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

kathryn.power@samhsa.hhs.gov

Resources:

ATTC,AddictionTransferTechnologyCenter,BrownUniversity,http://attcnetwork.orgBasecamp:http://www.basecamphq.com,MARINECORPSBASECAMP

NAADAC,NationalAssociationforAddictionProfessionals,naadac@naadac.org, 800.548.0497

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