Bureau of Health Workforce Division of Nursing and Public Health Behavioral Health Workforce Education Training (BHWET) for Paraprofessionals and Professionals Program HRSA Pre-review Conference Call July 20, 2016 at 2:00 PM ET Gloria Ortiz, MS Public Health Analyst Division of Nursing and Public Health (DNPH) Bureau of Health Workforce (BHW) Health Resources and Services Administration (HRSA)

Agenda Background Program Purpose Summary of Funding Program Requirements Competitive Applicants Budget Considerations Application Content and Required Documents Review Criteria and Scoring 2

Bureau of Health Workforce Vision & Mission MISSION – Improve the health of underserved and vulnerable populations by strengthening the health workforce and connecting skilled professionals to communities in need. VISION – From education and training to service, BHW will make a positive and sustained impact on healthcare delivery for underserved communities. Education Training Service Institutional Grant Programs Scholarship and Loan Repayment Programs Support for Service and Retention 3

Bureau of Health Workforce 4

What does HRSA Hope to Accomplish? 1.Support the Now is the Time Initiative by developing and expanding the substance abuse and mental health workforce serving children, adolescents, and transitional-age youth at risk for developing or who have a recognized behavioral health disorder. 2.Increase opportunities to develop and implement interprofessional training and integration with primary care. 3.Develop and increase the number of field placements and internships. 4.Ensure a culturally competent workforce by recruiting and providing stipend support to trainees who are (1) committed to serving at-risk children, adolescents, and transitional-age youth and/or (2) represent the diversity of the population being served. 5

Eligible Applicants Behavioral paraprofessional certificate training programs, and peer paraprofessional certificate training programs; Accredited master-level schools and programs of psychology, marriage and family therapy, psychiatric-mental health nurse practitioners, counselors, including licensed professional counselors and school counselors. Programs must require a pre-degree clinical field placement in behavioral health as part of the training and a prerequisite for graduation; and American Psychological Association (APA) accredited doctoral- level internships in health service psychology. 6

Current BHWET recipients are not eligible to apply. Given the current number of BHWET-supported schools and programs of social work and to ensure a fair and equitable distribution of total FY 2016 funds across the behavioral health continuum from paraprofessionals to professionals, schools and programs of social work are not eligible to apply. Eligible Applicants (cont’d) 7

Summary of Funding Sept. 30, 2016 to Sept. 29, 2017 Project Period Up to $300,000 Ceiling Award Amount Number of Awards Approximately 26 8

Summary of Funding (cont’d) HRSA anticipates awarding the following discipline categories: APA-accredited doctoral-level Psychology internship programs (approximately six awards); Master’s level marriage and family counseling programs (approximately four awards); Master’s-level professional counseling, addiction counseling, school counseling, or psychology programs (approximately nine awards); Master’s level Psychiatric-Mental Health Nurse Practitioner programs (approximately four awards); and Behavioral Health Paraprofessionals, and Peer Paraprofessionals (approximately three awards). 9

Must Do Program Requirements: Paraprofessionals Support students through provision of tuition, fees, and supplies to complete a certificate program in a behavioral health-related paraprofessional field. Recruit a diverse group of students who are interested in pursuing a behavioral health-related paraprofessional certificate. Create more slots in a paraprofessional certificate program(s) to expand the number of students trained. Establish partnerships with organizations and community collaborators to assure recruitment of students from diverse backgrounds, provide opportunities for field placements, career development, and job placement services. Evaluate the program, collect program information, and disseminate findings to appropriate audiences. 10

Must Do Program Requirements: Professionals Provide stipend support to graduate-level students for no less than 6 months and no more than 12-months of experiential training (internship or field placement). Eligible students must be in their final field placement prior to graduation and practice. Recruit a diverse group of who are interested in pursuing behavioral health practice. Develop and increase the number of field placements and internships. Evaluate the program, collect program information, and disseminate findings to appropriate audiences. 11

Competitive Applicants Place trainees in internships and field placements focusing on clinical work with children, adolescents, and transitional-age and families. The use of existing evidence-based practices and programs is strongly encouraged. Emphasize prevention and clinical intervention for those (a) at risk of developing mental and substance use disorders; and (b) the involvement of families in the prevention and treatment of behavioral health conditions. Increase the diversity of the behavioral health workforce by training a diverse group of students who are interested in pursuing behavioral health practice. Incorporate Rapid Cycle Quality Improvement (RCQI) to continuously monitor program objectives and make adjustments as needed, to improve program outputs and outcomes over the project period. 12

Budget Considerations: Paraprofessionals No less than eighty-five (85) percent of a grant recipient’s overall requested budget must be used to support the tuition, fees, and supplies for the enrolled students. Applicants may request a maximum of $2,000 per student to cover all student support activities (tuition, fees and supplies) for the 12-month period. Up to fifteen (15) percent of an applicant’s overall requested budget may be dedicated to grant recipient activities other than student tuition, fees, and supplies. Health insurance is allowable as a trainee related expense, but may only be included in the fifteen (15) percent of dedicated funding, not attributed to student support. 13

Budget Considerations: Professionals No less than seventy (70) percent of a grant recipient’s overall requested budget must be used for stipends to students in field placement or internships. Up to thirty (30) percent of an applicant’s overall requested budget may be dedicated to grant recipient activities other than student support. No less than 6 months and no more than one year (12 consecutive months) of full stipend support is allowed per student/intern. Eligible students must be in their final field placement prior to graduation and practice. Health insurance is allowable as a trainee related expense, but may only be included in the thirty (30) percent of dedicated funding, not attributed to trainee stipends. 14

Application Content Project Abstract Project Narrative  Purpose and Need  Response to Program Purpose  Impact  Organizational Information, Resources and Capabilities Budget Justification Narrative Attachments 15

1Staffing Plan, Job Descriptions, and Biographical Sketches for Key PersonnelRequired 2 Letters of Agreement and/or Description(s) of Proposed/Existing Contracts (project specific) As Applicable 3Project Organizational ChartRequired 4Tables, Charts, etc.As Applicable 5Maintenance of Effort DocumentationRequired 6Documentation of Accreditation or State RecognitionRequired 7 Documentation of Field Placement/Internship is a training curriculum pre- requisite for graduation from school or program (Professional applicants only) Required 8 Consortium Documentation (Professional applicants only)Required 9Student/Intern Commitment Letter TemplateRequired 10Logic ModelRequired 11Other Relevant DocumentsAs Applicable Attachments 16

Review Criteria Criterion 1: Purpose and Need Criterion 2: Response to Program Purpose Criterion 3: Impact Criterion 4: Organizational Information, Resources and Capabilities Criterion 5: Support Requested 10 Points 45 Points 25 Points 10 Points 17

Review Criteria Criterion 1: Purpose and Need (10 points) Applicants must describe the purpose and need of the proposed project. Reviewers will consider whether the applicant has presented a clear purpose and evidence of a compelling need for behavioral health services within their service area specific to children, adolescents, and transitional- age youth. Reviewers will consider the extent to which the applicant demonstrates: Global understanding of the behavioral health needs and risk factors for children, adolescents, and transitional-age youth; Significant incidence and prevalence of behavioral health conditions within a clearly defined target population; 18

Review Criteria Criterion 1 (Cont’d) : Purpose and Need (10 points) Measurable gaps in the delivery of behavioral health services for the defined population and specific to the purview of the professional or paraprofessional discipline described in the proposal; Health status indicators related to the behavioral health problems of at-risk children, adolescents and transitional-age youth, and their families; and A high number of students graduating from the program over the last five years; whether the demographics of these students reflect the community in which they will be placed; and the success of the applicant placing graduates into rural and underserved areas. A high number of students graduating from the program over the last five years. 19

Review Criteria Criterion 2: Response to Program Purpose (45 points) Applicants must propose the methods that will be used to address the community and system needs (identified in the Purpose and Need section) and meet the program requirements. (a) Methodology/Approach (20 points) Reviewers will consider the extent to which the applicant demonstrates: Past success to recruit program participants who are committed to serving the behavioral health needs of at-risk children, adolescents, and transitional age youth and their families; Feasible approach to increase the number and enhance the quality of experiential training opportunities with the target population; Expanded/enhanced clinical training will measurably impact the number of students trained with a focus on behavioral health and at-risk children and youth; 20

Review Criteria Criterion 2 (Cont’d): Response to Program Purpose (45 points) (a) Methodology/Approach (Cont’d) (20 points) Ability to administer the program and provide financial support to students: o Stipends for master and doctoral-level students in professional programs, or o Tuition, fees, and supplies for participants in paraprofessional programs; Strong, pre-existing relationships with external partners, and how these organizations will host student field placements and assist with career placements for graduates of the program; Meaningful partnerships with organizations/institutions in the community that will result in support and leveraged resources to recruit and train students; Recruitment strategies that will increase the diversity within the behavioral health professions to improve health equity in the communities. 21

Review Criteria Criterion 2 (Cont’d): Response to Program Purpose (45 points) (a) Methodology/Approach (Cont’d) (20 points) For paraprofessional applicants: o Direct connection between the degree or certificate offered and the support needed within the population served, including future career ladder opportunities stemming from the proposed program (i.e., how the certificate can lead to an associate’s or bachelor’s degree); o Successful, evidence-based strategies to provide career development and job placements services to assist students in obtaining employment following the certificate program including specific development activities designed to help participants gain employability skills and work experience and assist participants in finding employment. 22

Review Criteria Criterion 2 (Cont’d): Response to Program Purpose (45 points) (b) Workplan (15 points) Reviewers will consider the extent to which the applicant: Outlines comprehensive and specific activities, timeframes, deliverables and key partners to ensure successful implementation of the project; Describes the activities, timeframes, deliverables, and key partners required during the grant period of performance to address the needs described in the Purpose and Need section; Explains how the work plan is appropriate for the program design and how the targets fit into the overall timeline of grant implementation; and Identifies meaningful support and collaboration with key stakeholders in planning, designing and implementing all activities, including development of the application and the extent to which these contributors reflect the cultural, racial, linguistic and geographic diversity of the populations and communities served. 23

Review Criteria Criterion 2 (Cont’d): Response to Program Purpose (45 points) (c) Resolution of Challenges (10 points) Reviewers will consider the quality of and extent to which the applicant: Describes potential obstacles and challenges likely to be encountered during the design and implementation of the activities described in the Work Plan; Outlines a reasonable and actionable plan and evidence-based approaches to address the challenges identified above; Has a process in place to ensure early problem identification and a strong method to ensure quick and effective resolutions. 24

Review Criteria Criterion 3: Impact (25 points) (a)Evaluation and Technical Support Capacity (15 points) Reviewers will consider: The overall quality of the evaluation plan; Expertise, experience, and technical capacity to incorporate data collected into program operations to ensure continuous quality improvement; The quality of the methods and proposed approach for using results and performance outcomes to inform program development and service delivery; and The strength of the applicant’s plan to utilize both quantitative and qualitative data to inform Rapid Cycle Quality Improvement (RCQI) efforts to periodically review program progress and make small adjustments in order to optimize program output. 25

Review Criteria Criterion 3 (Cont’d): Impact (25 points) (b) Project Sustainability (10 points) Reviewers will consider the extent to which the applicant: Describes a reasonable and feasible plan for project sustainability after the period of federal funding ends; Clearly articulates likely challenges to be encountered in sustaining the program, and describes logical approaches to resolving such challenges. 26

Review Criteria Criterion 4: Organizational Information, Resources, and Capabilities (10 points) Reviewers will consider the extent to which: Project personnel are qualified by training and/or experience to implement the project. Staffing plan (Attachment 1) and project organizational chart (Attachment 3). Project Director’s percentage of time, including in-kind, dedicated to the project; Activities, timeline, and staff to achieve the objectives proposed; Meaningful support and collaboration with key stakeholders in planning, designing, and implementing all activities; Evidence of support and commitment by nonprofit and public organizations serving at risk children, adolescents, and transitional-age youth to provide field placements and job placement for students. This may be demonstrated by resources and/or letters of agreement. For paraprofessional programs: evidence of successful track record of recruiting diverse students into the certificate program(s) and in helping to place the graduates into careers. 27

Review Criteria Criterion 5: Support Requested (10 points) Reviewers will consider the extent to which costs, as outlined in the budget and required resources sections, are reasonable given the scope of work; key personnel have adequate time devoted to the project to achieve project objectives; trainee stipends, fellowships, or traineeships are reasonable and supportive of the project objectives; doctoral-level psychology internships leverage other resources to align with the APPIC stipend level requirements; and the proposal follows the budget guidelines specified in the FOA and the SF-424 R&R Application Guide. 28

Contact Information Gloria Ortiz, MS Public Health Analyst/Project Officer (301) Nandini Assar, PhD Grants Management Specialist (301)

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