workforce development: recruitment and retention
TRANSCRIPT
Workforce Development: Recruitment and Retention
Today’s Agenda:
A Brief Summary
I. About the CT LBHS
II. Recruitment and Retention
III. Evaluation Process
IV. Future Directions
I. Mission Statement
The Connecticut Latino Behavioral Health System (CT LBHS) represents a united effort to expand,
enhance, and evaluate a network of treatment services through unique workforce development
initiatives created from regional partnerships and tailored to meet the specific behavioral health needs
of the adult Latino community.
II. Recruitment Where we started:
Fall of 2005: Developing the initial proposal Winter 2006: Advocating at the state legislature July 2007: Awarded the first two years of funding
How we recruited: Consensus among hiring agencies for initial job
announcement Local and national search:
Professional list-serves & internet-based employment sites
32 APA-accredited pre- and post-doctoral training sites 38 regional colleges and universities 12 state and national professional organizations (i.e.,
NLPA, LSWO, NASW, CPA)
Cont’d
Who contacted us: 39 bilingual professionals with varied credentials and training
experiences (i.e., LPC, BSW, LCSW, PhD, PsyD, APRN, CASAC, MD)
What we screened for: credentials, experience with Latina/o populations, overall fit
based on agency need
Results: 10 full-time, 2 part-time clinical positions, % effort of psychiatry
time: 3 MSWs, 1 LCSW, 2 Master’s-level substance abuse
counselors, 3 Predoctoral fellows, 3 Postdoctoral Fellows Relevant training experiences ranged from international
work at UN refugee operations to years of living and working in local New Haven area with Latina/o community
Retention Efforts
Providing the CT LBHS Training Academy (focus groups; on-site; competency based; CEUs)
Supporting additional professional training opportunities (conferences)
Renewing annual license fees
Serving as qualified site for the NIH & HRSA Loan Repayment Programs
Clinical supervision and mentorship
Ensuring competitive salaries National median salary for
social workers in outpatient mental health and substance abuse centers: $34,290 (U.S. Dept. of Labor, Occupational Outlook Handbook, 2008-09 Edition)
CT LBHS median salary: $57,000
Hosting monthly meetings with clinicians (familismo)
Appointing new clinical faculty to provide supervision to incoming students
III. Evaluation Levels
Level I: Organizational
Level II: Staff
Level III: Client
Overall Evaluation of Implementation Process
Organizational Level
Cultural Competency Index (CCI) completed every four months by staff and leadership:
Sampling of items: Management strategy Community and consumer involvement Supervision Direct service support Linguistically sensitive staff, documents, and materials Collection of accurate demographics Evaluation of ongoing cultural competence Structures and procedures
Staff Level
Pre- and post-training/consultation evaluation
CT LBHS clinician evaluation: Implementation of treatment
(clinician checklist & random tape rating)
Latino cultural constructs Therapeutic alliance Clinician satisfaction
Client Level
Set of instruments to assess treatment outcome at baseline, four months after baseline, and eight months after baseline
Instruments assess: Mental health and substance use
disorders (BSI, LDQ, TLFB)) Readiness to change (URICA) Coping strategies (Brief COPE) Ethnic experience (SEE) Latino cultural constructs Therapeutic alliance (TCS) Quality of life Client satisfaction
Evaluation of the Implementation Process
Focus groups and individual interviews:
Consumers LBHS leadership Agency leadership LBHS clinicians
In Summary, our Key Ingredients: FINDING A COMMITTED, DEDICATED, &
SKILLED WORKFORCE
TIMING
CONFIANZA, PERSONALISMO, &
RESPETO
CONSENSUS
POSITIVE COMMUNITY RELATIONSHIPS
ADVOCACY & LEGISLATIVE SUPPORT
SHARED RESOURCES
INTELLECTUAL
PHYSICAL
HISTORY OF OUR TRAINING PROGRAM
MENTORSHIP (support system)
IV. Future Directions Implementing a consultation model for agency supervisors
Ongoing assessment of job satisfaction
Addressing issues of sustainability and seeking new funding sources
Expanding the training program Developing practicum placements w/tracks based on professional
interests (undergraduate and graduate level)
Disseminating information (www.ctlbhs.org, La Visión, & Community Defined Evidence Project)
GRACIAS!
[email protected]@[email protected]@yale.edu