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Behavioral Health Workforce Development:
2016 and BeyondA.KathrynPower,M.Ed.
SeniorExecutiveLead– MilitaryServiceMembers,Veterans&theirFamilies
SAMHSARegionalAdministrator,RegionI
SouthernNewHampshireUniversity(SNHU)2500NorthRiverRoad,Manchester,NH03106September14,2016
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SAMHSA’sVision,MissionandRoles
è Vision:ANation/CommunityFreeofSubstanceAbuse&MentalIllness&FullyCapableofAddressingBHIssuesthatArisefromEventsandPhysicalConditions
è Mission:toreducetheimpactofsubstanceabuseandmentalillnessonAmerica’scommunities
è Roles:● Voiceandleadership● Funding- servicecapacitydevelopment● Informationandcommunications● Regulationandstandardsetting● Practiceimprovement
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Behavioral Health Workforce Projected Growth
GoodNews:ProjectedGrowth• Thebehavioralhealthworkforceisoneofthefastest-growing
workforce groupsinthecountry.
• Employmentprojectionsfor2020,basedonU.S.BureauofLaborStatistics,showariseinemploymentforsubstanceuseandmentalhealthcounselorswitha36.3percentincreasefrom2010to2020,greaterthanthe11.0percentprojectedaverageforalloccupations.
• Thisprojectionisbasedonincreasesininsurancecoverage formentalandsubstanceusedisorderservicesbroughtaboutbypassageofhealthreformandparitylegislationandtherisingrateofservicemembersseekingbehavioralhealthservices.
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StrategicInitiatives2015– 2018LeadingChange2.0
1. PreventionofSubstanceAbuseandMentalIllness
2. HealthCareandHealthSystemsIntegration
3. TraumaandJustice4. RecoverySupport5. HealthInformation
Technology6. WorkforceDevelopment
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SAMHSA Strategic Initiative #6: Workforce Development
Objectives
• To support active strategies to increase the supply of trained and culturally aware preventionists, health care practitioners, paraprofessionals and peers to address the behavioral health needs of the nation.
• To improve the behavioral health knowledge and skills of those health care workers not considered behavioral health specialists.
• To monitor and assess the needs of:– Youth– Young adults– Young adult and adult peers– Communities– Health professionals 5
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DefiningtheBehavioralHealthWorkforce
• Statesgenerallydefinethebehavioralhealthworkforceas:– Anyonewhoseprimaryfunctionistoprovidetreatment,support,orassistancetoindividualsandtheirfamiliesexperiencingbehavioralhealthchallengesincludingbutnotlimitedto:clinical,medicalandpsychiatricstaff,casemanagers,peers,naturalsupports,preventionandearlyidentificationspecialists.
– Inclusiveofpeerandpreventionservicesthatcrossallagegroupschildrentoseniorpopulations.
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Partners in Building Solutions
National PartnersPre-Service PartnersHigher Education Professional Organizations
Federal GovernmentAssistant Secretary for Planning and Evaluation (ASPE)Health Resource s and Services Administration (HRSA)Center for Disease Control (CDC)
State & Local GovernmentState AgenciesEducation PartnersLocal Health AuthoritiesHealth Care Providers
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• Health Occupations Students of America (HOSA)
• Working with HOSA to educate the next generation of medical and public health professionals about key public health issues surrounding substance abuse and mental health service needs. (2016 Behavioral Health Knowledge Test)
• Association of Recovery Schools (ARS)
• Working with ARS to increase engagement of students in Recovery Schools in the exploration of career paths in the behavioral health field.
Pre-Service Organizations8
Innovation
• ExpansionPlans– Statewithshortagesinavarietyofdisciplines:socialworkers,prescribers,psychologists,etc.Expansionincludespeers,preventionspecialists,“extenders”
– Astatejustinvested$1millioninpeercertificationprograms.Theyhavehadseveralsuccessstoriesinexpandingthesepositionsinallaspectsofcare.
– Stateexpandingthepeerworkforce,usingan1115Medicaidwaiver.MentalhealthpeersarerequiredtobeapartofallACTteams.
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Recruitment & Retention
• Health Resources and Services Administration (HRSA)– Bureau of Behavioral Health Workforce Development– National Health Services Core
• Higher Education - Addiction Curriculum for Physicians– Working with the Scattergood Foundation, the Coalition for Physician
Education (COPE), American Association of Medical Colleges (AAMC), American Medical Association (AMA), education, credentialing and other partners to increase addiction curriculum nationally in medical schools.
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FundingaBHPeerWorkforce
Opportunity:– PeerworkcanbefundedthroughMentalHealthandSubstanceAbusePreventionandTreatmentBlockGrants,andcaninclude:• non-reimbursableservicesprovidedbypreventionspecialist,recoverysupportspecialist,andcommunityengagementspecialist.
Challenge:– Statescanapplyforthe1115waivertotakeadvantageofflexiblefundingtopayforpeerproviders.
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TrainingtheBHPeerWorkforce
• PromisingPracticesInclude:– TrainingAcademythatdevelopedaproviderbasedlearningcollaborativeandalsoareprovidingschoolinternships.
– Yearlyconferencesthatsupplementacademiccommunitytrainingsandincludetopicssupportingpara-professionals.
– SubstanceabusepeersupervisiontrainingdonewiththeclinicalsupervisiontoolkitbytheATTC.
– Peer-operatedPeerAcademywithbroadrangeoftrainings,includingappropriatesupervision.
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Supervision & Leadership Capacity
• Addiction Technology Transfer Centers– Clinical Supervision & Advanced Supervision Trainings– Technology based clinical supervision draft guidelines workgroup– NIDA blended product: Motivational Interviewing & Clinical Supervision– Webinar based clinical supervision with case studies– Addiction Leadership Institutes
• To include cultural specific opportunities
• Project Leadership Initiatives For Tomorrow (LIFT)– Details on those funded? Next funding opportunities?
• BHbusiness – Behavioral Health Business
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THANKYOU!QUESTIONS??A.KathrynPower M.Ed.RegionalAdministrator-Region1
SubstanceAbuseandMentalHealthServicesAdministrationU.S.DepartmentofHealthandHumanServices
JFKFederalBuilding,15NewSudburyStreet,Room1826Boston,MA02203617.565.1482
Resources:
ATTC,AddictionTransferTechnologyCenter,BrownUniversity,http://attcnetwork.orgBasecamp:http://www.basecamphq.com,MARINECORPSBASECAMP
NAADAC,NationalAssociationforAddictionProfessionals,[email protected], 800.548.0497
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