RELATES TO:
KRS
210.010,
210.040,
210.370-485
NECESSITY, FUNCTION AND CONFORMITY:
KRS
194A.050(1) requires the
secretary of the Cabinet for Health and Family Services to promulgate
administrative regulations necessary to protect the health of Kentucky citizens
and to implement programs mandated by federal law or to qualify for the receipt
of federal funds.
KRS
210.450 authorizes the secretary to
promulgate administrative regulations governing qualifications of personnel,
standards for personnel management operations and consultation in ascertaining
local needs for community programs for mental health or individuals with an
intellectual disability.
KRS
222.211 authorizes the secretary to
promulgate administrative regulations to assure that there is the provision of
prevention, intervention, and treatment services for both juveniles and adults
to address the problems of addiction to alcohol and other drug abuse within
individuals, families, and communities. This administrative regulation
establishes the minimum eligibility, training, and supervision requirements for
an adult peer support specialist.
Section
1. Definitions.
(1) "Adult peer
support" means emotional support that is provided by an adult peer support
specialist to others with similar mental health, substance use, or co-occurring
mental health and substance use disorders in order to achieve a desired social
or personal change.
(2) "Adult peer
support specialist" means a self-identified consumer of mental health,
substance use, or co-occurring mental health and substance use disorder
services who has successfully completed the adult peer support specialist
training.
(3) "Adult peer support
specialist services" means structured and scheduled non-clinical, therapeutic
activities provided to a consumer by an adult peer support specialist in
accordance with this administrative regulation.
(4) "Consumer" means an individual who
receives adult peer support services.
(5) "Department" or "DBHDID" means the
Department for Behavioral Health, Developmental and Intellectual
Disabilities.
(6) "Recovery" means
a process of change through which a consumer improves in health and wellness,
lives a self-directed life, and strives to reach full potential.
(7) "Regional community mental health center"
or "CMHC" means the board established by
KRS
210.380 and governed by
KRS
210.370 to
210.485.
(8) "Training curriculum" means a total
package of learning activities designed to achieve the goals of the training
program with:
(a) The objective that trainees
will acquire the specific knowledge and skills (competencies) needed to perform
the duties of an adult peer support specialist; and
(b) Four (4) primary components, including:
1. Content or information to be transmitted,
including:
a. Theoretical framework;
b. Conceptual rationale;
c. Best standards of practice;
d. Application to direct practice;
and
e. Congruence between and
within sections;
2.
Organization of the curriculum, including structure, format, and sequencing,
incorporating:
a. Concordance with the
natural learning process;
b. Design
of each section linked to specific learning objectives, with adequate time
provided for each;
c. Linkages
between sections;
d. Knowledge and
skills that are conceptually related, or that are performed together on the
job, are taught together; and
e.
Retention and understanding facilitated by principles of sequencing (from
simple to complex, from the universal to the exception, and from fundamental to
more refined applications) and repetition;
3. Training methods appropriate to adult
learners in an applied setting, in each section or topic area, including:
a. Discussion to promote exploration and
understanding of the topic;
b.
Experiential exercises or simulations; and
c. Presentation of the same concepts using a
variety of learning strategies (for example, hearing, seeing, modeling, and
then practicing) to ensure that trainees with different learning styles can
assimilate the knowledge; and
4. Evaluation methods, including:
a. Trainee knowledge assessment through
testing, with achievement of a passing aggregate assessment score of at least
seventy (70) percent; and
b.
Trainee performance reviews of trainers.
Section 2. Eligibility.
An adult peer support specialist shall:
(1) Be
eighteen (18) years of age or older;
(2) Have a current or past diagnosis of a
mental health, substance use, or co-occurring mental health and substance use
disorders;
(3) Have received or be
receiving treatment;
(4) Have a
minimum educational requirement of a high school diploma or General Equivalence
Diploma (GED) certificate;
(5)
Demonstrate a pattern of recovery from a mental health, substance use, or
co-occurring mental health and substance use disorders;
(6) Successfully complete adult peer support
specialist training approved by the department or receive a training waiver for
this requirement in accordance with Section 5 of this administrative
regulation; and
(7) Successfully
complete, maintain, and submit to the department documentation of a minimum of
six (6) hours of related training or education in each subsequent
year.
Section 3.
Department Responsibilities.
(1) The
department shall, within twenty (20) business days, approve or deny at least a
thirty (30) hour adult peer support specialist training curriculum based on a
nationally recognized model, which shall include modules on the following:
(a) Problem solving;
(b) Wellness recovery action plan;
(c) Stages in the recovery process;
(d) Effective listening skills;
(e) Establishing recovery goals;
and
(f) Using support groups to
promote and sustain recovery.
(2) The department shall maintain a record of
all approved adult peer support training providers on the department's Web
site.
(3) Providers of approved
curricula shall notify the department within twenty (20) business days of a
trainee's successful completion of an adult peer support training.
(4) The department shall maintain a record of
all individuals who have successfully completed the adult peer support
specialist training or who have received a training waiver in accordance with
subsection (5) of this section and Section 5 of this administrative
regulation.
(5) The department
shall review all requests to waive the training requirement and shall, within
twenty (20) business days:
(a) Approve, in
writing, the request based on the documentation provided by the individual;
or
(b) Deny, in writing, the
request if the individual fails to demonstrate compliance with any portion of
this administrative regulation.
Section 4. Adult Peer Support Specialist
Responsibilities. An adult peer support specialist shall:
(1) Use relevant personal stories to assist
other consumers through experience;
(2) Serve as a role model to a
consumer;
(3) Encourage consumer
voice and choice during development and implementation of plans;
(4) Support a consumer by:
(a) Attending team meetings on behalf of the
consumer at the request of the consumer; or
(b) Accompanying the consumer to meetings
upon the consumer's request;
(5) Empower a consumer to have the confidence
to be a self-advocate;
(6) Help
providers or other individuals understand the importance of integrating
consumer voice and choice in services and support within a system of
care;
(7) Promote socialization,
recovery, self-advocacy preservation, and enhancement of community living
skills for consumers; and
(8)
Complete and maintain documentation of a minimum of six (6) hours of related
training or education in each subsequent year after successful completion of
the adult peer support specialist training or receipt of waiver, and shall
submit a list of all trainings in which the adult peer support specialist
participated, the provider or presenter of the training, and the number of
hours of each training to the department every three (3) years. The submission
due date shall be the last day of the month of which the adult peer support
specialist's initial training was completed.
Section 5. Request to Waive the Adult Peer
Support Specialist Training.
(1) An individual
requesting to waive the adult peer support specialist training shall:
(a) Provide documentation to the department,
on the department's Web site, of successful completion of an adult peer support
specialist training sponsored by a federal entity or by another state that is
comparable to the adult peer support specialist training in this administrative
regulation; and
(b) Provide
documentation to show that the training has occurred within five (5) years of
the waiver request.
(2)
The department shall review all requests to waive the training requirement and
shall, within twenty (20) business days:
(a)
Approve, in writing, the request based on the documentation provided by the
individual; or
(b) Deny, in
writing, the request if the individual fails to demonstrate compliance with any
portion of this administrative regulation.
(3) If an individual is denied a training
waiver, the individual may complete the adult peer support specialist training
in accordance with the requirements in Section 2 of this administrative
regulation.
Section 6.
Supervision of an Adult Peer Support Specialist.
(1) Adult peer support specialist services
shall be provided under the supervision of one (1) of the following
professionals:
(a) Physician;
(b) Psychiatrist;
(c) Advanced practice registered
nurse;
(d) Physician
assistant;
(e) Licensed
psychologist;
(f) Licensed
psychological practitioner including a certified psychologist or a certified
psychologist with autonomous functioning;
(g) Licensed clinical social
worker;
(h) Licensed professional
clinical counselor;
(i) Licensed
marriage and family therapist;
(j)
Licensed psychological associate;
(k)
Marriage and family therapy associate;
(l) Certified social worker;
(m) Licensed professional counselor
associate;
(n) Licensed
professional art therapist;
(o)
Licensed professional art therapist associate;
(p) Professional equivalent working within a
CMHC;
(q) Licensed clinical alcohol
and drug counselor;
(r) Licensed
clinical alcohol and drug counselor associate;
(s) Certified alcohol and drug counselor;
or
(t) Psychiatric nurse working in
a CMHC.
(2) Supervision
meetings between the supervising professional and adult peer support specialist
shall:
(a) Be conducted
face-to-face;
(b) Occur no less
than twice per month, at least one (1) of which shall be individual;
and
(c) Be at least thirty (30)
minutes in length.
(3)
The supervising professional shall maintain a written record of supervision
that:
(a) Is dated and signed by the adult
peer support specialist and the supervisor for each meeting; and
(b) Includes a description of each
supervision meeting that specifies:
1. The
topic discussed;
2. Specific action
to be taken;
3. An update for any
issue previously discussed that required follow-up; and
4. A plan for additional training needs if
any were identified.