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Licensed Mental Health Service Provider Education Program (LMH). Program Background, Eligibility, Application Instructions and Resources. This program is funded by licensure fees from the Board of Behavioral Sciences and Board of Psychology.
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Licensed Mental Health Service Provider Education Program (LMH) Program Background, Eligibility, Application Instructions and Resources This program is funded by licensure fees from the Board of Behavioral Sciences and Board of Psychology
Health Professions Education Foundation Introductions Lupe Alonzo-Diaz Executive Director Dennis Stettner Director of Programs Administration Judy Melson Program Officer Margarita Miranda Program Officer Linda Onstad-Adkins Program Officer
Health Professions Education Foundation • Improving Healthcare • Underserved Areas • Scholarships • Loan repayments • Program Variety • Health Professionals • Allied Health, Nurses • Mental Health Service Providers • Physicians • California’s medically underserved areas • Workforce Shortage Areas • www.healthprofessions.ca.gov
Program Overview • Up to $15,000 • 2—YEAR service obligation • In a qualifying mental health profession • In a Mental Health Professional Shortage Area or qualifying facility • Average Award: $10,451.83 per person
LMH Application • Submit Early • Current Application • All Required Documents • Prior to Deadline
Access the Application http://www.oshpd.ca.gov/HPEF/LMHSPEP.html Go to the Application Website Click here to access the Application
PDF Fillable Application • Save to Desktop/Folder • Menu/File • Save As… • Complete Application • On your PC • Not by hand • Print • Sign and Date • Page 4: Supervisor/Authority • Page 6: Applicant • Send to the Health Professions Education Foundation • Postmark on or before 3/24/2011
LMH Application Contents • 2011 Application • Background - Eligibility • Application Instructions • Page 1- Part A Personal Information • Page 2 - Part B Community Background and Part C Professional Goals • Page 3 - Part D Community Involvement and Part E Personal Statement
LMH Application Contents • 2011 Application, continued • Page 4 – Part F Employment or Volunteer Verification • Page 5 - Part G Educational Debt Report • Page 6 - Part H Personal Contacts and Part I Application Certification and Letter of Understanding • Page 7 - Definitions • Foundation Board of Trustees and Foundation Staff
Program Background • LMH Overview • Educational loan repayment • Mental health professionals • Direct patient care • Mental Health Professional Shortage Areas and other qualified facilities • Funding • Licensure fees from the Board of Behavioral Science and the Board of Psychology
Before Applying, Check Your Eligibility! • Valid legal presence • No existing service obligations • Foundation contract OK if contract expires prior to 7/1/2011 • Board Certified • Have valid license#, registration/intern# or Waiver# • Outstanding educational debt • Work/Volunteer in a qualified facility with at least 32 hours per week of direct patient care • Submit a complete application on time • NOTE: Registered Interns may apply and no preference given to one profession over another
Qualified Facilities • You must be working in one of the following: • Mental Health Professional Shortage Area • A publicly funded facility • A publicly funded or public mental health facility • A non-profit private mental health facility
Eligible Mental Health Professions • You must have proof of license, registration or waiver for one of the following: • Licensed Psychologist • Registered Psychologist • Postdoctoral Psychological Trainee • Postdoctoral Psychological Assistant • Licensed Clinical Social Worker • Associate Clinical Social Worker • Licensed Marriage and Family Therapist • Marriage and Family Therapist Intern
Selection Criteria for Awards Consideration will be based on meeting one or more of the following: • Complete application • Work experience • Cultural and linguistic competency • Fluency • Community background • Volunteer work or service to your community • Professional goals
Application Instructions • Fill-in all spaces, pages 1-6 • Respond to all questions • Signatures on p. 4 and 6 • Lender Statement(s) • Matches EDR • Verifies your debt • Two Letters of • Recommendation • Letterhead, Contact Information, Signed, Dated • Proof of Licensure
Application: Page 1Part A Personal Information • Tab or click fields • Fill out ALL fields • County Assignments • Board Information • How to use drop-down menus • How may we contact you? • Mail • Phone • Email • Questionnaire • Statistics
Application: Page 2Part B Community Background • Name is copied from Page 1 • PART B • If YES to question1, Elaborate • Select experiences in question 2 • ONLY those which apply to your experience • An example for each selection • Use ONLY the space provided • Refer to the Example
Application: Page 2Part C Professional Goals • PART C • Read through each of the three professional goal questions carefully • For each question, please rank up to 3 options. • Forced Ranking = only one #1 • You may also select “other” and specify other career goals not mentioned.
Application: Page 3Part D Community Involvement and Part E Personal Statement • PART D • Volunteer activities • Professional Memberships • Service to your community • Within last 2 years • DO NOT list intern hours • PART E • USE THE SPACE PROVIDED • Provide specific examples • Limit response to 500 words or less
Application: Page 4 Part F County Employment or Volunteer Verification • Employment Information Needed • Work Site • Length of Employment • Your Profession • Language Skills • Services you provide • Job responsibilities • Type of facility • MHPSA • Public-funded • Public-funded mental health • Not-for-profit • Supervisor Contact and Signature
Application: Page 5Part G Educational Debt Report • Follow Instructions • Who services your loan? • Accurate information! • Matching Lender Statements and Part G • Enter Loans 1-4 • 5 or More Loans • Total Education Debt Calculated
Application: Page 6Part H Personal ReferencesPart I Application Certification and Letter of Understanding • Personal References: friends and family members • ApplicationCertification • Verifies that your application is true and accurate • Letter of Understanding • Formal Contract • Notify Foundation of ANY Changes • Your Obligation • Not all applicants awarded • SIGN and DATE
Awardee Responsibilities • For the period of 7/1/2011 to 6/30/2013 , provide 32 hours per week of direct client care • Remain in California, in a MHPSA, publicly-funded facility or non-profit mental health facility • Continue making required payments towards your loans • Only enter into one Contract at any given time throughout the application process or service obligation
Information must match Educational Debt Report, Page 4 • Name of Lender • Name of Applicant • Legal name? • If not, send support documentation • Account Number • 6 months or newer statement • Current Balance • Name and Address to send payments Lender Statements
Letters of Recommendation • Two professional references • Dated within six months of deadline (dated between 9/24/10- 3/24/11) • Formatting requirements: • Letterhead • OR Contact Information– see instructions • Signed and Dated
Proof of Licensure, Registration or Waiver Licensed Psychologists Marriage and Family Therapists Clinical Social Workers Provide a copy of your license Psychologists Marriage and Family Therapy Interns Associate Clinical Social Workers: Provide a copy of your registration Postdoctoral Assistants Trainees Individuals who are not required to register through their Board: Provide a copy of the letter stating that you have received a waiver
When and where do I submit the materials? • Application Pages 1-6 • Page 4 • Signed and Dated by Supervisor or Authorized Entity • Page 6 • Signed and Dated by the Applicant • Lender Statement(s) • Two Letters of Recommendation • Proof of Licensure • Submit All Documents 3 to 6 weeks early • Postmark on or before: • Thursday, March 24, 2011 • Send to: • Health Professions Education Foundation • ATTN: LMHSPEP • 400 R Street, Room 460 • Sacramento, CA 95811
Important Reminders • Look for graphics for important reminders and instructions • Submit a complete application postmarked by MARCH 24, 2011 • Read the application and understand the contents • The Foundation recommends that you submit your application at least three to six weeks before the postmark deadline • The application period is from December 10, 2010 TO March 24, 2011.
Common Pitfalls • Applicant has Prior Service Obligation • Supervisor or Authorized Entity does not sign and date page 4 • Content of Educational Debt Report does not match the lender statement(s) • Loans not eligible • Pages not completely filled out • More than 3 options are selected for professional goals or applicant does not properly rank goals • Personal Statement is not single spaced, or exceeds the 500 word limit • No References provided • Application Certification and Letter of Understanding not signed and dated, page 6 • Lender Statements do not show all required information • Proof of Licensure expired or missing • Letters of Recommendation are missing, outdated or not formatted properly
Resources • Go to the Foundation Website for Frequently Asked Questions • www.healthprofessions.ca.gov • Refer to Program Background and Eligibility page • Read all of the Application Instructions • Read the Definitions Page for clarification
Contact Information Health Professions Education Foundation ATTN: LMHSPEP 400 R Street, Room 460 Sacramento, CA 95811 (800) 773-1669 or (916) 326-3640 www.healthprofessions.ca.gov
Thank you! We look forward to receiving your LMH application!