New National Standards for Peer Support Workers

States recognize the value that the peer workforce brings to behavioral healthcare and are exploring ways to support and advance these critical services” SAMHSA spokesperson

SAMHSA recently released national model standards for certifying peer support workers. The primary goal of improving standards and certification processes for peer support specialists is accelerating the universal adoption, recognition, and integration of the peer mental health workforce across domains of the healthcare system. SAMHSA collaborated with federal, state, tribal, territorial, and local partners, including peer specialists, to develop national standards inclusive of substance use, mental health, and family peer certifications. These standards aim to mitigate the behavioral health workforce shortage by improving quality and access to a natural, humanistic, and effective form of care that is currently underutilized. 

In March of 2022, President Biden announced his administration’s strategy to address our nation’s mental health crisis. This national mental health strategy seeks to strengthen system capacity, connect more Americans to care, and create a continuum of support — transforming our health and social services infrastructure to address mental health holistically and equitably. A major goal within this systemic strategy is facilitating the adoption and implementation of a broader and versatile peer support workforce across the spectrum of healthcare sectors.

Peer support services have gained recognition over the past several decades as a vital component of mental and behavioral health services. Peer support workers use their lived experience of recovery, combined with professional training and supervision, to assist people in initiating and maintaining recovery. Through shared understanding and mutual empowerment, peer support workers can fill the gaps in support that clinical care cannot reach. A robust body of empirical evidence support peer specialists’ effectiveness in a myriad of positive outcomes including increased treatment retention, improved access to social supports and other social determinants of health, as well as reduced misuse recurrence, criminal justice involvement, and recidivism to hospitalizations and residential treatment (see our prior post for references). These benefits would not only improve care and health outcomes but also significantly lower the overall cost of behavioral healthcare.

The need for standardized national standards arises from the growing demand for consistency, competence, and accountability in this evolving field. These standards act as a benchmark — ensuring that individuals seeking peer support receive the highest quality of care, regardless of their location. Additionally, issues including reimbursement and state license requirements have set up barriers that organizations face when attempting to employ the peer workforce. While the new standards do not substitute for any state certification, their goal is to hasten universal adoption, recognition, and integration of the peer mental health workforce across the country. 

There are over 30,000 people who have overcome addiction and struggles with mental health that want to assist those who are currently struggling, Samir Malik, CEO of firsthand, told Behavioral Health Business. These national standards are a formative guide in the efforts to fulfill workforce gaps — and the growing need for peer support specialists to use their lived experience and versatile skillset to help individuals navigate their lives and stay on track with their self-directed goals and values. The model standards aim to standardize certification across the different forms of peer support — mental health, substance use, and family support — while recognizing the commonality and differences between them. SAMHSA outlines the education, hours of training, work experience, and examination requirements for peer support workers

The introduction of these new national standards on peer support certifications marks a significant milestone in the field of behavioral health services. These standards have the potential to elevate the quality, accessibility, reach, flexibility, and acceptability of peer support services — ensuring that individuals receive consistent, competent, and ethical care. As peer support continues to gain recognition and impact lives in its natural, humanistic form — the peer workforce will further solidify its position as an invaluable resource on the path to recovery and well-being.

Reach out to Manifesto directly at to learn more about how we can enhance your patients, members, or employees health and wellness for the long run.

Dr. Mullen's Dissertation Study: Mental Health Professionals’ Perception of Medications for Opioid Use Disorder

The DEA appears to have filed for a temporary extension of telehealth flexibilities for medications for opioid use disorder (MOUD) beyond the public health emergency.

Our Chief Clinical Officer & Cofounder, Dr. Patrick Mullen's study—recently published online in Philadelphia College of Osteopathic Medicine’s Digital Commons—may shed some light on why reinstating restrictions on MOUD is something we should reconsider:

  1. Medications for opioid use disorder work. The evidence is unequivocal: MOUD keep people alive and significantly improve treatment outcomes (with or without adjunctive therapy) *
  2. Currently, MOUD is markedly underutilized in opioid use disorder (OUD) treatment. Merely one-third of substance use disorder treatment centers offer any form of MOUD and only 30% of individuals with OUD (the small portion that are diagnosed and treated) receive any form of MOUD. *
  3. In this survey of OUD professionals (clinicians or researchers that work directly with individuals with OUD) aimed to examine characteristics of groups (clinicians vs. researchers, years of experience in the OUD field, and direct exposure to MOUD) in relation to their utility ratings of MOUD (how “helpful” they rated the use of MOUD in treating OUD)
  4. Statistically significant differences between groups were found. Researchers rated MOUD significantly more favorably than clinicians. Professionals with more than 10 years in the field rated MOUD more favorably than professionals with less than 10 years of experience.
  5. What do this study's results indicate? Researchers and longer-tenured professionals have more access, exposure, and contribution to the scientific literature as well as real-world experiences with the OUD population and are therefore more aware and supportive of the effectiveness of MOUD.
  6. The study’s results suggest that the perception of MOUD could be enhanced by an increase in training and education.
  7. Here are some suggestions: (a) Targeted training that emphasizes the efficacy of medications, portrays OUD as a treatable condition, and illuminates personal narratives of people who are effectively treated with MOUD; (b) Academic detailing that involves visits to health care providers by trained professionals who can provide tailored training and technical assistance specifically designed for MOUD education and; (c) Improvements in continued education requirements for SUD professionals and nonclinical support staff.
  8. While it is encouraging to see behavioral health startups (e.g., Workit Health, Eleanor Health, Quit Genius) aiming to improve access to MOUD, recent barriers demonstrate that the misguided stigma associated with OUD in general, and MOUD in particular, persist.

Find the full publication here: Dr. Mullen's Dissertation Transcript

Why Does Recovery Capital Matter Now More Than Ever?

Recovery Capital (RC) are the resources that people in recovery rely on to sustain and enhance their lives—internal resources such as coping skills, resiliency, and perseverance as well as external assets such as supportive relationships, peer support, and meaningful work/employment. 

Although the term was coined over 20 years ago (Granfield & Cloud, 1999), RC’s utility is only recently getting the attention it deserves. RC can be categorized in the following domains: (a) personal capital (qualities such as resiliency); (b) social capital (networks and supports that the individual can draw from) and (c) community capital (resources from the individual’s local community such as affordable housing and training/employment opportunities; Best & Laudet, 2010). 

Why does Recovery Capital matter now more than ever? RC transcends traditional health screening and offers a more comprehensive picture of how an individual is doing on their recovery journey—identifying both strengths and areas for growth. In other words, RC is a currency of recovery—a measure of how much recovery an individual possesses at a moment in time.  

RC enables a more meaningful and comprehensive assessment of recovery—insights into indicators and predictors such as global health and wellness, nutrition, social connectivity, employment satisfaction, socioeconomic status, relationship health, educational interests, and skill-building. 

For example, RC enables an individual in recovery and their care team (e.g., a Manifesto peer recovery coach) to gain well-rounded insights into their strengths and potential risk areas while tracking useful outcomes and informing targeted and timely interventions. At Manifesto Health, we use RC as our barometer for progress—enabling a higher level of personalization for our nonclinical support services (in stark contrast to the one-size-fits-all addiction treatment approach). 

Moreover, RC provides other stakeholders in the measurement and outcomes of treatment (e.g., providers, payers) a valid, reliable and standardized tool. This holistic measure of recovery transcends the limited and reductive measures of old—such as only tracking substance use recurrence or treatment recidivism.

RC gets us closer to an empirically testable science of recovery—one that upends traditional addiction science that emphasizes pathology over strengths and capabilities. Capturing and measuring recovery pathways and trajectories is a work in progress in addiction research. RC offers an empirically-driven and culturally-appropriate method that can accelerate addiction science and identify the elusive indicators and predictors of recovery.

As the evolution of value-based care in behavioral health continues to emerge, measurement and outcome tracking will take on a new level of necessity—and for good reason! We cannot manage (i.e., change/improve/modify/test) what we don’t measure—and Recovery Capital measures what matters.


Behavioral Healthcare Industry Outlook Panel

Join us on May 19th for the first of our live webinar series, Behavioral Healthcare Industry Outlook, featuring leading voices in the behavioral health industry.

With an estimated one in four adults having a diagnosable mental health condition and over 60 million people using substances, the need for person-centered, culturally appropriate, high quality behavioral health treatment has become a top priority in the United States. These disturbing statistics have led to a nationwide push to enforce parity laws, prioritize health equity, and integrate physical and behavioral health.  In addition to expanding access and proving the care being offered is effective, stakeholders in the behavioral health field are calling for a corresponding change to the reimbursement model, one where incentives are based on value instead of volume. The result has been an accelerated push towards Value-based Care (VBC) contracts.

Hear from the expert panelists:
Tony Rocchino, Former Health Insurance Executive
Serenna MacLachlan MS, MAC, CADC-III, QMHP, CEO, SLO Recovery Center
Stu Segal, Owner & Consultant, @Strategic Solutions in Health
Eric J. Gremminger, ICADC, SAP Gremminger, Co-Founder & CEO, ERPHealth
Mike Lifshotz, Chief Executive Officer, Hatch Compliance
Gregory Keilin, Co-Founder / Chief Strategy and Growth Officer, Prosperity Behavioral Health
Nick Jaworski, Chief Executive Officer, Circle Social Inc.
Ben Dittman, Senior Vice President, Partnerships - Kipu Health
Dan Hilferty Jr., Co-Founder & CEO, Manifesto Health
Moderated by Cori E. McMahon, Psy.D., NCCE, Chief Clinical Officer at ERPHealth

Sign up today:

Collegiate Recovery Program (CRP) Resource Fair at Holy Family

Can't wait to support the Collegiate Recovery Program at Holy Family University led by our friend and fellow advocate, Dr. Patrick McElwaine!

Join us and many other recovery resources on Saturday, May 6th for this FREE community event that promises to be fun & impactful!

The Evolution of Value-Based Care Publication

We are excited to present the new value-based care provider resource, the Value-Based Care Roadmap. This roadmap is designed to be an industry-leading guide for addiction treatment and mental health providers as the industry shifts from fee-for-service to value-based care.

Access it for free here: The Evolution of Value-Based Care

In this publication, you will find articles and interviews from nearly a dozen leading experts in the behavioral health field. They share best practices and recommendations for how providers can thrive in value-based arrangements.

Tapping into decades of experience and perspectives from multiple stakeholders, the Value-Based Care Roadmap offers a comprehensive understanding of value-based care and is a resource that providers will be able to visit again and again to navigate the rapidly changing reimbursement landscape.

Be sure to check out Chapter 7 titled, “Peer Support Workers in VBC” where our cofounders Pat and Dan delineate the role of peer support as an innovative solution—along the continuum of care—in the transition to VBC arrangements.

A big thanks to our partners at ERPHealth for masterfully producing this roadmap.

Behavioral Health Business VALUE Conference

Behavioral Health Business presents VALUE, a conference for industry executives focused on the future of value-based care in behavioral health.

C-suite executives and thought-leaders look to define the conversation around this and future payment models in behavioral health care.

Who You Can Expect to Meet at VALUE:

  • Behavioral health owners and operators
  • Payers, insurers and health systems
  • Investors and capital providers
  • Technology providers

How can peer support workers help to accelerate value-based care arrangements?

We will be answering that question and more alongside industry leaders in Outcome Tracking (ERPHealth) and EMR (Kipu Health) at next week's VALUE conference!

Rehabilitation and Community Providers Association (RCPA) Conference

Yesterday, Manifesto Healths’s Co-Founder and CEO Daniel Hilferty Jr. presented to community providers across the Commonwealth of Pennsylvania at the annual Rehabilitation and Community Providers Association Conference. Dan discussed:

- Importance and effectiveness of helping those in recovery find their purpose and career path.
- Value of companies creating and sustaining recovery-ready work environments.
- Manifesto's mission and vision.

We are grateful for every opportunity to speak with community leaders about Manifesto and are so excited for many upcoming events.

Stay Tuned!

Someone You Know Campaign | IBX Foundation

The opioid crisis affects everyone. Whether you're experiencing addiction, on the path to recovery, or supporting a loved one’s journey, Someone You Know® can help inspire hope and support recovery.

The Independence Blue Cross Foundation’s Supporting Treatment and Overdose Prevention (STOP) Initiative is combating the opioid epidemic through leveraging cross-sector collaboration, enabling community partners, empowering nurses, and prevention. Below are resources for accessing help.

Our very own Cofounder & Chief Clinical Officer, Patrick Mullen, is honored to be a Someone You Know Ambassador by publicly sharing his own story and engaging in the community efforts to destigmatize addiction and promote a message of hope, resiliency, and empowerment.

Watch the SYK video here: Patrick's Recovery Journey