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2. Partnership with the IL- NET
The IL-NET is a national training and technical assistance project for centers for independent living and statewide independent living councils. The IL- NET is operated by Independent Living Research Utilization (ILRU) in partnership with the National Council on Independent Living (NCIL), the Association of Programs for Rural Independent Living (APRIL), and Utah State University Center for Persons with Disabilities. 
The IL-NET is supported by grant numbers 90ILTA0001 and 90ISTA0001 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy. 

3. Serving People with MHSUD Disabilities
Presented by:
Kathie Knoble-Iverson

4. I. Identify ILC’s motivation to better serve those with MHSUD
Cross disability issue (What does your 704 reflect?)
Fee For Service Opportunity
It’s the right thing to do!

5. II. What does your ILC know about MHSUD Movement?
Historical issues: institutionalization
Lack of community based alternatives
Recovery and IL Philosophy-very compatible
Consumer driven
Strength based
Tell your story
Develop your voice to self advocate

6. III. What does your ILC know about Recovery?
Elements of Recovery- vary widely
SAMHSA’S 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.
A unique and personal process of reestablishing and/or developing new meaning and purpose in ones life after a period of illness or decompensation.
Not just an absence of illness but achieving health across a multitude of dimensions
Reduction and/or control of symptoms
Hope, responsibility, self direction, empowerment, spirituality
Effective participation in daily life domains (Example: housing, education, employment)
Physical health and well being

7. III. What does your ILC know about Recovery? (continued)
Establishing and maintaining relationships, such as family, friends, peers, and co-workers
Person centered and strength based

8. IV. How many of your ILC staff self-identify with MHSUD?
Does your agency culture have an accepting and supportive environment?
Are staff comfortable discussing mental health or substance use issues in general?
If I asked, what would your agency staff say about openly discussing their own mental health or substance use issues?

9. V. What does your ILC know about MHSUD Peer Support?
Wisconsin’s efforts took time because included peers in development process
Peer Support vs. Clinicians
Peer Support Ethical Standards
Peer Support Guidelines
Peer Support Core Competencies
How MH Peer Support fits with IL Peer Support

10. VI. Is your center ready to provide MHSUD Peer Support or other MHSUD Services?
Self-assessment tools?
What changes is your ILC willing to make?
Role of Trauma

11. VII. Importance of Excellent Supervising
Allows Peer Specialists to identify and grow their unique strengths
Effectively address areas of importance
Flourish in professional lives
Address own biases about peers
Symptoms treated similarly to other medical conditions
Afford privacy and trust in their ability to manage their health issues
Listen and Support

12. VIII. Is ILC culture change necessary?
Must be a safe, supportive and inclusive place for all staff
What kind of language is used when discussing MHSUD?
Chances of failure?

13. IX. Comprehensive Community Service
Medicaid reimbursed skill training
Outcomes tied to consumer driven service plan
Not long-term care?
Specific documentation needed
Special training/ongoing clinical support required in Wisconsin
Works best if use CPS- much better outcomes

14. X. How is MHSUD & Homelessness dealt with at your ILC?
Referred to places that “deal” with it?
Assist people to find housing
Barriers to permanent housing
Familiar with specific issues of homeless population
Lack of healthcare

15. XI. MHSUD Drop-in Centers
Recovery Avenue (RAVE)
All staff Peer Specialists
Recovery and IL Philosophy based
Consumer Advisory Committee
Give direction to administration regarding RAVE

16. Wisconsin Resources www.wicps.org
Wisconsin Certified Peer Specialist Code of Ethics
Wisconsin Certified Peer Specialist Scope of Practice
Wisconsin Certified Peer Specialist Core Competencies
Employer Toolkit
ILC Self Assessment

17. Questions? Comments?