ASPIN's Certified Recovery Specialist Program
- Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana's underserved rural counties.
- Intervention: A network was established that trained community health workers (CHW) to be certified health insurance enrollment navigators and provide mental health services.
- Results: This year, ASPIN trained 49 CHWs, cross-trained 191 behavioral health case managers as CHWs, and 175 individuals in the Indiana Navigator Pre-certification Education.
Within their specified scope of practice, the work
performed by CHWs and CRSs within community mental health
centers is reimbursable through Medicaid Rehabilitation
This program is funded by a Rural Health Network
Development Grant and a Rural Health Outreach Grant from
the Health Resources and
Services Administration (HRSA).
ASPIN provides 3 training levels. Level One is a state-approved vendor for online and face-to-face CHW training. Level Two training involves CHW/Navigator training. Level Three includes some on-the-job experience.
Level One CHW training and certification provides:
- Community Health Worker concentration – a 3-day
in-person course or a 20-hour online course
- Community Health Worker/Certified Recovery Specialist concentration – a 5-day course available to people in recovery from a mental health and/or substance abuse diagnosis
- Addition of an endorsement to a CHW/CRS designation that targets recovery from a gambling or substance abuse disorder
Level Two ASPIN CHW/Navigator Network training provides:
- ASPIN CHW training to become federal or state-certified navigators to serve 14 rural counties
- 3-day CHW training in rural areas via online
- 8 hour Indiana Navigator Pre-Certification Training for the Indiana Department of Insurance (in-person or e-learning)
- Continuing education courses approved by Indiana Department of Insurance through e-learning for rural sites
Level Three ASPIN CHW/ Navigator/Chronic Care training provides:
- 20 modules of self-study and online testing for a chronic care program certification
- Job shadowing at a primary care and a mental health facility (optional)
Level One Training Results (as of May, 2018):
- 452 active CHWs were listed in ASPIN's database, 229 of them are dually certified as a CHW/CRS
- 30 active CHW/CRSs have received additional training for a substance abuse endorsement, a gambling endorsement, or both
- For current year, ASPIN has trained 49 CHWs
Level Two Training Results (as of May 2018):
- Cross training of 191 behavioral health case managers as CHWs
- Development of 6 Indiana Navigator Continuing Education courses taken by 273 individual
- 175 individuals from 31 organizations trained in Indiana Navigator Precertification Education
- Enrolled over 6,488 individuals in qualified health plans or Medicaid
- Provided over 8,289 appointments to assist consumers
with health insurance enrollment or health insurance
More details about each CHW designation are available through ASPIN.
The Indiana Veterans Behavioral Health Network is also featured as one of RHIhub's Rural Health Models & Innovations.
The diversity of stakeholders involved in building the CHW and Certified Community Health Worker curricula made it more difficult to come to a consensus in some areas. Stakeholders represented the following fields: academia, public health, the recovery community, state agencies, and field experts.
Consensus building was also a challenge due to the variations of CHWs throughout many healthcare specialties. There is not a national certification for CHWs, so each state defines their own state-specific policy.
The current curricula contains some elements that are Indiana-specific. However, module topics are easily adapted to other environments.
The curricula targets individuals seeking paid employment. Policies relating to participant selection, certification achievement, and retention are embedded within the program.
Funding combinations from state CHW certification programs and HRSA rural health grants provides a unique model for ASPIN's CHW training and implementation. Reimbursement for CHW services are being implemented at the state level, so those wishing to replicate this model should work closely with state Medicaid offices to assist with policy development and implementation.
Community health workers
Networking and collaboration
March 18, 2014
Date updated or reviewed
June 7, 2018
Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.