Is there a separate number to call in? I am inside of an institution with no camera/mic set up and cannot hear anything.

646*558*8656,,98119392

I am a CPS. I'm trying to start some virtual groups with some participants. Usually, I work at a recovery community center. Obviously, because of the pandemic, that is no longer an option. I am just curious about HIPAA compliance using Zoom. Are there some considerations I need to think about if I wanted to whip up a group meeting with participants?

Thanks for joining everyone! Please be sure to use this chat space to communicate any questions or comments you have. Also please remember to keep yourself muted when not speaking to the larger group.

I have dialed into the meeting but get a message that the meeting ID does not exist.

https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

You can mute everyone as the admin!

How hard is it to hit mute??

the facilitator should mass mute the space

My audio cut out, I've tried to call in multiple times and it says the meeting is full and hangs up.

People are still trying to get in it said met 300 people

Thanks Joan for staying focused on this mindfulness exercise.

I have no audio and when I call in it was full and hung up.

Thank you so much for this meeting! workshop! so needed! 🤗

Hello, myself and a coworker are also loking into starting virtual groups.

Is this webinar being recorded for later listening?

Zoom is high risk for hacking, but its nice to see everyone

Yes it is being recorded and will be sent out after this call.

its not HIPPA or VAWA compliant

love the emotional connection here!

will this be available to share for others later? I have 2 other peers who were registered and then it wouldn't let them in

Daniel, we have higher security settings now, upgraded last week

Survivor Peer Support from SAFE Alliance Austin Tx, working with people escaping/healing from violence. *waves to all*

Jim, C-PRSS with The Iowa Tribe of Oklahoma, working under a tribal opioid over prevention grant and tribal opioid response grant to implement culturally relevant peer services

we're making deep connections with folks we serve, meeting them where they are at, text/chat and microsoft team group/meetings

Microsoft teams is HIPPA and VAWA compliant

OCARTA has utilized Zoom to transition almost all our support groups, PRSS training course and staff meetings totally virtually.

We wrote a few documents for our peers about ideas for group topics and things to do one on one over teleconference because people were feeling stuck around short conversations and processing feelings around the pandemic over and over

LifeworksNW, Oregon

our agency wants us to move away from zoom, because the agency can be hacked even with the professional version

AA Intergroup has put out setting guidelines to make sure the traditions are being upheld

our agency also says no to Zoom

Hi there! we at KairosNW are meeting via zoom, virtual bingo for family support group and a virtual make up group for youth in power servicespower services. we have also delivered activity packets and food to our families served

In a clinical setting - how do you get around HIPPA?

Any suggestions on how I can engage my clients during this time of mostly phone sessions. Most of my clients do not have Zoom capabilities. I work at Fremont Counseling Service, Riverton WY in mental health, substance abuse, and co-occurring.

Ring Central, google meets are also options

We have done all our groups through teleconference due to the fact that not all our consumers have a way to do zoom meetings but they can call in.

I work for the Elizabeth Layton Center here in Kansas.. I do Zoom groups for clients.. I normally with a Morning Reflections group that includes daily interpersonal topics and allow the clients to speak and plan there days, this is also a hep with getting people out of bed in the morning and discuss what they plan to do for the day.

Hi Michaela, how about through whatsapp video call?

I am the Peer Support Specialist with The Maryland Center of Excellence on Problem Gambling. Due to COVID-19, we are using virtual meeting options to meet with our help seekers and partners through Zoom and Microsoft teams. 1-800-GAMBLER

Thank you, Isis. I can talk to my supervisor about that. HIPPA compliance woulod have to be addressed.

Admin please re-address the concerns at HIPAA. Thanks!

I can definitely identify with the lack of conversation starters with peers. @ Nybelle

My conversations are very short

mine too.

I utilize my Motivational Interviewing tools to stay connected.

I am having trouble getting people to talk on the phone and very few to almost none want to do video. Conversation starters and paths would be great.

resource to understand HIPPA at this time https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

Some HIPPA Guidelines have been relaxed for expanded use of telehealth during the COVID Crisis. see link for details https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

Use compassionate curiosity when talking to a Peer and inquiring and making sure you understand what the peer is going through.

Here is some good guidance from OCR/HHS Re; HIPAA. Do not fear using different platforms:

https://www.hhs.gov/sites/default/files/telehealth-faqs-508.pdf

Are you using your personal phone or company phone?

company

Our organization has been pushing the use of doxy.me for any video interactions.

company or blocking personal number during calls

I use a company phone but some are using their personal phones by blocking the number

you can use a google phone number so more people will answer the calls since its not a blocked number

Does anyone else have issues with trying to get people on the phone? Voicemail isn't set up, call can't be completed as dialed, number has been disconnected or they can't accept blocked calls, which is what we must do from personal phones...???

when talking on the phone, use eCPR (emotional CPR). Holding space for the person on the phone you are talking to.

we are using Doxy.me and we have work phones

we also use zoom phone app

thanks great idea blocking number

I have been engaging clients exclusively by phone. I use a company phone. A few clients will only text message.

https://www.youtube.com/watch?v=T5HKfvKtgt4&feature=youtu.be

safety is important to consider, we are seeing escalated violence in homes

The … has an option to save this chat.

Don't see a way to raise my hand.

I would love to share

How can we increase digital access to those we serve who lack access to internet or lack smart devices?

click on participants on the bottom of your screen and you should see the option

I find helping individuals as well as myself to focus on mindfulness and keep a gratefulness journal.

any resources for individuals who are deaf/hard of hearing??

My company has turned to 15 min calls through the week more often, because its harder to keep someone for an hr, Also having pre-planed open ended questions.

some people don't trust the phone at all. its really hard because some people just like getting out the house going to get food and other things. I know for a lot people hearing about deaths brings up feelings for loved ones that have passrd. all I can do is be present.

Most Clients say that they are doing well.

RE: Overdose mitigation. We are developing virtual training on use of Narcan and targeting NA and other recovery communities - going to ask if we can drop in to provide the training and then set up the drop off of Nasal Narcan (from a distance).

passed*

There is an app for phones for those who are hard of hearing or deaf and it works great.

I've been brainstorming. Two things I have done is reach out to the providers in our medical clinic and to our tribal police and fire departments for referrals

thank you Lisa. what’s the app??

Would like to share pls...ty

Language is important to me so I call these "growth opportunities"...lol

I play skipbo and other card games over the phone with my peers because it help distract them from panicking over the pandemic . I have also used a lot of guided deep breathing exercise to prevent panic attacks

@mark rowley what’s your email address? would like to connect

How do you all help others in learning about zoom especially those who are technologically-averse?

microsoft teams is working well, skype for business is great.. and NNEDV has a lot of information about safety concerns for people experiencing violence

I love the idea of a huddle!

Some of my peers don't know how

Amazon Chime is another platform

We do happy hour and play games on zoom - have the group look for something red - everyone leaves their computer runs around their house and tries to find the red item first....its really fun and everyone really enjoys the time and laughter.

Heather, there are tutorials

https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

I'm a Peer Support Coordinator and I call all of the Peers at my Agency once a week.

yes, but they are typically long @ MIchaela

The organization I work for has a peer "clubhouse" which i sclosed down at this time. However, having attended this center, I am aware of their food pantry so I contacted their staff .and have been able to hook up several of my clients with them. THis has been a Godsend as MEals-on-Wheels and other food delivery services qre stretche dto the limit.

And difficult to understand

https://www.thenationalcouncil.org/covid19/ here is the resource Tom is referring to

thanks mark! I’ll email you to connect

what is happening with detox units right now? anyone knows? functional as normal?

I just completed a Digital Peer Support Certification over Zoom that we are doing in Virginia. I also completed the training to actually be a trainer for this certification. This has been very helpful with everything going on.

MS TEAMS is great!

Can you address how to get new referrals since we are working remotely? Family Peer support surrounding addiction.

yes teams work well we are using it in Baltimore Maryland.

we also do crazy hair day on zoom, or crazy hats, shower caps day etc...this keeps people from feeling intimidated on zoom seeing themselves trying to look their best lol

people have said this to me thanks for validating

to Tammie smith, Love it!

I second Nancy Matheny is her question: “Can you address how to get new referrals since we are working remotely? Family Peer support surrounding addiction."

yes hacker in zoom . no problem with team

any ideas re: apps for peers to connect with those hard of hearing? also some of the “better” peer support apps pls n thx?

My company has care coordinators who work with individuals who are members of Medicaid and they send the referrals to us as peers. Once we get the referrals it is up to us to connect with them and ask if they want to be part of the peer support program

Some of our people do not have access to much technology. And others don't have many minutes on their phones. Calls may be limited to 15-20 minutes.

Thank you Tammie!

oops how do I raise my hand?

Rhonda Saenz - that's real.

Mindy our company is only allowing clients in and not family members so hard to reach the family of the addicted clients

we are paying for phone minutes and date for our clients that need it, when and where we can. Funding is always limited

Click participants and you’ll see the raise hand button

Many of the folks we work with have fixed income, and access to technology is definitely a barrier.

Our agency is allowing clients to park in the parking lot and use our Wi-Fi.

Rhonda, our director suggested during this time a couple shorter interactions would be better than and hour or longer session like normal. More frequent check ins.

Yes, access to technology is a barrier. It is rather privileged to think that everyone has the income and access that I do

Any suggestions for creative ways to engage clients that are too high risk for face-to-face appointments, but don't have reliable access to telecommunication resources?

It has been challenging for us to continue to connect to members

I would like to raise my hand as well.

I think that you can check in with folks more frequently initially, and then ask them what they want phone/internet support to look like. Some people may want shorter calls, just a check in every day. Others may want a longer conversation once or twice a week. I think it's really important to let the people being supported set the pace.

Many companies in our area are providing free phones and internet services for a couple of months, so clients can do telehealth

Mindy, same for me. I am doing good just to get them to answer the phone during this time.

Click participants and you’ll see the raise hand button

Its like having 3 jobs, as we learn the skills and develop delivery services

I will raise my hand please

Our team meets for 3 hours, once a week, we bond, check in with each other, staff the staffing agenda, and do a healing activity

New referrals are being assessed virtually and if these don't have access to technology we schedule phone calls.

We also have a local art studio that is designing paint by number kits that includes all the material. We then set up a virtual zoom call and we will paint together. I have several care givers and they work with our seniors who love to paint. I get them on the call and we do these together.....lots of fun and the designs/kits can be done based on your audience. My kits need to be large print. It really works well. Also great using local resources involved.

we just got 37 referrals from supportive housing prograsm

The nurses in our hospitals have been amazing about helping us connect with our Peers in the Emergency Department as well as on the Medical Floors. They see the value in Peer Support and are very eager to help us make the connection.

We are sending out a letter to new people. It introduces the Peer and the services to the client. We provide them with information about services, our contact number and encouragement to call the Peer for additional support. We then calling the client within a week of the letter.

I would like to raise my hand as well about how we are coming together as a CPS team and keeping our focus

we also diversified our hours as a team with people work evenings and weekend options

good idea Tammie and rhonda

Hi I have a few high risk pregnant MH clients who really need to SEE me at least once a week .so on the nice days we social distance walking in their immediate apartment area. We have different types of things we will do on a Telehealth call and will follow up with on next visit. We have made Hygiene bags for men & women those who cannot get out and dropping off at their doors .

We have a unable to reach letter that we send out after a few attempts to contact

One of the services we provide is follow up calls. We have found that we are having increased success in reaching our peers via phone after our initial encounters

Our agency has set up some telehealth rooms that the client can use from the office, but the clinician is at home or in another office.

Its hard for new referrals I try to meet in person but continue social distancing . Weather is always permitting of course

we're doing intake and asessment virtually too.

I am still seeing people on the initial visit to sign them up for services and the we move to phone services. New referrals are still contacted by phone by me, the peer specialist.

Angela!!!! Heyyyy we are doing the same down here in AIKEN!

my work has really not changed due to the structure of the site that I am stationed.

we've had some success with clinicians getting verbal consents for texts before a peer referral so we can set up a time to talk and not play phone tag

Its difficult in our roles currently WE alos feel disconnected from our clients. We have Peer group meetings weekly sometimes 2x a week . We also need to have good self care.

This is similar to how we are trying to do things

I will say that referrals are down at this time. I usually have close to 40 referrals a month. but now I am down to under 10.

ooooh thats cool!

I like love that rebecca

I work for a Addiction Recovery Residential Community organization and I would like to know how other residential communities are handling referrals

LifeworksNW is doing something similar, one site open per county so people can come in and use phone or laptop for appointments if needed, we have a skeleton staff there to sanitize rooms after

We are a Syracuse based Treatment Center / Detox / Residential We are using our group rooms that are no longer used by the TCM for 1 on 1 new clients who request a face to face

@stephanie we have a hotline for our shelter and we do a risk asessment as per usual, over the phone. Admittance is taking more time due to sterilization of the rooms

I'm referring to taking new peers (residents) during all of this. Are organizations doing this?

OCARTA is now doing staff self-care plans during quarantine.

our peer team has found that we are our own best resource, we meet and talk a lot outside of our weekly meeting. We played dress up in our last virtual meeting

Nice!

peers are also bringing healing activities into our team meeting, we had a sound bath last Friday

Even though our public Library is currently closed, I do have peers who go to the property to utilize the wifi for groups, my company does not have the ability for wifi on the proporty. so just an idea

I bought a pool for my carport lol, I would have thought it too much, but in a pandemic $100 is a good investment

We're going a daily team meeting. I think that it's really important right now to maintain team unity and make sure our teams aren't feeling isolated.

We are researching beginning to open some hotel rooms to allow the homeless population a place to stay if diagnosed with COVID and/or to prevent exposure. They are looking to use us peers to help go in and offer support regular basis.

really taking time with my team each week to process our own grieving and feelings

Yesterday We had Happy Hour to be with each other on the team. We so happy to be with every one and had time with two of team mates B Day

We've also been bringing in a special guest for our meetings once per week, someone else who has been doing peer support for awhile that we may not normally connect with.

We are doing pretty much like several. We have 2 scheduled times during the week that all peer support specialist can get on and see one another and talk about what's working and not working but also talk about what is going on in their lives. Our last meeting we discussed Netflix shows. They miss the connection with others during this time.

We also watch one movie pertinent to the work every week, and discuss it as a group on Fridays.

We have a WRAPPY hour of Peers and Training every Friday.

there is a hotel also taking COVID positive folks in for quarantine and they will be told about crisis peer services upon entry to hotel and offered calls while they have to stay in the room for 2 weeks

I love the WRAPPY hour idea

Sounds great

good idea Daniel and josh

our work is very healing too, I find authentic connection and activities is a part of our wellness.. Its called secondary healing

The agency keeping us informed about these talks to help us process all the changes and get ideas from others who are doing the same jobs

YEs, Megan, YES! holdign space with all of it for ourselves and our teams

Our Leadership actually set up times they are available to all staff and have been reaching out individually to each of the peer staff and checking in with them. Our agency is also doing videos on what to do for yourself during this time and the peer staff have really jumped on this to make videos to post to the website.

Well said Megan!

This is great time for processing the deeper things! Great time take stock....

We have virtual lunch and game time . We use Teams

my conference with trafficking survivors was cancelled, we are meeting virtually instead, not waiting to hang out! I love them... they get tattoos at every conference, we love our time together that much

I just consider a tattoo every year lol I don't like pain

All - here in Jacksonville, FL, we saw a 26% increase in overdoses in past 5 weeks. There is anecdotal reports of 3rd party callers calling 9-1-1 after watching their friend OD via webcam. Does anyone have awareness of this?

THIS HAS BEEN AWESOME!!!!!

Where and when are the survivor conferences

I hope you guys do this again. I love this.

will the audio of this webinar be sent to our emails

:)

So great..thank you for the energizing conversation.

Thank you all so much! This has been incredible! Very much appreciated

I have to jump on an ARCO call at 2. Thank you everyone!!

great ideas & information! Thank you all!!!!

Thank you for this and their

Ok so my name is Linda and I'm from MCRT Hampton Newport News community service board and I think this is great. What happens when this COVID 19 is lifted. I'm loving this new way to communicate.

Will there be a replay of the webinar?

greetings from overseas! from Bermuda! thankful for all your feedback!

Thanks so much! This has been helpful.

this is awesome much appreciated.

the information have a good one! stay safe!

I am lisa LPous@safeaustin.org

I look forward to more meetings like this, its amazing I thank everyone, great ideas and will be greatful for more meetings

This was a blessing! Thank you much!

This has been so great! Thank YOU!!!!

Thank you, this has been GREAT!!!

It is very refreshing to have actual contact with peers. This has been great.

Thank You...Pittsburgh, PaGateway Rehabilitation Center

New peer I started in March so this is all new to me. A ton of great information. Thanks so much for sharing everything.

Thank you for being here for US!

I agree, Yalita.

Thank you so much for this meeting it was well worth this hour.

I hadn't heard of that Mark Rowley

This is an amazing platform. I wish you all well during this time of crisis

Thank you. This has been very enlightening

Maura Tom Joan all of you ROCK!!!!!!

So many want f2f visits right now more than ever. Social Distance walking is an AMAZING idea!

Thank you was amazing and refreshing

thank you so very much for this meeting, it was much needed!

I like that. “Meet people where they’re at… and don’t leave them there.”

Pain is necessary but suffering is optional. This is the coolest thing ever. Thank you bunches !

I had some trouble signing in but the parts ive been privy to hearing, was great information.... Thank you guys! I look forward to more of these!!!!

Very informative.Thanks

Thank you for this. I received so many great ideas to try in our area of WI.

the new now, everyday :) WE CAN have it all, dream big y'all

Take care everyone and God bless

can you email us the links?

Thank you !

we can't click on the links

Truly enjoyed this meeting! Thank you. Stay safe and healthy.

I called that hotline... it was okay ish

THank you1

Thank you everyone

thank you so much have a good day

Thank you!

God Bless us ALL!

Thank you and thank you for all the links!

Thank you

By y'all.

AMAZING!!