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How to Turn Behavioral Health Funding into Measurable Patient Outcomes
California’s recent proposal to implement a 1-nurse-to-6-patient staffing ratio at psychiatric hospitals has sparked widespread concern across the behavioral health system. The emergency regulations are set to take effect as early as June 1, and facilities that fail to meet the new thresholds...
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Strengthening Behavioral Health Through Peer Services: Advancing Recovery Across the Continuum of Care
Recovery from addiction is often strengthened through connection with others who have lived experience. Across New York State, peer professionals - individuals with lived recovery experience - are playing an increasingly important role in behavioral health services. Through strategic policy...
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Meeting Crisis With Connection: The Power of Peer Specialists on Mobile Crisis Teams
Over the past several years, New York City has increasingly shifted toward community-based responses to behavioral health crises. In the past, individuals experiencing psychiatric emergencies were often limited to hospital emergency departments or interactions with law enforcement. While those...
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From Awareness to Action: How SAFE Workplace Mental Health Training Helps Workplaces Recognize, Respond, and Connect
Workplace mental health challenges are often visible long before they are addressed. Changes in mood, attendance, communication, focus, or behavior may signal that an employee is struggling, yet many workplaces lack a clear and practical way to respond. Supervisors and coworkers are not trained...
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Behavioral Health News Spotlight on Excellence: An Interview with Mary Brite, COO of Outreach Development Corporation, on Staying Mission-Driven Through Continuous Change
Overview In this interview, Mary Brite, Chief Operating Officer of Outreach Development Corporation, discusses how behavioral health leaders can navigate continuous change by anchoring to mission clarity, building strong organizational structures, and fostering a culture of listening,...
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Supporting Recovery Through Peer Services: How Community-Based Support Helps People Reconnect, Heal, and Thrive
Peer services are often described as supportive, but at their best, they are transformational. Recovery is rarely a straight line, and it rarely happens in isolation. For many people living with mental health or substance use challenges, progress is shaped not only by treatment, but also by...
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Peer Services in Behavioral Health: New York State Leading the Way
Individuals with lived experience with mental illness have a unique perspective that can play a crucial role in helping others on the path to recovery. A key facet of reaching and forming bonds with individuals seeking support is the strong connection peer support workers offer. We have made...
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Bridging Families and Systems: Family Peer Support in Children’s Mental Health Services
As soon as one learns that they are going to be a parent, the planning and preparation begins. It is a new journey. A journey that does not necessarily come with a handbook of how-tos, sure there are books, resources, literature etc. that can ‘guide’ you but there really isn’t a one tell all...
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Implementation of Peer Support Roles in Street Medicine and Outreach: Challenges and Possibilities
“We’re not here to belittle you. We’re not here to down talk you. We’re not here to tell you what you should or shouldn’t be doing because that’s not our place.” - Lavaughn Johnson, Peer Navigator at ReVive Center for Housing and Healing At the intersection of homelessness and...
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How Psychiatric Office Support Directly Improves Mental Health Treatment Outcomes
When we evaluate why a patient improves or doesn't, we tend to focus on the method itself. Was the medication the right fit? Was the TMS protocol appropriately calibrated? Was the ketamine dosage well-tolerated? These are the right clinical questions to ask. But the quality of support surrounding...
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Lived Experience, Lasting Impact: The Role of Peer Support in Mental Health Intensive Outpatient Programs
Beginning an Intensive Outpatient Program (IOP) is not just about addressing symptoms. Many participants enter treatment carrying uncertainty about the process, wondering whether it will work and how they will manage future challenges. Even with strong therapeutic relationships and...
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Integrating Peer Professionals in Complex Behavioral Health Systems
NYC Health + Hospitals, the nation’s largest municipal health care system and New York City’s largest behavioral health provider, serves individuals with complex behavioral health and social needs including homelessness, justice involvement, and chronic medical conditions. In this landscape,...
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Integrating Peers in CCBHCs: The Power of Lived Experience
Certified Community Behavioral Health Clinics (CCBHCs) have shifted the way we approach treatment and the delivery of behavioral health services. Those who hold the designation of CCBHC have been tasked with providing a person-centered model that combines mental health services, substance use...
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Overcoming Barriers to Integrating Peer Support in Mental Healthcare Systems
Peer support is one of the most promising approaches in behavioral health, demonstrating measurable improvements in recovery outcomes for people living with serious mental illness. Yet despite decades of research and growing policy support, peer specialists remain underutilized across many...
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Peer Support in Practice: Workplace Strategies and Professional Development
The field of peer support is quickly gaining prominence and visibility across the domains of behavioral health and substance use services. Georgia was the first state to provide Medicaid-billable mental health peer services in 1999 - it was not until 2012 that Medicaid billing was authorized for...
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Transforming Crisis Response: Direct EMS Radio Access for Peer Support Teams in Marion County
Behavioral health crises require rapid response, specialized support, and seamless coordination across emergency systems to minimize unwanted outcomes. Yet, in many communities, traditional Emergency Medical Services (EMS) workflows delay behavioral health intervention until after transport or...
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The Peer Advocate: Role Model, Listener, and Problem Solver for Older Adults
Peer Advocates have changed the way that we practice behavioral healthcare at Service Program for Older People (SPOP) – and have changed the lives of the older adults we treat. SPOP is a community-based behavioral health provider for older adults (55+) based in New York City. We serve...
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A Brief History of Peer Support and its “Integration” into Behavioral Healthcare: The Uneasiest of Bedfellows
The proliferation of peer services throughout the behavioral healthcare and social welfare systems has transformed them in ways their progenitors might not have anticipated. The peer support and recovery movements originated in eighteenth-century France under the auspices of Phillipe Pinel and...
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Addressing Workplace Stigmatization of Peer Colleagues Through Institutional Courage
It is well documented that people with mental illness and substance use disorders (MI/SUD) are stigmatized across all levels of society. So, it is not a surprise that peer support specialists regularly experience stigmatization in the workplace, including negative messages from colleagues about...
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Your Leadership Style Will Shape Your Organizational Culture
Organizational culture is the collection of values, beliefs, and attitudes that shape the way a firm operates, that is, how its people think, feel, and act (Gutterman, 2025). Organizational culture can evolve, but it is not accidental. It is shaped and sustained by its leadership (Jaiyeola et al.,...
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Peer Supervision: A Model for Enhanced Vocational and Emotional Support
For many of us in the field of mental health and substance use disorder, the idea of peer services feels like a new and welcome change that brings with it equity and a workforce with a more complete perspective on lived experience. Many people are surprised to learn that peer services have a...
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From Access to Engagement: Reimagining the Consumer Experience in Behavioral Health
Behavioral health systems have made significant strides in expanding access to care. Peer services have grown across outpatient clinics, crisis teams, Certified Community Behavioral Health Clinics (CCBHCs), and substance use treatment programs. Telehealth has normalized remote care. Patient portals...
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Addiction Recovery: The Role of Peer and Alumni Support
Behavioral health care has made meaningful progress in evidence-based treatment, yet one of the most persistent challenges remains what happens after discharge. Recovery does not end when a person leaves residential care. In many ways, that is when real-world pressure begins. The transition...
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City Voices: A Peer‑Run Legacy of Connection, Recovery, and Community
In 1995, a man named Ken Steele began what he described as his recovery from a “30‑year schizophrenic odyssey.” His story stretched across the United States — from Hawaii to New York City — through periods of homelessness, halfway houses, and profound disconnection. Everything changed...
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Beyond Boundaries: Oh, the Places Peer Support Can Go!
Peer support has always been bigger than the box systems tried to paint it in. Long before it was codified, credentialed, or added into service plans, it was ordinary folk reaching for one another—standing in the front, behind and to the side of each other sharing hard-earned wisdom, offering...
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Strengthening Peer Services in Behavioral Health: Operational Considerations for Sustainable Integration
As a Licensed Marriage and Family Therapist (LMFT) and Behavioral Health Care Manager working within integrated care systems, I regularly see how deeply relationships and social environments shape an individual’s worldview, self-confidence, and sense of safety in the world. Recovery does not...
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Strengthening Peer Services Through Partnership
The expansion of peer-delivered services is one of the most significant developments in behavioral health over the past decade. What was once a rare, little-known role has become mainstream. A 2024 report by the Peer Recovery Center of Excellence estimated that more than 100,000 individuals...
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Implementing and Sustaining Peer Support: The Recovery Workforce Learning Collaborative (RWLC)
The integration of peer recovery support specialists represents a significant shift in behavioral health systems. Peers offer unique perspectives and authenticity that strengthen recovery-oriented systems of care (Davidson et al., 2021). Drawing on lived experience, they bring insights that support...
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Measuring What Matters in Peer Support: Using Competencies and Fidelity to Strengthen the Workforce
Introduction: The Next Phase of Peer Support Development Peer support, a cornerstone of recovery-oriented behavioral healthcare, is a rapidly expanding service model nationally. Delivered by individuals with lived experience of mental health challenges, substance use, trauma, or disability, peer...
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The Power of a Peer Specialist: Sharing Lived Experience to Support Recovery
“It is people who go through suffering that have an empathy for the suffering of others.” - Mary Robinson The Journey Traveling through suffering is best shared. Learning from suffering and being able to pass on knowledge is a blessing. Working with mental health consumers, I can see...
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Centered in Lived Experiences: Peers Reshape Engagement in California’s CARE Court
Living with the symptoms of a serious mental illness can feel isolating and debilitating. It can also breed distrust, which makes it difficult to accept services and support. These challenges were top of mind when the CARE Act launched in Los Angeles in December 2023, establishing a civil court...
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Substance Use Disorders: Supporting Individuals in Early Recovery Through Peer-Led Services
The first days and weeks of recovery from a substance use disorder are among the most precarious in any individual’s health journey. Detoxification has been completed, the immediate crisis has passed, and now the real work begins: rebuilding a life without substances. Yet this is precisely when...
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Supporting Peer Mentoring as a Bridge to Campus Belonging
Across colleges and universities, students are experiencing increasing mental health challenges while simultaneously navigating the social, academic, and developmental demands of campus life. For many students, the transition to college represents their first time living independently, managing...
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The Value of Being Seen: Acknowledging the Importance of Shared Identities and Lived Experiences
It is a well-known fact that our traditional mental health care system has experienced a strain over the past six years. Not only are there ongoing needs for services across communities, but also an ongoing staffing crisis that impedes the successful delivery of those services. Mental health...
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The Need for More Effective Approaches to Mental Health Crises
Law enforcement officers are most often the first responders when individuals are experiencing a mental health crisis. Some research studies have estimated that at least 20% of police service calls involve a mental health or substance use crisis, and this demand has been increasing for many...
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Peering In: A Look at Mental Health Peer Providers and How They Help People Recover
I believe that recovery is possible. Not just for me, but for EVERYONE. Does this mean that everyone recovers? No, because not everyone is taught the skills to recover. Also, once a person learns the skills, they must choose to use them. My peer specialist colleagues and I can give you a flashlight...
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Peer Specialist, Heal Thyself: Recovery at Age 75 is Not Too Late
The Dream Scene I Psychiatrist X: We’ve got you covered…. Psychiatrist Y: Smothered Psychiatrists X and Y: And if you don’t perform, we’ll make you permanent. Me: Let me out of here and we’ll all be free. Scene 2 Social Worker Z: We’re cancelling the group...
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The Power of Peer Support: Walking Alongside Someone Towards Recovery
I remember the nights I’d cry, looking in the mirror, not recognizing the girl I was looking at. I wanted and needed a way out. With so much shame and stigma around substance use and mental health, I did not know how to ask for help. The process of calling detoxes and getting certain documents...
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The Invisible Adverse Childhood Experience (ACE): Parental Mental Illness
Children rely on their parents for so many things, such as learning how to tie your shoes, respect your elders, and navigate relationships with friends. Parents are often the first to celebrate their kids’ joys and support them with the challenges of life. Parents teach and role model through...
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An Ecological Perspective on Policing and Behavioral Health
The ecological model helps us understand how people’s environments—from family systems to institutions like policing—shape behavioral health outcomes. Environmental determinants help explain how systemic and structural conditions contribute to mental health disparities. This article examines...
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Healing, Growth, and Purpose: Becoming a Peer Specialist
On January 14, 1980 (my birthday) I sat at a drafting board at Island Drafting and Technical Institute in Amityville, New York, beginning my journey as a mechanical draftsperson. One thousand hours later, I earned my certification and was placed through the school's employment services at an...
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“I Should Be Able to Handle This”: How Internalized Stigma Silences Moms
There’s a shared assumption in health care that if we make services more accessible, patients will use them. It’s the foundation of many well-intentioned interventions: Add depression screening to the six-week postpartum visit, embed a therapist in the OB/GYN clinic, expand access through...
