Hardin, P., Padron, J., (2014). Ed., Dr. Ron Manderscheid; White Paper: US Peer Leadership & Workforce Development

In economics, the cycle of poverty is the “set of factors or events by which poverty, once started, is likely to continue unless there is outside intervention. Individuals living with mental health, substance abuse and physical health challenges represent a large portion of individuals living in chronic poverty.”

The implementation of the Affordable Care Act (ACA) and the health-activated social movement provide the integrated health community an exceptional opportunity to provide outside intervention.

Creating a peer-based leadership development model provides valued added supports to integrate the strengths of the behavioral health focused Certified Peer Specialists (CPS), substance abuse and addictions centered Recovery Coaches (RC) and physical health education and promotion geared Community Health Worker Promotoras (CHW).  The CPS, RC and CHW to pursue career alongside a Licensed Integrated Care Professional (LICP) (Hardin & Padron, 2014) to mentor, support and manage the peer provider workforce.

The proposed Lived Experience Professional (LEP) certification (Hardin & Padron, 2014) is designed for licensed healthcare professionals who embrace recovery practices, promote strength based, self-directed care, whole health and wellness models of care and are open to identifying as a person with lived experience.

A national Lived Experience Workforce Development Model (Hardin & Padron, 2014) establishes and legitimizes the lived experienced service provider as a healthcare occupation and should be recognized by the United States Department of Labor (DOL) and as a billable healthcare provider category through the Centers for Medicare and Medicaid Services (CMS) and managed care organizations (MCO).

Currently, at the federal and state-by-state level, the CPS, RC and CHW are Medicaid and Managed Care Organization(s) are capable of reimbursement for behavioral and physical integrated systems of care.  The authors propose a triage care model for the combination of peer based supports, substance abuse/addiction and physical health care chronic disease education, promotion and community outreach.

The CPS, RC and CHW work in a peer-led integrated care environment (e.g., health home or PCMH) utilizing a behavioral and primary care health and alternative healing treatment teams steeped in recovery oriented systems of care.  This financially sustainable model allowing for behavioral and physical health reimbursability and fully embedded peer services and supports (CPS, RC and CHW) in Federally Qualified Health Centers, Look-Alikes and a fee for service model leveraging MCOs.


Wednesday, June 18, 2014 3:30 PM – 4:30 PM EDT

 This TA-lk Webinar will inform and inspire, and show how to take action. The focus will be improving US peer leadership and US domestic workforce development utilizing Certified Peer Specialists (CPS), Recovery Coaches (RC), and Community Health Worker Promotoras (CHW), together with Licensed Integrated Care Professionals (LICP), in an integrated care environment via the Lived Experience Workforce Development model. It also will increase awareness of current innovative and emergent effective models, programs, initiatives, and services specifically designed for peers, persons in recovery, and those working in integrated care settings (e.g., Health Homes, Person Centered Medical Homes, Federally Qualified Health Centers).



Pam Hardin Head ShotPamela Hardin, MBA, M.Ed, Instructional Designer, State of Texas HHSC; Principal Investigator and Co-Author, “White Paper:  US Peer Leadership and Workforce Development”






dr ken minkoffKen Minkoff, MD, Clinical Assistant Professor of Psychiatry, Harvard University Medical School; Representataive, BRSS TACS Advisory Council, Representative, American Association of Community Psychiatrists; Senior Policy Partner, Meadows Mental Health Institute for Texas; Senior System Consultant, ZiaPartners, Inc., San Rafael, California





dr john brekke headshot

John Brekke, PhD, Professor,Frances G. Larson Professor of Social Work Research, University of Southern California School of Social Work







  •  US Certified Peer Specialists, Recovery Coaches and Community Health Worker Promotoras;
  • Peers and persons in recovery, current and past recipients of mental health and substance abuse services, and family members;
  • Peer-run and provider organizations;
  • Community- and faith-based organizations that support individuals with mental and substance use disorders;
  • State, county behavioral health departments;
  • Federally Qualified Health Centers and Look-Alikes;
  • Health Homes and Person Centered Medical Homes;
  • Policy makers and decision makers;
  • Integrated behavioral health and physical health care providers.

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Published by jen padron

Mover and a shaker. Comrade. Community Bridger. Creative. Filmica. Sentimentalist. Imminent. Emergent Social Action. Change Agent. Voted for Hillary (2008, 2016).

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