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Authors Posts by Jim Sharp

Jim Sharp

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The Legal Action Center (LAC) will host a stakeholder meeting to discuss the recent amendments to 42 CFR Part 2, the federal privacy and confidentiality rule for substance use disorder (SUD) treatment records, from 2:00 pm – 3:00 pm on Thursday, February 29, 2024. Stakeholders, including directly impacted individuals and their loved ones, addiction treatment providers, healthcare professionals serving people with SUD, and legal and policy advocates, are encouraged to participate. The meeting will focus on the implications of the final rule, with insight from LAC attorneys. Registration is required. For more information on the final rule, visit LAC’s website.

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PA Family Support Alliance (PFSA) offers virtual mandated reporter training for Pennsylvania’s mandated reporters, with three options available. Approved by the Department of Human Services, the Department of Education, and the Department of State for health-related licenses, these three-hour sessions cover recognizing and reporting child abuse, responding to disclosures, and understanding neglect. They’re also eligible for Act 31 and Act 48 credits.

Visit here to register for a preferred training date and time. Each participant must log in separately to receive credit. For inquiries or to schedule an organization-specific session, contact PFSA via email. You can also contact RCPA Policy Director Jim Sharp with any further questions.

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The Vital Role of Peer Support Specialists During a Mobile Crisis Visit

In times of crisis, the need for immediate and comprehensive behavioral health support is paramount. Mobile crisis visits play a crucial role in addressing urgent situations, and the integration of certified peer support specialists during these visits is proving to be a transformative approach.

Certified peer support specialists bring a unique skill set with lived experience to support their work, which builds client rapport and trust. This contributes to filling the behavioral health therapy gap during mobile crisis interventions, giving a client the tools they need to continue care, and providing a road map that supports the recovery journey.

BHL has compiled a list of six reasons why certified peer support specialists should always be integrated as part of your mobile crisis team:

  1. Lived experience: A beacon of understanding in crisis – Peer support specialists bring a profound sense of empathy and understanding to mobile crisis visits through their lived experiences. Having faced their own mental health challenges, they create a connection with individuals in crisis, offering a beacon of hope and shared understanding in times of extreme vulnerability.
  2. Skill building and coping strategies: Immediate support for crisis moments – Crises demand immediate coping strategies. Peer support specialists are adept at providing on-the-spot skill-building exercises tailored to the individual’s needs. These practical approaches help individuals navigate the intensity of the crisis and lay the foundation for continued coping beyond the immediate moment.
  3. Cultural competency: Addressing crisis with sensitivity – Cultural competency becomes even more critical in crises. Peer support specialists, often possessing diverse backgrounds and experiences, can navigate the intricacies of cultural differences with sensitivity. This ensures that crisis interventions are culturally sensitive, fostering trust and effective communication during these challenging moments.
  4. Complementary support: Augmenting crisis intervention teams – Integrating peer support specialists into mobile crisis intervention teams enhances the overall support provided. Their unique perspective adds a complementary layer to the skills of behavioral health professionals, creating a more holistic and adaptable response to crises.
  5. Community integration: Building supportive networks amid crisis – Crisis moments can be isolating, exacerbating feelings of loneliness. Peer support specialists work towards community integration even during crisis visits, encouraging individuals to reconnect with their support networks. This emphasis on community reinforces the importance of social connections in the recovery process.
  6. Advocacy and guided navigation: Navigating the crisis landscape – Navigating a mental health crisis can be overwhelming. Peer support specialists act as advocates, guiding individuals through the crisis landscape. Their presence ensures that individuals receive the necessary support during and after the crisis, facilitating access to appropriate resources and services.
  7. In the urgent and sensitive realm of mobile crisis visits, peer support specialists emerge as invaluable allies. Through their lived experiences, skill-building capabilities, cultural competency, complementary support, community integration efforts, and advocacy, these specialists significantly fill the behavioral health therapy gap during critical moments. As we continue to prioritize immediate and holistic mental health care, the integration of peer support specialists in mobile crisis interventions proves to be a pivotal step towards a more compassionate and effective crisis response system.

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The Pennsylvania Department of Human Services Office of Mental Health and Substance Abuse Services (OMHSAS) Mental Health Planning Council (MHPC) will host its quarterly meeting on Tuesday, February 20, 2024. The meeting will feature committee meetings for adults, older adults, and children, as well as a joint session. Details for accessing each session remotely are provided below:

  • Children’s Committee:
    • Time: 10:00 am – 12:00 pm
    • Access Code: 2631 909 4263
    • Webex Link
    • Password: fnQK8Tvb2w4
    • Phone: 1-415-655-0001
  • Adult Committee:
    • Time: 10:00 am – 12:00 pm
    • Access Code: 2633 120 2679
    • Webex Link
    • Password: q7NFKxgYp72
    • Phone: 1-415-655-0001
  • Older Adult Committee:
    • Time: 10:00 am – 12:00 pm
    • Access Code: 2631 734 4409
    • Webex Link
    • Password: ASnju542NBg
    • Phone: 1-415-655-0001
  • Networking Lunch:
    • Time: 12:00 pm – 12:30 pm
    • Note: Each Committee Session meeting (Older Adult, Adult, and Children’s) will remain open until 12:45 pm for optional networking. Please note, OMHSAS staff may not be available consistently throughout the entire networking time.
  • Joint Session:
    • Time: 12:45 pm – 3:00 pm
    • Access Code: 2634 353 5963
    • Webex Link
    • Password: BJjxPx6FP53
    • Phone: 1-415-655-0001

Attendees are not required to pre-register or create an account to attend the MHPC meetings. However, it’s recommended to test the Webex program prior to the meeting and log in 10 minutes early. Phone-only participants can use *6 to mute/unmute and *9 to “raise their hand” to speak. For any questions, please email OMHSAS. If you have additional questions, please contact RCPA Policy Director Jim Sharp.

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The Department of Drug and Alcohol Programs (DDAP) has issued Licensing Alert 03-2024, effective immediately, which introduces updated guidance on complying with Act 66 of 2023, signed into law by Governor Shapiro in December. The guidance specifically outlines all regulatory flexibilities for SUD treatment facilities enabled through the law and describes the process for project directors to notify DDAP of their intent to use any of these flexibilities. In part, Act 66 allows:

  • An increase in staff-to-client ratio for adult nonhospital residential treatment and rehabilitation programs, from 1:8 to 1:12;
  • Certified Registered Nurse Practitioners (CRNP) and Physician Assistants (PA) to serve as counselors;
  • Individuals lacking previous clinical experience to still qualify as counselors if they possess a bachelor’s or associate degree in relevant fields or hold a current Registered Nurse license; and
  • Facilities to hire up to three counselor assistants for each staff person meeting clinical supervisor or counselor qualifications.

Additionally, the alert underscores the importance of continued compliance with other regulations, such as clinical supervisor ratio requirements, counselor assistant supervision, and evaluation requirements. For additional questions, contact the Bureau of Program Licensure.

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Photo by Markus Winkler on Unsplash

The Department of Drug and Alcohol Programs (DDAP) has issued Licensing Alert 02-2024, effective immediately, to inform opioid treatment programs (OTP) about the recent final rule issued by the Substance Abuse and Mental Health Services Administration (SAMHSA) on February 2, 2024, concerning medications for the treatment of opioid use disorder (OUD). RCPA issued an alert to its members on February 1 announcing the final rule.

This rule modifies and updates regulations pertaining to OTP accreditation, certification, and standards for the treatment of OUD. The most crucial aspects of SAMHSA’s final rule include the permanent adoption of COVID-19 era flexibilities, allowing patients to receive more take-home doses of methadone, which is proven to enhance treatment retention and reduce illicit opioid use. The update also permits the initiation of methadone and buprenorphine treatment via telehealth through OTPs and removes stringent admission criteria, thereby improving access to care for individuals in need.

DDAP is currently reviewing the final rule, set to take effect on April 2, 2024, with a compliance deadline of October 2, 2024, and plans to issue a follow-up Licensing Alert soon. For further information, contact the Bureau of Program Licensure.

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The Pennsylvania Commission on Crime and Delinquency (PCCD) requests your assistance to complete, and further disseminate, a survey that will assist the Juvenile Justice and Delinquency Prevention Committee (JJDPC) and PCCD gather relevant information related to current resources and gaps in local diversion policy, practices, and programming. The utilization of diversion policies, practices, and programs, in appropriate cases, can reduce the impact of formal involvement with the juvenile justice system for youth who commit minor offenses, while ensuring balanced and restorative justice.

PCCD recognizes the importance of capturing feedback from their stakeholders. Please complete the below survey and feel free to forward the survey link to any stakeholder you deem appropriate. This survey should take no longer than 10 minutes to complete. Your participation is extremely important, as results from the survey will help shape effective strategies and drive positive change in our approach to diversion. The information collected through this survey may also be used to make future funding and policy recommendations to the JJDPC.

The survey link can be found here. The survey will remain open until the close of business on February 29, 2024. Please contact PCCD staff, Teresa Wilcox, via email with any questions or assistance in completing the survey.

Thank you in advance for your time and assistance. PCCD looks forward to receiving your important feedback.

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