Medicaid Waivers Learning Community Call
February 17, 2011
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Why National Certification?
 A few states have statewide certification for purposes
of billing Medicaid: TN, OR, AZ, KY, MI, ID, OK
 Some state are still either working on state
certification or considering it: FL, IA, IN, MH, IL, MA,
ME, NY, TX, CO, SC
 The advantages of national certification:
 No costs to the state to develop or administer
 Easier to market since it is the same as other states
 Outcomes can be compared across states
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Why make it “cross-disability”?
 Children and youth rarely only have one category of
challenges: mental health, substance use, intellectual
disability, learning disorders, autism spectrum,
physical disabilities
 Even when one child or youth could be squeezed into
one category, there often is a sibling that does not fit
the same category
 Sometimes primary diagnoses need to be reviewed or
changed and families need to know their option
3
Why now?
 Most states will be submitting new Medicaid plans as a
result of the Affordable Health Care Act.
 Parent to parent, youth to youth and adult consumer to
adult consumer peer support needs to be included as
part of the array of services
 Clinical professionals are not available to even provide
all the specialty clinical needs of families
 Parent Support Providers and Youth Support Providers
supplement the workforce to provide the day to day
wellness, rehabilitation and support needs of family
members.
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What works?
 The outcome data from Kansas, New York, Alaska and
Michigan, the use of Parent Support Providers
 decreases the number of missed appointments to clinics
 Increases attendance in school and graduation rate for
children
 Decreases the use of “high end care” and long-term
residential placement
 Increases the parent’s self-assessment of “practical
knowledge“ about resources and “care coordination”
 Decreases the parent’s stress level about parenting
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What is Certification?
 Adherence to a set of standards of practice in ten
domains of core competencies
 Adherence to a Code of Ethics
 On-going training requirement for re-certification
 Required peer supervision
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Parent Support Providers
Core Principle and Definition
This is not a clinical service.
It is a peer-to-peer service.
 The Parent Support Provider is a peer of the parent that is being supported.
Their relationship is based on the sharing their own parenting or “lived
experience”.
 For purposes of certification in the field of parent support in children’s mental
health, “parent” in “parent support” means:
A person who is parenting or has parented a child experiencing emotional,
behavioral or mental health disorders and can articulate the understanding
of their experience with another parent or family member. This person may
be a birth parent, adoptive parent, family member standing in for an absent
parent or a person chosen by the family or youth to have the role of parent.
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Parent Support Provider Service Definition
 The focus of the service is on empowering parents and caregivers to parent
and advocate for their child/youth with emotional, mental or behavioral
health related disorders or challenges
 The scope of the service involves assisting and supporting family members to
navigate through multiple agencies and human service systems (e.g. basic
needs, health, behavioral health, education, social services, etc).
 It is strength-based and established on mutual learning from common lived
experience and coaching that
◦ promotes wellness, trust and hope
◦ increases communication and informed decision making and self-
determination
◦ identifies and develops advocacy skills
◦ increases access to community resources and the use of formal and natural
supports
◦ reduces the isolation that family members experience and the stigma of
emotional, behavioral and mental health disorders
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Domains of Competency
 Ethics
 Communication
 Confidentiality
 Parenting for resiliency
 Effecting change
 Advocacy in and across
 Currency on children’s
systems
 Empowerment
 Wellness and natural
support
behavioral health
treatment and
prevention information
 IDEA information
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Ethics
 Cultural and linguistic






competency
Peer to peer principles
(family-driven, youthguided, consumer driven)
Compliance with laws and
regulations
Duty to do no harm
Responsibility to remain
current in the field
Responsibility as a certificant
Principles of nonexploitation
Confidentiality
 HIPAA, IDEA, 42 CFR
 Inter agency protocols (ROI,




MOA, MOU)
Understanding conflict of
interest
Teaching family members
about confidentiality
Child/adult protection,
juvenile justice and criminal
prosecution related issues
Duty to warn and domestic
violence issues
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IDEA and Other
Education Information
Currency on Children’s
Behavioral Health
Prevention and Treatment
 Timelines, procedures
 Diagnoses and
and regulations
 Resources for parents
 Communicating written
goals and outcomes
 Working with
enforceable regulations
 Mediation
 Pre-teaching effective
meeting skills to parents
and youth
assessments
 Medication
 Treatment – EBP, PBE
and other practices
 Finding and
summarizing research
and published literature
 Addressing complex
health information
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Effecting Change
 Preparing adults for the




decision-making process and
behavior change
Supporting opportunities for
self-efficacy
Using conflict and
discrepancy for decisionmaking
Finding and using psychoeducational material
Use of support groups
Communication
 Understanding





cultural/linguistic diversity
Using distance
communication technology
Translating & assisting
adults to communicate
emotions
Assisting adults with
assertive communication
Mediation techniques
Informed and shared
decision making
12
Parenting for
Resiliency
 Identifying culture, family





and individual values
Physical and emotional
development of children
and youth
Use of control, choices
and consequences
Shared decision-making
Crisis planning and
intervention
Transition to adulthood
skills
Advocacy in and
Across Systems
 People-first, strength



based language and
approach
Understanding the
mission and tasks of
service systems for
children
Understanding funding
streams of services
Mediation techniques
Organizational behavior
and decision-making
13
Wellness and
Natural Supports
Empowerment
 Implementation of





consumer/family-driven
and youth-guided
approach
Promotion of selfdetermination
Teaching self-assessment
and goal setting
Understanding stigma
Bridge building and group
leadership
Leadership development
 Crisis prevention and




management for children
and adults
Self care and wellness
planning
Using spirituality and
culture strengths
Identifying family and
community strengths
Community organizing
and problem solving
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Core Competencies Survey Participants
90
80
70
Between
12/1/2010 and
1/31/2011, ≥92
% of the 123
individuals
from
50 states
rated 94 of
the 103
competencies
as needed.
60
50
40
30
20
10
0
never
≤1 year
1-3 years
≥3 years
15
Certification Opportunities
 Certified Parent Support Provider
 Entry level
 Professional level
 Wraparound specialization
 Cognitive Disability specialization
 Certified Parent Support Provider Supervisor
TM
 Certified Youth Support Provider
TM
TM
 Certified Youth Support Provider Supervisor
TM
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If you have questions or comments on
certification or want to be added to the listserv
Frances Purdy at certification@ffcmh.org
National Federation of Families for Children’s Mental Health
9605 Medical Center Drive #280
Rockville, Maryland 20850
240-403-1901 or fax 240-403-1909
http://www.ffcmh.org/certification
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