Peer Support Flashcards
- One that is of equal standing with another
2. Companion, fellow
Peer
Is a system of giving and receiving help founded on key principles of respect, shared responsibility, and mutual agreement of what is helpful
Peer support
When people are able to “be” w/ each other w/out the constraints of traditional relationships. The connection is a deep, holistic understanding. The relationship allows members of the peer community to try out new behaviors w/ one another and move beyond previously held self-concepts built on disability, diagnosis, and trauma
Mutual empowerment
Peer support is based on and includes the following except:
- Relationships that are respectful, hopeful, trusting - letting an individual be the expert on him/herself - a support system that focuses on diagnoses, disabilities, and deficits - promotion of self-determination and self-confidence - the same as a social friendship - offering help when needed and encouraging the peer to explore and take risks - an opportunity to offer info/education - a relationship where the power differential is minimal
- A support system that focuses on diagnoses, disabilities, and deficits
- The same as a social friendship
Is Peer support an “us” versus “them” mentality, or tokenism
No
is to purposely and deliberately sustain and advocate for someone of equal worth and similar experience who is under trial or affliction. It is a purposeful way of being in a relationship.
Intentional peer support
Which is not part of the role of peer support:
- helps to set personal goals - does tasks for the person - sees the person as a whole in the context of the persons roles, family, community - motivates thru hope and inspiration - teaches the person how to accomplish daily tasks - gives resources and money to the person - helps the person find professional services from lawyers, doctors, psychologists or financial advisors
- does tasks for the person
- gives resources and money to the person
A process of change whereby individuals improve their health and wellness, to live a self-directed life, and strive to reach their full potential
Recovery
What are the 10 guiding principles of recovery
- emerges from hope. - Is supported thru relationships & social networks
- is person-driven. - is culturally based
- occurs thru many pathways. - is supported by addressing trauma
- is holistic. - involves the individual, family, and community
- is supported by peers & allies. - is based on respect
What are the 4 dimensions that are essential to a person living successfully in recovery
- Health: overcoming or managing one’s diseases/symptoms
- Home: having a stable & safe place to live
- Purpose: conducting meaningful daily activities: job, school, volunteerism
- Community: having relationships & social networks that provide support, friendship, love and hope
This is a term popularized by Carl Rogers whose belief was that if a person in therapy or in some form of a helping relationship rcvd this from the person delivering help, the patient would gain the ability to increase self-esteem that perhaps was not developed in relationships during their formative years
Unconditional positive regard
Is recovery a linear or cyclical process
Cyclical process
_____ provides the essential and motivating message of a better future that people can and do overcome the barriers and obstacles that confront them. It is internalized but can be fostered by peers, families, friends, providers and others. It is the catalyst of the recovery process
Hope
As a role model, are we someone who is perfect and has all the answers and fixes all problems and has never experienced big feelings or significant symptoms
No
This is using our voice to transform an entire system
System advocacy
What are some of the tasks of a peer specialist
- To listen. 8. To explore risk while maintaining safety
- To encourage. 9. To explore strengths & provide help in getting past barriers
- Help explore hopes/dreams. 10. Facilitate recovery classes
- To guide. 11. To facilitate groups
- To mentor/coach. 12. To represent peers
- To help navigate activities w/in the community
- To help navigate mental health/addiction
- To keep adequate notes of intervention and phone calls
- To serve as a supporter
To bounce back; is a process where we learn from negative experiences to build skills to cope w/ future challenges. Is one of the greatest benefits of adversity
Resilient
What are the 4 key strengths that can support the building of resiliency
- Social competence
- Problem solving
- Autonomy
- Sense of purpose
The ability to form and sustain relationships
Social competence
Using critical thinking and decision-making skills
Problem solving
The ability to make personal choices
Autonomy
A belief that life is important and has meaning
Sense of purpose
It is a way of being w/ a client, not just a set of techniques for doing counseling
Motivational interviewing
Why is 1st person language important in peer support. It not only creates focus on personal experience it also….
Makes it clear to the listener you are speaking from personal experience and not in a remote sense.
- it enforces the principle of mutual experience w/in peer support
- supports active listening
- Advocacy
- Mentoring
- Recovery support
- Professional responsibility
The test is designed to measure the applicants competency in the following 4 performance domains:
Behavioral health services
Are intervention, treatment and support services for persons with substance use or mental health conditions.
Behavioral health condition
Is the term used when referring collectively to substance use and mental health conditions or co-occurring substance use and mental health conditions
Peer support
Is a system of giving and receiving help founded on key principles of respect, shared responsibility and mutual agreement of what is helpful.
Peer support practice
Is guided by the belief that consumers of behavioral services need opportunities to identify and make choices about their care and their desired roles w/in the community.
Peer support specialist
Is a person who has progressed in their own recovery from a mental health or substance use condition and who is willing to disclose their recovery status in order to assist other people thru the process of recovery.
Does a peer support specialist provide information to their peers: yes or no
Yes
Does a peer support specialist act as a role model and mentor in navigating the process of recovery
Yes
Does a peer support specialist make decision for the client
No; help them in problem solving not make decisions for them
Certification of peer support specialist assures the public that the individual has attained a certain level of A. Competency B. Communication C. Compensation D. Collaboration
A. Competency
Which of the following tasks is a peer support specialist least likely to perform? A. Advocacy B. Resource linkage C. Assistance w/ decision-making D. Substance abuse treatment
D. Substance abuse treatment
Who receives benefits from the peer relationship?
A. Primarily the person receiving services
B. Primarily the peer support specialist
C. Both the peer support specialist and the person receiving services
D. Primarily the family of the person receiving services
C. Both the peer support specialist and the person receiving services
Research has demonstrated the peer support services
A. Improve social functioning
B. Increase hope, quality of life and satisfaction w/ life
C. Reduce substance use
D. All of the above
D. All of the above
Which of the following characteristics is most likely to be used to match a peer support specialist w/ a client? A. Race or ethnicity B. Gender C. Common lived experience D. Occupation
C. Common lived experience
This is a process of change whereby individuals improve their health and wellness, to live a self-directed life, and strive to reach their full potential
Recovery
This is when a person with a behavioral health disorder accepts that there is a problem, that they need help to overcome that problem, and that they must take individual responsibility for making the changes to a functional life
The recovery process
The belief that recovery is possible for someone to regain a meaningful life
Hope
What are the 4 dimensions that are essential to supporting a life in recovery
Home, community (peer/family/recovery network supports), purpose (employment/education), and health (recovery)
These are the 5 stages of the recovery process
- Not ready
- Getting ready
- Ready
- Taking action
- Maintaining gains
What stage of the recovery process is this:
Having no intention to change behavior in the foreseeable future; are unaware or under-aware of problems, being overwhelmed and confused by the illness; characterized by a deep sense of loss and hopelessness
Stage 1: not ready
What stage of the recovery process is this:
Aware that a problem exists and are seriously thinking about overcoming it, taking a hard look at the ways the mental health condition has affected their life (feeling like life is limited)
Stage 2: getting ready (contemplation)
What stage of the recovery process is this:
Intending to take action; taking stock of strengths and weaknesses regarding recovery; taking little steps towards changing behavior, realizing and believing change is possible, questioning the disabling power of the illness; believing that life can be better and change is possible
Stage 3: ready or preparation
What stage of the recovery process is this:
Putting into practice a plan for recovery; consciously choosing new behaviors, and developing new skills, commitment to change, exploring possibilities and actively working on the strategies that have been identified in a recovery plan.
Stage 4: taking action (action)
What stage of the recovery process is this:
Working to prevent relapse and keep the gains attained during the action stage, actions for change, turning worlds into actions by taking steps toward achievement of and sustaining goals
Stage 5: maintenance (actions for change)
What is the catalyst of the recovery process
Hope
This is when exposure to traumatic circumstances may trigger thoughts or feelings about personal traumatic experiences that may not be resolved
Secondary trauma
this is the quantity and quality of both internal and external resources that a person can bring to bear on the initiation and maintenance of recovery
Recovery capital
Is this internal or external recovery capital:
Skills, experience, willingness to ask for help, a sense of self-efficacy, a sense of hope, and personal goals
Internal recovery capital
Is this internal or external examples of recovery capital:
Family relationships when they are there and still predominantly positive, employment or school enrollment, stable housing, connection w/ the recovering community, hobbies, especially when they involve others, and participation in mutual aid groups
External forms of recovery capital
What are the 3 types of recovery capital
- Personal recovery capital: physical, human
- Family/social recovery capital: relationships, organizations
- Community recovery capital: attitudes, policies, resources
This is aimed at meeting the agitated personas immediate needs, and calming the situation so that it does not escalate, resulting in danger or damage to the client or others
Verbal de-escalation
A peer support specialist can help to instill hope in their client by
A. Focusing on their own recovery successes
B. Using person-centered language
C. Enlisting allies in the recovery process
D. Emphasizing the clients power to make choices
A. Focusing on their own recovery successes
A client who becomes agitated and shows early signs of aggression is in need of A. De-escalation B. Threat assessment C. Restraint D. Medication
A. De-escalation
Which of the following are the 4 major dimensions by SAMHSA that support a life in recovery ?
A. Health, citizenship, support, and community
B. Support, personal, family, and health
C. Health, home, purpose, and community
D. Family, home, support, and citizenship
C. Health, home, purpose, and community
The SMART acronym for writing effective goals stands for:
A. Smart, measurable, achievable, realistic, and time-bound
B. Specific, measurable, achievable, relevant, and time-bound
C. Specific, measurable, amicable, realistic and treatable
D. Smart, measurable, achievable, relevant, and treatable
B. Specific, measurable, achievable, relevant, and time-bound
When talking about pathways to recovery, the peer support specialist should
A. Emphasize AA as the preferred method of achieving recovery
B. Tell the client why the path they chose is the best way to achieve recovery
C. Share their story, but emphasize that there are many ways to achieve recovery
D. Present multiple options for recovery w/out comment
C. Share their story, but emphasize that there are many ways to achieve recovery
The principle of treating everyone as thought they are carrying an infectious disease is known as A. Universal carrier B. Multiple risks C. Universal precautions D. Standard precautions
C. Universal precautions
The 1st step in most crisis situations is to A. Gauge the severity B. Find alternatives C. Emily de-escalation strategies D. Establish rapport
A. Gauge the severity
As a peer support specialist, a critical part of your role is A. Instilling hope B. Developing recovery plans C. Being a role model D. All of the above
D. All of the above
Which statement about the stages of recovery is true?
A. The processes that take place during the stages of recovery are similar for persons who have either a mental health or substance use disorder
B. The stages of recovery are very different for persons who have either a mental health or a substance use disorder
C. Recovery does not occur in stages for persons for persons who have either a mental health or a substance use condition
D. The actions of the peer support specialist are quite different if a person has mental health or a substance use disorder
A. The processes that take place during the stages of recovery are similar
Personal, family/social and community are categories of A. Recovery catalysts B. Recovery principles C. Recovery systems D. Recovery capital
D. Recovery capital
Client commitment to the recovery process ranges along a continuum from disinterested or unmotivated or unmotivated to strongly committed. At which stage of the continuum does the peer specialist have a role? A. Resistance B. Strongly committed C. Initial interest w/out commitment D. All of the above
D. All of the above
A process of change whereby individuals improve their health and wellness, to live a self-directed life, and strive to reach their full potential is a definition of A. Rehabilitation B. Treatment C. Therapy D recovery
D. Recovery
What are the 5 strategies in developing an advocacy plan
- Identify the need or problem
- Assess the current situation
- Identify the clients rights and options
- Develop a solution
- Reach a solution
The first step in developing an advocacy strategy is to
- Identify the need or problem
- Assess the current situation
- Identify the clients rights and options
- Develop a solution and strategy to meet the need
A. Identify the need or problem
The primary decision maker in peer advocacy is
- The peer support specialist
- The client
- The provider agency
- The payment source
B. The client
The two types of advocacy that a peer support specialist will use are
- Lobbying and collaboration
- Peer and self
- Peer and community
- Lobbying and peer
- Peer and self
Taking action intended to influence decisions or achieve certain outcomes on behalf of an individual, group, organization or cause is known as
- Attribution
- Advocacy
- Representation
- Referral
B. Advocacy
Who must sign the consent for release of information when a referral is made?
- The peer support specialist
- A representative of the receiving agency
- A representative of the referring agency
- The client
D. The client
SAMHSA has identified four dimensions that support recovery. They are health, home, community and
- Purpose
- Employment
- Education
- Family
- Purpose
___ is supporting and encouraging people to manage their own lives, so that they can maximize their potential, develop their skills, improve their behaviors and sustain their recovery. It fosters personal development and empowerment. It is a voluntary relationship based upon mutual trust and respect
Mentoring
A mentor services in the role of trusted guide or friend whose function in the relationship is to ______ the best interest of the _____.
Advance, mentee
What are the 4 basic mentoring tasks
- Establish
- Help
- Assist
- Increase
In this mentoring task, the relationship should be based on mutual trust and respect, regular and consistent and affirming to the client. By doing this you encourage him/her to share experiences
Establish: establish a positive, personal relationship w/ the client
In this task of mentoring the peer support specialist works w/ the client to accomplish self-identified goals and help them develop broader life-management skills (e.g., decision-making skills, goal-setting skills, conflict resolution, money management) A. Establish B. Help C. Assist D. Increase
B. Help
In this task of mentoring, the peer specialist shares knowledge of available resources and acts as a broker in obtaining those resources A. Help B. Assist C. Establish D. Increase
B. Assist; assist the client in attaining additional resources
In this task of mentoring, the peer specialist interacts w/ people/groups/ things from various backgrounds (cultural, racial, socioeconomic, ets) and model respect for differences among people/groups from various backgrounds A. Increase B. Helps C. Assist D. Establish
A. Increase; increase the clients ability to interact w/ others
What are the 3 ways to combat stigma to using lived experience in a supportive relationship
- Education: using facts and figures
- Protest: discrediting individuals who exhibited bias against those w/ behavioral health conditions
- Contact: personal stories of individuals w/ behavioral health conditions
The capacity to bounce back after adversity by leading a positive life and make contributions to society
Resilience
Resilience is fostered by (there are 4)
- Caring relationships
- High expectation
- Adequate support
- Opportunities to contribute
Social competence, problem solving, autonomy and sense of purpose are the 4 key strengths that can help to support this
Resilience
The ability to form and sustain relationships is called
Social competence
The ability to make personal choices
Autonomy
A belief that life is important and has meaning
Sense of purpose
Research has shown that the most powerful way to reduce stigma associated w/ behavioral health disorders is A. Contact B. Education C. Legislation D. Protest
A. Contact
One technique that can help blood confidence and encourage peers to stretch their comfort zones in relationship building is:
A. Role playing
B. Exercising w/ them
C. Providing a list of things they should do
D. Forcing them to face their fears
A. Role playing
When peer support specialists talk about their own recovery, they are using the tool of A. Targeted narrative B. Appreciative inquiry C. Self-efficacy D. Lived experience
D. Lived experience
In person-centered planning, who directs the plan and treatment process A. The counselor B. The client C. The peer support specialist D. The family
B. The client
All of the following are characteristics of effective peer support conversations except
A. Joining the client w/ emotional responses
B. Exploring options w/out judgment
C. Using active listening skills
D. Reinforcing client follow-through on desired actions
A. Joining the client w/ emotional responses
The ability to form and sustain relationships is known as A. Social capital B. Social significance C. Social competence D. Recovery capital
C. Social competence
The ability to bounce back or cope in the face of adversity is known as A. Resilience B. Optimism C. Positivism D. Capacity
A. Resilience
The most common factor in increasing resilience is A. Education B. A caring relationship C. Positive attitude D. Self-esteem
B. A caring relationship
Which of these roles is most similar to the role played by a peer support specialist A. Supervisor B. Evaluator C. Mentor D. Friend
C. Mentor
Which of these counseling approaches focuses primarily y on quality-of life issues? A. Solution-focused approach B. Illness-centers approach C. Person-centered approach D. Transformation-centered approach
C. Person-centered approach
According to the Florida certification board’s code of ethical and professional conduct and disciplinary procedures, when can a CRPS and a client engage in a personal relationship?
A. 2 years after the end of the therapeutic relationship
B. Never
C. 6 months after the end of the therapeutic relationship
D. When the client consents to such a relationship
A. 2 years after the end of the therapeutic relationship
When is it appropriate for a peer supporter specialist to share details about their own recovery?
A. When the client asks
B. When it will help the client and not hurt the peer support specialist
C. When the clinical supervisor requires it
D. After the end of the therapeutic relationship
B. When it will help the client and not hurt the peer support specialist
In a SOAP note, what should be included in the A portion of the note?
A. A clinical diagnosis
B. An attestation of ruthlessness
C. An addendum to the peer support specialists observation
D. An impression of the clients needs and recommended referrals
D. An impression of the clients needs and recommended referrals
If a client reveals that she made her child hold a bar of soap in his mouth until he threw up to punish him for talking back, what is the responsibility of the CRPS?
A. To keep the info private
B. To make a report to the abuse registry
C. To make sure she was following her recovery plan
D. To interview the child
B. To make a reporter to the abuse registry
What can information about a client be disclosed w/out written consent? A. With a court order B. When requested by a physician C. With a subpoena D. When requested by a family member
A. With a court order
Who is responsible for maintaining appropriate boundaries in the peer relationship?
A. The client
B. The client and the peer support specialist
C. The peer support specialist
D. The clinical supervisor
C. The peer support specialist
The ability to respond effectively to individuals w/ different backgrounds and life experiences is called A. Cultural competence B. Therapeutic relevance C. Clinical competence D. Cultural appropriateness
A. Cultural competence
The Florida Law that governs treatment for mental health clients is called the A. Baker Act B. Marchman Act C. Mitchum Act D. Connor Act
A. Baker act
These guiding principles state that recovery:
- Emerges from hope 6. Is supported thru relationships & social networks
- Is person-driven 7. Is culturally based
- Occurs thru many pathways 8. Is supported by addressing trauma
- Is holistic 9. Involves the individual, family, and communty
- Is supported by peers and allies 10. Is based on respect
Ten guiding principles
Is a term popularized by Carl Rogers whose belief was that if a person in therapy or in some form of a helping relationship received this from the person delivering help, the patient would gain the ability to increase self-esteem that perhaps was not developed in relationships during their formative years
Unconditional positive regard
What are some ways for peer specialists to support peer clients who have experienced trauma:
- Model resiliency thru the challenges that you’ve overcome
- Use words and terms that promote hope, courage, and empowerment
- Ask the peer client how to best support them
- Discuss the development of a solid support network
- Encourage joining a group made up of members who survived trauma
Peer support is based on the idea of: A. Psychoanalysis B. Personality theory C. Recovery D. Modern medicine
C. Recovery
The idea that each person in a peer helping relationship is giving to the other is called A. Empowerment B. Mutuality C. Personal responsibility D. Empathy
B. Mutuality
Peer support is all of the following except for:
A. Based on relationship
B. Promotes self-determination
C. Let’s the individual be the expert on self
D. Focused on diagnosis
D. Focused on diagnosis
State in which control comes from within and not from outside influences
Internal locus of control
A common cognitive distortion: perception about an isolated incident or situation that is applied to everything. Ex: I went to a church picnic once, and the food was terrible, so I will never attend a church picnic again.
Overgeneralization
A common cognitive distortion: perception that something is always one way or the other, ex: you never talk nicely to me.
All or nothing thinking
Common cognitive distortion: a focus on the less positive information w/in a statement or situation. Ex: your boss tells you many good things about your performance. She also says it is important to get to work in a timely manner. (You focus on the negative)
Filtering
Common cognitive distortion: invalidating positive information in the presence of (any) negative information. Ex: someone tells you that you told your story in a very compelling way, yet you focus mainly on one negative statement
Disqualifying
Common cognitive distortion: a common cognitive distortion based on the belief we can tell what someone is thinking by looking at their facial expression. Ex: your boyfriend comes over to eat and has a somber expression on his face. You immediately think he is in a bad mood. He tells you that he was thinking about something he just heard on the radio
Mind reading
Common cognitive distortion: predicting a negative outcome before anything has happened
Fortune telling
Common cognitive distortion: exaggeration or underestimination of a situation or a peer. Ex: If I walk into that room, everyone will be looking at me, and I will be a mess
Magnification or minimation
Common cognitive distortion: basing decisions on emotions rather than objective reasoning. Ex: I dislike that person so much; that program wont be good if he is a part of it
Emotional reasoning
Common cognitive distortion: ascribing extremely negative, colorful, and absolute language to yourself or to others. Ex: I got a D on that test. I am a loser
Labeling
common cognitive distortion: the assumption that you caused events that you could not have caused. Ex: my favorite boss just quit. I know it was my fault. If I had been better employee, she would have stayed.
Personalization
What is the goal of the relationship between peer specialist and peer clients
To encourage both independence and interdependence (a mutual dependence)
