Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO:
KRS
200.505,
210.010,
210.040,
210.370-485,
222.211
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
194A.050(1) requires the
secretary of the Cabinet for Health and Family Services to promulgate
administrative regulations necessary to protect the health of Kentucky citizens
and to implement programs mandated by federal law or to qualify for the receipt
of federal funds.
KRS
210.450 requires the secretary to promulgate
administrative regulations governing qualifications of personnel and standards
for personnel management for community programs for mental health or
individuals with an intellectual disability.
KRS
222.211 authorizes the secretary of the
cabinet to promulgate administrative regulations to assure that there is the
provision of prevention, intervention, and treatment services for both
juveniles and adults to address the problems of addiction to alcohol and other
drug abuse within individuals, families, and communities. This administrative
regulation establishes the minimum eligibility, training, and supervision
requirements for a Kentucky family peer support specialist.
Section 1. Definitions.
(1) "Child-serving agency" means an agency
represented by the State Interagency Council.
(2) "Client" means a child or youth with a
mental health, substance use, or co-occurring mental health and substance use
disability whose parent or family member is receiving family peer support
services on behalf of the child or youth.
(3) "Core competency" means the knowledge and
skills in Section 3(3) of this administrative regulation that an individual
must demonstrate in order to successfully complete the Kentucky family peer
support specialist training.
(4)
"Department" means the Department for Behavioral Health, Developmental and
Intellectual Disabilities.
(5)
"Kentucky Family Leadership Academy" or "KFLA" means a prerequisite training to
a KFPSS core competency training designed for parents, family members,
caregivers, and youth leaders that fosters initial leadership
development.
(6) "Kentucky family
peer support specialist" or "KFPSS" means an eligible parent, or other family
member who has fulfilled the requirements in Section 2 of this administrative
regulation.
(7) "Lived Experience"
means the experience of a parent or other family member in navigating the
receipt of services and supports for a child or youth that are directly related
to that child's or youth's mental health, substance use, or co-occurring mental
health and substance use disability as defined in the current edition of the
American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders (DSM).
(8) "Regional
community mental health center" or "CMHC" means the board established by
KRS
210.380 and governed by
KRS
210.370 to
210.485.
(9) "State Interagency Council" is defined by
KRS
200.505.
(10) "Training curriculum" means a total
package of learning activities designed to achieve the goals of the training
program with:
(a) The objective that trainees
will acquire the specific knowledge and skills (competencies) needed to perform
the duties of a Kentucky peer support specialist; and
(b) Four (4) primary components, including:
1. Content or information to be transmitted,
including:
a. Theoretical framework;
b. Conceptual rationale;
c. Best standards of practice;
d. Application to direct practice;
and
e. Congruence between and
within sections;
2.
Organization of the curriculum, including structure, format, and sequencing,
incorporating:
a. Concordance with the
natural learning process;
b. Design
of each section linked to specific learning objectives, with adequate time
provided for each;
c. Linkages
between sections;
d. Knowledge and
skills that are conceptually related, or that are performed together on the
job, are taught together; and
e.
Retention and understanding facilitated by principles of sequencing (from
simple to complex, from the universal to the exception, and from fundamental to
more refined applications) and repetition;
3. Training methods appropriate to adult
learners in an applied setting, in each section or topic area, including:
a. Discussion to promote exploration and
understanding of the topic;
b.
Experiential exercises or simulations; and
c. Presentation of the same concepts using a
variety of learning strategies (for example, hearing, seeing, modeling, and
then practicing) to ensure that trainees with different learning styles can
assimilate the knowledge; and
4. Evaluation methods, including:
a. Trainee knowledge assessment through
testing, with achievement of a passing aggregate assessment score of at least
seventy (70) percent; and
b.
Trainee performance reviews of trainers.
Section 2.
Eligibility Criteria. A family peer support specialist shall:
(1) Be eighteen (18) years of age or
older;
(2) Be a self-identified
parent or other family member who has lived experience with a client who has
received services related to a mental health, substance use, or co-occurring
mental health and substance use disability from at least one (1) child serving
agency;
(3) Have a minimum
educational requirement of a high school diploma or General Equivalency Diploma
(GED) certificate;
(4) Have
successfully completed a KFLA training approved by the department;
(5) Successfully complete a KFPSS core
competency training approved by the department or receive a training waiver for
this requirement in accordance with Section 5 of this administrative
regulation; and
(6) Successfully
complete, maintain, and submit to the department documentation of a minimum of
six (6) hours of related training or education in each subsequent
year.
Section 3.
Department's Responsibility.
(1) The
department shall, within twenty (20) business days, approve or deny a KFLA
training based on a standard fifteen (15) hour training curriculum that is
submitted to the department using the department's Web site, that includes at a
minimum:
(a) Leadership roles;
(b) Communication skills;
(c) Decision making skills;
(d) Dealing with conflict;
(e) Effective advocacy; and
(f) Collaboration and partnership.
(2) The department shall maintain
a record of all approved training providers on the department's Web
site.
(3) The department shall,
within twenty (20) business days, approve or deny at least a thirty (30) hour
training curriculum to provide KFPSS core competency training based on a
standard training curriculum that includes the following:
(a) Problem solving;
(b) Wellness recovery action plan;
(c) Stages in the recovery process;
(d) Effective listening skills;
(e) Establishing recovery goals;
and
(f) Using a support group to
promote and sustain recovery;
(4) Providers of approved KFPSS and KFLAA
curricula shall notify the department within twenty (20) business days of a
trainee's successful completion of a training program.
(5) The department shall maintain a record of
all individuals who have successfully completed an applicant's successful
completion of the KFPSS and KFLA training or who have received a training
waiver in accordance with subsection (6) of this section and Section 5 of this
administrative regulation.
(6) The
department shall review all requests to waive the training requirement and may:
(a) Approve, in writing, the request based on
the documentation provided by the individual; or
(b) Deny, in writing, the request if the
individual fails to demonstrate compliance with any portion of this
administrative regulation.
Section 4. Kentucky Family Peer Support
Specialist Responsibilities. A Kentucky family peer support specialist shall:
(1) Use relevant personal stories to teach
through experience;
(2) Serve as a
role model for clients and their families;
(3) Encourage client and family voice and
choice during development and implementation of plans;
(4) Support clients and their families by
attending team meetings with them upon request;
(5) Empower a client and family to have the
confidence to be self-advocates;
(6) Help providers or other individuals who
are working with a client's family understand the importance of integrating
family and youth voice and choice in services and supports within a system of
care;
(7) Help clients and families
enhance relationships with community partners; and
(8) Complete and maintain documentation of a
minimum of six (6) hours of related training or education in each subsequent
year after successful completion of the family peer support specialist training
or receipt of waiver, and shall submit a list of all trainings in which the
family peer support specialist participated, the provider or presenter of the
training, and the number of hours of each training to the department every
three (3) years. The submission due date shall be the last day of the month of
which the family peer support specialist's initial training completion or
waiver receipt was completed.
Section
5. Request to Waive the Family Peer Support Specialist Training.
(1) An individual may request to waive the
family peer support specialist training by providing documentation to the
department on the department's Web site:
(a)
Of completion of a family peer support specialist training sponsored by a
federal entity or by another state with core competencies consistent with that
of the Kentucky family peer support specialist training; and
(b) To show that the training has occurred
within five (5) years before the waiver request date.
(2) The department shall review all requests
to waive the training requirement and shall, within twenty (20) business days:
(a) Approve, in writing, the request based on
the documentation provided by the individual; or
(b) Deny the request in writing if the
individual fails to demonstrate compliance with any portion of this
administrative regulation.
(3) If an individual is denied a training
waiver, the individual may complete the Kentucky family peer support specialist
core competency training in accordance with the requirements in Section 3(3) of
this administrative regulation.
Section 6. Supervision of a Family Peer
Support Specialist.
(1) Kentucky family peer
support services shall be provided under the supervision of one (1) of the
following professionals:
(a)
Physician;
(b)
Psychiatrist;
(c) Advanced practice
registered nurse;
(d) Physician
assistant;
(e) Licensed
psychologist;
(f) Licensed
psychological practitioner including certified psychologist or certified
psychologist with autonomous functioning;
(g) Licensed clinical social
worker;
(h) Licensed professional
clinical counselor;
(i) Licensed
marriage and family therapist;
(j)
Licensed psychological associate;
(k)
Marriage and family therapy associate;
(l) Certified social worker;
(m) Licensed professional counselor
associate;
(n) Licensed
professional art therapist;
(o)
Licensed professional art therapist associate;
(p) Professional equivalent working in a
regional community mental health center;
(q) Licensed clinical alcohol and drug
counselor;
(r) Licensed clinical
alcohol drug and counselor associate;
(s) Certified alcohol and drug counselor;
or
(t) Psychiatric nurse working in
a Community Mental Health Center.
(2) Supervision meetings between the
supervising professional and family peer support specialist shall:
(a) Be conducted face-to-face;
(b) Occur no less than twice per month, at
least one (1) of which shall be individual;
(c) Be at least thirty (30) minutes in
length; and
(d) Be documented in
accordance with subsection (3) of this section.
(3) The supervising professional shall
maintain a written record of supervision that:
(a) Is dated and signed by a KFPSS and
supervisor for each meeting; and
(b) Includes a description of each meeting
that specifies:
1. The topic
discussed;
2. Specific action to be
taken;
3. An update for an issue
that required follow-up; and
4. A
plan for additional training needs if any were identified.
STATUTORY AUTHORITY:
KRS
194A.030,
194A.050,
210.450,
222.211