TEAP Specialist Orientation

Diane Tennies, PhD, LADC, Lead TEAP Health SpecialistPhil Pellegrino, PsyD, TEAP Health Specialist

Christy Hicks, MSW, CADC, TEAP Health Specialist

Job Corps General Information

• America’s largest residential educational and career technical training program for economically challenged young adults aged 16-24

• In operation since 1964

• 124+ operational centers throughout the United States and Puerto Rico

• Serves over 60,000 students annually

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Job Corps National Snapshot

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National Leadership

National Office of Job Corps(Washington, D.C.)

National DirectorEdna Primrose

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Administration and Management

National Office• The National Office Health and Wellness staff

are responsible for developing and implementing the policies and procedures that guide the delivery of health care on center

• National Office Health and Wellness staff contacts include:– Edward Benton, Division Chief– Carol Abnathy, MSW, MPH, National Health and

Wellness Manager– Johnetta Davis, MPH, Program Analyst

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Administration and Management (continued)

Health Support Contractor• The health support contractor works with the

National Office, Regional Offices, and centers to:– Develop and enhance center health and wellness

services– Develop policy– Train center health staff– Develop resource materials– Collect and analyze program data– Pilot test new health initiatives– Manage Health Specialists– Provide technical assistance– Conduct center assessments

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Administration and Management (continued)

Regional Offices

• Regional Offices award contracts and provide oversight, monitoring, and technical assistance

• Six Regional Offices, headed by a Regional Director (Boston, Philadelphia, Atlanta, Dallas, Chicago, San Francisco)

• Project Manager (PM)—the DOL representative and liaison who works closely with your center to ensure that you have the resources you need to do your job and that you are working successfully to meet the established program outcomes

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Administration and Management (continued)

Regional Health Specialists

Each Region has the following Specialists:• Nurse Specialist• Medical Health Specialist• Mental Health Specialist• TEAP Health Specialist (as of 8/1/2010)• Oral Health Specialist

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Administration and Management (continued)

Regional Health Specialists:

• Provide technical assistance to center health and wellness staff– Answer questions– Clarify Job Corps policies

• Provide training to regional and center staff

• Provide up-to-date information that will assist center staff in meeting program requirements

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Regional Office Center Assessments

• Every 1 to 2 years, Health Specialists and Assessors visit each center as part of a Regional Office Center Assessment (ROCA) team

• Using the Program Assessment Guide (PAG), in conjunction with the Policy and Requirements Handbook (PRH), this team will conduct an overall assessment of your center’s health and wellness program

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Regional Office Center Assessments(continued)

• Assessments highlight the strengths of your program and provide feedback about areas that could be changed or improved

• Expect to have your health records, appointment books, and other records audited

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Center Health and Wellness Team

• All centers have the following staff as part of their health and wellness team:– Registered nurse (RN)– Staff nurse– Physician– Mental health consultant– TEAP specialist– Dentist and oral health staff– Disability coordinator

• Minimum health and wellness center staffing levels are determined by the center’s contracted student enrollment capacity

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Primary Objective of Job Corps Health and Wellness Program

• Improve each student’s employability by establishing and maintaining the student at his or her optimal health level

• Achieve this through provision and/or coordination of health care including case management of chronic illness, promotion of self management of health care, and through preventive health education to instill good wellness habits and prevent avoidable illness, injury, and death

• Mentor, model, and monitor good employability skills

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Wellness Philosophy

• Allows the roles of the health care practitioners to be redefined so they impact the student’s entire Job Corps experience, including the body, mind, heart, and spirit

• Health care practitioners interact with students not only when the student seeks health care due to illness, but also during times of good health

• Health staff may take on roles ofteacher, mentor, role model, or advisor

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Important Resources

• PRH—The Policy and Requirements Handbook contains the rules by which all centers operate; Chapter 6 (Sections 6.10-6.12) provides policy on ensuring students receive health and wellness services, support, and education that will enhance their employability and encourage and maintain a healthy lifestyle

• PAG—The Program Assessment Guide is a companion to the PRH and contains the parameters by which the quality of each center’s program is measured; it can also be used on an ongoing basis as a tool for determining program effectiveness

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Important Resources (continued)

• COPs/SOPs—Center Operating Procedures and/or Standard Operating Procedures for the health and wellness program; these procedures define how your program will operate on a day-to-day basis, describe staff roles and responsibilities, and provide guidance on center specific documentation, reporting, and communication protocols

• TAGs—Technical Assistance Guides are designed to aid center staff in meeting health and wellness program requirements; they are how-to guides that offer many suggestions but no additional program requirements

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Important Resources (continued)

• DRGs—Desk Reference Guides provide information and strategies to meet and exceed health-related Policy and Requirements Handbook (PRH) requirements, and contain all health and wellness program-related documents and forms. The DRGs will help new center health and wellness staff learn the foundations of their position, and experienced health and wellness staff will find the central location of forms and information useful.

DRGs are located on the Job Corps Community Website under the Health and Wellness Tab. Presently there are DRGs available for HWMs, center physicians, CMHCs, center dentists, and center disability coordinators.

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Health Directives

• PRH Change Notices—Contain new or revised policy with instructions to delete, replace, or add pages to the PRH

• Program Instructions—Provide one-time instructions with a designated expiration date and usually require center response (e.g., survey)

• Information Notices—Provide one-time announcements with information that is of interest to centers (e.g., data summaries, meeting or training announcement)

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Job Corps Health & Wellness Website

• Designed for Job Corps health and wellness staff—use it to connect with your peers, get the latest information on new initiatives and training events, learn about the health and wellness program, and link to related resources

• https://access.jobcorps.org

• To access this site, you will need to obtain a Citrix account from your center’s administration

• Log into Citrix, click on the Job Corps Community website, then click on Health and Wellness

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TEAP is an abbreviation for?

Trainee Employee Assistance Program

Evolution of TEAP in Job Corps

• Job Corps started in 1964• 1992 – drug and alcohol testing

program and full-time AODA Specialist at every center

• Zero Tolerance for Violence and Drugs Policy implemented in 1995

• Changed to an employee-driven model and TEAP was modeled after an EAP (Employee Assistance Program)

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TEAP Responsibility

Overall Goal

Assist students in developing appropriate health and wellness

practices that will enhance their ability to obtain and maintain employment

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Minimum Program Requirements (PRH 6.11, R1)

• Assessment—To identify students who need TEAP help and determine the kind and degree of help needed

• Intervention—To develop and implement services to students who use or are at risk for using AOD

• Counseling—To provide support, by using a number of strategies, to students who use or are at risk for using AOD

• Relapse prevention—To develop and implement strategies that help students remain abstinent

• Prevention and education—To offer intense AOD education programs to all students in an effort to prevent onset and reduce and eliminate AOD use

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Assessment

Screening

• Identifying high-risk students prior to enrollment is form of early intervention—TEAP specialist has opportunity to know if a prospective student is ready to commit to the Job Corps ZT policy and sets the stage for success

– Contact with outreach and admission counselors– Pre-arrival calls– Center tours– Evaluation of applicant folders– Participation on the Reasonable Accommodation Team

(RAT)

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Assessment (continued)

Identification

• Early identification of high- and at-risk students

• Ensures that these students quickly receive appropriate services or referrals

• Helps to maintain a drug-free center environment

– Drug testing– Cursory health questionnaire– Counselor’s intake– Student introduction to center life (to include ZT policy,

biochemical testing procedures, and center prevention programming)

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Assessment (continued)

Formal Assessment

• Objective: determine type and severity of addiction and whether the student’s AOD difficulties are manageable within scope of program

• Students who need treatment services and who cannot succeed in the program because of their addiction should not be retained; Job Corps is a training program NOT a treatment program

• Standardized surveys and inventories (SASSI3)• Counselor’s intake• Clinical assessment by the CMHC (as needed)• Interdisciplinary case review• Medical separation with reinstatement (MSWR)

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Intervention• Intensive intervention services for all who test positive on entry

• Probationary Intervention Period: Occur frequently and focus on behavior awareness and change

• Emphasize AOD awareness and consequences of using AOD

• Expose students to individual internal processes that maintain addictive behaviors

• Help students set individual abstinence goals

• TEAP Specialist should cover the following issues in the group/individual intensive services: self assessment, family dynamics related to addiction, denial, relapse

• Recreation involvement

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Counseling

• Different types of counseling techniques as intervention strategies for students during probationary period and throughout their stay in Job Corps

• Counseling component supports drug-free students as well as at-risk students

• Types: Groups, Special Topics, Student-Generated Support Groups, Individual, and Crisis Intervention

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Time Out for Charting

• Wellness model is a multidisciplinary treatment team approach

• Assessment, treatment, and case management notes must be legible and part of the student health record

• Notes should be in the chronological record – If in TEAP section, document in the chronological

record that the student was seen by TEAP

• Problem-oriented record system (SOAP notes) recommended for health service entries

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Relapse Prevention

• Supporting abstinent students

• Continuum of care and community connections

• Develop AOD-free recreation/wellness programs

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Prevention and Education

• Information dissemination

• Prevention education

• Alternative activities

• Problem identification and referral

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Interactions with Other Staff

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Center Director

• Frequent meetings with CD to discuss:– Center AOD programs– Testing statistics– Information regarding AOD availability on

center

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Health and Wellness Manager

• HWM is TEAP Specialist’s supervisor

• Budget requests

• Time schedules

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Health and Wellness Staff

• Assist with sample collection for drug testing, as needed

• Refer students to TEAP when AOD use is suspected

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Basic Education and Vocation

• Meet with education and vocation staff to:– Discuss suspicious behavior identification

and referral– Provide AOD information related to

employment

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Center Mental Health Consultant

• Request student evaluations

• Discuss case management

• Support students with co-occurring disorders

• Consult on recommendations for MSWR

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Center Disability Coordinator

• Assist with applicant folder review• Conduct pre-arrival calls• Participate in RAT• Assist in developing accommodation

plans• Evaluate and update accommodation

plans when AOD involved

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Center Standards Officer

• Process referrals when students violate the ZT policy

• Assist with the development of appropriate sanctions

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Other Staff

• Counselors– Refer students to counseling groups; stress

management, anger control, and peer resistance groups

• Driver’s Education Instructor– Provide AOD information at driver’s education

classes

• Health and Wellness Instructor– Be a guest speaker at sessions related to AOD

information

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Other Staff (continued)

• Career Transition Specialist– Introduce TEAP when student begins transition

• Personnel Manager– Schedule center staff of AOD policy training and

document in personnel file

• Placement Specialist– Enforce the concept of fitness for work during

career transition phase

• Recreation Staff– Assist with provision of alternative leisure-time

activities

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Administrative Activities

• Reporting– Provide information on the number and results

of alcohol tests for quarterly alcohol testing report

• Testing Integrity– Use proper chain-of-custody principles– Assist with staff training in use of AOD testing

supplies

• Bloodborne Pathogen Plan– Ensure compliance with plan

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MSWR

• Recommend MSWR for AOD-involved student, when appropriate

• Monitor progress of students on MSWR for AOD involvement

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Center Committees

• Meet with center committees as requested

• Meet with student government health and wellness committee

• Meet with Sexual Assault Prevention and Response Team (SART)

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Continuous Quality Improvement

• Use of student satisfaction surveys

• Conduct continuous evaluation of program success

• Monitor and evaluate center statistics on an annual AOD report

• Participate in Regional TEAP teleconferences

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Health Care Guidelines

• Assist with training

• Collaborate on change when asked

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Special Programs

• Tobacco Use Prevention Program (TUPP)

• Assist in developing program and implement as required in PRH

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Community Connections

• Community Services– AA, ACOA, NA

• Community Events– Red Ribbon Week

• Professional Organizations– Community health fair involvement

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Let’s Play Jeopardy!

5050

Orlando Testing Policy Program

100 100 100 100

200 200 200 200

300 300 300 300

400 400 400 40051

How many hotels are located in Orlando?

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Orlando has over 500 hotels.

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How long would it take to visit all 95 attractions (such as theme parks and museums) located in Orlando?

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67 – eight hour days

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What year did Walt Disney World open in Orlando?

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1971 (October 1)

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What does EPCOT stand for?

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Experimental Prototype Community of Tomorrow

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When do we start counting the days for the probationary test?

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The day of entry

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When do we start to count the days for the suspicion intervention test?

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The day the test is collected

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What is the earliest day to collect the probationary test?

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35th day

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When must a student being separated for drugs be sent home so the center will not have to count that student

in their stats?

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Before the end of the 45th day

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Can we test on suspicion during the probationary period?

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Yes

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Can we separate a student who refuses to test? How?

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Yes

5.1b, failure to follow center rules

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Can we test a student on suspicion for drugs or alcohol without a referral?

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No

A referral must always be in place to document suspicion or the test is considered random.

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If a student who was positive at entry is AWOL for the probationary test and exits the program before

returning are they a drug use (5.2a) separation?

No

The student is an AWOL separation and counts in the center statistics.

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What does a TEAP caseload consist of?

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All students on center and all staff.

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How many groups must the TEAP Specialist run?

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As many as is needed—determined by TEAP Specialist

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When can a TEAP Specialist go into the community to collect a test?

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Never

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Where does the TEAP Specialist document services provided?

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In the student’s medical record.

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TEAP Specialist Orientation

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Questions & Answers