-
To promote a consistent practice philosophy;
-
To assist behavioral health providers in developing a qualified,
knowledgeable and culturally competent workforce;
-
To provide timely information regarding new initiatives and
best practices that impact the delivery of behavioral health
services; and
-
To ensure that services are delivered in a manner that results
in achievement of the Arizona System Principles, including
the Arizona Children’s Vision and Principles and Principles
for Persons Determined to have a Serious Mental Illness.
The intent
of this section is to provide information to behavioral health
providers regarding the scope of required training topics, how
training needs are identified for behavioral health providers
and how behavioral health providers may request specific technical
assistance from contracted T/RBHAs.
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9.1.2
References
The following citations can serve as additional resources for this
content area:
9.1.3
Scope
To Whom Does this Apply?
This section
applies to all behavioral health providers delivering services within
the ADHS/DBHS public behavioral health system.
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9.1.4
Did you know...?
- ADHS/DBHS
monitors the T/RBHAs to ensure that behavioral health providers
receive all required training.
- ADHS/DBHS
requires T/RBHAs to consult with providers regarding what training
topics are necessary, how training curriculum is developed and
how training content is to be presented.
-
Information concerning the qualifications required of T/RBHA and
provider trainers is determined by each T/RBHA. Contact Gila River
RBHA at 602-528-7140 regarding specific qualifications and
training requests.
- In addition
to the required training content areas, T/RBHAs must ensure that
appropriate training is available to behavioral health providers
when deficiencies are identified.
9.1.5
Objectives
To ensure that behavioral health providers have the necessary knowledge
and skills to successfully provide quality services to persons receiving
services in the public behavioral health system.
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9.1.6
Procedures
9.1.6-A
Required training for behavioral health providers
The following is a list of training topics that behavioral
health providers must receive within a reasonable timeframe of beginning
to provide services. [This section does not apply to community service
agency providers (see subsection 9.1.6-C) and Home Care Training
to Home Care Client (HCTC) [formerly Therapeutic Foster
Care] providers (see subsection 9.1.6-B)]:
-
Information on the T/RBHA, the public behavioral health system
and other state agencies;
- Information
regarding the appropriate clinical approaches when delivering
services to children in the care and custody of ADES/DCYF;
-
Cultural competency;
- ADHS/DBHS
system principles;
-
Overview of Arizona behavioral health system policies and procedures;
-
Eligibility and enrollment;
- Screening
and referral;
-
Child and Family Team practice depending on the population
served;
-
Behavioral health record documentation requirements;
-
Use of assessment tools, including Birth-to-Five Assessment
depending on population(s) served;
-
Coordination of care requirements with Primary Care Providers
(PCPs) and other government entities;
-
Third party liability and coordination of benefits;
-
Sharing of treatment/medical information;
-
Confidentiality;
-
Best practices in the treatment and prevention of behavioral health
disorders, including the ADHS/DBHS Clinical Guidance Documents;
-
Management of difficult cases, including high-risk persons and
persons that are court ordered for treatment;
-
Covered services (including information on how to assist persons
in accessing all medically necessary covered services regardless
of a person’s behavioral health category assignment or involvement
with any one type of service provider);
-
Early, Periodic, Screening, Diagnosis and Treatment (EPSDT) Program;
-
Rights and responsibilities of eligible and enrolled persons and
persons determined to have a serious mental illness and service
provision that promotes client dignity, individuality, strength,
privacy, and choice;
-
Grievances and request for hearings;
-
Customer service (i.e. responses to complaints);
-
Fraud and abuse requirements and protocols;
- Managed
care concepts;
- Recognizing
common symptoms of mental disorders, personality disorders, or
substance abuse;
-
Ethical behavior such as staff and client boundaries;
-
Claims/encounters submission process;
- Advance
Directives;
-
Interpretation and translation services;
-
Identification and reporting of persons in need of Special
Assistance for individuals who have been determined to be SMI;
-
ADHS/DBHS Demographic Data Set, including required timeframes
for data submission and valid values; and
-
Medicare Prescription Drug Modernization and Improvement Act of
2003 (MMA), including the following:
-
Assisting persons in choosing a Medicare Part D plan;
-
Accessing relevant resources (e.g., plan formularies); and
-
Answering questions and obtaining informational materials.
ADHS/DBHS also
recognizes that there may be ongoing training requirements, specific
to each T/RBHA. Contact Gila River RBHA at 602-528-7140 for
information and ongoing training requirements.
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9.1.6-B.
Required training specific to Professional Foster Homes
Children
Medicaid reimbursable
Home Care Training to Home Care Client (HCTC) services for children
are provided in Professional Foster Homes which must comply with
training requirements as listed in R6-5-5850. All agencies that
recruit and license Professional Foster Home providers must provide
and credibly document the following training to each provider:
-
CPR and First Aid Training;
-
30 hours of pre-service training utilizing Partnering for Safety and Permanence:
the Model Approach to Partnerships in Parenting (PS-MAPP); and
-
18 hours of pre-service training utilizing the Arizona Home Care Training to
Client (formerly Therapeutic Foster Home) Service Curriculum.
-
Behavioral health management of crisis situations including:
-
Prevention of violent behaviors,
-
Behavior management skills,
-
De-escalation techniques, and
-
Physical restraint practices, as needed
-
Medical/health care issues, procedures, and
techniques, including the purpose/use/administration of medications,
medication interactions, and potential medication reactions.
The provider delivering HCTC services must complete the above training prior to providing
services. In addition, the provider delivering HCTC services for children must complete and
credibly document annual training as outlined in R6-5-5850, Special Provisions for a Professional Foster Home.
NOTE:
Effective January 1, 2009, all providers delivering HCTC services must have completed the
Arizona Home Care Training to Client (formerly Therapeutic Foster
Care) Service Curriculum. This may be most easily accomplished by
providing the training as part of the provider’s annual advanced
training requirement.
Adults
Medicaid reimbursable
HCTC services for adults are provided in Adult Therapeutic Foster
Homes which must comply with training requirements as listed in
R9-20-1502:
-
Protecting the person’s rights;
-
Providing behavioral health services that the
adult therapeutic foster home is authorized to provide and the
provider delivering HCTC services is qualified to provide;
-
Protecting and maintaining the confidentiality of clinical records;
-
Recognizing and respecting cultural differences;
-
Recognizing, preventing or responding to a situation in which a
person:
-
May be a danger to self or a danger to others
-
Behaves in an
aggressive or destructive manner;
-
May be experiencing a
crisis situation; or
-
May be experiencing a medical
emergency;
-
Reading and implementing a person’s treatment plan; and
-
Recognizing and responding to a fire, disaster, hazard or medical
emergency.
In addition, providers delivering
HCTC services to adults must complete and credibly document annual
training as required by R9-20-1502.
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9.1.6-C.
Required training specific to community service agencies
Staff of a Community
Service Agency providing covered behavioral health services must
submit a statement as part of the initial or biannual certification
application that they have completed the following training and that
it was completed before they began to provide services to behavioral
health recipients. Community Service Agencies (CSAs) must submit
documentation as part of the initial and annual CSA application
indicating that all direct service staff and volunteers have
completed the following training prior to providing services to
behavioral health recipients:
- Client rights;
- Providing
services in a manner that promotes a person’s dignity, independence,
individuality, strengths, privacy and choice;
- Recognizing
common symptoms of mental disorders, personality disorders or
substance abuse;
- Protecting
and maintaining confidentiality of person’s records and
information
- Recognizing,
preventing or responding to a client who may be a danger to self
or a danger to others, behaving in an aggressive or destructive
manner, needing crisis services, or experiencing a medical emergency;
- Record keeping
and documentation; and
- Ethical
behaviors such as staff and behavioral health recipient boundaries
and the inappropriateness of receiving gratuities from a behavioral
health recipient.
9.1.6-D.
Other situations that may prompt additional behavioral health provider training
Additional training
is necessary for behavioral health providers serving in specific
roles and functions including:
In addition, specific
situations may necessitate the need for additional training. For
example, quality improvement initiatives may require focused training
efforts. New regulations that impact the public behavioral health
system may also require concerted training strategies (e.g., the
Balanced Budget Act (BBA), Medicaid
Modernization Act (MMA) and Deficit Reduction Act (DRA)).
9.1.6-E.
Training Expectations for ADHS/DBHS Clinical and Recovery Practice
Protocols
Under the direction
of the ADHS/DBHS Medical Director and Associate Medical Director,
the Department has researched and published Clinical and Recovery
Practice Protocols to assist behavioral health providers in
Arizona’s public behavioral health system. The Clinical and Recovery
Practice Protocols can be accessed at
http://www.azdhs.gov/bhs/guidance/guidance.htm.
Behavioral health
providers are required to receive training and implement the
identified service expectations on the following Practice Protocols.
Behavioral health providers should receive training on these
Practice Protocols before providing services, but must receive
training within six months of the staff person’s hire date:
-
Unique Needs of
Children, Youth and Families Involved with Children’s Protective
Services (CPS). Behavioral health providers providing services to
children and families involved with CPS will be required to attend
“Unique Needs of Children Involved with CPS” training offered by each
T/RBHA on a regular basis;
-
Psychotropic Medication
Use In Children, Adolescents and Young Adults;
-
Other Practice
Protocols as indicated at
http://www.azdhs.gov/bhs/guidance/guidance.htm;
Please note, although
not required, ADHS/DBHS recommends behavioral health providers receive
training on Practice Protocols not listed in this subsection, but
found on the ADHS/DBHS website at
http://www.azdhs.gov/bhs/guidance/guidance.htm.
As Practice Protocols are updated, revised or new Protocols are added,
training expectations will be identified.
9.1.6-F.
Training Requests
Please contact the T/RBHA to find out where and when training is
available or to request technical assistance or trainings that are
mentioned in this section that may be necessary for your agency/organization
to provide quality behavioral health services. The Gila River RBHA
has limited staff resources dedicated to provider training. The
RBHA currently delegates responsibility for provider staff receiving
the ADHS required trainings described in Sections 9.1.6-A, B and
C above to network providers. Behavioral health providers are encouraged
to contact the Gila River RBHA Network Manager at (602) 528-7137
regarding any technical assistance needs related to training and/or
for assistance in accessing local training resources.
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9.1
Training Requirements
Last Revised: 05/26/2005
Effective Date: 07/15/2007
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