER- a woman who is attracted to other women
68. Questioning: ANSWER- A person is uncertain of their sexual attraction and is trying to
find their right "fit"
69. Queer: ANSWER- A general term sometimes used to define anyone whose sexual
orien- tation is not strictly heterosexual. In the past this term was not accepted. Some now claim it proudly while others shun the term.
70. what role might spirituality play in a person's recovery: ANSWER- contributes to
overall wellness. Some recovery programs are based on this term.
84. Duty to Warn/Duty to Protect: ANSWER- Exceptions to HIPPA determined in the
1974 case of Tarasoff v. Regents of the University of California that allows a therapist to not only warn someone of their patients intentions to harm them, but to also protect them by calling the authorities or taking whatever other steps necessary
85. vulnerable adult: ANSWER- over 60 and unable to care for themselves,
incapacitated, de- velopmental disability, living in a facility, receiving certain assistance from agencies or providers
86. holistic health: ANSWER- Emphasizes the well-being of every aspect of what
makes a person whole and complete.
Components are nutrition, sleep, stress reduction, spirituality, emotional nurturing, social connections, education, work or vocation, exercise, safe housing
87. How nutrition and exercise impact behavioral health: ANSWER- nutrition can impact
whether a person is able to learn, work, how a growing body develops, how aging body stays strong, affects your mood, mental health, behavior. Exercise can improve health, mood, and reduce anxiety.
88. 3 health concerns common to peers: ANSWER- heart disease, chronic pain, diabetes.
89. How can a peer help with heart disease?: ANSWER- As a peer counselor, you may
have the opportunity to support people in improving their overall health and wellness.
90. How can a peer help with chronic pain?: ANSWER- Peers can make goals to
manage their challenges and improve their recovery. As with any other condition, identifying stressors and coping strategies are very helpful. You might want to talk to the treatment team about additional strategies such as mindfulness.
91. How can a peer help with diabetes?: ANSWER- Imagine being a supportive friend to
someone with diabetes, helping them stay on top of their health by encouraging regular screenings, medication management, healthy habits, and regular healthcare check-ups.
92. How might crisis be defined differently for different people?: ANSWER- You need
to find out what is the cause of the crisis is. Unless we discover the root cause of the crisis, we cannot help the person resolve it.
93. What kinds of things cause a crisis?: ANSWER- life stressors, long-term chronic
disabil- ity, feelings of hopelessness and despair, and an inability to get some relief from the problems we face.
94. Ways a crisis can be resolved (in addition to hospitalization): ANSWER- call or
text 24/7 crisis services, be a good listener to the peer in crisis, ask how you can help
95. Mental Health Advanced Directive: ANSWER- set out a person's wishes in writing
con- cerning their care or treatment. Directives are binding legal documents.
96. Suicide warning signs: ANSWER- change in personality, giving away possessions,
with- drawn from family/friends, loss of interest in "normal" activities, tells someone he/she plans to take their own life
97. What is the basic assistance a peer can provide to a potentially suicidal person?:
ANSWER- tell the person not to commit suicide, do not leave the person, support the person, and call for professional help such as 911
98. 3 Ways a Peer Supporter should maintain safety boundaries: ANSWER- 1. Listen
to yourself on what you think is safe. Such as a certain location.
2. Do not touch the peer with whom you are working with when they are in a bad
mood.
3. Help the feel more comfortable by asking them if they would like a glass of water, food
blanket, or to call someone
99. motivational interviewing: ANSWER- a collaborative, person-centered form of
guiding to elicit and strengthen motivation for change
100. Stages of Change: ANSWER- precontemplation, contemplation, preparation,
action, maintenance
101. precontemplation stage: ANSWER- stage of change in which people are
unwilling to change their behavior
102. contemplation stage: ANSWER- stage of change in which people are considering
chang- ing behavior in the next 6 months
103. preparation stage: ANSWER- stage of change in which people are getting ready to
make a change within the coming month
104. action stage: ANSWER- Stage of change in which people are actively changing a
nega- tive behavior or adopting a new, healthy behavior
105. maintenance stage: ANSWER- sustained change over time; begins 6 months after
action has started and continues indefinitely
106. WRAP: ANSWER- wellness recovery action plan. Promotes 5 key concepts of
recovery : ANSWER- hope, personal responsibility, education, self advocacy, support.
107. WRAP sections: ANSWER- wellness toolbox, daily maintenance plan, stressors
and stressor action plan, early warning signs and action plan, when things break down and action plan, crisis plan, post crisis plan.
108. How is WRAP used?: ANSWER- WRAP was originally designed for mental health
peers but is now used for all behavioral health peers as well as people facing different challenges.
