††††† 908 KAR 2:220. Peer specialist services.


††††† RELATES TO: KRS 200.503(2), 202A.011(12), 210.005(2), (3), 210.010, 210.040, 210.370-485

††††† STATUTORY AUTHORITY: KRS 12.455, 194A.030, 194A.050, 210.450

††††† NECESSITY, FUNCTION AND CONFORMITY: KRS 210.450 authorizes the secretary of the Cabinet for Health and Family Services to promulgate regulations governing qualifications of personnel, standards for personnel management operations and consultation in ascertaining local needs for community mental health and mental retardation programs. This administrative regulation establishes the minimum eligibility and training requirements for peer specialists.


††††† Section 1. Definitions. (1) "Applicant" means an individual seeking to complete the peer specialist training.

††††† (2) "Application" means completing the Kentucky Peer Specialist Training Application form and the Kentucky Peer Specialist Training Short - Essay Form and submitting them to the Department for Mental Health and Mental Retardation Services.

††††† (3) "Certificate" means a document verifying completion of the training requirements for peer specialists as outlined in this administrative regulation.

††††† (4) "Child with a severe emotional disability" is defined by KRS 200.503(2).

††††† (5) "Client" means an individual who receives services from any organization outlined in Section 8 of this administrative regulation.

††††† (6) "Community Mental Health-Mental Retardation Board" means the board established by KRS 210.380 and governed by KRS 210.370 to 210.485.

††††† (7) "Department" means the Department for Mental Health and Mental Retardation Services (DMHMRS).

††††† (8) "Paraprofessional" means an individual who does not meet the educational requirement for a mental health professional and who is working under the supervision of a Qualified mental health professional.

††††† (9) "Peer specialist" means a paraprofessional who has fulfilled the requirements of this administrative regulation.

††††† (10) "Qualified mental health professional" or "QMHP" is defined by KRS 202A.011(12).

††††† (11) "Severe mental illness" means the conditions defined by KRS 210.005 (2) and (3).


††††† Section 2. Eligibility. An applicant shall:

††††† (1) Have a current or past diagnosis of severe mental illness or a severe emotional disability;

††††† (2) Have received or be receiving treatment; and

††††† (3) Have a minimum educational requirement of a high school diploma or General Educational Development (GED) certificate.


††††† Section 3. Departmentís Responsibilities. The department shall:

††††† (1) Make application forms available through:

††††† (a) Written or verbal request to DMHMRS;

††††† (b) The DMHMRS website;

††††† (c) Community Mental Health - Mental Retardation Boards;

††††† (d) DMHMRS state operated or contracted facilities; and

††††† (e) Consumer and family organizations;

††††† (2) Provide notification of trainings to include:

††††† (a) Date;

††††† (b) Time; and

††††† (c) Place;

††††† (3) Provide training from a standard curriculum with the following core competencies:

††††† (a) The shift from maintenance to recovery;

††††† (b) The emergence of psychosocial rehabilitation as the road to recovery;

††††† (c) The role and conduct of a peer specialist in the recovery process;

††††† (d) Using oneís recovery story;

††††† (e) The power of negative program environments;

††††† (f) Creating program environments that promote recovery;

††††† (g) Beliefs and values that promote and support recovery;

††††† (h) Impact of diagnosis on oneís self-image;

††††† (i) Mental illness, diagnosis and medications;

††††† (j) Dissatisfaction as an avenue for change;

††††† (k) Facing oneís fears;

††††† (l) Combating negativity;

††††† (m) Problem solving;

††††† (n) The role of spirituality in recovery and stress reduction exercises;

††††† (o) Creating a wellness recovery action plan;

††††† (p) Stages in the recovery process;

††††† (q) Power, conflict, and integrity in the workplace;

††††† (r) Effective listening and the art of asking questions;

††††† (s) Determining oneís recovery goals;

††††† (t) Using support groups to promote and sustain recovery;

††††† (u) Accomplishing oneís recovery goals;

††††† (v) The building blocks of the recovery process; and

††††† (w) Co-occurring mental health and substance use disorders;

††††† (4) Provide each peer specialist a certificate of successful completion of the program;

††††† (5) Maintain documentation of the:

††††† (a) Application;

††††† (b) Competency examinations; and

††††† (c) Examination results; and

††††† (6) Maintain a database of names of peer specialists.


††††† Section 4. Peer Specialist Responsibilities. To become a peer specialist, an applicant shall:

††††† (1) Complete and submit an application for training to DMHMRS;

††††† (2) Complete the DMHMRS peer specialist training program;

††††† (3) Successfully complete the DMHMRS peer specialist examination; and

††††† (4) Complete and maintain documentation of a minimum of six (6) hours of job related training or education in each subsequent year of employment.


††††† Section 5. Request to Waive the DMHMRS Training Program. (1) An applicant may request to waive the DMHMRS Training Program. An applicant requesting a waiver shall provide the following:

††††† (a) Completion of the application;

††††† (b) Documentation of completion of a peer specialist program sponsored by another state with the core competencies of the DMHMRS training; and

††††† (c) Documentation that the training has occurred within five (5) years of the application date.

††††† (2) DMHMRS shall review all requests to waive the training requirement and may:

††††† (a) Grant, in writing, the request based on the documentation provided by the applicant; or

††††† (b) Deny, in writing, the request should the applicant fail to demonstrate compliance with any portion of this administrative regulation.

††††† (3) If an applicant is denied a training waiver, he or she may apply to complete the DMHMRS peer specialist training in accordance with Section 3 of this administrative regulation.


††††† Section 6. Supervision of Peer Specialist. Peer specialist services shall be provided under the supervision of a QMHP; and Face-to-face supervisory meetings shall occur no less frequently than once every two (2) weeks.


††††† Section 7. Scope of Services. A peer specialist shall:

††††† (1) Be a paraprofessional whose primary responsibility is to help clients achieve their own needs and goals;

††††† (2) Provide services which are structured scheduled activities that promote socialization, recovery, self-advocacy, preservation, and enhancement of community living skills for adults with severe mental illness or a child with a severe emotional disability; and

††††† (3) Openly share their recovery stories with clients.


††††† Section 8. Employment. A peer specialist may be employed by a:

††††† (a) Community Mental Health - Mental Retardation Board; or

††††† (b) State operated or contracted facility.


††††† Section 9. Incorporation by Reference. (1) The following material is incorporated by reference:

††††† (a) "Kentucky Peer Specialist Training Application", 2007 edition; and

††††† (b) "Kentucky Peer Specialist Training Short - Essay Form", 2007 edition.

††††† (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Department for Mental Health and Mental Retardation Services, 100 Fair Oaks Lane, Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m. (34 Ky.R. 689; Am. 1984; eff. 2-14-2008)