Orientation to Job Corps Job Corps Mission As a national primarily residential training program Job Corps mission is to attract eligible young adults teach them the skills they need to become employable and independent and place them in meaningful jobs higher education or the military ID: 731016
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Center Mental Health Consultant (CMHC) Orientation to Job CorpsSlide2
Job Corps’ Mission
As a national, primarily residential training program, Job Corps' mission is to attract eligible young adults, teach them the skills they need to become employable and independent, and place them in meaningful jobs, higher education, or the military. Slide3
Regional Health Specialists (RHS)
Provide technical assistance to center health staffConduct center assessmentsProvide training to regional and center staff
Available to answer your questions
Can help you understand policies
Provide up-to-date information that will assist you in your efforts to meet program requirements
Conduct monthly teleconferencesSlide4
Regional Office Center Assessments (ROCAs
)
Every 1 to 2 years, Health Specialists and Assessors visit each center as part of a Regional Office Center Assessment (ROCA) team
Using the Program Assessment Guide (PAG), in conjunction with the Policy and Requirements Handbook (PRH), this team will conduct an overall assessment of your center’s health and wellness programSlide5
Important Resources
PRH
—The Policy and Requirements Handbook
PAG
—The Program Assessment Guide
COP/SOP
—Center or Standard Operating Procedures
DRG
—Desk Reference Guide
TAGs
—Technical Assistance Guides Slide6
Job Corps Career Development Services System (CDSS)
Includes four CDSS periods within which health and wellness services and activities are conducted:
Outreach
and Admissions (OA)
Period
Career
Preparation Period (
CPP)
Career
Development Period (
CDP)
Career
Transition Period (
CTP)Slide7
Mental Health and
Wellness Program Requirements
The PRH requires that each center provide a mental health and wellness program that includes basic mental health services by a qualified licensed mental health professional.
As the CMHC, you must be an independent practitioner licensed as a clinical/counseling psychologist or clinical social worker in the state of the Job Corps center where you are providing services.
The minimum staffing pattern is 6 hours per 100 students per week
For instance, if the OBS of your center is 300, you would be expected to work at least 18 hours each week on centerSlide8
Mental Health and Wellness Program Overview
Program includes the early identification and diagnosis of mental health problems, basic mental health care, and mental health promotion, prevention, and education designed to help students overcome barriers to employability.
The program utilizes an employee assistance program (EAP) approach that includes short-term counseling with an employability focus, referral to center support groups, and crisis intervention. Slide9
Mental Health and Wellness Program Overview
Five main components of CMHC positionAssessmentMental Health Promotion and Education*
Consultation and Training*
Disability Program Support (including applicant file reviews)*
Treatment
Note: 50
% of your time must be used for a combination of the areas indicated with an * aboveSlide10
assessmentSlide11
Assessment
Evaluation of Applicant FoldersAppendix 609—Direct Threat AssessmentsAppendix 610—Health Care Needs Assessments
PRH 6—6.14: Disability
CMHC Desk Reference Guide
Job Corps Health Questionnaire (ETA 6-53)
Direct Threat Assessment Guide and Form
Sample accommodations for students with mental health disabilities
Contact your RMHS when you are ready to complete your first recommendation for denialSlide12
Assessment
Social Intake Form—review within 1 weekIntake assessments of referred studentsAssessment of Need for Medical Separation
Medical Separation with Reinstatement (MSWR)
Medical Separation (straight separation)
See PRH 6.12, R11, CMHC DRG, and TAG E for more information on medical separations
Reference forms are available in the DRG: referral/feedback form, intake form, success management plan.
Slide13
Promotion and educationSlide14
Promotion And Education
Center-wide emphasis on promoting positive mental health and preventing mental health problems through providing students with education on how to deal with stress, recognizing signs of depression, and helping them learn when to ask for help.
Introduction to center life: students are oriented to the HWC and services available to them, build motivation for healthy living and preventative care. Increase comfort-seeking care.Slide15
Promotion And Education
One-hour presentation during CPP by the CMHC to introduce mental health program, services available, and teach basic skills in identifying and coping with mental health crisisCDP and CTP continued education/prevention activities
At least one annual center wide activitySlide16
Promotion And Education
Marketing Mental Health and Wellness
Include posters in the dorms, cafeteria, classrooms, and hallways advertising mental health and wellness services
Be visible on center: walk around, introduce yourself to students
Include pamphlets and flyers in your office and in the health and wellness center waiting area
Get free items from SAMHSA
www.store.samhsa.gov Slide17
Consultation and training
Part of Promotion, Prevention, And EducationSlide18
Staff Consultation
The CMHC is required to: Consult with the center director, management staff, and health and wellness manager regarding mental health-related promotion and education efforts for students and staff.
Coordinate with other departments/programs on center, including, but not limited, to residential, recreation, student government association, and HEALs, to develop integrated promotion and education services
.
Written documentation of the above is requiredSlide19
Annual Required Staff Trainings
Minimum required five hours of annual training in adolescent growth and development for all staff. Topics could include: effective communications, anger management, sexuality, suicide prevention, behavior management system, zero tolerance policy, appropriate staff/student boundaries, sexual assault prevention and response, sexual harassment and related social skills training, crisis intervention techniques, and safety issues. Slide20
Training Resources
SafetyNet Toolkit can be accessed on the Health and Wellness tab of the Job Corps Community website. It contains brochures, presentations, and other valuable information on Bullying, Suicide, Injury, and Violence prevention. Information is available at:
http://jcweb.jobcorps.org/Health/Pages/SafetyNet.aspx
. Staff trainings can be located in SIMON.
TAG D Mental Health Staff Development Training Modules –
http://jcweb.jobcorps.org/Health/Documents/TAGs/TAG-D_PartII_Oct2006.pdf
The CMHC Desk Reference Guide provides helpful templates and suggestions for staff trainings on mental health related topics.Slide21
DISABILITY PROGRAM SUPPORTSlide22
Disability Program Support
Job Corps is required to ensure its program and facilities are accessible and provide reasonable accommodation to individuals with disabilities to prevent discrimination on the basis of disability. Each center should have a disability coordinator (DC) who ensures the center is providing services to students with disabilities as required by the PRH and Workforce Investment Act (WIA) regulations.Slide23
Disability Program Support
File Review Team (FRT)—Typically includes the CMHC, Disability Coordinator(s), CP, TEAP to review health/mental
health/AOD information of applicants for the
program;
Requires contact with the applicant
Reasonable Accommodation Committee (
RAC)—You will
be part of the RAC for students with mental health diagnoses. Gather information to determine reasonable accommodation needs of applicants and students. Requires contact with the applicant and student.
Appendix 609 and 610
Required forms for recommending denial of applicants due to direct threat or health care needs (see assessment section of presentation for details)Slide24
treatmentSlide25
Authorizations: Consent to Treat
The Job Corps Health Questionnaire (ETA 6-53), which authorizes basic/routine health care, is placed in the student health record (SHR). If the student is a minor, the form should be sent to the student’s parent/legal guardian for signature. Additionally, each applicant and/or applicant guardian to Job Corps is also required to sign the Mental Health and Wellness Informed Consent Form. If applicant is a minor, the form should be sent to the student’s parent/legal guardian for signature.Slide26
Components of Program
Brief TherapyShort-term counseling defined as no more than 6 sessions with mental health checks as needed. Coordinate care with TEAP for students with co-occurring disorders
Groups
Collaboration with counseling staff in developing and/or leading psycho-educational skill building groups to promoteSlide27
Components of Program
CounselingRegular case conferences with counselors, and other appropriate staff based on individual student needs
Chronic Mental Health Conditions
Psychotropic Medications
Crisis Intervention and Psychiatric Emergencies
Community Referrals
Referral and Feedback SystemSlide28
Documentation Process and Procedure
Your assessment, treatment, and case management notes must be legible and included in the student health recordIntake notes should indicate reason for referral, presenting problem, history of presenting problem, mental status exam, diagnostic impression, and clear treatment planSlide29
Documentation Process and Procedure
Progress notes should indicate assessment, progress, and treatment planDocumentation of referral information and feedback should be included (required written referral/feedback process)
Sample documents are included as attachments in DRGSlide30
Psychotropic Medication
Your role is to help evaluate any students already on medication and to identify any other students who may need to be referred to the center physician or consulting psychiatrist for a medication evaluation. Slide31
Crisis Intervention
The CMHC is responsible for developing and providing staff training and crisis intervention for topics such as emotional reaction to HIV testing, rape, suicidal behavior, death, or other serious loss. As CMHC, you are also responsible for drafting center procedures for emergency psychiatric situations such as suicide attempts, psychotic episodes, urgent referrals, and danger to self and others. Slide32
Role of CMHC in Instances of Death
A Critical Incident Debriefing Document is available on the Health and Wellness website at http://jcweb.jobcorps.org/Health/Documents/critical-incident-crisis-intervention.doc
or from your RMHS Slide33
Psychiatric Emergencies
Three types of emergency psychiatric servicesTemporary IsolationPhysical Restraint
Staff may not use handcuffs, mace, pepper spray (or any derivatives) on students.
May not last more than 1 hr with a physician order
Hospitalization
Voluntary
InvoluntarySlide34
Additional areasSlide35
Additional Center Support Programs
Tobacco Use Prevention Program (TUPP)Sexual Assault Response Team (SART) Family Planning
Healthy Eating and Active Lifestyles (HEALs)
HIV/AIDs
**See PRH Chapter 6 – 6.11 for more informationSlide36
Center Information System (CIS)
A helpful tool for communication, monitoring, and feedback on case management plans is the Center Information System (CIS) located within Citrix. Consult with the HWM to learn more about CIS. Slide37
Useful Websites
Job Corps Community website (https
://
access.jobcorps.org
):
Health and Wellness: Provides information on Job Corps health and wellness issues, announcements of conferences and other events, health-related directives and technical assistance guides, and regional health information. There is a section just for mental health and
wellness. Ideas for promising practices can be found at:
http://jcweb.jobcorps.org/Health/Pages/PromisingPractices.aspx#mh
Job Corps Disability:
https://access.jobcorps.org
, click on JC Community, then Disability. Provides a tutorial and information on the Job Corps disability initiative including legislation, common disabilities, and reasonable accommodation issues.
Event registration page: Register for upcoming webinars.
JAN (
http://askjan.org/
) is a free service that provides information on job accommodations and the employment provisions of the Americans with Disabilities Act (ADA). Slide38
Regional Mental Health Specialists
Region 1David Kraft, MD, MPHdkraft@external.umass.edu
Maria Acevedo, PhD (Puerto Rico)
mmacevedo@onelinkpr.net
Region 2
Valerie Cherry, PhD
vcherryphd@gmail.com
Region 3
Suzanne Martin, PsyD, MPH
suzannempsyd@gmail.com
Regions 4
Lydia Santiago, PhD
lydia.v.santiago@att.net
Region 5
Helena
MacKenzie
, PhD
helena.mackenzie530@gmail.com
Region 6
Vicki Boyd, PhD
vdelboyd@aol.comSlide39