MHJHADS Divisional Essential Education SOP · Web viewEnhance the provision of safe, quality person centred care Maintain compliance with legislation, standards, evidence based practice

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Canberra Hospital and Health ServicesOperational Procedure Essential Education – MHJHADS Contents

Contents....................................................................................................................................1

Purpose.....................................................................................................................................2

Scope........................................................................................................................................ 2

Section 1 – Roles and Responsibilities......................................................................................3

Section 2 – Completing Essential Education..............................................................................4

Implementation........................................................................................................................ 4

Related Policies, Procedures, Guidelines and Legislation.........................................................5

References................................................................................................................................ 5

Definition of Terms...................................................................................................................5

Search Terms............................................................................................................................ 6

Attachments..............................................................................................................................6

Attachment A Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Mental Health – Clinical Staff...........................................................7

Attachment B Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Mental Health - Clinical Support Staff.............................................11

Attachment C Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Justice Health - Clinical Staff...........................................................14

Attachment D Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program – Alcohol & Drug Services.................................................................16

Doc Number Version Issued Review Date Area Responsible PageCHHS14/022 1 12/08/2014 01/07/2018 MHJHADS 1 of 20

Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

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Purpose

Mental Health, Justice Health and Alcohol & Drug Services (MHJHADS) upholds the ACT Health Learning and Development Framework by supporting a learning and development culture. This procedure is to clearly identify Divisional Essential Education training requirements for all clinical and clinical support staff to; Enhance the provision of safe, quality person centred care Maintain compliance with legislation, standards, evidence based practice and policies Equip staff with skills and knowledge.

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Scope

This Essential Education procedure applies to all clinical and clinical support staff in MHJHADS. It must be read in conjunction with the ACT Health Essential Education Policy and ACT Health Essential Education Guideline.

The Essential Education modules for clinical staff are listed in Attachments A, C & D and Essential Education modules for clinical support staff are listed in Attachment B. It should be noted that clinical staff and clinical support staff are also required to comply with Essential Education requirements as per the ACT Health Essential Education Policy and Guideline available on the Policy Register.

Essential Education modules for Team Leaders and Managers are listed in Attachment E.

All Administrative Officers are required to comply with the ACT Health Essential Education Guideline with any additional learning and development requirements identified through the development of their Performance Agreement with their Team Leader / Manager.

It should be noted that all Essential Education modules as per attachments are to be reviewed every six months. This process is to be initiated by the MHJHADS Service Development Unit and the primary purpose is to allow for the flexibility required to review existing modules and reflect new Learning and Development modules which staff are required to participate in.




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Section 1 – Roles and Responsibilities

Divisional Executive, Clinical Directors and Discipline Principals are required to: Oversee the development, conduct regular review and maintenance of the Divisional

Essential Education procedure, to ensure that aspects of safety, quality, leadership and clinical risk for all members of the workforce are covered and relevant;

Monitor compliance with Essential Education requirements for all staff within their Division;

Ensure staff are provided with time to complete Essential Education within prescribed timeframes;

Provide input into the Divisional orientation program; and Endorse the content of Essential Education programs developed by staff in the Division.

Managers of staff are required to: Provide information to staff regarding their obligations to complete ACT Health and

Divisional Essential Education requirements and ensure that it is included in their Performance Agreement (PA);

Monitor compliance with Essential Education requirements of staff in their area; Attend training in the use of the ACT Learning Management System (Capabiliti) to access

reports on Essential Education; and Report to their relevant Executive Director / Operational Director on Essential Education

completion rates on a quarterly basis (March, June, September & December) and/or as requested.

Divisional Staff are required to: Register and participate in identified Essential Education modules via the Learning

Management System (Capabiliti); Provide evidence and/or demonstrate competence in areas where Recognition of Prior

Learning (RPL) is being sought; Record all learning and development activities on their Performance Agreement (PA) to

assist in planning attendance and completion of Essential Education Modules.

Providers of Essential Education are required to: Maintain the quality of the program by ensuring it is based on current evidence and

adult learning principles, is reviewed and updated annually or as required; Keep training records; Ensure copyright is not breached in the content of the program; Ensure all programs are endorsed by the relevant Discipline Principals and/or Executive; Evaluate and report on Essential Education Programs and implement quality

improvements; and Maintain records and Essential Education completion on the ACT Health Learning

Management System (Capabiliti) and in relevant files/reports.

MHJHADS Service Development Unit



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Manage the implementation and maintenance of the Essential Education Divisional procedure and coordinate with essential education providers to ensure programs meet requirements, are evaluated and updated every twelve months or as required;

Ensure that there is evidence of a link between orientation, Essential Education, and training programs and safety and quality systems.

Ensure all Divisional Essential Education programs are evaluated; Work with Essential Education providers to produce e-Learning programs; Coordinate and conduct Divisional orientation; Ensure Divisional Essential Education is recorded appropriately in the Learning

Management System (Capabiliti); and Support Divisional Team Leaders/Managers to produce Learning Management System

(Capabiliti) reports on ACT Health/Divisional Essential Education for their area and provide any further assistance.


Section 2 – Completing Essential Education

Clinical Support and Clinical staff with support from their Team Leader / Manager are to utilise this Divisional procedure to register and attend all Essential Education Modules as identified in Attachments A, B, C & D. Registration to attend these modules is made via Capabiliti where staff put in a request to attend the module which is then electronically lodged through to their Team Leader / Manager for approval. Staff then receive an automated response via Capabiliti through email to advise them of the enrolment for the modules which they have requested to attend.

Staff may seek Recognition for Prior Learning (RPL). This should be discussed with their Manager / Team Leader when completing their Performance Agreement (PA). Staff may be asked to provide evidence to support their application for RPL and therefore do not need to complete the identified Essential Education module. This should be recorded in the PA and noted by the Team Leader / Manager for reporting purposes as required.


Implementation

An audit will be undertaken of completion rates within prescribed timeframes to determine compliance with this Divisional Procedure. Each Operational Director/Team Leader/Manager will provide a quarterly report to the Executive Director regarding Essential Education completion rates within their area of accountability.

Divisional clinical and clinical support staff will be aware of their Essential Education requirements and are monitored to ensure they are completing their Essential Education within prescribed timeframes.




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Related Policies, Procedures, Guidelines and Legislation

Policies ACT Health Essential Education Policy

Guidelines ACT Health Essential Education Guideline


References

1. ACT Health Intranet – HR Online – Performance Management2. ACT Health, Public Sector Health Professionals Enterprise Agreement 2013- 20173. ACT Health, Public Sector Medical Practitioners 2013 – 20174. ACT Health, Public Service Nursing and Midwifery Enterprise Agreement 2013 – 20175. ACT Health, Public Service Administrative and Related Classifications Enterprise

Agreement, 2013-176. National Mental Health Workforce Strategy and Plan7. National Practice Standards for the Mental Health Workforce8. The Roadmap for National Mental Health Reform 2012 – 20229. Fifth National Mental Health and Suicide Prevention Plan 2017 – 202210. National Standards for Mental Health Services 201011. Health Workforce Australia


Definition of Terms

People/Person refers to all hospital inpatients and outpatients, residents accessing MHJHADS services

Divisional Essential Education / Training; refers to education / training (specified by the Division) that must be completed in addition to the ACT Health Essential Education requirements by staff working within MHJHADS.

Learning Management System (Capabiliti); is the ACT Health electronic learning management system used for managing training course calendars and bookings; and providing data and records of attendances.


Search Terms

Education, training, professional development, mandatory, essential, learning, MHJHADS



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Attachments

Attachment A: Clinical Staff Divisional Essential Education Modules – Mental HealthAttachment B: Clinical Support Staff Essential Education Modules – Mental HealthAttachment C: Clinical Staff Divisional Essential Education Modules – Justice Health ServicesAttachment D: Clinical Staff Essential Education Modules – Alcohol & Drug ServicesAttachment E: Clinical Staff Essential Education Modules – Program - Divisional

Disclaimer: This document has been developed by ACT Health, Canberra Hospital and Health Services specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and ACT Health assumes no responsibility whatsoever.

Policy Team ONLY to complete the following:Date Amended Section Amended Divisional Approval Final Approval

This document supersedes the following: Document Number Document Name



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Attachment A Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Mental Health – Clinical StaffEssential Education Module Hours Timeframe Complimentary

Face-to-face sessions

Complimentary MHPOD Topics

Divisional Orientation 11 hours Within 2 months of Commencement

1. Effective Working within the Multidisciplinary Team2. Mental Health Service System; the Organisation3. Service Development

MAJICeR Training 3 hours At commencement 1. Effective Documentation in Clinical Files2. Formulation3. Confidentiality and Privacy in Practice

Outcome Measures 8 hours Online Training at commencement

1. Outcome Measures2. Quality Improvement and Evidence Based Practice

Mental Health Act 2 hours Within 3 months of commencement

1. Legislation & Mental Health Practice2. Mental Health Care and Human Rights

Mental State Examination 2 hours Within 3 months of commencement

1. Mental Histories and MSE2. Classification of Mental Disorders

Recovery Planning 4 hours Within 3 months of commencement

1. Promoting Recovery2. Family Interventions

1. Recovery2. Recovery Based Practice3. Networks of Care4. Building the Therapeutic



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Essential Education Module Hours Timeframe Complimentary Face-to-face

sessions


Relationship5. Relapse Prevention6. Transitional Care Planning7. Taking an Empowering Approach to Case Management

Suicide Assessment & Management

8 hours Within 3 months of commencementRefresher every 3 years

1. Risk Assessment & Management2. Risk & Protective Factors3. Strategies of Working with people at Risk of Suicide

COPMI 8 hours Within 6 months of commencement

1. Parenting Issues and Metal Health Care

PART 16 hours Within 2 months of commencement

PART RestraintBed-Based

8 hours Within 2 months of commencement

PART Refresher 8 hours Every 12 monthsClinical Supervision TBA Within 6 months of

commencement1. Supervision and Self Care in Mental Health Services2. Professional Ethics

Highly RecommendedLGBTI 8 Hours Within 12 months of

commencementFace-to-Face

QUIT Skills for Health Professionals

2 Hours Within 12 months of commencement

Face-to-Face



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sessions


Schizophrenia Within 12 months of commencement

Face-to-Face

Depression Within 12 months of commencement

Face-to-Face

Anxiety Within 12 months of commencement

Face-to-Face

Borderline Personality Disorder Within 12 months of commencement

Face-to-FaceMHPOD

Bipolar Within 12 months of commencement

Face-to-Face

Post Traumatic Stress Disorder 4 hours Within 12 months of commencement

Face-to-Face

Crisis Intervention 4 Hours Within 12 months of commencement

Face-to-Face

Drug & Alcohol Training 16 hours Within 12 months of commencement

Face-to-Face 1. Dual Diagnosis

Working with Mental Health Consumers and Carers


Face-to-Face 1. Carer Advocacy2. Carer Participation3. Consumer Identity & Advocacy

RecommendedCognitive Behaviour Therapy 1. Psychological InterventionsDialectical Behaviour TherapyAcceptance & Commitment TherapySensory Modulation 8 hours Within 12 months of Face-to-Face



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sessions


commencementMotivational Interviewing 8 hours Within 12 months of




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Attachment B Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Mental Health - Clinical Support StaffEssential Education Module Hours Timeframe Complimentary





MAJICeR TrainingACTPAS

3 hours3 hours

At commencement if applicable to position

1. Effective Documentation in Clinical Files2. Formulation3. Confidentiality and Privacy in Practice

Mental Health Act 2 hours Within 3 months of commencementRecovery Support OfficersHealth Service Officers

1. Legislation & Mental Health Practice2. Mental Health Care and Human Rights3. Mental Health Histories

Recovery Planning 4 hours Within 3 months of commencementRecovery Support OfficersHealth Service Officers

1. Promoting Recovery2. Family Interventions

1. Recovery2. Recovery Based Practice3. Networks of Care4. Building the Therapeutic Relationship5. Relapse Prevention6. Transitional Care Planning7. Taking an Empowering Approach to Case Management



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sessions


COPMI 8 hours Within 6 months of commencementRecovery Support OfficersHealth Service Officers

e-LearningFace-to-Face

1. Parenting Issues and Metal Health Care


PART Restraint 8 hours Within 2 months of commencementAll bed based staff

PART Refresher 8 hours Every 12 monthsHighly RecommendedWorking with Mental Health Consumers and Carers


Face-to-Face 1. Carer Advocacy2. Carer Participation3. Consumer Identity & Advocacy4. Building the Therapeutic Relationship

Applied Suicide Intervention Skills Training (ASIST)

16 hours Within 12 months of commencementRecovery Support OfficersHealth Service Officers

VYNE OZHELP 1. Risk and Protective Factors2. Risk Assessment & Management

Mental Health First Aid 8 hours Within 12 months of commencementRecovery Support

VYNE OZHELP



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sessions


OfficersHealth Service Officers

Promoting Recovery 8 hours Within 6 months of commencementRecovery Support OfficersHealth Service Officers

Face-to-Face 1. The broad impact of mental illness and the need for partnership2. Networks of Care

Accidental Counsellor 16 Hours Within 12 months of commencement

Face-to-Face



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Attachment C Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Justice Health - Clinical StaffEssential Education Module Hours Timeframe Complimentary





MAJICER TrainingRead Only

ACTPAS

1 hour

Up to 3 days

At commencement

At commencement




Dealing with TraumaAlcohol & Drug Placement with Alcohol & Drug Services

Up to one month

As co-ordinated by Unit Managers

Withdrawal ManagementTriaging of Unwell ClientsMedications and Medication AuditsVenepunctureSuicide Assessment & Management


1. Risk Assessment & Management2. Risk & Protective Factors



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sessions


3. Strategies of Working with people at Risk of Suicide

Security AwarenessProcedures for HandoverPART 16 hours Within 2 months of

commencementPART Refresher 8 hours Every 12 monthsClinical Supervision TBA Within 6 months of

commencement1. Supervision and Self Care in Mental Health Services2. Professional Ethics

Highly RecommendedCrisis Intervention 4 Hours Within 12 months of




Working with Mental Health Consumers and Carers


Face-to-Face 1. Carer Advocacy2. Carer Participation3. Consumer Identity & Advocacy

Working within a Multidisciplinary TeamRecommendedMotivational Interviewing 8 hours Within 12 months Face-to-Face



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Attachment D Mental Health, Justice Health and Alcohol & Drug Services Essential Education – Program – Alcohol & Drug ServicesEssential Education Module Hours Timeframe Complimentary





MAJICeR TrainingRead Only for ADS staff except for Medical Staff and Consultation Liaison Team

ACTPAS

1 hour

Up to 3 days

At commencement

At commencement




Suicide Assessment & Management


1. Risk Assessment & Management2. Risk & Protective Factors3. Strategies of Working with people at Risk of Suicide


PART Refresher 8 hours Every 12 monthsClinical Supervision TBA Within 6 months of

commencement1. Supervision and Self Care in Mental Health Services



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2. Professional EthicsHighly RecommendedCrisis Intervention 4 Hours Within 12 months of




Motivational Interviewing 8 hours Within 12 months of commencement

Face-to-Face

Recommended



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Attachment ETeam Leaders / ManagersMental Health, Justice Health and Alcohol & Drug Services Essential Education – Program - Divisional


sessions


Divisional OrientationADS Managers – Read Only

11 hours Within 2 months of Commencement


MAJICeR Training 3 hours At commencement 1. Effective Documentation in Clinical Files2. Formulation3. Confidentiality and Privacy in Practice

Child Protection Training Level 3 8 Hours Within first month of commencement

Fire & Emergency Awareness 30 Minutes

Within first month of commencemente-learningThen to be completed annually

Manual Tasks 30 Minutes

Within first month of commencemente-Learning

Workplace Induction Pathway Dependan Face-to-Face



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sessions


t on Individual

Managers Orientation 14 hours Face-to-FaceHuman Rights 45

Minutese-Learning

Basic Life Support Theory e-LearningPractical – Face-to-Face

Highly RecommendedWork Safety Legislation 45

Minutese-Learning

Work Safety for Managers 8 Hours Face-to-faceManaging & Preventing Bullying & Harassment (Manager)

2 Hours At commencementFace-to-Face

Incident Notification (Riskman) 30 Minutes

e-Learning

Privacy & Confidentiality 30 Minutes

e-Learning

Partnering with Consumers Dependant on Individual

e-Learning

Integrated Risk Management 30 Minutes

e-Learning

Ethics, Integrity and Fraud Prevention

45 Minutes

e-Learning

Consent e-Learning



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sessions


Aboriginal & Torres Strait Islander Cultural Awareness

e-Learning

Staff Selection 3 Hours Within three months of commencement

People Manager – 5 Modules Face-to-Face



Documents

MHJHADS Divisional Essential Education SOP · Web viewEnhance the provision of safe, quality person centred care Maintain compliance with legislation, standards, evidence based practice