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Peer Recovery Specialist Certification Questions and Answers 2024/2025
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SAMHSA specifies 4 major dimensions that support a life in recovery. Health, home, purpose, & community Health Managing ones disease(s) as well as living as well as living in a physically & emotionally healthy way. Home A stable & safe place to live. Community Relationships & social networks that provide support, friendship, love , and hope. Purpose Meaningful daily activities, such as job school volunteerism, family care-taking, or creative endeavors, and the independence, income and resources that participate in society. Guiding principles of recovery RECOVERY EMERGES FROM HOPE. The belief that recovery is possible provides the essential and motivating message of a better future. That people can and do overcome the internal and external challenges, barriers, and obstacles that confront them. Guiding Principles of recovery RECOVERY IS PERSON DRIVEN. Recovery is self determined & self directed, with individuals defining their own life goals and designing their own unique path to recovery. Guiding Principles of recovery RECOVERY OCCURS VIA MANY PATHWAYS. Individuals are unique with distinct needs, strengths, preferences, goals, culture, and backgrounds that affect and determine their individual pathways to recovery. Guiding Principles of recovery RECOVERY IS HOLISTIC. recovery encompasses an individuals whole life, including mind, body, spirit and community. Guiding Principles of recovery
RECOVERY IS SUPPORTED MY PEERS AMD ALLIES. Mutual support and mutual aid groups, including he sharing of experiential knowledge and skills, plan an invaluable role in recovery. Guiding Principles of recovery RECOVERY IS SUPPORTED THROUGH RELATIONSHIPS AND SOCIAL NETWORKS. An important factor in the recovery process is the presence and involvement of people who: believe in a persons ability to recover, offer hope support and encouragement. Suggest strategies and resources for change. Role model positive behaviors and attitudes. Guiding Principles of recovery RECOVERY IS CULTURALLY BASED AND INFLUENCED. Culture and cultural background in all of its diverse representations- including values, traditions and beliefs-are keys in determining a persons journey and unique pathway to recovery. Guiding Principles of recovery RECOVERY IS BASED ON RESPECT. Community, systems, societal acceptance and appreciation for people affected by mental health and substance abuse disorders-including protecting their rights and eliminating discrimination- are crucial in achieving recovery. Guiding Principles of recovery RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA. Services and supports should be trauma- informed to foster safety (physical & emotional) and trust, as well as promote choice, empowerment and collaboration. Guiding Principles of recovery RECOVERY INVOLVES INDIVIDUAL, FAMILY, AND COMMUNITY STRENGTHS AND RESPONSIBILITIES. These have strengths and resources that serve as a foundation for recovery. 4 types of support offered by peer recovery specialists Emotional, informational, instrumental (tangible), & affiliation (support in building relationships) Goals of peer recovery support Instill hope, reduce stigma, be a role model of strength, survival & growth, decrease isolation by promoting connection, support person centered, & engage in mutual learning as equals. Stigma The experience of being deeply Discredited due to one's perceived in undesired different nurse. It was a cluster of negative attitudes or believes he'll buy the general public about people with substance use disorders or mental illness. 10 principals of recovery Recovery emerges from Hope, is person driven, has many pathways, is holistic, is supported by peers and allies, supported through relationships and social networks, is culturally based and influenced, is based on respect, is supported by addressing trauma, involves individual family and community strengths and responsibilities. Peer recovery support
Recovery support is the process of giving and receiving non-clinical assistance to help aid the the process of recovery and is provided by individuals with lived experience & also has completed formal training and provides one on one strengths-based support to peers in recovery. Roles of peer recovery specialists An ally and confidant, a motivator and cheerleader, a role model and mentor, a truth teller, a problem solver, resource broker, and an advocate. Limitations of a peer recovery specialists role Does not offer counseling services, does not act as a case manager, does not offer medical or medication advice, does not act as a sponsor in a 12 step program for the peers they are working with us, does not give religious advice or promote a particular religion. Core values of peer support Hopeful, open-minded, empathetic, respectful, honest and direct, and facilitate change. Core values of peer support Voluntary, mutual and reciprocal, equally shared power, strengths focused, transparent, and person driven. Empathy Identification with and understanding of another's situation, feelings, and motives. Empathize talk less & listen more Person centered, non-judge mental, & empowering language My experiences, what's happened to me, people I work with, I'm here to learn with you, risking new thinking and behavior, and change patterns. Effective listening Focus attention on speaker, avoid distractions, sit appropriately close to speaker, acknowledge emotional state, set aside prejudices & opinions, be other directed & focus on person communicating, following understand speaker as if I was in their shoes, be aware, listen with my ears but also with my eyes and other senses, don't interrupt, be involved and engaged. Barriers to effective listening Assuming unknown know what the other person is thinking, listening selectively, jumping to conclusions, letting my mind wander, working on a response or solution while peer is still talking, changing the subject before the peer is done, & automatically agreeing before understanding completely. motivational interviewing Gives a framework for having conversations to bring out a persons own internal motivation and thoughts about changing hey specific health behavior. motivational interviewing To guide the person to recognizing & solving their own challenges with changing a behavior. Principals of motivational interviewing
Changes up to the person, express empathy and acceptance, hope the person recognize discrepancies between goals and current behavior, avoid confrontation, support peers believe in their abilities to succeed in accomplishing a task and encourage optimism. motivational interviewing Non-judgmental process designed to help build the peers self efficacy. It involves working with the peer to develop a step by step change plan. Peer recovery specialists recovery story My recovery story not my illness story. Shows I have been there, promotes empathy, focuses on Strank's and overcoming barriers, shares what works, focuses on wellness, full of hope, and is a transformative narrative. It's living proof that people do get well. It builds a bond & creates and atmosphere of mutuality & trust. self-efficacy a peers confidence that they can solve problems and make changes successfully on their own. Based on the belief that they themselves are in control. Culture A system of shared values, traditions, norms, customs, art, history, folklore, and institutions of a group of people. It's shaped how people see the world and structure their community and family life. Cultural identity Groups a peer feels like they belong to. It may be defined by ethnic racial gender or sexual orientation identity groups, kinship networks, geographic regions, religious affiliations, jobs and professions, physical ability or disability,, life experiences and social & economical classes. Connection between culture & recovery Different ideas of what constitutes illness or impairment, health, traditions of healing, Different ways of seeking am receiving help, different visions of a good life, and different spiritual traditions. Important factors that vary among cultures Verbal and nonverbal communication styles, personal space in touch, family roles and relationships, attitudes toward smoking drug and alcohol use, attitudes toward mental illness, religious or spiritual practices, and pathways to recovery. Organizational cultural competence A set of congruent behaviors attitudes and policies that come together in a system agency or among professionals that enables effective work in cross cultural situations. Individual cultural competence The ability to interact effectively with people of different cultures and socioeconomic backgrounds. Cultural competence Understand my own values and assumptions, recognize other people's values and assumptions may differ, examine my own biases and prejudices, be open to different views of health illness and recovery,
acquire knowledge about the cultures of the people I'm working with by asking and sharing experiences, and recognize the broad variation with cultural groups. Boundaries Defined the safe effective inappropriate interactions between a peer recovery specialist and I pier with whom they are working. Boundaries protect both the pier in the peer recovery specialist. Ethical guidelines for a PRS Honest in my interactions, peer relationships are mutual learning experiences, honor my commitments made to my peers, strive to explore and ask open ended questions rather than making assumptions, explore alternatives and options with peers rather than give advice. Ethical guidelines for a PRS Support peers to make their own choices honoring self determination and not putting my own agenda ahead of my peers agenda, negotiate with peers to facilitate pier choice and shared power, avoid power struggles and favoritism, do not exploit devalue manipulate abuse neglect or ignore a peer. Ethical guidelines for a PRS Do not practice condone facilitate are collaborate in any form of discrimination on the basis of Atnah city race gender sexual orientation age religion national origin marital status political believes or mental or physical disability, do not loan or borrow anything from a peer will not establish romantic or sexual relationships with peers, avoid dual roles such as counselor therapist sponsor or spiritual advisor, do not offer medical advice, honor and preserve confidentiality in my interactions with my peers. Confidentiality Not disclosing information pertaining to peers with others, including identifying information or experiences shared with me as their peer recovery specialist. Unless I think my peer is in danger of harming herself or others. Boundaries: lines not crossed with peer No exchanging money or gifts, services no flirting dating or socializing, no sharing my personal contact information not acknowledging a peer I encounter in the community outside of work hours and less they approach me first do not go against agency policy, never do something that makes me feel uncomfortable, if I feel something may violate a boundary talk to my supervisor. Self-care for PRS To be there for a peer I have to be there for myself, self care prevents burn out practicing self-care modeling self-care is in the central recovery tool for my peer. Recovery An ongoing process of change third which individuals improve their health and wellness live a self- directed life and strive to reach their full potential. Recovery is
An ongoing process of change that includes includes reducing or illuminating symptoms improving emotional and physical health read joining and rebuilding a life in the community and sell free definition and self-determination. Wellness Not merely the absence of disease illness and stress but the presence of purpose in life active involvement in satisfying work and play, joyful relationships, a healthy body and living environment, and happiness. 8 dimensions of wellness Emotional, financial, social, spiritual, occupational, physical, intellectual , and environmental. 5 stages of change of recovery Pre-contemplation, contemplation, preparation, action, & maintenance. Pre-contemplation Hey person does not see the behavior is a problem and does not see a need for change and has no intention to change. Contemplation The person has some awareness of the need or desire to change behavior and is actively weighing the pros and cons of the behavior. Preparation The person believes of the behavior can be changed in that here she can manage the change and is taking steps to get ready to make the change. Action The person has began to make the behavior change and has develop plans to maintain the change. Maintenance The person has maintained the new behavior consistently for over six months and has made the new behavior habitual. Relapse/re-occurance The person has a slit reverts back to a previous pattern of behavior. The person may become discouraged but should recognize that most people making a behavior change have some degree of reoccurrence. Wellness plan A step-by-step roadmap to roadmap to reach personal wellness and recovery goals. Advantages to a recovery & wellness plan Peers develop the plan for themselves so it is individualized to their situation, the plane gives the person something concrete to refer to & provides guidance daily and when things get harder, the plan can help improve communication with supporters and providers, the plan provides steps to take to achieve and maintain wellness or to handle emerging problems, the plan provides a sense of hope and control. Wellness recovery plans include 8 principles
A personal statement of reasons for wanting to recover and achieve wellness, both short-term and long- term goals for recovery and wellness, daily or weekly action plans for healthy living, a wellness toolbox, a list of triggers are warning signs that things are moving in the wrong direction away from your goals and action steps for dealing with them, a list of people in your support system that you can call on for support encouragement socializing and fun, stress management tools like deep breathing or the relaxation response, a plan to instruct people had help you in a crisis such as a relapse or a return of previous symptoms. Why is trauma-informed care important Individual trauma results from an event, series of events or set of circumstances that is experienced by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse effects on the individuals functioning and mental physical social emotional or spiritual well-being. Trauma informed care Many people in recovery from mental illness or substance use have a history of trauma in their lives. Traumatic events Physical sexual or emotional abuse, child neglect, experiencing are witnessing acts of violence, natural disasters, war, & extreme property. Trauma-informed approach Change is the focus from what's wrong with you too what's happened to you, Seeks to ensure that trauma is recognized and treated in that people are not re-victimized when I see care, takes universal precautions approach that treats everyone including staff as if they may have a history of trauma. 6 principles of trauma-informed approach Safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment voice and choice, consideration of cultural historical and gender issues. Making successful referrals Be familiar with the program and share your information with the peer to ease anxiety, if appropriate accompany the peer to the program the first time, talk with the peer about what might help her make the connection. Follow through is up to the peer. Benefits of support groups Decreases isolation and stigma, increases social connection, offers a safe place to discuss difficult issues, helps and power peers to tackle problems, group members act as role models for each other, group members share recovery information and tips, and group members help and support each other. Support group facilitation Share the air everyone gets a chance to talk, one person speaks at a time, what is said in the group stays in the group, group members are all equal, differences of opinion are ok, don't use I language don't director blame, it's OK not to share, group members are all responsible for making the group a safe place to share. Do's for group sharing
Restate, ask clarifying questions, redirect, reflect, validate, summarize, and share. Dont's for group sharing Dominate discussion, preacher lecture, tell participants what they should do, try to run a therapy session, or be judgmental.