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Managing the Health and Wellness Program

Managing the Health and Wellness Program. Shannon Bentley, RN Melissa Cusey, RN. Delivery of Services. Student Health Services Oral Health Services Mental Health Services Medical Services Related Health Programs Trainee Employee Assistance Program (TEAP)

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Managing the Health and Wellness Program

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  1. Managing the Health and Wellness Program Shannon Bentley, RN Melissa Cusey, RN

  2. Delivery of Services • Student Health Services • Oral Health Services • Mental Health Services • Medical Services • Related Health Programs • Trainee Employee Assistance Program (TEAP) • Tobacco Use Prevention Program (TUPP) • Healthy Eating and Active Lifestyles • Many more

  3. Center Health and Wellness Team • All centers have the following staff as part of their Health and Wellness team: • Medical: Center Physician, Nurse Practitioner/Physician Assistant (NP/PA), HWM, Nurses • Clerical Staff • Mental Health: Center Mental Health Consultant (CMHC) • Oral Health: Center Dentist, Dental Assistant, Dental Hygienist • Trainee Employee Assistance Program (TEAP): TEAP Specialist • Disability: Disability Coordinator (DC)

  4. Oral Health and Wellness Goals • Objective: • Oral health education • Employability • Focus: • Early detection • Diagnosis of oral health problems • Dental hygiene • Basic oral health care • Prevention and education • Extra: • Elective services

  5. Managing the Oral Health Program: Possible Duties • Ensure the Dental Readiness Inspection (DRI) is completed within 14 days after student arrival • Manage the scheduling system for oral health and wellness inspections, examinations and treatment • This may be done by the dental assistant • Provide emergency oral health care as needed • Oversee a written agreement/referral plan with community specialists

  6. Possible Duties, cont’d. • Provide Oral Health And Wellness staff with information on Job Corps’ Health And Wellness program policies and procedures • Ensure that the center dentist has access to the full student health record • Ensure that Oral Health And Wellness staff complete and submit all required forms • Ensure that health records contain dental x-rays, prescriptions, and other required forms

  7. Oral Health Program • Most Common Concerns • Not fully staffed/inappropriate schedule • Equipment is not properly sterilized • Inadequate equipment (e.g., not enough hand pieces) • Achieving the “Wow” Factor: • Involving Oral Health And Wellness in tobacco cessation and TEAP • Involving oral health personnel in wellness education • Conducting ongoing surveys to learn student concerns (e.g., customer service, scheduling, helpfulness of procedures)

  8. Question Who is the Medical Director of the Wellness Center? • The Health and Wellness Manager • The Center Physician • The Center Director

  9. Mental Healthand Wellness Program Requirements • The program focuses on 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. • Utilizes an employee assistance program (EAP) approach that includes short-term counseling with an employability focus, referral to center support groups, and crisis intervention. • The MHWP should include a collaboration with the counseling department to support students with mental health concerns. For example; personal counseling, psycho educational groups and case management.

  10. Mental Health and Wellness Program • Each center’s mental health and wellness program must include: • Services of a qualified Center Mental Health Consultant (CMHC). • A counseling component that focuses on students' individual needs and progress in personal and social development, basic education, and vocational training.

  11. The CMHC Primary tasks: • Provide assessments and recommendations for Job Corps applicants and referred students, including MSWRs or medical separations. • Review Social Intake Form (SIF). • Conduct mental health promotion and education presentations to students and staff. • Provide short-term counseling. • Provide training for staff on adolescent growth and development topics. • Provide crisis intervention, as needed. • Maintain an effective referral and feedback system.

  12. Role of Wellness Center in Mental Health and Wellness Program • Identify students with emotional or behavioral disorders and refer them to center Mental Health And Wellness staff. • Counsel and educate students about health-related issues, such as alcohol and drug use, sexuality, weight improvement, hypertension, and family planning. • Maintain a system of referral and feedback with Mental Health And Wellness staff and participate in (or direct) case management of specific students.

  13. Health and Wellness Manager Responsibilities • Provide daily management and oversight. • Review and triage applicant files with mental health histories. • Collaborate with CMHC in developing mental health promotion and education activities. • Collaborate with CMHC and Center Physician in monitoring students on psychotropic medications.

  14. Health and Wellness Manager Responsibilities, cont’d. • Assist CMHC with off-center referrals for students requiring mental health services in the community. • Identify students with emotional or behavioral disorders and refer them to center mental health and wellness staff. • Ensure that 24-hour emergency mental health and wellness services are available. • Maintain a system of referral and feedback with mental health and wellness staff and participate in (or direct) case management of specific students

  15. Mental Health and Wellness Program • Common Concerns • CMHC does not conduct staff training. • The CMHC has not developed or participated in ongoing center-wide mental health prevention activities. • The referral feedback system is not adequate. • There are no psycho-educational groups being conducted on center. • Achieving the “Wow” Factor: • Strong employability focus. • Well-led nutrition or weight improvement programs. • Well documented case management in student health record. • Consistent staff training. • Strong internship program.

  16. Question Which statement best describes the Mental Health and Wellness Program? • Treatment program focused on counseling • Employee Assistance Program (EAP) approach with a focus on short term interventions and employability • Outpatient clinic model with an employability focus

  17. Question The CMHC should provide a treatment-focused program not based on employability. True or False

  18. Related Health Programs

  19. TEAP (Trainee Employee Assistance Program): • The general emphasis of TEAP shall be on prevention, education, identification of substance use problems, relapse prevention, and helping students overcome barriers to employability.

  20. The TEAP Specialist • Ensures orientation of new students to the center's TEAP program as a center-wide alcohol and drug prevention and education effort with a focus on barriers to employability. • Provides center-wide substance prevention and education services that encourage healthy lifestyle choices for ALL students. • Reviews and scores SIF then conducts further assessments of high-risk students to identify substance use problems that may interfere with training and develops intervention services as needed. • Implement relapse prevention services. • Assures adherence to Job Corps’ Zero Tolerance policy for students who test positive on second drug screen (or after a positive suspicion screen as of 05/01).

  21. Health and Wellness Manager Responsibilities • Manage alcohol and drug-related medical emergencies • Provide daily management and oversight • Delegate biochemical testing and prevention activities to staff and ensure adequate training for staff involved in urine collection procedures • Manage all aspects of the biochemical testing program and ensure the integrity of the program is maintained • Facilitate referrals to the CMHC, TEAP Specialist, and outside resources. • Ensure training of designated non-health staff in the use of alcohol testing devices.

  22. TEAP • Common Concerns • Lacks required certification. • Does not document appropriately in health record. • No TEAP Specialist. • Does not emphasize prevention and education. • Achieving the “Wow” Factor: • TEAP mentoring programs. • Strong relapse-prevention program. • Contests, special outings, movie nights, etc. • Community Partnerships. • Highly visible TEAP with hours above the minimum requirement.

  23. Tobacco Use Prevention Program (TUPP) • Every center is responsible for implementing a tobacco use prevention and cessation program • Centers must implement a program to prevent the onset of tobacco use and to promote tobacco-free environments and individuals. • Centers should establish a smoke-free, tobacco-free environment for the majority of the center.

  24. Health and Wellness Manager Responsibilities • Collaborate with Center Director to appoint a TUPP Coordinator • Be aware of federal and state laws regarding tobacco use by minors • Ensure all services provided are documented in the Student Health Record (SHR). • Consider using nicotine replacement products for adults

  25. TUPP • Common Concerns: • Minors smoking on center (refer to TUPP). • Students using tobacco outside of designated areas. • TUPP services not documented in the SHR. • Achieving the “Wow” Factor: • Use color coded badges or other innovative ways to identify minors. • Tobacco free campus. • Go tobacco free during the training day. • Have a TUPP Committee on center. • Have separate groups for minors and those mandated versus those motivated to stop using.

  26. Family Planning Program • These services cover sexuality, family planning, sexually transmitted infections, and pregnancy management. • Both female and male students should be included in family planning education and services.

  27. Health and Wellness Manager Responsibilities • Appoint a program coordinator • Usually a member of the Nursing Staff

  28. Family Planning • Common Concerns: • There are no comprehensive gestational records in the SHRs of pregnant students. • Achieving the “Wow” Factor: • Extra services provided through local community resources such as WIC Program or first time parent car seats provided. • Free parenting classes and baby items are provided by off-center resources. • Free birth control is provided by the center.

  29. HIV/AIDS • All students receive HIV/AIDS education, testing on entry and when clinically indicated, follow up, and counseling. • HIV-positive students receive case management on center but are often treated by off center infectious disease specialists.

  30. Health and Wellness Manager Responsibilities • Inform new students about HIV testing during new student orientation • Conduct pre- and post-test counseling • Assist in coordinating off-center referrals for HIV positive students • Submit specimens for HIV testing to the nationally contracted laboratory • Participate in the case management team working with HIV-positive students

  31. HIV/AIDS • Common Concerns: • Students are not tested for HIV infection when they are diagnosed with a newly contracted sexually transmitted infection. • Achieving the “Wow” Factor: • Develop community resources to provide free support and services to students with HIV.

  32. Sexual Assault Prevention and Response • Each center must establish a program for sexual assault prevention, counseling, treatment, and follow-up care. • Centers are required to develop a sexual assault response team (SART) that involves center staff and outside resources.

  33. Health and Wellness Manager Responsibilities • Serve on SART (strongly recommended). • Be aware of state laws regarding reporting sexual assaults. • Establish a program for sexual assault prevention, counseling, treatment, and follow-up care.

  34. Sexual Assault Prevention and Response • Common Concerns: • The SART team does not meet on a regular basis. • No active SART program on center. • Achieving the “Wow” Factor: • Provide additional specialized counseling through local agencies and grant programs at no or low cost. • Have guest speakers provide prevention education at assemblies and through group activities. • SART members are trained by sexual assault response team or a Sexual Assault Nurse Examiner (SANE) on how to appropriately respond, state, laws, and community resources available.

  35. Healthy Eating and Active Lifestyles (HEALs) • Centers are required to establish a Healthy Eating and Active Lifestyles (HEALs) Committee to oversee and coordinate the HEALs program

  36. Weight Management Program • Have students complete HEALs questionnaire on entry. • Use Obesity CCMP. • Check out BMI and Waist Circumference tip sheet. • Incorporate CMHC, TEAP and Oral Health. • Review https://supportservices.jobcorps.gov/HEAL/Pages/default.aspx

  37. Health and Wellness Manager Responsibilities • Serve on HEALs Committee. • Collaborate with various departments on center. • Record students’ BMI and waist circumference. • Review student education program to incorporate a Weight Management Program.

  38. Healthy Eating and Active Lifestyles (HEALs) • Common Concerns: • Students are not included as part of the HEALS committee. • Centers have not established a HEALs Committee to oversee and coordinate this program. • Wellness does not oversee a Weight Management Program overs. • Achieving the “Wow” Factor: • Having healthy choices for snacks or in vending machines. • Disconnecting soda machines and offering healthy beverage choices with meals. • Having Food Fairs with healthy choices.

  39. Question The TEAP Specialist must be the TUPP Coordinator. True or False

  40. Question Students are tested for HIV on entry only. True or False

  41. Question As a federal program, Job Corps does not need to report sexual assaults to law enforcement. True or False

  42. Health and Wellness Manager Responsibilities • Health Administration • Staffing • Authorizations • Basic Health Services Provided by Job Corps Centers • Health and Medical Costs Exceeding Basic Health Services Provided by Job Corps • Professional Standards of Care • Controlled Substances • Waiver of Medical Care • FECA/OWCP

  43. Health and Wellness Manager Responsibilities, cont’d. • Health Care Guidelines • Student Introduction to Health Services • Medical Separations • Death • Communicable Disease and Infection Control • Equipment and Supplies • Continuous Quality Improvement • Monthly Meetings with Center Director • Reporting

  44. Additional Duties • Wellness Education—PRH 3.17, R1 • Standard Operating Plans and Procedures—PRH 5.1, R3 • Management and Reporting of Significant Incidents—PRH 5.5 • Minimum Staff Qualifications—PRH Exhibit 5-3 • Required Staff Training—PRH Exhibit 5-4 • Student Enrollments, Transfers and Separations—PRH 6.4 • Disability Program—PRH 6.14

  45. Resources • PRH Chapter 6, 6.10-6.12 • Technical Assistance Guides (TAG) • Health and Wellness Website https://supportservices.jobcorps.gov/Health/Pages/default.aspx • HEALs website https://supportservices.jobcorps.gov/HEAL/Pages/default.aspx • Nurse Specialist • Health Specialists

  46. Talk Time Questions and answers

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