Multiple Pathways Identified (Core Competencies: 1.1; 1.2; 1.11; 2.2; 2.5; 2.6; 3.1; 3.3; 4.4; 4.11; 4.12; 4.18; 4.19) There exists a wide range of available recovery services and supports for people with mental health and substance use challenges. Certified peer specialists need general knowledge of what exists to provide relevant information, resources, and advocacy to meet a peer’s needs. Various supports for recovery, wellness, and a life of meaning are briefly described. Pathways within those routes are explored with the peer. Private health care system Services provided within the private health care system are typically linked to reimbursement for medically necessary services that are covered by health insurance. Services are most often provided in the context of a formal clinic or hospital linked to a specific insurance system. Private insurance is obtained either through a person’s employer, purchased through the marketplace exchange, or through Medicare. Services are most frequently provided by psychiatrists, psychologists, physicians, and other licensed medical clinicians. • Outpatient treatment services are provided in both substance use and mental health and represent the most widely accessed and utilized treatment level. These services are provided in weekly, biweekly, or monthly sessions with individual, group, or family treatment modalities. • Intensive outpatient programs for mental health or substance use involve at least 12 hours of weekly services in group and individual sessions. • Day treatment/partial hospitalization programs are provided for both substance use and mental health treatment. • Residential treatment programs exist within medical facilities, and sometimes in community-based settings, and are generally targeted toward specific diagnoses (substance use disorders, eating disorders, mood disorders, trauma disorders, etc.). Residential treatment programs are generally a more restrictive setting than outpatient services, intensive outpatient programs, and day treatment or partial hospitalization, but less restrictive than inpatient hospitalization. • Inpatient hospitalization are highly intensive treatment experiences that last from days to several weeks. Inpatient hospitalization can be costly. Treatments within the health care system • Evidence-based practices are psychologically and socially based services that research shows are repeatedly effective. Evidence-based practices can be provided within an individual or group setting as well as with couples and families. Examples
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