142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Peer-Run Crisis Respites: Service Use and Recovery Outcomes and Implementation Lessons Learned

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 2:50 PM - 3:10 PM

Yana Jacobs, MFT , Santa Cruz County Mental Health, Santa Cruz, CA
David Hughes, Ph.D. , Human Services Research Institute, Cambridge, MA
Peer-run crisis respites offer short-term residential peer support to publicly funded mental health service users who are experiencing self-defined crises. One program goal is to provide the level of proactive support that will prevent acute psychiatric crises that might otherwise lead to hospitalization. Peer-run crisis respites offer a range of services and supports, physical health, wellness and the integration of physical and behavioral health care. This presentation will describe the program design, preliminary evaluation results, and lessons learned from one peer-run crisis respite program in California. The program is staffed entirely by individuals with lived experience of mental health issues trained in Intentional Peer Support, a trauma-informed service delivery paradigm emphasizing mutuality, reciprocity, and growth. Preliminary analyses have found that respite use is associated with positive recovery outcomes and a decreased likelihood of using inpatient and emergency services compared to similar individuals receiving mental health services. The presentation will cover important implementation considerations, including issues related to staffing, coordination with the behavioral health system, and financing and sustainability. The presentation will close with a discussion of how peer-run respites fit within the priorities of the Affordable Care Act, including how more appropriate supports and preventive interventions can contain cost while improving health outcomes, and considerations in financing these types of community-based supports given new funding models.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Social and behavioral sciences

Learning Objectives:
Describe the preliminary service use and recovery outcomes for participants in one peer-run crisis respite program. Discuss lessons learned from operating one peer-run respite program. Understand how peer-run respites relate to the Affordable Care Act.

Keyword(s): Self-sufficiency and Empowerment, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: David Hughes PhD, is the Senior Research Specialist for the SAMHSA-funded evaluation of the Santa Cruz Peer Respite Program. David is a Vice President at HSRI, and has worked for over 20 years on behavioral health projects related to services research, mental health recovery measures, evidence-based practices, social inclusion and the intersection of the mental health, substance abuse and criminal justice systems. David was the Technical Assistance Manager, Mental Health Transformation Grantee Project/Center for Medicare-and-Medicaid-Services.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.