Training Academy Proposal PROPOSAL Training Academy for Rural Behavioral Health: Planning Year Submitted jointly by: UAF Department of Psychology UAF Department of Social Work UAF Human Services Associates Degree Program (HSV) UAF Rural Human Services Certificate Program (RHS) Contact Person: Catherine Koverola, Ph.D. Chair, Dept of Psychology, UAF Phone: 474 2614 Email: c.koverola@uaf.edu The state of Alaska faces an ever increasing shortage of individuals within the Behavioral Health Workforce. Further, there is a critical shortage of individuals within the Behavioral Health Workforce in Alaska that can meet the unique needs that arise in the delivery of services in a state that is multi-cultural and largely rural. The need for generalists at all levels of expertise with multi-disciplinary training, with cross cultural competence, and equipped to meet the complex behavioral health needs within this state is self evident. The Behavioral Health Workforce shortage can be attributed to a number of issues including: (1) to date the existing training programs in behavioral health in Alaska have produced inadequate numbers of graduates to fill the needs in the workforce; (2) there is high turn over within the behavioral health work force due to inadequate training and supports for employees once they are in the workforce; (3) professionals who come from the lower 48 in particular are often ill equipped to deal with the unique complexity of providing services in a multi-cultural rural frontier context; and (4) there has historically been inadequate inter-disciplinary dialogue thus limiting the development of well functioning multi-disciplinary teams in the field. The literature on rural mental health service delivery clearly notes the imperative of multi-disciplinary teams when endeavoring to provide high quality services. One of the goals identified at the Alyeska Behavioral Health Workforce Summit was: By 2006, a multi-disciplinary multi-level behavioral health education-training program will be implemented in Alaska. We propose the development of a Training Academy, specifically focused on delivering multi-disciplinary behavioral health education on a continuing basis. The Training Academy will meet the ongoing training needs of individuals ranging from those with certificate level credentials to licensed professionals with graduate degrees. Training Academy Proposal Background: At present there are essentially two primary forums for behavioral health education: (1) certificate or degree based training obtained in a college or university; and (2) continuing education workshops, seminars and conferences. There is a clear void between these models of training. Individuals typically complete their certificate or degree programs and then move into the professional world of practice. Subsequently they obtain all further education in a somewhat haphazard uncoordinated manner. The continuing education training is typically driven by what might be offered in a location accessible to the practitioner. This is quite in contrast to the carefully constructed curriculum of a certificate or degree program, in which there are clear sequences and knowledge/skill domains that are acquired systematically. Further, while all licensed professionals are required to attend continuing education forums to maintain their licensure, there is no evidence to indicate that participation in these activities is tied to enhanced work performance or improved services for the consumer. It seems self evident that a more systematically organized and planned series of continuing education opportunities would be of substantial benefit to consumers. The Alyseska Behavioral Health Workforce Summit identified key instructional content areas that would be of significant benefit to the existing Behavioral Health Workforce in Alaska. These included cultural competence; mental health training for consumers across the life span; addictions; dually diagnosed clients (addiction & mental health issues); FASD; inter-generational trauma; child abuse; domestic violence; and the well being of providers themselves. This final content area is critical, as it is clearly linked to the pervasive problem of turn over within this workforce. Proposal: We are therefore proposing a Training Academy in Rural Behavioral Health that will provide a range of curriculum options including the key content areas identified above. The Training Academy will be designed to meet the continuing training needs of the behavioral health workforce statewide. The Training Academy will provide instruction in a forum that would be multi-disciplinary. Further, it will be designed to meet the instructional needs of individuals at varying skill and training levels. This will ensure that professionals requiring CEU’s for their professional licensure would be able to meet these requirements while attending the Academy. The Training Academy will be distinct from the more traditional types of conferences and workshops in that there is a long range curriculum planned to meet specific training needs over the long term. Further the curriculum is designed specifically to meet the needs of practitioners in Alaska. Situating the Training Academy within the university provides the advantages of utilizing the most up-to-date pedagogical methods for adult learners. This includes the utilization of a curricular model of learning rather than the “three-day conference” model in which attendees tend to be passive observers rather than participants. Finally, the university setting also brings the participants much closer to cutting edge research on emerging and best practices in the field. We envision that many of the Training Academy faculty will Training Academy Proposal be individuals who are actively involved in research within the behavioral health field thus ensuring that those who are trained in the academy receive the most current knowledge on the science that informs practice. The University of Alaska Fairbanks has four departments/programs currently collaborating to provide training in Behavioral Health. These include: The Rural Human Service Certificate Program (RHS) Human Services Program offering the Associates Degree (HSV) Social Work Department offering the Bachelors Degree in Social Work, and Psychology offering the Bachelors Degree and Masters Degree. These four departments at UAF have a long history of collaboration that includes: (1) developing a clear articulation of course work between certificate, AA, BSW, BA/BS and MA degree programs; (2) faculty with joint appointments across departments; (3) funding support shared across programs; (4) emerging interdisciplinary research efforts across departments. These four programs have an ongoing history of sharing best practices in teaching, in particular utilizing the cohort model of adult learning, as well as in navigating the challenges of distance-delivered programs. Key faculty members from each of these programs have met several times to develop the proposed Training Academy. Plan: We propose a year of planning to adequately prepare for the implementation of the Training Academy. The planning will be done by the Training Academy Advisory Council that will be comprised of 8 faculty members from the four respective departments/programs. The planning effort will begin with a three-day retreat at Old Minto. This will afford an opportunity to begin the strategic planning on the Training Academy, in particular the curriculum. This will be followed by monthly meetings of the Advisory Council. During the year we will utilize the services of two consultants as follows: (1) Consultant with expertise in training in rural mental health issues, for example WICHE consultants, (2) Consultant with experience in developing training academy models of adult learning. During the summer of 05, several of the Advisory Council members will devote time to the completion of the Training Academy Curriculum courses and syllabi. Tangible products and goals of the planning process will include the following: (1) Curriculum for the Training Academy (2) Identify training faculty, most from in-state, however we will undoubtedly want to have some nationally recognized training faculty from Canada and the lower 48 (3) Begin to contact potential training faculty and establish commitment to participate in the Training Academy Training Academy Proposal (4) Develop job descriptions for the Training Academy Director and Administrative Assistant (5) Recruitment and hiring of Director and Administrative Assistant Projected Costs: Old Minto Cultural Immersion Camp: 8 participants for 3 days Consultant fees and travel to Fairbanks for two consultants (one trip each) 1 month of summer salary support for 4 faculty members for curriculum preparation Budget for Training Academy Planning Year, 2004-2005 Salary and Benefits: Training Academy Advisory Council Planning Group (five faculty, one month salary each) Travel: Airfare for two consultants $25,000 3,000 Service/Contracts: Old Minto Cultural Heritage Camp (contract for services for l0 people for 3 days) 20,000 Consultant fees l0,000 Total $58,000 Training Academy Proposal PROPOSAL Training Academy for Rural Behavioral Health Submitted jointly by: UAF Department of Psychology UAF Department of Social Work UAF Human Services Associates Program (HSV) UAF Rural Human Services Certificate Program (RHS) Contact Person: Catherine Koverola, Ph.D. Chair, Dept of Psychology, UAF Phone: 474 2614 Email: c.koverola@uaf.edu We are proposing the implementation of a Training Academy in Rural Behavioral Health to fulfill the Alyeska Behavioral Workforce Summit goal to: Implement by 2006, a multi-disciplinary multi-level behavioral health educationtraining program in Alaska. Prior to the implementation of the Training Academy there will have been a year of planning undertaken by the Training Academy Advisory Council as described in the Training Academy Planning Proposal for FY 04. As described in the Planning Proposal the Training Academy will offer a set of continuing education curriculum designed specifically for behavioral health workers providing a broad range of services in rural and semi-urban Alaska. The courses will be offered on an ongoing basis. The curriculum will be suitable for a multi-disciplinary audience, who come from a range of training levels. The Training Academy will specifically foster an environment that facilitates the development of well functioning multi-disciplinary teams in the field. It will emphasize the importance of practitioners at all levels of training and expertise. Central to the Training Academy is the premise that the training significantly enhances the cross cultural competence of the participants. Further, the Training Academy curriculum will also specifically focus on the well being of the provider as it is our contention that this underlies the high turn over rate within the field. We envision that the Training Academy will have a series of curriculum units that address the content areas identified at the Alyeska Behavioral Workforce Summit as central. These include but are not limited to the following: mental health issues across the life span; addictions; dual diagnosis; intergenerational trauma; child abuse; domestic violence; suicide; FASD; health issues stemming from stress; working in the context of families and communities; and vicarious trauma as it impacts the provider. Training Academy Proposal The Training Academy will be staffed by a full-time Training Director and a full-time Administrative Assistant. The Training Director’s role will be a liason between the university, the health corporations/employers, potential participants, the State DHHS, and licensing boards. The Training Director will have responsibility for: (1) social marketing; (2) recruiting Training Academy faculty; (3) setting up faculty contracts; (4) coordinating the delivery of the courses; (5) ensuring materials are prepared for students; (6) ensuring required documentation for CEU’s for each discipline is completed appropriately; and (7) facilitating the process for student accommodations while participating in the Training Academy. The Training Academy Advisory Council will continue to meet and provide guidance and direction to the Training Director throughout implementation. The Training Academy faculty will include a broad range of individuals identified as experts either within state or nationally. There will be a strong emphasis on recruiting instate faculty as they will be particularly knowledgeable about the issues facing providers in Alaska. Clearly, there are a number of faculty members within the four collaborating departments/programs that will also be appropriate faculty for the Training Academy for specific courses. We will nonetheless also welcome faculty from the lower 48 and Canada who have specific expertise in highly specialized areas that are germane to our state (e.g., culturally competent service delivery). We envision the Training Academy offering a series of continuing education courses each month for a duration of 3-5 days. The Training Academy will offer a variety of tracks/content areas and the course offerings will be staggered such that a student might for example elect to complete one track each year. The courses relevant to each track would be offered each quarter. An individual who is interested in gaining expertise in infant mental health could elect to take a series of four continuing education courses, that each build upon the previous one. This track would be offered in January, March, June, and October. Alternatively a second individual might be interested in assessment and treatment of dual diagnosis in a rural context and this track would be offered in February, April, July and November. Content areas identified as particularly high demand could be offered more often than quarterly. For example, a track entitled “Delivering Behavioral Health Services Across the Life Span in Rural Alaska” might be offered more frequently. However, the overall model for the Training Academy would consist of one week of a variety of continuing education opportunities each month. Projected Cost for the Training Academy: Training Director Full time Administrative Assistant Full time Training Faculty Travel for Training Faculty Office Space for Training Academy staff Space for Instruction Phones Supplies: social marketing materials, office supplies, educational materials Training Academy Proposal Equipment: computers, printer photocopier, LCD projectors, computer software (e.g. PathLore for tracking students progress) Office furniture Training Academy Budget, FY05-06 Personnel Total (Salary & Benefits) Full-time Training Director Full-time Administrative Assistant 80,000 50,000 Travel Total Training Academy Faculty travel 57,600 Supplies & Equipment 70,000 Services & Contracts Office space, instructional space, phone Training Academy Faculty contracts Total Costs 31,500 120,000 $409,100 Training Academy Budget, FY06-07 Personnel Total (Salary & Benefits) Full time Training Director Full time Administrative Assistant 82,400 51,400 Travel Total Training Academy Faculty travel 70,000 Supplies & Equipment 15,000 Services & Contracts Office space, instructional space, phone Training Academy Faculty contracts 40,000 160,000 Total Costs $418,000