WASHINGTON STATE CERTIFIED PEER COUNSELOR EXAM STUDY GUIDE LATEST UPDATE ALL QUESTIONS AND WELL DETAILED CORRESCT ANSWERS RATED A+ BY PROFESSIONALS|NEW AND ADVANCED

WASHINGTON STATE CERTIFIED PEER COUNSELOR EXAM STUDY GUIDE LATEST UPDATE ALL QUESTIONS AND WELL DETAILED CORRESCT ANSWERS RATED A+ BY PROFESSIONALS|NEW AND ADVANCED Recovery story - ANSWER- focus on hope, share only when relevant, ask permission, just the salt and pepper SAMHSA definition of recovery - ANSWER- Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. SAMHSA's elements of recovery - ANSWER- Hope, person-driven, many pathways, holistic, peer support, relational, culture, addresses trauma, strengths/responsibility, respect Resiliency - ANSWER- the ability to adapt effectively and recover from disappointment, difficulty, or crisis Differing ideas about recovery in substance use disorders - ANSWER- abstinence vs. harm reduction Families are integral to recovery for children - ANSWER- true, support system, advocates, environmental change Supporting peers / trauma resiliency - ANSWER- safety, trustworthiness/transparency, peer support, collaboration and mutuality, empowerment voice and choice, cultural historical and gender issues short stories - ANSWER- share the message not the mess 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 peer partnering - ANSWER- attending, listening, paraphrasing, validating, feeling heard, present moment, empathy, open ended questions support self advocacy - ANSWER- use our own recovery story, support self advocacy, model community advocacy self advocacy planning - ANSWER- start with strengths. Name the need, help do research, identify gatekeeper, make a plan, role play, repeat, prepare for no Ethics - ANSWER- equitable and fair, do no harm, respect and mutuality, when in doubt ask your supervisor DAP note - ANSWER- Data, Assessment, Plan individualized service plan updated - ANSWER- every 6 months SMART goals - ANSWER- Specific Measurable Attainable Relevant Timely behavioral health - ANSWER- a state of mental/emotional being and/or choices and actions that affect wellness. Behavioral health problems include substance abuse or misuse, alcohol and drug addiction, serious psychological distress, suicide, and mental and substance use disorders when is certification as a peer counselor required by the state of wa - ANSWER- to be medicaid reimbursable describe where peer supporters might work - ANSWER- outpatient, peer bridger, housing or employment, crisis, pact 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 health services. Parent or legal guardians of a child under the age of 18 who has applied for, are eligible for, or have received services may also become a peer counselor. Youth peer supporter role - ANSWER- relate to youth culture, support young people. parent peer supporter role - ANSWER- parent of child with behavioral health challenge, knows the system and can offer hope recovery coach - ANSWER- Recovery coaching is a person-centered, strengths-based support for people who suffer from their own or someone else's addictions. peer role is and is not - ANSWER- build hope, empowerment, self advocacy, building blocks of recovery. Is not a clinician, does not give advice, talk about medications or medical issues, work outside the scope of their jobs, focus on their own problems. process for becoming certified peer counselor - ANSWER- meet qualifications. Apply for training. be accepted. Complete prerequisite online training. complete in person training. take written and oral exam. Apply for aacr. why is self advocacy important, what part does it play in recovery - ANSWER- leads to empowerment and self-determination. Advocacy vs self advocacy - ANSWER- we may advocate directly with treatment teams with families with the community, may advocate for involvement of the person. Self-advocacy peer advocates for themselves. how do strengths play a part in self advocacy - ANSWER- explore peer's strengths, starting with strengths is the first part of developing self advocacy steps of advocacy - ANSWER- name and define the problem or need, do research, find out who can help you, write out what you want to say, deliver your message, decide how to handle rejection, evaluate your efforts grievance - ANSWER- complaint, any expression of dissatisfaction with services. Person can call agency, BHA-ASO or their MCO to file a grievance. letters can be mailed as well. medical model vs. recovery model of care - ANSWER- medical: languages are overly clinical, disempowering, do not promote hope. Recovery: language and practices that are person centered and promote hope and other recovery concepts Person First Language - ANSWER- Placing the individual ahead of the challenge. Power with. Model this. Strengths based. No jargon. 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 hope is essential for recovery - ANSWER- the turning point when we start to have the smallest belief that our lives can improve. The belief that a positive outcome or better situation lies ahead. Peer partner skills - ANSWER- listen actively, support engagement, ask recovery supported questions. SOLER, seat towards peer, open posture, lean toward peer, eye contact, relax 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 Demonstrating understanding - ANSWER- paraphrasing, reflecting feeling, responding to meaning Orienting - ANSWER- what's going to happen, why (what's in it for peer, why do it), how the process happens types of questions - ANSWER- open ended, direct, clarifying ombuds - ANSWER- help resolve any dissatisfaction with services, reconsideration of denials, reduction or termination of services, and can offer information about the fair hearing process. what two state agencies administer medicaid behavioral health services - ANSWER- Health care authority and division of behavioral health and recovery 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. 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. Behavioral health organization (BHO) - ANSWER- 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 dis- order services Behavioral health agency (BHA) - ANSWER- local. agencies contract with MCOs to administer direct services. licensed bha. must be certified by doh. Managed Care Organization (MCO) - ANSWER- Regional. contracts with HCA to administer medicaid services to enrollees. do not administer direct services. Enrollees can choose from different MCOs available in their regions. what kinds of mental health services are authorized by medicaid - ANSWER- crisis services, group treatment, family services, individual treatment, free standing evaluation and treatment centers, peer support, residential treatment, intakes and assessments what kinds of substance use services are authorized by medicaid - ANSWER- withdrawal management, plus those noted in mh who has access to crisis services - ANSWER- available in every community throughout the state, 24 hours a day to any person who needs them what is an evaluation and treatment center - ANSWER- "Evaluation and treatment facility" 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, what is CLIP, how do children qualify - ANSWER- children's long term intensive program. includes both local and state approval. 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 what is a system of care - ANSWER- A system of care 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 multiple levels, is culturally and linguistically competent, builds meaningful partnerships ... 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. what are co-occurring services - ANSWER- simultaneous services for mental health and substance use stigma - ANSWER- strong feeling of disapproval or lack of respect that most people in a society have about something society does not approve of prejudice - ANSWER- preconceived opinion that is not based on reason or actual experience Discrimination - ANSWER- when we act on prejudice. Behaving differently, usually unfairly, toward the members of a group. privilege - ANSWER- a special right, advantage, or immunity granted or available only to a particular person or group of people. values are - ANSWER- part of our culture and identity. describe at least 5 words that describe sexual orientation and what they mean - ANSWER- Asexual, bisexual, gay, lesbian, questioning, queer what role might spirituality play in a person's recovery - ANSWER- contributes to overall wellness. Some recovery programs are based on spirituality. describe how culture could influence behavioral health treatment - ANSWER- culture affects our behavioral health from how we understand our issues to how they should be treated to understanding their impact describe how a peer could include culture in interactions - ANSWER- you could share what has been helpful for you, you can talk about goals and how to get there, you can talk to the treatment team or your clinical supervisor for direction describe a 12 step program and the kinds of programs there are - ANSWER- focused on recovery, high standards of confidentiality, sponsors, peer support. Overeaters anonymous, sex addicts anonymous, gamblers anonymous, etc. describe what the consumer survivor movement is - ANSWER- political movements by people who have been in mental health services, history rooted in mistreatment and injustice. Consumer coined by federal government. Survivor, ability to take back their lives after treatment that has been traumatizing. describe two mental health national advocacy organizations - ANSWER- Mental health america. National alliance on mental illness. name two large family organizations - ANSWER- Federation of families for children's mental health. Family run executive director leadership association. mandatory reporter - ANSWER- a person mandated by law to report abuse or neglect to the proper authorities 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 vulnerable adult - ANSWER- over 60 and unable to care for themselves, incapacitated, developmental disability, living in a facility, receiving certain assistance from agencies or providers holistic health - ANSWER- emphasizes the well-being of every aspect of what makes a person whole and complete. nutrition, sleep, stress reduction, spirituality, emotional nurturing, social connections, education, work or vocation, exercise, safe housing 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. 3 health concerns common to peers - ANSWER- heart disease, chronic pain, diabetes. motivational interviewing - ANSWER- a collaborative, person-centered form of guiding to elicit and strengthen motivation for change Stages of Change - ANSWER- precontemplation, contemplation, preparation, action, maintenance WRAP - ANSWER- wellness recovery action plan. Promotes 5 key concepts of recovery: hope, personal responsibility, education, self advocacy, support. 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. 10 WISE Principles CFT - ANSWER- Culturally Relevant Family Voice and Choice Team-Based Collaboration Unconditional Strengths-based Home and community based Individualized Outcome Based Natural Supports CFT - ANSWER- Child and Family Team R.A.C.E. - ANSWER- Resource Advocate Communicate Empower Strength Based- - ANSWER- -Oral Question "Why does it work and how do we use it?" Natural Supports- - ANSWER- -Oral Question "Why does it work and how do we use it?" Recovery & Resiliency- - ANSWER- -Oral Question "Why does it work and how do we use it?" Telling Your Story- - ANSWER- -Oral Question "Why does it work and how do we use it?" Goal Setting- - ANSWER- -Oral Question "Why does it work and how do we use it?" Self-Advocacy- - ANSWER- -Oral Question "Why does it work and how do we use it?"