MHSA Workforce Education & Training MHSA Workforce Education & Training (WET) (WET) County of San Diego Mental Health Services
MHSA – – WET Fundamental Concepts WET Fundamental Concepts MHSA Counties work with their communities to implement education implement education Counties work with their communities to and training that contributes to developing and maintaining a that contributes to developing and maintaining a and training workforce which which workforce � includes � includes clients and family members , and and clients and family members , � is capable of providing � is capable of providing culturally competent , culturally competent , � integrated, � integrated, � client � client- - and family and family- -driven, driven, � wellness and recovery/resiliency oriented � services wellness and recovery/resiliency oriented services within a collaborative environment .
Five WET Funding Categories Five WET Funding Categories $17.3 million (over 10 years) for programs & activities in 5 funding categories: 1. Workforce Staffing Support Workforce Staffing Support 1. for planning, administering, supporting and for planning, administering, supporting and evaluating the workforce programs and trainings evaluating the workforce programs and trainings 2. Training and Technical Assistance 2. Training and Technical Assistance for events and activities to assist the public mental for events and activities to assist the public mental health workforce in improving delivery of services health workforce in improving delivery of services consistent with the MHSA- -WET fundamental WET fundamental consistent with the MHSA concepts concepts
WET Funding Categories WET Funding Categories 3. Mental Health Career Pathway Programs 3. Mental Health Career Pathway Programs for educational, training and counseling programs designed for educational, training and counseling programs designed to recruit and prepare individuals for public mental health to recruit and prepare individuals for public mental health careers careers 4. Residency and Internship Programs 4. Residency and Internship Programs for addressing identified shortages in the licensed, direct for addressing identified shortages in the licensed, direct service provider positions service provider positions . Financial Incentive Programs 5 . Financial Incentive Programs 5 for stipends, scholarships and loan assumption programs to for stipends, scholarships and loan assumption programs to recruit and retain public mental health employees recruit and retain public mental health employees
WET Planning Overview WET Planning Overview 2007 2008 2009 November November December December February February January January October October August August March March April April June June April May Sept May Sept July July Early Implementation Planning Developed WET Implementation Request X X X X Wet Implementation Request Submitted Wet Implementation Request Approved Needs Assessment Data Collection Contract With Consultant For Needs Assessment Consultant & County Research/Analyses Focus Groups Conducted Targeted Electronic Surveys Conducted Phase I Key Informant Interviews Conducted Phase II Key Informant Interviews Conducted Workforce And Education Training Plan Development Needs Assessment Presented For Comment Solicited WET Recommendations From Community Convened WET Workgroup Cross Threading Group Makes Prioritization Recommendations Workforce And Education Training Plan Submission 30-Day Public Comment Period Mental Health Board/Public Hearing Submit Plan To California State Department Of Mental Health
WET Planning Data WET Planning Data Counties are required to propose programs Counties are required to propose programs and activities that address the County’ ’s s and activities that address the County workforce development, education and workforce development, education and training needs identified through a training needs identified through a Needs Assessment. . Needs Assessment
Workforce Needs Assessment Workforce Needs Assessment A standardized baseline set of workforce data baseline set of workforce data summarizing summarizing A standardized personnel shortages and needs of ethnic/racial and culturally personnel shortages and needs of ethnic/racial and culturally underrepresented populations by indicating: underrepresented populations by indicating: – Current staffing patterns – Current staffing patterns – Hard- -to to- -fill positions fill positions – Hard – Additional staffing requirements – Additional staffing requirements – Current ethnic/racial composition and language – Current ethnic/racial composition and language capacity capacity
Workforce Needs Assessment Workforce Needs Assessment Stakeholder Participation Stakeholder Participation • 25 Focus Groups 25 Focus Groups – – 229 individuals 229 individuals • – Providers, Consumers, Education, Training, Community, Providers, Consumers, Education, Training, Community, – Councils, HHSA Councils, HHSA • 25 Key Informant Interviews 25 Key Informant Interviews • – Community, consumer, family and current mental health Community, consumer, family and current mental health – providers providers • 3 Targeted Surveys 3 Targeted Surveys – – 80 respondents 80 respondents • – Consumer and family members, program managers, and Consumer and family members, program managers, and – direct mental health service providers direct mental health service providers
WET Needs Assessment WET Needs Assessment Data Collection Data Collection 2007 2008 2009 November November December December February February January January October October August August March March April April June June May May July Sept July Sept Needs Assessment Data Collection Contract With Consultant For Needs Assessment Consultant & County Research/Analyses Focus Groups Conducted Targeted Electronic Surveys Conducted Phase I Key Informant Interviews Conducted Phase II Key Informant Interviews Conducted • Step 1 – Gather information for Needs Assessment from stakeholders Completed
WET Plan Development WET Plan Development December January February March 2008 2009 2009 2009 Needs Assessment Presented For Comment Solicited WET Recommendations From Community Convened WET Workgroup • Step 2 – Share Needs Assessment findings with stakeholder representatives to generate WET programming ideas Completed • Step 3 – Convene WET work group including subject matter experts onvene WET work group including subject matter experts to craft WET programming recommendations using ideas from Needs to craft WET programming recommendations using ideas from Needs Assessment, stakeholder representatives, consumers/family members s Assessment, stakeholder representatives, consumers/family member Completed
REVIEW OF REVIEW OF NEEDS ASSESSMENT NEEDS ASSESSMENT KEY FINDINGS KEY FINDINGS
Current Workforce Current Workforce Type Type • 3491 individuals, 2001 Mental Health Workforce by Type full time equivalent (FTE) 2001 FTE positions 3% 22% – 22% County Staff – 75% Contracted Staff - community based 75% organizations (CBO) Contract (CBO) – 3% fee-for-service County Employee providers (FFS) Fee for Service
Current Workforce Current Workforce Classifications Classifications 5 major job classifications highest concentrations are: Licensed Direct 5% • 39% Licensed Direct Unlicensed Direct 12% 39% • 24% Unlicensed Direct Support 20% Management/Super • 20% Support Staff Other 24%
Current Workforce Ethnicity Current Workforce Ethnicity Workforce by Ethnicity Consumers by Ethnicity Workforce by Ethnicity Consumers by Ethnicity 4% 8% 1% 1% White White 9% 5% Latino Latino 8% 13% African 43% African American American Asian Asian 59% Native 19% Native American American Other 30% Other
Current Workforce Current Workforce Language Language • 4 San Diego County threshold languages: Spanish, Vietnamese, Tagalog, Arabic • Requirement for bilingual staff was one of the top reasons for the continued vacancy of direct service staff positions • Spanish continues to be the most sought after language in the mental health workforce • Other linguistic needs identified: Chaldean, Hmong, Cambodian, Laotian as well as for immigrant populations from East Africa, many of who speak Somali and Swahili.
Current Workforce Current Workforce Consumers & Family Members Consumers & Family Members • 82 people / 52 FTE designated consumer/family positions • Consumer/family positions 3% – Peer-to-Peer programs, 4% 1% White/Caucasian – Clubhouses Hispanic/Latino – Full Service Partnerships (FSP) 36% 24% African • There is a high level of American/Black Asian/Pacific ethnic diversity in the consumer Islander positions (64%) Native American Multirace or Other 32%
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