IN COLLABORATION WITH Questions 626.793.5141 Ext 1-311 ▪ www.HealthNavigation.org ▪ [email protected]What is Health Navigation? Health Navigation is a culturally-responsive, promising practice intervention designed to provide the services, skills and confidence which consumers with serious mental illness need to self-manage their healthcare. After completing an intensive, specialized training course combining classroom instruction and coaching in real-world settings, each certified Health Navigator will be able to “bridge” the mental health, primary healthcare, and specialty healthcare systems. The Health Navigator Certification Training Program certifies the behavioral health workforce to provide the skills and tools required to effectively link consumers of behavioral health services to critical services in the physical healthcare system. This Training Program includes a Supervisor component designed to prepare program administrators to successfully integrate Health Navigation activities into their organizations and individual programs. The training program includes a Health Navigator Intervention Manual which describes in detail the skills and competencies needed to serve as a Health Navigator. Who Can Participate? The ideal training candidate must be in a paraprofessional and/or peer level position such as: Peer Partner, Peer Advocate, Case Manager, Community Worker, Recovery Coach, Community Care Coordinator and Wellness Outreach Worker or must be in a similar position in which the staff member has direct access to working with consumers and must also have a background clearance to work with mental health consumers. After attending this training, Health Navigators will: 1. Understand the barriers that those with serious mental illness face when trying to access medical care. 2. Identify and screen appropriate consumers for Health Navigation. 3. Conduct an initial assessment of the consumer's health and wellness status and access to health care. 4. Collaborate with the consumer, family members and mental health staff to establish health and wellness goals. 5. Coach the consumer to achieve his/her health and wellness goals through behavioral strategies such as shaping, modeling and fading. 6. Assist the consumer with communicating their health care needs and progress to their mental health staff. 7. Conduct follow-along assessments Funded by County of Los Angeles Department of Mental Health MHSA Workforce Education and Training (WET) Deadline Extension to: March 9, 2015
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Deadline Extension to: March 9, 2015healthnavigation.org/files/docs/2015-health... · Health Navigator will be able to “bridge” the mental health, primary healthcare, and specialty
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Funded by County of Los Angeles Department of Mental Health MHSA Workforce Education and Training (WET) Coordinated by Pacific Clinics Training Institute (PCTI) in partnership with USC School of Social Work
IN COLLABORATION WITH
Submit Forms by March 9, 2015 ▪ Fax to 626.577.4988 or Email to [email protected]
Last Name: First Name:
Job Title:
Are you a: Volunteer ____hours/week Employee Part-time Full-time
Work Number: Cell Phone:
Company E-mail Address:
Personal E-mail Address:
Ethnicity: African American Asian American Hispanic/Latino Native American
Pacific Islander White, Non-Hispanic If other, Please Specify:
Language: Arabic Armenian Cambodian Cantonese English Spanish Farsi
Russian Korean Mandarin Vietnamese Tagalog Sign Language
Other Language If Other, Please Specify:
Agency Name:
Please Specify: DMH Contract Provider DMH Directly Operated Site
Address:
City: State: Zip Code:
Direct Supervisor Name:
Phone Number: E-mail Address:
Quality Assurance Rep Name:
Phone Number: E-mail Address:
Agency/Clinic Director Name:
Phone Number: E-mail Address:
Service Areas Served:
1 – Antelope Valley 5 – West
2 – San Fernando 6 - South
3 – San Gabriel 7 – East
4 – Metro 8 – South Bay
Ethnic Groups Served:
African American Native American
Asian American Pacific Islander
Hispanic/Latino White, Non-Hispanic
If Other, Please Specify:
NOMINATING AGENCY & SUPERVISOR INFORMATION
Health Navigator Certification Training Program Nomination Form
NOMINEE INFORMATION
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Funded by County of Los Angeles Department of Mental Health MHSA Workforce Education and Training (WET) Coordinated by Pacific Clinics Training Institute (PCTI) in partnership with USC School of Social Work
IN COLLABORATION WITH
Submit Forms by March 9, 2015 ▪ Fax to 626.577.4988 or Email to [email protected]
1. Mark the box(es) that identifies the population that you directly work with:
Birth to 5 Transition Age Youth (TAY) Older Adults
4. Do you work with mental health consumers that have chronic diseases (diabetes, high blood pressure, etc.) or conditions (dental pain, eye problems) that are inappropriately managed?
Yes | No | Other (please specify) __________________________________
5. Does your current position allow you to make consumer visits outside the office?
Yes | No
If yes, do you have transportation for this purpose (company car, own car)?
Yes | No | N/A
6. Is your current position full-time or part-time?
Full-time | Part-time
7. Are you employed by the nominating agency or a volunteer? Employed | Volunteer 8. Do you currently bill for the services you provide?
Yes | No
9. How do you foresee serving as a Health Navigator at your site? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Health Navigator Certification Training Program Nominee Survey
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Funded by County of Los Angeles Department of Mental Health MHSA Workforce Education and Training (WET) Coordinated by Pacific Clinics Training Institute (PCTI) in partnership with USC School of Social Work
IN COLLABORATION WITH
Submit Forms by March 9, 2015 ▪ Fax to 626.577.4988 or Email to [email protected]
1. Are you familiar with Health Navigation?
Yes | No
2. Does your Agency support the implementation of Health Navigation at your site?
Yes | No, Please explain ___________________________________________________________________
3. Will your agency provide support to the Health Navigator as it relates to billing, documentation and referral coordination once he/she is a certified Health Navigator?
Yes | No, Please explain __________________________________________________________________
4. Please specify the level of collaboration and integration of physical health care and behavioral health that is
currently being implemented by your agency.
Coordinated Care
□ Minimal - Mental health and other healthcare providers work in separate facilities, have separate systems, and rarely communicate about client cases.
□ Basic - Providers have separate systems at separate sites, but engage in periodic communication about shared clients, mostly through telephone and letters. Providers view each other as resources/referrals.
Co-Located Care
□ Basic - Mental health and other healthcare professionals have separate systems, but share facilities. Proximity supports occasional face-to- face meetings and communication
□ Close Collaboration with some system Integration - Mental health and other healthcare providers share the same sites and have some systems in common such as scheduling or charting. There are regular face-to-face interactions among primary care and behavioral health providers, coordinated treatment plans for difficult consumers, and a basic understanding of each other’s roles and cultures.
Integrated Care
□ Close Collaboration - Mental health and other healthcare professionals share the same sites, vision, and systems. All providers are on the same team and have developed an in-depth understanding of each other’s roles and areas of expertise.
□ Full Collaboration - Shared systems and facilities. Consumers and providers have same expectations of system(s). Collaborative routines are regular and smooth. Conscious influence of both systems and sharing
based on situation and expertise.
None – We plan to integrate services via the Health Navigation Certification Program Other – Please Specify _____________________________________________________________________________________________________
5. How will you utilize a Health Navigator at your site? (Please use additional pages if necessary) ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Health Navigator Certification Training Program Supervisor Survey
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Funded by County of Los Angeles Department of Mental Health MHSA Workforce Education and Training (WET) Coordinated by Pacific Clinics Training Institute (PCTI) in partnership with USC School of Social Work
IN COLLABORATION WITH
Submit Forms by March 9, 2015 ▪ Fax to 626.577.4988 or Email to [email protected]
I _______________________________________________ confirm and acknowledge that the following is true and correct: (Print Supervisor’s Name)
_____________________________________________________ has obtained background clearance by my agency (Print Nominee’s Name)
Nominee has a badge and has been cleared to work as a Peer Partner, Peer Advocate, Case Manager, Community Worker, Recovery Coach, Community Care Coordinator, Wellness Outreach Worker or similar paraprofessional position at my site.
The nominee is in good standing with our agency and is recommended to participate in the Health Navigator Certification Training Program.
Direct Supervisor is available to attend the Mandatory Supervisor sessions: 3/23/15 Supervisor Orientation (8:30am – 12:30pm)
I confirm that if selected, the nominee will have access to the following:
Workstation (Desk, Computer and Phone)
Internet access and agency email address
Access to private interviewing area
Access to consumers with medical/health related concerns
Access to consumer medical records for the purpose of documenting services (whether Medi-Cal billable or not)
Direct weekly supervision
Participate in team meetings
Supervisor will provide weekly supervision to the Health Navigator to ensure certification completion
We have read the training program components and understand that if selected, we will abide by the commitment to navigate at least five (5) consumers per year post training completion Nominee Signature: _____________________________________________________________________ Date: ______________________________________ Supervisor Signature: ___________________________________________________________________ Date: ______________________________________
Health Navigator Certification Training Program Clearance Confirmation & Acknowledgment