Training Plan – FY 2014
WRITTEN BY:
GHS Training Department
APPROVED BY:
Nancy Kirsh, LMSW, ACSW
Manager of Training and Academic Development
DATE:
Implemented: 11-2010
Revised: 06-2011; 01-2012; 03-2012; 09-2013; 06-2014
I.
INTRODUCTION
This plan reflects a listing of training requirements outlined in the current QAPIP, MDCH, GHS policy
manual, and Federal requirements. It is not topically exhaustive, but does capture all areas essential
to conformance with standards.
II.
GENERAL INFORMATION
Regardless of the type of training, the following general requirements apply:
A. To register for a class or training, staff must sign up via the OPSC or on the Genesee Health
System (GHS) intranet. If an individual from the provider network does not have OPSC access, a
secretary or supervisor who has access may register the individual. Alternatively, to request
access to the OPSC, staff should forward a completed Computer Acceptable Use Agreement
(CAUA) form via fax to Provider Relations at (810) 496-5770.
B. Training notification for GHS staff and network providers is sent out via email. Network Providers
are responsible for ensuring that GHS has their correct email, fax number, and U.S. Mail address.
Providers are responsible for monitoring their own training needs and must ensure that their staff
adheres to all training requirements. GHS Quality Management will audit for compliance.
C. Periodic assessments of training needs are conducted annually through Provider Relations for
the Provider Network. These assessments include suggestions for in-services and trainings
beneficial to the population served. GHS staff are surveyed once per year on training needs. The
Training Department will review all requests and make recommendations for the upcoming year’s
training offerings.
D. There may be a cost for trainings that are offered through GHS for the Provider Network. When
required, the price is clearly noted on the OPSC and will show when staff are registered.
Registration fees will be based on whether the classes contain Continuing Education credits
and/or contact hours from the Michigan Certification Board for Addiction Professionals (MCBAP),
as well as the standard material costs of the class. Providers and/or attendees will be expected to
pay the required amount 72 hours prior to the start of the class or their registration will be
cancelled. Registration fees are payable to:
Genesee Health System
Attn: Accounts Payable Re: (please specify training)
725 Mason Street
Flint, Michigan 48503
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Classes cancelled without 48 hours’ notice will not receive a refund.
E. Some trainings are recorded and may be viewed at GHS. Contact the Training Department at
(810) 762-5280 or email training@genhs.org to schedule a viewing.
III.
REQUIREMENTS/EXPECTATIONS
A. The following classes are required of ALL staff in ALL programs serving individuals with
mental illness and/or developmental disabilities. The classes listed below are offered
regularly by GHS staff. Network Providers can register for these classes on the OPSC.
1. Rights of Persons Served
Recipient Rights
a. Required within the first 30 days of hire.
b. For the Provider Network – the class must be repeated every year.
2. Annual Compliance Training
HIPAA, LEP, and Person Centered Planning are required annually for all GHS staff, or staff
employed by a GHS contracted provider of mental health and/or developmental disabilities
services. Clinicians providing services within the GHS Substance Use Disorder Network are
not required to complete this training. If an agency other than GHS provides any of these
trainings, they do not need to be repeated; however, all other modules are required.
This annual training is available on DVD and offered online on the OPSC or intranet. For
FY 2014, this training includes the following components:
ANNUAL COMPLIANCE TRAINING
Corporate Compliance – HIPAA Security
Corporate Compliance – Privacy/Ethics
Critical Incidents
Customer Services / Welcoming
Due Process
Recipient Rights
Limited English Proficiency (LEP)
Person / Family Centered Planning
Trauma Oriented Systems of Care
Gentle Teaching
Fire Suppression – GHS staff only
Communication – GHS staff only
3. Universal Precautions
Not offered by GHS to the Provider Network, but required of all staff.
4. New Employee Orientation (NEO)
A series of classes for GHS staff only. NEO is offered every other month. The Training
Department will register staff for these classes upon hire. Network provider staff may register
for some NEO offerings on the OPSC. See following list.
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Required for GHS Staff NEO
Required for GHS Staff NEO
(and available to Network Providers)
Blood Borne Pathogens / TB Testing
Performance Measures
COD for the Mental Health Practitioner
Crisis Prevention Institute / Crisis Prevention
Cultural Competency
Customer Services / Welcoming
Due Process Basics
Ethics
Recovery Oriented Systems of Care
Risk Management
Self Determination
COD for the Mental Health Practitioner
First Aid/CPR for Adults, Children, and Infants
Gentle Teaching Principles
Health and Safety
Protective Services
HIPAA
Human Resources
Intranet and Computer Usage
Limited English Proficiency
Recipient Rights
Recovery and Relapse Prevention
Recovery Oriented Systems of Care
Risk Management
Time and Attendance
Trauma Informed System of Care
Welcoming
Workplace Harassment
Health Information Department
Provider Relations
Self Determination
Performance Measures
5. Other Trainings
In addition to the classes listed above, the following classes are available either online or on
DVD through the Training Library:
 CHIP Basics and Navigation
 Suicide Risk Assessment
 Communicable Disease
 Out of Office Safety
B. The following classes are required of ALL primary clinicians (defined as those responsible
for the Plan of Service) in ALL programs serving individuals with mental illness and/or
developmental disabilities.
1. Primary Clinician Training
GHS offers this class online annually. It is not required that GHS be the only source for this
training, only that each module is trained annually. This training includes the following
modules:
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PRIMARY CLINICIAN TRAINING
Motivational Interviewing:

Module 1: O - Open Ended Questions

Module 2: A - Affirmations

Module 3: R - Reflective Listening

Module 4: S - Summarizing
2. Prevention of Workplace Violence
Annually, providers must submit a Violence Prevention Training Plan to the GHS Quality
Management Department for approval. Once approved, providers are expected to follow that
training and implementation plan. Crisis Prevention Institute ® (CPI) is required annually for all
GHS staff who work directly with consumers. Quality Management will monitor for compliance
in this area.
CPI Principles ® is required every other year for GHS staff who do not work directly with
consumers. Network providers have the option of receiving this type of training in the
community, or obtaining CPI training from GHS for a fee.
3. All AFC homes are required to submit an Annual Training Plan to the Training Department via
e-mail Training@genhs.org for review and approval. Training specific to providing residential
services in a group home setting for handling potential violence in the workplace is an
essential part of provider-specific training plans. Each provider should indicate which
curriculum they utilize (i.e., Crisis Interventions-CPI®, Therapeutic Interventions-MDCH, NonAbusive Psychological and Physical Intervention (N.A.P.P.I)). Once approved, providers are
expected to adhere to their training and implementation plans. Quality Management will
monitor for compliance in this area.
4. Medical Emergency Training (GHS staff only)
GHS requires that all staff in departments that serve clients directly be trained in CPR. GHS
uses the American Heart Association curriculum, and renewals are due every other year. Red
Cross training is also accepted – clinicians are to submit copies of their certificates to the
Training Department for tracking.
C. The following classes are required of ALL direct care workers (defined as those providing
services in Residential, CLS, Independent Living, Respite settings, and Day-Work program
settings) in ALL programs serving individuals with mental illness and/or developmental
disabilities. Employees of these programs are required to have this training within the first 90
days of hire. These standards will be audited by GHS’s Quality Management Department. Please
refer to page 9 of this document for a list of required DCW training modules.
1. Trainers/Training Plans
a. Each program/home will make training available via its own trained trainer, or in
agreement with GHS’s approved trainer/agency.
1) The trainer must be train-the-trainer certified or trained in adult learning theory through
the DCH or GHS approved training course. GHS will offer a train-the-trainer course as
needed/requested.
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2) The trainer must be approved through GHS’s Training Department.
3) All trainers will pass an annual certification exam with a score of 80%.
b. The program/home will supply the GHS Training Department with a training plan annually.
This plan should include a schedule of the program/home’s periodic refresher training of
DCW modules (e.g., medications, environmental emergencies, implementing
relapse/crisis plans, and therapeutic intervention). In addition, the program/home should
describe their plan for providing any population specific training to address specific issues
(e.g., diabetes, special diets, behavioral issues, food preparation) fundamental to
providing quality care to intended consumers. All trainings must include competencybased tests, inclusive of the staff name, date the test was taken, the topic reviewed, test
questions/answers and the final grade. Any change in the plan must be approved through
the GHS Training Department. The program/home must also inform the Training
Department if they have a change in trainers. Failure to do so will result in sanctioning.
c. The corporation will send at least one trainer to each quarterly Trainer meeting. This
representative will update the other trainers on topics covered in the meeting.
2. Employee Training
a. Must occur within the first 90 days of hire (with the exception of Recipient Rights training,
which is required within 30 days).
b. When hiring employees who have already completed the requisite training, the
program/home will maintain evidence of completion within their respective agencies.
Toolbox trainings are not transferable between agencies or between homes of the same
agency.
c. All home/day program managers and assistant home/day program managers must attend
annual food texture training. All staff must be inserviced annually.
d. If the program/home hires an employee who has been out of the direct care field for two
years or more, the employee must repeat the entire course of trainings or take and pass
the competency-based tests.
e. Individual training records for all staff must be kept in the program. Tests must include
score. These records must be produced for audit.
f. All classes must be passed with at least an 80% score, other than Medications which
requires an 86% score.
3. Community-Based Training
a. GHS will provide a Speaker Bureau for the community and will fulfill as many requests as
possible.
1) Speakers will be recruited according to content requested.
2) Marketing is done via brochures and mailings.
3) Coordinated through Customer Services at (810) 257-3705.
b. GHS will offer Mental Health First Aid to the community.
1) This is an 8 hour course and provides social work CEUs.
c. GHS will make training available to law enforcement personnel, correctional personnel,
and first responders.
1) Other Web-based resources on the GHS Website
i. Crisis Intervention Teams
ii. Policing the Mentally Ill
iii. Crisis Intervention Team of Southwest Louisiana
iv. Responding to Situations Involving Persons with Emotional Disturbances
This information is provided in the interest of neutralizing stigma against persons who
experience mental health challenges. Opinions stated do not necessarily represent
positions of this agency.
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IV.
MENTAL HEALTH ACT AND INTEGRATED DUAL DISORDER TREATMENT (IDDT) PROVIDERS
NETWORK REQUIREMENTS AND EXPECTATIONS
All newly-hired practitioners must receive standardized training in the IDDT evidenced based practice
(at least a two-day workshop or its equivalent) within two months of hiring. Existing practitioners
received annual refresher training (at least a one-day workshop or its equivalent.) Providers are
required to maintain a tracking mechanism to assure that each staff completes the aforementioned
IDDT trainings.
V.
MENTAL HEALTH AND SUBSTANCE
REQUIREMENTS AND EXPECTATIONS
USE
DISORDER
PROVIDERS
NETWORK
A. Documentation is required for all mental health and substance use disorder staff, who provide
billable services, of:
 a minimum of 24 specific, Co-occurring training hours beginning within 2 years of date of hire
or beginning October 1, 2009 and
 12 hours every 2 years thereafter.
B. All individuals employed at mental health and licensed substance use disorder agencies who
provide billable and non-billable services must complete a basic training on Welcoming and Cooccurring Disorders:
 Within 60 days of date of hire.
 Every 2 years thereafter.
 Through FY 2014, these trainings will be offered by Genesee Health System as modules in
the GHS New Employee Orientation.
Providers are required to maintain a tracking mechanism to assure that each program staff
completes the above trainings.
VI.
SUBSTANCE USE REQUIREMENTS/EXPECTATIONS
A. Communicable Diseases – At a minimum, all substance use disorder provider program staff with
client contact should have basic knowledge of HIV/AIDS, TB, Hepatitis, and STDs, and the
relationship of substance use disorder including:
 HIV/AIDS, TB, Hepatitis (especially A, B and C) and STDs as they relate to the agency target
population.
 Modes of transmission (risk factors, myths and facts, etc.)
 Linkage between substance use disorder and these communicable diseases.
 Overview of treatment possibilities.
 Local area sources available for further information/screening.
Trainings are offered online at: www.mi-pte.org. Providers are required to maintain a tracking
mechanism to assure that staff complete the training. Typically, this training can be covered in 2 – 3
hours.
B. Recipient Rights – As required by the Michigan Department of Consumer and Industry Services
Model Recipient Rights Policy and Procedures and the Administrative Rules for Substance Use
Disorder Programs in Michigan, each treatment program director is required to designate one
staff member to function as the program Rights Advisor, who shall attend an initial training
approved by the office concerning Recipient Right procedures. Evidence of having completed
this training must be documented and maintained in the Program Recipient Rights Advisors file.
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FY 2014 Training Plan rev 06-2014
Treatment Program Directors shall also ensure and document initial and yearly staff training of
Recipient Rights policies and procedures for each staff member who has the occasion to have a
material effect on the services the client may receive while in the treatment program. Within 30
days of hire, copies of Recipient Rights policies and procedures shall be provided to each
member of the program staff. Each staff member of the program shall review the Recipient
Rights policies and procedures and shall sign a program form to acknowledge that he or she
understands, and shall abide by, the policies and procedures. A signed copy shall be maintained
in the staff personnel file.
The MI-PTE Recipient Rights training can be found on line at www.mi-pte.org/detail.php?tid=35 .
This online training fulfills the requirement for Recipient Rights Designee training. Six (6.0)
MCBAP Continuing Educations Hours will be awarded upon completion. Providers are required
to maintain a tracking mechanism to assure that each staff completes the Recipient Rights
training.
VII.
DEVELOPMENT AND EVALUATION
This policy and its plan will be monitored by the Training Department.
VIII.
TRAINING
It is the responsibility of management staff in all programs to ensure that all staff persons are trained
regarding the expectations in this plan.
IX.
DEFINITIONS
Provider Network: A network of behavioral health providers operating in Genesee Health System
(CHS) Service Network to provide addiction, mental health and/or co-occurring mental health and
addiction treatment.
GENESEE HEALTH SYSTEM TRAINING REQUIREMENTS
Who is required to have
this training?
Training Required
How often?
Must
come
through
GHS
training
X
Network
Providers may
receive this
training from
other sources
Recipient Rights
all staff
within first 30 days of
employment, then annually
HIPAA
all staff
within first 45 days of
employment, then annually
X
Limited English Proficiency
all staff
within first 45 days of
employment, then annually
X
Due Process
all staff
within first 45 days of
employment, then annually
X
Customer Services
all staff
within first 45 days of
employment, then annually
X
Risk Management/
Critical Incident Reporting
all staff
within first 45 days of
employment, then annually
X
Corporate Compliance -Ethics
all staff
within first 45 days of
employment, then annually
X
Universal Precautions/BBP
all staff
within first 45 days of
employment, then annually
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X
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GENESEE HEALTH SYSTEM TRAINING REQUIREMENTS (Continued)
Who is required to have
this training?
Training Required
How often?
Must
come
through
GHS
training
COD for the MH Practitioner
all clinical staff at all access
locations
(MH and SUD)
annually within first 45 days
of employment, then
annually
X
CPI – Crisis Prevention
Institute Training
all staff
Within first 45 days of
employment, then annually
X
Protective Services
all GHS clinical staff
upon hire
X
Workplace Harassment
al GHS staff
< 90 days of hire
X
Recovery Relapse Prevention/
Peer Recovery Story
all clinical staff
upon hire
X
Gentle Teaching
all staff
annually
X
Welcoming/Customer Services
all staff
upon hire
X
Trauma-Informed Systems of
Care
all staff
Provider Relations
all clinical staff
upon hire
X
Health Information Department
all clinical staff
upon hire
X
Performance Measures
all clinical staff
upon hire
X
Direct Care Worker Training
all AFC, CLF and day/work
providers
within 90 days of
employment
Mental Health First Aid
secretarial staff
once, as needed
Recipient Rights for SUD
all SUD staff who come in
contact with clients
annually
Cultural Competency
all MH and SUD staff & supports
coordination2
annually
Health and Safety
all staff
Upon hire
First Aid/CPR for Adults
Children & Infants
all staff
Self Determination
all clinical staff
1
2
< 90 days of hire
Network
Providers may
receive this
training from
other sources
X2
X
X1
X
X
X
X
Upon hire
Upon hire
X
X
GCCMH approved instructor or submit for approval
(AFC, CLF, Respite & Day/Work will follow the DCW training plan)
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DIRECT CARE WORKER REQUIREMENTS
Toolbox
equivalent
AFC
CLF
CLS
Day
Work
Role of Support Staff
X
Interacting with
People
X
X
Not covered- but
required by DCH
X
X
First Aid
Not covered - but
required by DCH
X
X
Environmental Emergencies
Not covered - but
required by DCH
X
X
Not covered - but
required by DCH
X
X
X
Module
Mott
includes
this class
with:
Other names
this training has
gone by
Intro / Role as DCW / Residential
Services
Behavior
Modification
Working with People
American Heart
or Red Cross
CPR
Physical/ nonPhysical
Interventions
Therapeutic Interventions
Crisis Interventions
Therapeutic
Interventions
Not covered - but
required by DCH
X
Cultural Competency
Intro/Role as
DCW/
Residential
Services
Not covered - but
required by DCH
X
LEP
Working with
People
Not covered - but
required by DCH
X
Respite
X
X3
Medications
Medications
Health
Maintaining Health
X
X
Recipient Rights
Must be approved by
GCCMH
X
X
Person-Centered Planning
Not covered- but
required by DCH
X
Maintaining Health
X
Food Texture Modification (required
for Group Home Managers and
Assistant Managers)
N/A
X
Annual Compliance Training
N/A
X
Blood Borne Pathogens/Universal
Precautions
Infection/ Exposure
Control
3
those in unlicensed settings do not pass meds
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X
X