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Peer Support Specialist Certification Exam Study
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Person-Centered - Answer A person-centered approach is where the person is placed at the center of the service and treated as a person first. What are the OARS tools in Motivational Interviewing? - Answer 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/ What is the tool "Elicit- Provide-Elicit" in Motivational Interviewing? - Answer 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....?" What are whole health goals? - Answer 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. What are the basic five stages in the recovery process? - Answer Pre- Contemplation Not ready Contemplation Getting ready Preparation Ready Action Making change Maintenance Keeping up change What is "recovery" according to the Substance Abuse Mental Health Services Administration (SAMHSA)? - Answer 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
What is the Olmstead decision? - Answer 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. What is the Lanterman-Petris-Short Act? - Answer 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. " How do Peer Support Specialists create healing relationships? - Answer Peer Support Specialists have the ability to create healing relationships based on respect, compassion, open and honest communication, active listening and cultural humility. What is cultural humility? - Answer 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. Cultural Humility Principles: - Answer 1. Lifelong commitment to learning and critical self-reflection;
- Desire to fix power imbalances within provider-client dynamic;
- Institutional accountability and mutually respectful partnership based on trust. What is person-first language? - Answer "Person-first" language describes what a person has, not who a person is. What is structural racism? - Answer 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.
- Create predictability and consistency. People may interpret changes, even small ones, as a threat to their survival.
- Some people might not be ready to talk about their traumatizing experiences. People will talk about it when they are ready and feel safe.
- Be transparent--Let people know the limits of your role.
- practice effective communication skills and be non-judgmental. Group Facilitation skills - Answer 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 What is self-care? - Answer 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. What is burnout? - Answer 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 What is compassion fatigue? - Answer state of burnout and secondary traumatic stress What is recovery capital? - Answer 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 What are co-occurring disorders? - Answer Diagnosis of two or more disorders at the same time (dual-diagnosis) ex. Mental Health and Substance use disorders What is harm reduction? - Answer a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use What is medication-assisted recovery? - Answer 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.
● Tap into community resources for job skills and employment opportunities, including leads, application and resume preparation, interviewing. Resources may include job centers, community colleges and more ● Mentor others and model the skills needed to attain and maintain employment and housing What is safety and crisis planning? - Answer 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. What are Peer Progress Notes for Medi-Cal billing? - Answer Written documentation that describes an individual's progress toward achieving objectives that are identified on a Care Plan.
What is HIPAA? - Answer 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. What is 42 CFR Part 2? - Answer 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. What is digital literacy? - Answer 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. 8 Dimensions of Wellness according to SAMHSA - Answer Emotional, Financial, Social, Spiritual, Occupational, Physical, Intellectual, and Environmental.
