Mental Health First Aid SUPERIOR REGION Training Report July Prepared by United Advocates for Children and Families

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1 Mental Health First Aid SUPERIOR REGION Training Report July 2013 Prepared by United Advocates for Children and Families

2 California Mental Health First Aid (MHFA) Program Definitions Regional MHFA Assessment 1. Trainer: Individuals (National Council) that train the 5 day MHFA Instructor courses. 2. Instructor: Individuals that have completed the 5 day training and certification from MHFA Trainers to train MH First Aiders. *Each instructor must conduct a minimum of three courses per year to maintain certification 3. MH First Aider: Individuals that received the 12-hour training to provide first aid to individuals in a mental health crisis or support to those with mental health needs. 4. Mental Health First Aid Basic Adult Course: MHFA is a public education program that helps people identify, understand and respond to signs of mental illnesses and substance use disorders. Instructor Course 5 days Basic Course 12 hours Spanish Designations - Basic 12 hour curriculum with all materials translated into Spanish 5. Mental Health First Aid Youth Course: Youth MHFA is a public education program which introduces participants to the unique factors and warning signs of MH problems; teaches individuals how to help a youth (ages 12-18) in crisis or experiencing a MH or substance use challenge. Youth Instructor Course 5 days Existing MHFA Basic Instructors: Participate in a 2.5 day training to add youth content Basic Youth Course 8 hours 6. Mental Health First Aid Rural Course: Rural MHFA is a way to build community level capacity to identify mental health and substance abuse issues early and for rural residents to increase their confidence to intervene and refer people to the resources that exist. Instructor Course 5 days plus a webinar that provides supplemental information and an overlay for implementing and teaching the basic curriculum in rural areas Basic Rural Course 12 hours Program Resource Webinars Violence and Mental Illness: Myths, Facts, and How Mental Health First Aid Can Help Understanding Depression: How to Help Yourself or a Loved One How to Build Your Mental Health First Aid Program with Philanthropic Funds Call to Clergy: How to Support Mental Health Challenges in Your Congregation Raising Your Profile in the Community through Mental Health First Aid Mental Health First Aid 3rd Annual Instructor Summit Evaluating Mental Health First Aid in Your Community Procuring CEUs for Your Mental Health First Aid Courses Marketing Mental Health First Aid in Your Community Addressing Trauma through Mental Health First Aid Mental Health Technical Assistance Webinar Series Creative Fundraising for Mental Health First Aid: Return of the Telethon! Mental Health First Aid: Outcomes Evaluation Strategies Growing Your Mental Health First Aid Program through Social Media Effective Media Communication Prepared by United Advocates for Children and Families Page 1

3 Contents Regional MHFA Assessment California Mental Health First Aid (MHFA)...1 California Statewide Snapshot on the National Landscape...3 Superior Region...4 Considerations/Notes...8 MHFA Tools & Supports...9 County MHFA Survey Results- Updated 3/14/ *Data presented in this assessment is based upon information provided by the National Council, MHSA Annual Reports and California State University. Other available data may vary, depending upon source and collection or analysis methodology. *California Demographics provided by COUNTY AND REGIONAL DEMOGRAPHIC AND SOCIO ECONOMIC PROFILE REPORT, Axis Group I, LCC, December 31, 2011 All reports, statistics, and information provided in this report can be accessed in the main California Mental Health First Aid report as prepared by United Advocates for Children and Families Prepared by United Advocates for Children and Families Page 2

4 California Statewide Snapshot on the National Landscape Mental Health First Aid continues to be recognized nationally as a response to the escalating need for mental health training, public awareness, and stigma reduction. Through the National Council for Community Behavioral Healthcare, over 100,000 individuals across the country have become trained as Mental Health First Aiders by over 29,000 Instructors. Many states are just beginning to feel the pressure to provide the growing number of interested participants a space in the already filled training seats. In California, the National Council reports: individuals trained through the 12 hour Mental Health First Aider Course. 29 MH Instructor 5 day trainings have been completed; o 26 for the Adult Instructor training, and o 3 for the Youth Instructor Training. A total of 512 certified Instructors have completed the 5 day MHFA Instructor Course (Our research of the NC MHFA website indicated 451 Certified Instructors, not 512). o 487 are certified to teach Adult MHFA curriculum o 74 are certified to teach Youth MHFA curriculum o There are 48 dually certified in both Youth and Adult MHFA Mental Health First Aider 12 hour trainings within CalMHSA counties have occurred since o 1012 were for Adult MH First Aiders o 9 for Youth MH First Aiders, and o One was a Spanish MH First Aider Training. After weeks of data collection and analysis, UACF is providing Regions with information that can contribute to the development of a strategic approach to answer the call for MHFA in a targeted and regionally responsive manner. Below are brief Statewide and Regional Snapshots to give an at a glance view of some of the data gathered for further consideration. This data, in addition to the detailed tables in the Regional Report, will help maximize efforts and ensure that the unique needs of each Region is the starting point for planning and decision-making. Statewide Snapshot Adult Youth Spanish Combined Total Number of Instructor Trainings to Date Total Number of Instructors to Date MH First Aider Trainings to Date Targeted Audience Behavioral Health Social Services School Higher Education Faith Community Primary Health Law Enforcement Business Community General Community Not Indicated/Unknown Prepared by United Advocates for Children and Families Page 3

5 Superior Region Butte, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Nevada, Plumas, Shasta, Sierra, Siskiyou, Tehama, Trinity MHFA Instructor Courses offered in region: 0 *5 Day Trainings as offered by the National Council FY08-Present. Courses offered in Adult and/or Youth formats MH First Aider Instructors in region: 8 *Individuals who are certified through the National Council 5-Day Training Course to conduct 12 hour MHFA course. 3 Education/Higher Learning Institutions 3 Community Based Organizations 2 County Employees MHFA 12 Hour Trainings Conducted in region: 25 *MH First Aider (12 hour course): Individuals trained to provide first aid to those in a mental health crisis or support to those with mental health needs. 25 Basic Adult MHFA 0 Youth MHFA, 0 Spanish MHFA Superior Region Adult Youth Spanish Combined Total Number of Instructor Trainings to Date Total Number of Instructors to Date MH First Aider Trainings to Date Targeted Audience Behavioral Health Social Services School Higher Education Faith Community Primary Health Law Enforcement Business Community General Community Not Indicated/Unknown ** NEW 8-HOUR ADULT CURRICULUM: The existing 12-hour adult curriculum will be condensed to become an 8-hour curriculum by fall The National Council created the new curriculum by combining the Depression and Anxiety Disorders sections and by removing the Eating Disorders Section. A few activities were removed, changed or made optional, as well. Prepared by United Advocates for Children and Families Page 4

6 Superior Region Demographic Snapshot Regional MHFA Assessment *COUNTY AND REGIONAL DEMOGRAPHIC AND SOCIO ECONOMIC PROFILE REPORT, Axis Group I, LCC, December 31, 2011 SUPERIOR Gender Age Groups Race Males Females 18 And Under 65 And Older White Hispanic African American Asian Other Butte 49.50% 50.50% 21.00% 15.40% 1.90% 14.10% 1.60% 4.10% 2.20% Del Norte 55.00% 44.00% 21.50% 13.50% 73.70% 17.80% 3.50% 3.40% 7.90% Glenn 50.50% 49.50% 21.10% 17.70% 71.10% 37.50% 0.80% 2.60% 2.30% Humboldt 50.20% 49.80% 20.10% 13.20% 81.70% 9.80% 1.10% 2.20% 6.00% Lake 50.20% 49.80% 21.10% 17.70% 80.50% 17.10% 1.90% 1.10% 3.40% Lassen 64.20% 35.80% 18.00% 10.00% 3.20% 17.50% 8.10% 1.00% 4.00% Mendocino 50.10% 49.90% 22.20% 15.40% 76.50% 22.20% 0.70% 1.70% 5.00% Modoc 50.40% 49.60% 21.90% 19.70% 3.50% 3.90% 0.80% 0.80% 4.10% Nevada 49.40% 50.60% 19.30% 19.40% 91.40% 8.50% 0.40% 1.20% 1.20% Plumas 50.00% 50.00% 18.00% 20.80% 89.00% 8.00% 1.00% 0.70% 2.80% Shasta 49.20% 50.80% 22.40% 16.90% 6.70% 8.40% 0.90% 2.50% 3.00% Sierra 50.80% 49.20% 17.00% 20.90% 3.30% 8.30% 0.20% 0.40% 1.50% Siskiyou 49.90% 50.10% 20.80% 19.60% 4.70% 10.30% 1.30% 1.20% 4.20% Trinity 51.60% 48.40% 18.30% 20.10% 87.30% 7.00% 0.40% 0.70% 4.90% AVG 51.50% 48.43% 20.19% 17.16% 48.18% 13.60% 1.62% 1.69% 3.75% Prepared by United Advocates for Children and Families Page 5

7 MHFA Instructor Courses Offered in Superior Region: 0 *5 Day Trainings as offered by the National Council FY08-Present. Courses offered in Adult and/or Youth formats County City Date Type None MH First Aider Instructors in Superior Region (certified through 5 Day Instructor Course): 8 *Complete listing of all California trainers (and designations) available in Appendix County Number Glenn 1 Humboldt 2 Nevada 4 Shasta 1 TOTALS 8 MHFA 12 Hour Trainings Conducted in Superior Region: 25 *MH First Aider (12 hour course): Individuals trained to provide first aid to those in a mental health crisis or support to those with mental health needs. CalMHSA County Total Type of Training Adult Youth Spanish Butte Colusa Del Norte Glenn Humboldt Lake Lassen Mendocino Modoc Nevada Shasta Siskiyou Trinity TOTAL Prepared by United Advocates for Children and Families Page 6

8 MH First Aider Instructors in Superior Region: 8 (Individuals certified through the 5 Day Training Course to teach the 12 Hour Course) COUNTY CITY NAME DESIGNATION EMPLOYMENT TITLE Glenn Orland Vickie Reis Adult California United Home Care Workers Union Member Organizer/Support Group Leader Humboldt Arcata Jennifer Sanford Adult Humboldt State University Director, Counseling & Psychological Services Lori Brown Adult Humboldt State University - Counseling & Psychological Services Ph. D Staff, Psychologist/Clinical Coordinator Nevada Grass Valley Donna Hendrich Adult Nevada County Behavioral Health Kim Honeywell Adult Nevada County Public Health Department Linda Grotke Adult Nevada Joint Union High Youth School District Rachel Pena-Roos Adult Victor Community Support Services Suicide Prevention Coordinator Executive Director Shasta Redding Bill Deshais Adult Victor Treatment Centers Training Supervisor MHFA 12 Hour Trainings Conducted in Superior Region: 25 *MH First Aider (12 hour course): Individuals trained to provide first aid to those in a mental health crisis or support to those with mental health needs. County City Total Trainings Type Audience Number Butte County Chico 4 Adult Higher Education 2 Behavioral Health 1 Not Indicated 1 Mendocino County Fort Bragg 1 Adult General Community 1 Laytonville 1 Adult General Community 1 Ukiah 2 Adult General Community 1 Not Indicated 1 Nevada County Grass Valley 2 Adult Not Indicated 2 Truckee 2 Adult Social Services 1 Not Indicated 1 Nevada City 7 Adult General Community 2 Not Indicated 5 Siskiyou Yreka 3 Adult Not Indicated 3 Prepared by United Advocates for Children and Families Page 7

9 Considerations/Notes Regional MHFA Assessment Cost for MHFA 5-day Instructor Training Course Held in CA Conducted by Two (2) Trainers from the National Council (Adult and Youth 5-Day) Cost Covered through UACF Enhancements (a) Per Diem and Travel for 150 participants (b) National Council Membership Dues (c) Facilities for 5 trainings, 5-days each (d) Training Fee in 5-Regions (2-trainers each region) Training Fee Price: $31,500. Per training (5 Regional Trainings Total $157,500.) Includes 2-Trainers from the National Council, and Participant(s) Material 5 - Instructor Trainings Statewide: 1-Training in Each County Region Participants: 30 Participants in Each Region (28 to 30 people which is 140 to 150 total instructors trained instructors which allows for No Shows) Note: 1-3 people per county/region (depending on geographical need) National Council request a minimum of 2 months advance notice Certified Instructors must conduct 3-trainings annually those with Rural designation must conduct at least two of the three in rural-designated areas Spanish Designation is for Instructors that completed the Adult MHFA Course and will teach Basic 12 hour curriculum with all materials translated into Spanish Costs Analysis for 12 Hour Course Instructor: Prepare and Teach Administrative Support Student Set-up Fee Student Material Total $550. Hourly for 15 hours Books, Handouts, Certificate $825. (1) Instructor $20. Hour $75.42 Per Student $25. Per Student $ $1650. (2) Instructors $80. (4) Hours $2, (30) Students $750. (30) Students Prepared by United Advocates for Children and Families Page 8

10 MHFA Tools & Supports Prepared by United Advocates for Children and Families Page 9

11 Prepared by United Advocates for Children and Families Page 10

12 Mental Health First Aid Instructor Certification Program Application Packet Thank you for your interest in becoming certified to teach Mental Health First Aid. The Instructor Certification Program is a 5-day training after which attendees are certified to offer the 12-hour Mental Health First Aid course to members of the general public. We recommend that the 12-hour course be facilitated by two instructors, and therefore strongly encourage applicants to apply in pairs. Should you plan to send more or fewer participants, please explain your rationale in the questionnaire. Please have each participant review this entire document before attending the training. Fees: Tuition is $2,000 per person ($1,850 per National Council Member). If selected, you will be responsible for participant tuition, travel, hotel, and any miscellaneous expenses during the week of training. After being certified as an instructor for MHFA, each instructor may charge a fee or build that into the course tuition when teaching Mental Health First Aid. The number of 12-hour Mental Health First Aid trainings you are able to offer each year may vary based on the organization and target audiences, but certified instructors are expected to offer at least three trainings per year to maintain certification. In this application packet, you will find: 1) Cover Sheet 2) Instructor Certification Requirements & Expectations 3) Agency/Organization Questionnaire 4) Attestation that Instructor Candidate has read all application materials Select Instructor Certification Program for which you are applying: (If applicable, indicate order of preference) Applications are reviewed on a rolling basis until the course is filled. Individuals are encouraged to apply early, as courses are usually filled 8 weeks prior to the course. Chicago, IL June 3-7, 2013 Full; waitlist basis only Charlotte, NC June 10-14, 2013 Full; waitlist basis only Milwaukee, WI August 19-23, 2013 Full; waitlist basis only Other Please Specify on cover sheet Please return your completed application to Margaret Jaco at margaretj@thenationalcouncil.org or via fax at Prepared by United Advocates for Children and Families Page 11

13 Cover Sheet MHFA Instructor Training Location & Dates: Applicant Information: (provide contact information for each individual applying) Name Title Organization Daytime Phone Secondary Phone Postal Address Name Title Organization Daytime Phone Secondary Phone Postal Address Name Title Organization Prepared by United Advocates for Children and Families Page 12

14 Daytime Phone Secondary Phone Postal Address If certified in MHFA-USA, when would you offer your first training? MHFA Primary Contact at your Organization: Position/Title: Address: Telephone: ( ) - Does your organization have an active public education program? YES NO What is your organizational structure? Private Public Non-Profit _for Profit Other Which most closely describes your service area? Frontier Rural Suburban Urban Other Prepared by United Advocates for Children and Families Page 13

15 Instructor Certification Requirements & Expectations A Mental Health First Aid Instructor is a person who is certified to teach the 12-hour MHFA-USA adult course to members of the general public. The following outlines the certification process, certification maintenance, and privileges for Mental Health First Aid Instructors. Instructor Training The MHFA Instructor training is held over five days and is taught by two authorized MHFA trainers connected to at least one of the Mental Health First Aid USA Authorities. Only participants who have been present for the entire 5-day training will be considered for certification as instructors. During the training, each participant will present an assigned minute portion of the 12-hour MHFA course to the group. Trainers will conduct an individual evaluation of each participant in addition to the peer feedback provided. Participants are expected to be active in providing peer reviews on days four and five. In addition to the presentation, each participant must complete and pass a written exam prior to the end of the training. Each of the above items determines whether or not an individual is granted certification to teach the 12 hour MHFA course. It is not guaranteed that all participants who attend the instructor training will achieve certification. Certification Maintenance To maintain certification, each MHFA-USA Instructor is required to: Teach their first course within 6 months of training and teach at least three MHFA-USA courses per year. Present the current program in accordance with the course outline, objectives and key messages, and materials provided upon certification: While instructors should add local resources, contact information and examples, they cannot otherwise alter course materials in delivering MHFA to public audiences. MHFA-USA welcomes any questions or concerns relating to the fidelity of the program in community presentations. Collect evaluations from each course participant to whom a certificate is issued. In order to standardize evaluations nationwide, instructors must use the standard 12-hour evaluation form provided in the teaching kit and on the Technical Assistance site. Report this evaluation information to MHFA-USA to ensure you are delivering the program on a regular basis, maintaining acceptable evaluations from participants, and to help evaluate how the program is received nationwide. Respect the privacy of course participants, colleagues and others, including the responsibility to protect personal information when gathering information on registration forms or in submitting evaluations; or in gaining permission prior to sharing personal stories or experiences of others. Reregister every three years. Once certified, instructors are granted access to a variety of materials designed to help develop and present the program, including: Registration on the Instructor Technical Assistance Website: Allows access to program materials and resources needed to teach and promote the 12-hour program, including course PowerPoint, handouts & exercises, evaluation forms, certificate template, and a variety of marketing and business development templates. Enrollment in the MHFA-USA Listserve: Instructors nationwide can connect, discuss MHFA-related questions, and share news about developments in your community. Listing on the Public Mental Health First Aid In Your Community Map: Advertise courses & let the public know you are authorized to provide the program. Access to Continuing Technical Assistance from MHFA - USA: Any further questions, comments, or concerns relating to the delivery or development of the course, we are available to speak with instructors directly or to connect with other instructors who may have a shared interest or specialty. Prepared by United Advocates for Children and Families Page 14

16 Questionnaire Please answer the following questions so we may assess your fit with the selection criteria for becoming an Instructor for Mental Health First Aid USA (MHFA USA) (see page 5 for full criteria). In particular, please include specific examples of your experience with MHFA-USA to date (if any), relevant experiences and accomplishments (including the instruction of adult populations, facilitation of diverse groups, and familiarity with mental health and substance use information), and what you plan to do with the program. 1) How does Mental Health First Aid complement the services and/or trainings you or your organization currently offers in your community? 2) Please outline specific experiences and/or skills you have that are relevant to your facilitating the 12-hour Mental Health First Aid course. 3) Mental Health First Aid is a public education program designed to appeal to a wide variety of audiences, particularly individuals with no background in mental health. Given the range of potential audiences for this program, who do you envision as your primary target audience(s) for Mental Health First Aid? Please identify initial and long-term potential audiences, including a tentative timeline for your roll-out of the program. Identify any group(s) to whom you are particularly suited to deliver the course and explain why. 4) Do you know of any other certified Mental Health First Aid Instructors in your community? If so, do you plan to coordinate with them to provide the program, or how will you serve your community differently? 5) Please describe your plan for promoting and funding Mental Health First Aid if you are certified. Include any relevant information from a business plan, organizational support, or other elements which demonstrate long-term development and sustainability for the program. 6) What is your motivation for wanting to be a MHFA-USA Instructor? 7) A goal of MHFA-USA is to reduce the stigma towards people with mental health problems. What factors do you believe create and maintain the unfavorable attitudes some people have towards individuals with mental health problems? Prepared by United Advocates for Children and Families Page 15

17 Application Considerations & Attestation The ability to effectively deliver Mental Health First Aid nationwide is dependent on the quality of the instructors and their dedication to and enthusiasm for the program. The 12-hour MHFA course may only be taught by certified MHFA instructors, who participate in a rigorous process to ensure the highest standard is maintained & their role as an instructor is clearly defined. As such, this application packet is designed to both let us learn about your plan & for you to learn about how instructors fit into ours as part of the larger vision for Mental Health First Aid in the US, so we expect you will give it careful attention. Selection Criteria MHFA instructor applicants are expected to come to the instructor training with an extensive knowledge of mental health (personal or professional) and to possess teaching skills or related training experience. Each MHFA instructor must have the mental health knowledge and experience to be able to facilitate discussions and answer questions within the key messages of the 12-hour course, and can identify mental health services within their state and community. In their responses to the above questions, applications should highlight any experience of participants related to the instruction of adult populations, the ability to effectively facilitate diverse groups, and the competency/flexibility to create and maintain a positive learning environment. Both agency or corporate employees and independent individuals may become certified to deliver the 12-hour MHFA course. In either situation, outlining a plan for teaching the MHFA 12-hour course, and one s experience in reaching community partners, must be included in the application via responses to the above questions. Individuals applying to become MHFA-USA Instructors under the affiliation of their employer or otherwise as part of an organization must acquire a signature from one member of senior leadership in their organization on this form. Independent individual applicants must submit one letter of support/reference (see letter guidelines) from an individual who can comment on their qualifications to be an effective MHFA Instructor. All applicants should submit a resume along with their application. One aim of MHFA is to reduce the stigma/discrimination surrounding mental health problems. The curriculum is also specifically designed to promote the recovery paradigm. Instructors must exhibit positive attitudes towards individuals with mental illnesses and should have enthusiasm to reduce the stigma/discrimination associated with mental illness and addiction disorders. Attestation My signature indicates that I have read all portions of the MHFA Instructor Application and I have an understanding and commitment to the requirements of being an instructor. Applicant Signature Applicant Signature Date Date My signature indicates that I am knowledgeable about Mental Health First Aid and support the above Applicant in his/her desire to become a certified instructor for the 12-hour MHFA course. We will work cooperatively with the Applicant to reduce stigma associated with mental health disorders by promoting MHFA. Employer Signature Date Prepared by United Advocates for Children and Families Page 16

18 Summary Document Prepared for CalMHSA County Prevention Needs Respondents Only: Mental Health First Aid (MFHA) Training Descriptions Why? Mental Health First Aid Basic Mental Health First Aid Rural Mental Health First Aid Youth MHFA is a public education program that helps Rural MHFA is a way to build community level Youth MHFA is a public education program people identify, understand, and respond to capacity to identify mental health and which introduces participants to the unique risk signs of mental illnesses and substance use substance abuse issues early and for rural factors and warning signs of mental health disorders. residents to increase their confidence to problems in adolescents and builds intervene and refer people to the resources understanding of the importance of early that exist. Rural communities have a long intervention. MHFA uses role-playing and history of being innovative and taking simulations to demonstrate how to assess a responsibility. MHFA is a way to increase the mental health crisis; select interventions and provide initial help; and connect young people level of baseline knowledge about mental to professional, peer, social, and self-help care. health and substance abuse issues and to decrease the negative perceptions often associated with these issues. It is important for individuals to recognize that mental disorders are real, treatable illnesses from which people can and do recover; it is important to approach the conversation with respect and dignity for that individual and to not blame the individual for his or her symptoms. MHFA teaches you helpful information and resources you can offer to someone to provide consistent emotional support and practical help. Rural populations are often under served and experience health and behavioral health disparities. Rural communities may have a shortage of behavioral health providers and limited access to services. Targeted effort to serve rural communities. Addresses their unique characteristics, recognizes the community of rural MHFA instructors, and enhances community capacity around behavioral health issues in rural areas. Teaches individuals how to help a youth in crisis or experiencing a mental health or substance use challenge. The course also teach participants the risk factors and warning signs of a variety of mental health challenges common among adolescents, including anxiety, depression, psychosis, eating disorders, AD/HD, disruptive behavior disorders, and substance use disorder. Time frame Basic Course: 12 hours Instructors Course: 5 days Rural Course: 12 hours Instructors Course: 5 days Current MHFA Basic Instructors: Participate in a webinar to add rural content Youth Course: 8 hours Youth Instructors Course: 5 days Current MHFA Basic Instructors: Participate in a 2.5 day training to add youth content Teaching modes 12 hour Basic Course: Interactive seminar Instructors Course: Interactive seminar, exam and opportunities to present the material Prerequisites None None None Prepared by United Advocates for Children and Families Page 17

19 Audience Learning outcomes Mental Health First Aid Basic Mental Health First Aid Rural Mental Health First Aid Youth Primary care professionals, employers and Primary care professionals, employers and Designed for adults whom regularly interact business leaders, faith communities, school business leaders, faith communities, school with adolescents, but may also be appropriate personnel and educators, state police and personnel and educators, state police and for older adolescents (16 and older) so as to corrections officers, nursing home staff, mental corrections officers, nursing home staff, mental encourage youth peer to peer interaction. health authorities, state policymakers, health authorities, state policymakers, Anyone who regularly works or interacts with volunteers, young people, families and the volunteers, young people, families and the youth teachers, athletic coaches, mentors, general public general public juvenile justice professionals may find the course content useful. Participants learn a core five-step action plan to support those who may be developing signs and symptoms of mental illness or in an emotional crisis: 1) Assess for risk of suicide or harm 2) Listen nonjudgmentally 3) Give reassurance and information 4) Encourage appropriate professional help 5) Encourage selfhelp and other support strategies Participants learn a core five-step action plan which includes identifying signs and symptoms of mental illness or an emotional crisis: 1) Assess for risk of suicide or harm 2) Listen nonjudgmentally 3) Give reassurance and information 4) Encourage appropriate professional help 5) Encourage self-help and other support strategies Participants learn a core five-step action plan to support an adolescent developing signs and symptoms of mental illness or in an emotional crisis: 1)Assess for risk of suicide or harm 2) Listen nonjudgmentally 3) Give reassurance and information 4) Encourage appropriate professional help 5) Encourage self-help and other support strategies Material cost None (Paid for CalMHSA) Special focus on issues pertaining to Rural communities Special focus on risk factors and warning signs on a variety of mental health challenges common among adolescents, including substance use. Questions? Please contact Sireyia Ratliff, Program Director, United Advocates for Children and Families at , ext. 102 or sratliff@uacf4hope.org. Prepared by United Advocates for Children and Families Page 18

20 County MHFA Survey Results- Updated 3/14/2013 Cities/Counties that did not respond: Alameda, Alpine, Calaveras, City of Berkeley, Colusa, Del Norte, Fresno, Glenn, Lassen, Mariposa, Mendocino, Modoc, Mono, Nevada, Plumas, San Benito, Siskiyou, Tehama Please note: I have reached out to these counties again to request a response. I will update you if/when they respond. MHFA Do you have any Mental Health First Aid certified trainers in your county? County MHFA Have # of trainers Trainers? Amador Yes 4 trainers currently; we plan to add 4 more trainers in the Youth curriculum (2 will cross-train, 2 will be new trainers). El Dorado Yes 6 Kings Yes We have 4 Mental Health First Aid trainers in the County, and plan to have 2 become certified in Mental Health First Aid for Youth. Los Angeles Yes Did not respond Madera Yes We probably have about 17 people trained in our community (we were the first county in CA to bring MHFA here). We have specifications for adult and youth (we were part of the pilot in the US for youth). We are working on Latino and will probably be working on rural if we can afford staff time for this. Merced Yes 7 all in Adult curriculum. Napa Yes We have about 6 individuals (2 bilingual in Spanish) trained in the general MHFA curriculum. Orange Yes 20 currently, 30 were trained initially Placer Yes 10 all in Adults, two Spanish speaking. We would like the youth training for all 10. Sacramento Yes 2 certified trainers - No special certifications yet. San Diego Yes There may be 2 trainers available through MHA-SD. I don't believe they are trained to deliver the rural or children's curriculum San Joaquin Yes 6 San Mateo Yes We have 22 certified; some are licensed therapists Santa Barbara Yes approximately 8. unknown certification Solano Yes Through our contractor Aldea. However, theirs is an innovation grant. it will end on June 30th, Stanislaus Yes 8 Sutter Yes 2. not specialized Tri-Cities Yes 49, trainers and 1200 first aiders. Tulare Yes 24, all general. They are still in their pre-certified probationary status. Ventura Yes We have about 25 certified trainers in the adult version of MHFA. Out of those 25, we have about 10 active trainers. Yolo Yes 6 Counties responding no to MHFA trainers within county: Butte, Contra Costa, Humboldt, Imperial, Inyo, Kern, Lake, Marin, Monterey, Riverside, San Bernardino, San Francisco, Santa Clara, Santa Cruz, Shasta, Sierra, Sonoma, Trinity, Tuolumne Responses to the following questions are included in the table below: Prepared by United Advocates for Children and Families Page 19

21 Would any of your current trainers be interested in conducting a Spanish Mental Health First Aid training? Would you be interested in two staff becoming Mental Health First Aid certified trainers (receiving a 5-day training for trainers (T4T))? Would you be interested in staff receiving a specialized Mental Health First Aid certification (e.g. module for youth, rural)? County or City: Spanish MHFA? MHFA Specialized MHFA? (e.g. youth, rural) T4T? Amador Yes No Both; we would also like to add a Spanish-Speaking trainer Butte Yes Yes Both youth and rural. We would also like to have slots available to send Spanish speaking and Hmong speaking participants. Contra Costa No Yes Youth El Dorado No Yes no response Humboldt No Yes Yes but did not specify- please follow up with them Imperial No No No Inyo No Yes youth and rural Kern No Yes Both Kings Yes Yes Youth Lake No Yes Both Los Angeles Yes Yes no response Madera Yes No Rural at the moment and Latino Marin Yes Yes Spanish, youth Merced Yes Yes rural and youth Monterey Yes Yes no response Napa Yes Yes Youth, Spanish Orange Yes Yes Indicated adult, Spanish, youth Placer Yes Yes Youth, rural, Spanish Riverside No Yes Both Sacramento Yes Yes Youth San Bernardino No Yes youth and rural San Diego No Yes no response San Francisco No Yes Youth San Joaquin No Yes Youth San Mateo Yes No Yes, we have already applied for youth certification, and we would consider more. Santa Barbara Yes Yes Spanish!!!!!! Santa Clara Yes Yes Youth Santa Cruz Yes Yes Youth Families, consumers Shasta No Yes Both Sierra No Yes Rural Solano No Yes Youth Sonoma No Yes no response Stanislaus Yes Yes youth, Spanish Sutter Yes Yes Youth Tri-Cities Yes No No Trinity No No no response Tulare Yes Yes Youth and Rural Tuolumne Yes Yes Both- it is possible our are already planning to attend the Youth one. Ventura Yes Yes no response Yolo No No We are hoping to get this through our Central Region WET group, but Prepared by United Advocates for Children and Families Page 20

22 County or City: Spanish MHFA? MHFA T4T? Specialized MHFA? (e.g. youth, rural) would be interested in the first opportunity. Special certifications for youth are not yet available, but we're planning to get this for at least 2 people. We have one Spanish-speaking instructor. Number and Percentage of counties requesting youth: 26 out of 40, 65% Number and Percentage of counties requesting rural: 13 out of 40, 33% Number and Percentage of counties requesting Spanish: 22 out of 40, 55% Would you prefer to have a trainer come to your county and facilitate a 12 hour Mental Health First Aid workshop? (no desire to send people to become trainers) County or City: 12 hour # of individuals to be trained workshop? Butte No We want to train individuals to be mental health first aid trainers. However, we need to have people go through the 12 hour training to know what this is and if they are interested. Therefore we are extremely interested in having the 12 hour training in our county, prior to offering the 40 hour train the trainer. Contra Costa Yes 25 Humboldt Yes 8-12 Madera Yes We would be happy to assist with a regional training if you would like us to. Napa No people at least (please contact them to reconcile differences) Sacramento Yes 30 San Francisco Yes no response Santa Barbara Yes 15 Santa Clara Yes Members in our intervention workgroup would be interested Santa Cruz Yes no response Stanislaus Yes 10 Sutter Yes no response Trinity Yes no response Tulare Yes TBD Counties responding no to MHFA workshops (would prefer to have people trained as trainers): Amador, El Dorado, Imperial, Inyo, Kern, Kings, Lake, Los Angeles, Marin, Merced, Monterey, Orange, Placer, Riverside, San Bernardino, San Diego, San Joaquin, San Mateo, Shasta, Sierra, Solano, Sonoma, Tri-Cities, Tuolumne, Ventura, Yolo We would like to partner with local Community Based Organizations (CBOs). We are particularly interested in CBOs working with communities such as ethnic or cultural, rural, Veterans, faith-based, youth and families. Please identify any CBOs whom you would recommend as a partner. County or City: Amador Butte CBOs or comments The Amador Tuolumne Community Action Agency Sierra Wind Wellness Center (operated by Mental Health America Northern California) First 5 Amador NAMI Amador We have several partners that we collaborate with that we would like to have trained to do Mental Health First Aid. These include - our older adult programs; promotores - Spanish and Hmong; faith based groups; LGBTQ groups; African American Cultural Center; Hmong Cultural Center; Parent Partners from our various WRAP groups; Talk Line Staff (consumer run warm-line); Wellness Center Staff; Crisis Staff; prevention staff. Prepared by United Advocates for Children and Families Page 21

23 County or CBOs or comments City: We have a strong interest in getting this off the ground as soon as possible. We are willing to help facilitate and 'host' trainings that would be in our county. We would reach out to neighboring counties, and 'hold slots' for neighboring counties as needed. When we hold trainings we attract people from the entire north state. We have done this with WRAP Facilitator Trainings successfully for 2 years. Contra New Leaf, RYSE, Lao Family Community Development, La Clinica, Center for Human Development. Costa Humboldt United Indian Health Services (have ASIST trainers), Hospice of Humboldt, Veterans clinic, Promotores Inyo Methodist Social Services IMACA Kern Veteran's Service Center Clinica Sierra Vista National Health Services Kings We have already offered and had other agencies and CBOs participate in the Mental Health First Aid, and have on-going Bi-Annual trainings for the community. Lake Lake County Office of Education Lake County Tribal Health Consortium Lake Family Resource Center Redwood Children's Services Lake County Probation Lake County Sheriff's Department Madera Sorry--small county here-- we have no CBO's who provide MH services! Marin Family Service Agency, Buckelew, Canal Alliance, Novato Youth Center, Huckleberry Youth Programs, Jewish Family and Children's Services, maybe others Regarding MHFA - we currently contract with CiMH to provide trainings. We might be able to support local trainers, or might need to continue with current model - in which case we would welcome more trainings, as our current ones are always full. Merced Merced Lao Family Golden Valley Health Clinic Veteran Services AspiraNet Sierra Vista Monterey Village Project Promotores Omni Resource Center Napa Aldea, Children and Family Services (this is the only agency in Napa County that has staff trained in MHFA) Family Service of Napa Valley Napa County Office of Education Napa Valley Unified School District Napa Valley College We are particularly interested in the possibility of being able to offer stipends to first responders (law enforcement, teachers, school counselors, fire fighters, etc.) so that they can come to the MHFA trainings off hours as it is too costly to release staff for 12-hrs to take this valuable training. We are trying to figure out what works best, but continue to struggle. Any ideas around this would be very helpful. Responses include feedback from Napa County Office of Education, North Bay Regional Suicide Prevention Committee Co-Chair from Napa County, County MH Director, MH Assistant Director and MHSA Coordinator. Orange definately faith based, vets, and youth, we are currently doing all, we need more trainers and cannot find a training that is open, we are having a large response currently to conduct the training and do not have enough people willing to do the training, and are trying to get more trained. Placer Turning Point Community Programs- This was a new question, I would like to pose to some other CBOs. Riverside Jefferson Transitional Programs El Sol Neighborhood Education Center Family Services Association Safe House LGBT Community Center of the Desert Catholic Charities Indian Child and Family Services (I would also recommend looking at partnership with university and community college student counseling centers) Sacramento We would like clarification regarding expectations of CBO partners in order to discuss with our communities. San military services PEI program providers Morongo Basin Mental Health cultural coalitions Bernardino San Diego Mental Health America-San Diego provides cultural brokers to the Latino, African American, LGBTQ, Native American and Veteran communities. County of San Diego is in the early stages of procuring for MHFA training throughout the county. However, we believe there is much value in having a pair of individuals trained as trainers that reside within the County structure to continue with training after the expiration of the contract. San Joaquin ElConcilio, VIVO, Mary Magdalene, Lao Family Community Empowerment, Community Partnership for Families, APSARA, Native Directions, San Joaquin AIDS Foundation Prepared by United Advocates for Children and Families Page 22

24 County or CBOs or comments City: San Mateo We are always looking to have more people with diverse ethnic backgrounds trained as trainers. We have established many connections with CBOs, and are working on schools. We recommend working on schools as schools often need more efforts toward partnering. Santa several CBOs in our county... including ethnic specific CBOs Barbara Santa Clara Child advocates of Silicon Valley, among others Santa Cruz Santa Cruz Community counseling Center Pajaro Valley Prevention and Student Assistance County Office of Education Solano Aldea is currently offering all of the Mental Health First Aid Training on our behalf under Innovation. This will term out and I would like to see some county capacity developed. Sonoma Social Advocates for Youth Sonoma County Indian Health Project Latino Service Providers Positive Images Community Baptist Church La Luz Stanislaus West Modesto King Kennedy community collaborative, The Bridge SE. Asian Community Ctr. El Concillio Spanish-speaking community service provider Promotores -- integrated in Center for Human Services & Sierra Vista Child and Family Services Sutter Friday Night Live Harmony Health Family Resource Center Family Soup Camptonville Community Partnership - rural The Spot - rural Sutter We have several CBOS, too many to list. We have all of our CBOS listed on our Sutter Network of Care Website. Trinity Nor Rel Muk Tribe/Tribal Council Tulare We work with Tulare Youth Service Bureau, Turning Point of Central California, Kings View Behavioral Health, AmVets Post 56, Tulare/Kings PFLAG, Fresno Survivors of Suicide Loss, Pride Lions, and multiple other groups. The Owen's Valley Career Development Center (OVCDC) in Visalia, Porterville, and Tule River Reservation. Brooks Chapel in Tulare California. Southeast Asian communities in Visalia, CA. Tuolumne Unsure Ventura City Impact, Interface, Casa Pacifica, Kids & Families Together, MICOP Yolo RISE--Rural Innovations in Social Economics (out of Esparto); Turning Point Community Programs. Contact Information for Individuals Completing the Survey: Your name: Position/title: County or address: Phone number: City: Christa Thompson MHSA Program Manager Amador cthompson@amadorgov.org Mary Wittenberg Training Coordinator Butte mwittenberg@buttecounty.net May Roy First Hope Program Manager Contra Mary.Roy@hsd.cccounty.us Costa Imo Momoh Training Manager Contra imo.momoh@hsd.cccounty.us not provided Costa Patricia Charles- Assistant Director of Health El Dorado patricia.charles-heathers@edcgov.us (530) Heathers Services Andrea Kuhlen Deputy Director Imperial andreakuhlen@co.imperial.ca.us Gail Zwier Behavioral Health Director Inyo gzwier@inyocounty.us Meghan Boaz Alvarez Mental Health Unit Kern mboaz@co.kern.ca.us Supervisor Ahmad Bahrami Program Manager Kings ahmadreza.bahrami@co.kings.ca.us (559) ext 2437 Jim Isherwood MHSA Coordinator Lake jim.isherwood@lakecountyca.org Prepared by United Advocates for Children and Families Page 23

25 Your name: Position/title: County or address: Phone number: City: Matthew Wells Liaison Los Angeles (213) Debbie DiNoto Division Manager Madera Kristen Gardner PEI Coordinator Marin Sharon Jones MHSA Coordinator Merced Michelle O'Neal- Workforce Education and Monterey Pollard Training Coordinator Rocio Canchola Staff Services Analyst II Napa 707/ Sheryl Curl Admin. Mng. WET Orange Coordinator Dori Budde PROGRAM MANAGER I Orange DBudde@ochca.com Kathie Denton Program Manager WET Placer kdenton@placer.ca.gov David Schoelen WET Coordinator Riverside DSchoelen@rcmhd.org Jane Ann LeBlanc MHSA Program Manager Sacramento leblancj@saccounty.net (916) Mariann Ruffolo Admin Manager, WET San mruffolo@dbh.sbcounty.gov Coordinator Bernardino Karen Ventimiglia MHSA Coordinator and San Diego karen.ventimiglia@sdcounty.ca.gov County Liaison Jo Robinson Director, Community San jo.robinson@sfdph.org not provided Behavioral Health Services Francisco Ejaz Ahmed PEI Coordinator San Joaquin eahmed@sjcbhs.org not provided Kristin Dempsey Director, Workforce San Mateo kdempsey@smcgov.org Development refujio rodriguez MHSA Division Chief Santa cucorodriguez@co.santabarbara.ca.us not provided Barbara Evelyn Tirumalai Suicide Prevention Santa Clara evelyn.tirumalai@hhs.sccgov.org Coordinator Jaime Molina W.E.T. Coordinator / PEI Santa Cruz jaime.molina@co.santa-cruz.ca.us (831) Coordinator Jamie Hannigan Staff Services Manager Shasta jhannigan@co.shasta.ca.us April Waldo Behavioral Health Sierra awaldo@sierracounty.ws Coordinator Susan Castillo MHSA Coordinator Sonoma susan.castillo@sonoma-county.org (707) Ruben Imperial manager Stanislaus rimperial@stanbhrs.org Jackie Stanfill Program Manager Sutter JStanfill@co.sutter.ca.us ext. 122 MEGAN SPOONER WET COORDINATOR Sutter MSpooner@co.sutter.ca.us Rimmi Hundal MHSA Manager Tri-Cities rhundal@tricitymhs.org Marlinda Butler MHS Coordinator Trinity mbutler@kingsview.org Noah J. Whitaker Community Outreach Tulare NWhitake@tularehhsa.org Manager Cha See Administrative Specialist Tulare csee@tularehhsa.org Christi Lupkes MHSA Manager Tulare clupkes@tularehhsa.org not provided Willow Thorpe Staff Analyst, MHSA Tuolumne wthorpe@co.tuolumne.ca.us KerryAnn Schuette PEI Manager Ventura KerryAnn.Schuette@ventura.org Joan Beesley County Liaison Yolo Joan.Beesley@yolocounty.org not provided Prepared by United Advocates for Children and Families Page 24

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