Center Mental Health Consultant Orientation to Job Corps

1. Center Mental Health Consultant Orientation to Job Corps

2. Our Students • The typical Job Corps student: • Has not completed high school • Reads slightly below the eighth-grade level • Has never had a full-time job • Is between 17 and 19 years old and from an economically disadvantaged family • Average stay for all students8.0 months • Average stay for graduates11.6 months

3. Administration and Management National Office • Carol Abnathy, MSW, MPH National Health and Wellness Manager • Johnetta Davis, MPH Health and Wellness Program Analyst Regional Offices • Regional Offices award contracts and provide oversight, monitoring, and technical assistance • Six Regional Offices, headed by a Regional Director (Boston, Philadelphia, Atlanta, Dallas, Chicago, San Francisco) • Project Manager (PM)—the DOL representative and liaison who works closely with your center

4. Administration and Management Principal Mental Health Consultant Valerie R. Cherry, Ph.D. Principal TEAP Consultant Pat Jackson, RN Regional Health Consultants (RHCs) Every Regional Office has a: • Regional Nurse Consultant • Regional Medical Consultant • Regional Mental Health Consultant (also provides regional TEAP assistance) • Regional Dental Consultant • Regional Disability Coordinators

5. Administration and Management Regional Health Consultants: • Provide technical assistance to center health staff • Conduct center assessments • Provide 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

6. Important Resources • Policy and Requirements Handbook (PRH)—The PRH contains the rules by which all centers operate • Chapter 6 (Sections 6.10-6.12) • Program Assessment Guide (PAG)—The PAG is a companion to the PRH • Technical Assistance Guides (TAGs)—How-to guides that offer many suggestions but no additional program requirements • TAG-D Mental Health and Wellness Program • TAG-G Learning Disabilities and Attention Deficit Hyperactive Disorder

7. Health Directives • PRH Change Notice—Contains new or revised policy with instructions to delete, replace, or add pages • Program Instruction—One-time announcement requiring a specific response or action (e.g., survey) • Information Notice—One-time announcement not requiring a specific action (e.g., meeting or training announcement)

8. Mental Health and Wellness Program • Basic medical services are provided to students as defined in PRH Chapter 6, Exhibit 6-4 • The PRH requires that each center director provide qualified personnel to implement • Routine mental health services/intervention for all students • 24-hour emergency mental health care • Ongoing staff development

9. Expectations of the CMHC • Prevention • Early detection • Identification of mental health problems • Short-term counseling for manageable conditions • Crisis intervention • Focuses on helping students live a healthy lifestyle emotionally, physically, and mentally

10. CMHC Roles and Responsibilities • Administrative activities • Direct service to students • Special programs • Interaction with other center staff • Interaction with community contacts • Training • TAG D–Mental Health and Wellness Program

11. CMHC Responsibilities • Work as part of a multidisciplinary team • Direct care and education to students • Consultation to staff • Assist with decisions on student placement and programming on center • Address mental health and wellness issues with a focus on employability and help students overcome obstacles to employability • Support the CDSS system

12. Administrative Activities Case Management • Integrated case management approach • Involves interacting with TEAP specialist, counselors, residential living staff, and physician regarding student behavior, compliance, medication side effects, and treatment progress • Document case management plan and notes in student health record • Success Management Plan 12

13. Administrative Activities Charting Procedures • Your assessment, treatment, and case management notes must be legible and included in the student health record • Intake notes should indicate reason for referral, presenting problem, history of presenting problem, mental status exam, diagnostic impression, and clear treatment plan • Intake Form • Progress notes should indicate assessment, progress, and treatment plan • SOAP Format

14. Administrative Activities Conferences and Teleconferences • Regional • National • Teleconferences in your region

15. Administrative Activities Medical Separations • You may need to assess a student with a psychiatric disorder that clearly impairs his/her ability to complete or take part in the training program and recommend a medical separation • Describe specific behaviors and symptoms that can be clearly related to the student’s inability to effectively participate in the Job Corps training program • Medical separations are necessary so that students can receive the higher level of care they need

16. Administrative Activities Medical Separations (continued) There are two types of medical separations: • Medical separation with reinstatement (MSWR)—used when a student has a problem that can be resolved in less than six months with appropriate treatment • Medical separation (also known as a straight separation)—requires the student to reapply to Job Corps after at least one year has elapsed; the application must be evaluated by the Regional Office

17. Administrative Activities Referral and Feedback System • PRH requires a written referral and feedback system for mental health treatment • You will need to develop a two-part form that can be used by other disciplines on center • HIPAA • Referral Source • General Information

18. Administrative Activities Center Operating Procedures Suicide Assessments/Hospitalization • CMHC should draft a Center Operating Procedure (COP) for suicide assessment, prevention, and debriefing as well as procedures for hospitalization • Suicidal students should be evaluated as soon as possible • Students who are a danger to self or others must be supervised continuously until the disposition of their case is resolved • You must draft procedures for other emergency psychiatric situations (e.g., psychotic episodes, urgent referrals) • Include a process for 24-hour on-call services

19. Administrative Activities Applicant File Review and IDT • File Review Process • To evaluate the information contained in the folder and make a clinical recommendation about the stability of the applicant’s mental health disorder as it relates to safety (direct threat assessments) and Job Corps’ ability to provide care management • IDT • All applicants with disabilities are entitled to a reasonable accommodation process • Your role is to participate on the Interdisciplinary Team (IDT) to assist in evaluating the student’s or applicant’s request for reasonable accommodations

20. Direct Services to Students • Employee Assistance — treatment is short-term and problem-focused with community referrals for long-term treatment • HIV Management — work with the center physician and nursing staff to communicate the results and provide short-term intervention as well as appropriate referrals for further support • Introduction to Center Life — teach the mental health portion and indicate how mental health issues (e.g., depression, anger management) affect student employability in the workforce

21. Direct Services to Students • Mental Health and Wellness Services—The CMHC is contracted to provide: • short-term clinical services • diagnosis and evaluation • management planning • crisis intervention • brief therapy (approximately five to six sessions) Your time will be divided into three areas: direct clinical care, trainee employee assistance program consultation, and staff training.

22. Direct Services to Students • Multidisciplinary Meetings • Psychotropic Medication Management • Sexual Assault Prevention Groups

23. Interaction with Center Staff Centers with open communication between disciplines usually function with better morale and efficiency and incorporate the health and wellness model to a much greater degree. Center Director Meetings • CMHC is required to meet with the CD on a monthly basis Information Exchange • Weekly meetings with the HWM, TEAP specialist, counselors, and residential living staff are essential to implementing a team approach

24. Interaction with Center Staff Marketing Mental Health and Wellness • Include posters in the dorms, cafeteria, classrooms, and hallways advertising mental health and wellness services • Include pamphlets and flyers in your office and in the health and wellness center waiting area Student Contact • Attend student orientation and make a personal presentation regarding the mental health program • Be present in the health and wellness center during the new input process and make yourself available to students • Be visible

25. Interaction with Community Contacts • Department of Vocational Rehabilitation • Extern/Intern Program • Crisis Response Organizations • Psychiatric Facilities • Specialized Referrals • Depending on the ethnic makeup of the center, specialized off-center referrals can provide more treatment for different ethnicities or lifestyles and at the same time support diversity

26. Training • Training and Staff Development [PRH 5: 5.3; R2(a)]—50 percent of your time is for training staff on topics such as avoiding physical confrontations, stress management, recognizing depression, anger management, and suicide assessment • Counseling Staff—Provide training and conduct weekly meetings with counseling staff who will help manage students who need mental health support on center • SafetyNet

27. Regional Mental Health Consultants

28. Useful Websites • Job Corps Health & Wellness: https://access.jobcorps.org, click on JC Community, then 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 • 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 • http://www.jan.wvu.edu is a free service that provides information on job accommodations and the employment provisions of the Americans with Disabilities Act (ADA) 28

29. Questions & Answers