Transcript The CT Latino Behavioral Health System (CT LBHS): Creating

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:

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What we screened for:

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39 bilingual professionals with varied credentials and training experiences (i.e.,
LPC, BSW, LCSW, PhD, PsyD, APRN, CASAC, MD)
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:

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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
Client Level

Pre- and post-training/consultation
evaluation

Set of instruments to assess treatment
outcome at baseline, four months after
baseline, and eight months after baseline

CT LBHS clinician evaluation:

Instruments assess:

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Implementation of treatment (clinician
checklist & random tape rating)
Latino cultural constructs
Therapeutic alliance
Clinician satisfaction

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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:

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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]
[email protected]
[email protected]