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<regulation prefix="Regulation" num=".09" citation="COMAR 10.09.89.09" title_num="10" subtitle_num="09" chapter_num="89" heading="Covered Services — Family Peer Support Services.">
  <text>Family peer support services:</text>
  <paragraph num="A.">
    <text>May be provided without the presence of the participant;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Are delivered by a family peer support partner employed by a family support organization (FSO);</text>
  </paragraph>
  <paragraph num="C.">
    <text>May include, but are not limited to:</text>
    <paragraph num="(1)">
      <text>Explaining the role and function of the FSO to newly enrolled families and creating linkages to other peers and supports in the community;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Working with the participant and family to identify and articulate concerns, needs, and vision for the future of the participant;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensuring family and participant opinions and perspectives are incorporated into the CFT process and POC:</text>
      <paragraph num="(a)">
        <text>Through communication with the care coordinator and team members; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>By attending CFT meetings with the family to support family decision-making and choice of options;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Listening to the family express needs and concerns and offering suggestions for engagement in the treatment process;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Helping the family identify and engage its own natural support system and facilitating the family attending peer support groups and other FSO activities throughout the POC process;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Working with the family:</text>
      <paragraph num="(a)">
        <text>To organize and prepare for meetings in order to maximize participation in meetings;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>By informing the family about options and possible outcomes in selecting services and supports to assist with informed decision-making; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>By supporting the family in meetings at school and other locations in the community and during court hearings;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Empowering the family to make choices to achieve desired outcomes for the participant as well as the entire family; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Helping the family to acquire the skills and knowledge needed to attain greater self-sufficiency and maximum autonomy and assisting the family to develop the skills and confidence to independently identify, seek out and access resources that will assist in:</text>
      <paragraph num="(a)">
        <text>Managing and mitigating the participant's behavioral health condition or conditions;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Preventing the development of secondary or other chronic conditions;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Promoting optimal physical and behavioral health; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Addressing and encouraging activities related to health and wellness.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Are provided by a family support organization (FSO) that:</text>
    <paragraph num="(1)">
      <text>Is designated as a private, nonprofit entity designated under §501(c)(3) of the Internal Revenue Service Code, and submits copies of the certificate of incorporation and Internal Revenue Service designation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Has a board of directors comprised of more than 50 percent of individuals who are:</text>
      <paragraph num="(a)">
        <text>Caregivers with a current or previous primary daily responsibility for raising a child or youth with behavioral health challenges,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individuals who have experience with State or local services and systems as a consumer who has or had behavioral health challenges; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Both §D(2)(a) and (b) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Submits a list of board members with identification of those who are caregivers meeting the criteria in §D(2)(b) of this regulation;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Establishes hiring practices that give preference to:</text>
      <paragraph num="(a)">
        <text>Current or previous caregivers of a child or youth with behavioral health challenges;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individuals who have experience with State or local services and systems as a consumer who has or had behavioral health challenges; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Both §D(4)(a) and (b) of this regulation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Submits a copy of the organization's personnel policy that sets forth the preferred employment criteria stated in §D(4) of this regulation;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Employs a staff that is comprised of at least 75 percent of individuals who are:</text>
      <paragraph num="(a)">
        <text>Current or previous caregivers of a child or youth with behavioral health challenges; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individuals who have experience with State or local services and systems as a consumer who has or had behavioral health challenges;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Submits a list of staff and positions held with identification of those who fit the experienced caregiver and consumer criteria stated in §D(6) of this regulation; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Submits a certificate of eligibility that includes:</text>
      <paragraph num="(a)">
        <text>Attestation of compliance with §D(1)—(6) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The organization’s mission statement that establishes the purpose of the organization as providing support and education to youth with emotional, behavioral, or mental health challenges and their caregivers; and</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Shall be provided by family peer support partners who:</text>
    <paragraph num="(1)">
      <text>Are employed by an FSO;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Are 18 years old or older;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Receive supervision from an individual who:</text>
      <paragraph num="(a)">
        <text>Is 21 years old or older; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has at least 3 years of experience providing family peer-to-peer support or working with children with serious behavioral health challenges and their families;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Have current or prior experience as a caregiver of a child with behavioral health challenges or be an individual who has experience with State or local services and systems as a consumer who has or had behavioral health challenges; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Receive training and certification as approved by the Department.</text>
    </paragraph>
  </paragraph>
</regulation>