CALIFORNIA INSTITUTE FOR BEHAVIORAL HEALTH SOLUTIONS (CIBHS) LEADERSHIP INSTITUTE

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CALIFORNIA INSTITUTE FOR BEHAVIORAL HEALTH SOLUTIONS (CIBHS) LEADERSHIP INSTITUTE A TRAINING PROGRAM FOR LEADERS OF PUBLIC MENTAL HEALTH AND SUBSTANCE USE DISORDER SYSTEMS Developing Leaders for a Changing Behavioral Health Ecosystem A program developed and delivered by the University of Southern California s Sol Price School of Public Policy and The California Institute for Behavioral Health Solutions RESIDENTIAL SESSION February 2-5, 2016 KELLOGG WEST CONFERENCE CENTER & HOTEL 3801 W. Temple Pomona, CA 91768 (800) 593-7876 FOLLOW UP MODULES March 2-3, 2016 March 30-31, 2016 May 4-5, 2016 USC STATE CAPITAL CENTER 1800 I Street Sacramento, CA 95811 (916) 442-6911 LEADERSHIP INSTITUTE APPLICATION INFORMATION 2125 19th Street Sacramento, CA 95818 Phone: 916.556.3480 Fax: 916.556.3483 CIBHS.ORG

THE 2016 CIBHS LEADERSHIP INSTITUTE is limited to a maximum of 38 current leaders in public mental health/behavioral health and substance use disorder services. The tuition cost for the nine days of training is $4,800.00 per participant, plus travel and lodging. Participants must enroll and plan to participate for the full nine days. The County Mental Health Director/ Behavioral Health Director or Alcohol and Other Drug Administrator, or not for profit agency director, must recommend applicants as indicated on the LI Application. If you have any questions regarding the training, please contact: Theresa Ferrini at (916) 379-5333 or conferences@cibhs.org for logistics or Gale Bataille at (510) 224-0248 or gale.bataille@icloud.com for program concerns California Institute for Behavioral Health Solutions 2125 19th Street Sacramento, CA 95818 PH: (916) 556-3480 Website: www.cibhs.org ABOUT THE PROGRAM: The Leadership Institute is a leadership development program designed to help good leaders become effective system leaders and innovators in public behavioral health and related health systems. Transformational system leadership is essential to improve the quality and experience of care that results in better outcomes and lower costs. Cross system leadership skills are necessary to support the reduction of health disparities in our diverse communities and improve population health. Health care and payment reform, Medi-Cal expansion and Criminal Justice Realignment are but a few of the challenges faced by local leaders. This is the 15th year of the CIBHS Leadership Institute, which is offered in collaboration with the University of Southern California s Sol Price School of Public Policy. Current and former County Mental Health/Behavioral Health Directors, and statewide policy/advocacy organizations--including County Behavioral Health Directors Association of California (formerly known as CADPAAC and CMHDA) have provided guidance regarding the essential knowledge and skills required to lead complex local systems. THE FORMAT: A group of up to 38 participants will engage in a total of nine days of highly interactive training with a nationally/internationally recognized faculty and are expected to identify and apply learning to workplace challenges. Peer to peer consultation processes also support the application of learning and encourage networks among participants. RESIDENTIAL MODULE: The program begins with an initial three days of training scheduled for Wednesday, February 3, through noon on Friday, February 5, 2016. A dinner/reception will be held on the evening of Tuesday, February 2nd to provide an opportunity for participants and faculty to meet each other. Participants are strongly encouraged to arrive the afternoon of Tuesday, February 2nd. FEBRUARY LOCATION: KELLOGG WEST CONFERENCE CENTER & HOTEL 3801 W. Temple Pomona, CA 91768 (800) 593-7876 THREE TWO-DAY FOLLOW UP MODULES: March 2-3, 2016 March 30-31, 2016 May 4-5, 2016 MARCH, MAY LOCATION: USC STATE CAPITAL CENTER 1800 I Street Sacramento, CA 95811 (916) 442-6911 or www.usc.edu/sacto

THE CURRICULUM: The curriculum includes but is not limited to: personal leadership assessment, leadership effectiveness, quality improvement for systems change, public policy analysis, understanding legislative processes, history and current issues in behavioral health policy and funding, health care reform and care integration, health equity and cultural humility, cross system leadership, understanding organizational networks, and negotiating and leading through influence. INVITED FACULTY: (a partial listing) Laree Kiely, PhD, The Kiely Group; Ron Gilbert, PhD, Gilbert Education and Management Systems (GEMS); Academy for Systemic Change (D. Winslow or P. Senge-invited); Executive Leaders, County Behavioral Health Directors Association of California (CBHDA); Jei Africa, PsyD, Health Equities Manager, San Mateo County; the Integrated Behavioral Health Project; Brint Milward, PhD, Director, School of Government and Public Policy, University of Arizona WHO SHOULD APPLY? California County Mental Health/Behavioral Health Directors, County Substance Use Disorder Services Administrators, Deputy Directors, those who are preparing to assume executive level leadership roles such as deputy level or director level positions, as well as Executive Directors/ executive level leaders of community-based, nonprofit agencies that provide public mental health or substance use disorder services. The participation of leaders/emerging leaders reflecting the diversity of our communities as well as with lived experience as mental health clients/ persons in recovery, parents or family members is strongly encouraged. Your application must include a recommendation from your Behavioral Health/Mental Health Director, Substance Use Disorders/AOD Director, or Agency Executive Director. REGISTRATION FEE: The LI program registration fee is $4,800.00. This includes the four program modules and material. Travel and overnight room accommodations are additional and not included in the registration fee. ADDITIONAL EXPENSES FOR POMONA MODULE: For those participants staying at the Kellogg West Conference Center and Hotel, the overnight room accommodations and meal costs are $548.00. CIBHS will book the hotel and pay in advance for your reservation. For those participants who are not staying overnight at the Kellogg West Conference Center and Hotel, an additional commuter fee of $192.00 is charged to cover meal expenses (meals included are the September 8th introductory dinner, continental breakfast, and lunch only. (Other dinners are not included.) The overnight and commuter fees are to be paid directly to CIBHS. FOR THE MARCH AND MAY MODULES IN SACRAMENTO: A light breakfast and lunch is provided as part of the registration fee. Participants are required to make and pay for their own travel and hotel arrangements. Hotel information will be sent upon your acceptance into the program. Registration fees and additional expenses may be paid to CIBHS in three installments due on January 18, 2016, March 11, 2016 and April 19, 2016 or through one payment due April 19, 2016. QUESTIONS: Please contact Theresa Ferrini at (916) 379-5333 or conferences@cibhs.org for logistics or Gale Bataille at (510) 224-0248 or gale.bataille@icloud.com for program concerns.

2016 CIBHS LEADERSHIP INSTITUTE APPLICATION APPLICANT INFORMATION: First: County: Last: Agency Name: Address: City: State: Zip: Office Phone: Cell Phone: FAX: E-mail: Job Title: ADA /Dietary Needs: Self Identified/Culture/ Ethnicity/Lived Experiences (Optional): If Applicable: Assistant Name: Assistant Phone: Assistant Email: STATEMENT OF INTEREST: Briefly state why you are interested in attending the CIBHS Leadership Institute and what you hope to learn. How do you think your participation will serve your agency/clients/community? RECOMMENDED BY: County Behavioral Health/Mental Health Director or Substance Use Disorders/AOD Director: Signature of Director: Signature of Applicant: IF ACCEPTED: If selected, will you require overnight lodging for the follow-up modules in Sacramento? Yes a Hotel information will be provided upon acceptance. No a Application continued on reverse side >>

OVERNIGHT ACCOMMODATIONS: NOTE: Additional Information will follow regarding February residential session. March 1-2, 2016: One night a or Two nights a March 29-30, 2016: One night a or Two nights a May 3-4, 2016: One night a or Two nights a BILLING INFORMATION: Name (As it appears on the card): Billing Address (If different than above): City: State: Zip: Signature: VISA/MasterCard/Discover #: PO#: Exp. Date: Check#: PLEASE NOTE IF YOU PROVIDE YOUR CREDIT CARD NUMBER YOU ARE AUTHORIZING CIBHS TO CHARGE YOUR CREDIT CARD FOR THE FULL AMOUNT OF THE PROGRAM: REGISTRATION FEE $4,800.00 AND OVERNIGHT ($548.00) OR COMMUTER ($192.00) FEE FOR THE DECEMBER RESIDENTIAL MODULE. Application cut-off date is December 4, 2015. Applicants will be notified by email of acceptance by December 18, 2015. Fall 2015 applicants who were not accepted due to space limitations will receive priority, but are expected to confirm continuing interest in the program and support from agency/department director. The Leadership Institute has been over-subscribed for the past several years, so it is advisable to submit applications ASAP prior to the deadline. MAIL OR EMAIL APPLICATIONS TO: Theresa Ferrini 2125 19th Street Sacramento, CA 95818 Fax: 916.556.3478 Email: conferences@cibhs.org CIBHS.ORG