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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
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Average stay for all students 8.0 months
Average stay for graduates 11.6 months
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
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Principal Mental Health ConsultantValerie R. Cherry, Ph.D.
Principal TEAP ConsultantPat 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
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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
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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
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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)
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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
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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
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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
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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
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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
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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
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Conferences and Teleconferences
Regional National Teleconferences in your region
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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
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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
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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
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Center Operating ProceduresSuicide 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
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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
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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
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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.
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Multidisciplinary Meetings Psychotropic Medication Management Sexual Assault Prevention Groups
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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 MeetingsCMHC is required to meet with the CD on a monthly basis
Information ExchangeWeekly meetings with the HWM, TEAP specialist, counselors, and residential living staff are essential to implementing a team approach
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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
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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
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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
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Region 1 David Kraft, MD, MPH [email protected]
Maria Acevedo, PhD [email protected]
Region 2 Amber West, PhD [email protected]
Region 3 Suzanne Martin, PsyD [email protected]
Region 4 Peter Oropeza, PhD [email protected]
Andrew Berger, PhD [email protected]
Region 5 Steve Corey, PhD [email protected]
Region 6 Andrew Berger, PhD [email protected]
Vicki Boyd, PhD [email protected]
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)
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Questions & Answers
