TEAP Specialist Orientation Diane Tennies, PhD, LADC, Lead TEAP
Health Specialist Phil Pellegrino, PsyD, TEAP Health Specialist
Christy Hicks, MSW, CADC, TEAP Health Specialist
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Job Corps General Information Americas largest residential
educational and career technical training program for economically
challenged young adults aged 16-24 In operation since 1964 124+
operational centers throughout the United States and Puerto Rico
Serves over 60,000 students annually 2
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Job Corps National Snapshot 3
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National Leadership National Office of Job Corps (Washington,
D.C.) National Director Edna Primrose 4
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Administration and Management National Office The National
Office Health and Wellness staff are responsible for developing and
implementing the policies and procedures that guide the delivery of
health care on center National Office Health and Wellness staff
contacts include: Edward Benton, Division Chief Carol Abnathy, MSW,
MPH, National Health and Wellness Manager Johnetta Davis, MPH,
Program Analyst 5
Slide 6
Administration and Management (continued) Health Support
Contractor The health support contractor works with the National
Office, Regional Offices, and centers to: Develop and enhance
center health and wellness services Develop policy Train center
health staff Develop resource materials Collect and analyze program
data Pilot test new health initiatives Manage Health Specialists
Provide technical assistance Conduct center assessments 6
Slide 7
Administration and Management (continued) Regional Offices
Regional Offices award contracts and provide oversight, monitoring,
and technical assistance Six Regional Offices, headed by a Regional
Director (Boston, Philadelphia, Atlanta, Dallas, Chicago, San
Francisco) Project Manager (PM)the DOL representative and liaison
who works closely with your center to ensure that you have the
resources you need to do your job and that you are working
successfully to meet the established program outcomes 7
Slide 8
Administration and Management (continued) Regional Health
Specialists Each Region has the following Specialists: Nurse
Specialist Medical Health Specialist Mental Health Specialist TEAP
Health Specialist (as of 8/1/2010) Oral Health Specialist 8
Slide 9
Administration and Management (continued) Regional Health
Specialists: Provide technical assistance to center health and
wellness staff Answer questions Clarify Job Corps policies Provide
training to regional and center staff Provide up-to-date
information that will assist center staff in meeting program
requirements 9
Slide 10
Regional Office Center Assessments Every 1 to 2 years, Health
Specialists and Assessors visit each center as part of a Regional
Office Center Assessment (ROCA) team Using the Program Assessment
Guide (PAG), in conjunction with the Policy and Requirements
Handbook (PRH), this team will conduct an overall assessment of
your centers health and wellness program 10
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Regional Office Center Assessments (continued) Assessments
highlight the strengths of your program and provide feedback about
areas that could be changed or improved Expect to have your health
records, appointment books, and other records audited 11
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Center Health and Wellness Team All centers have the following
staff as part of their health and wellness team: Registered nurse
(RN) Staff nurse Physician Mental health consultant TEAP specialist
Dentist and oral health staff Disability coordinator Minimum health
and wellness center staffing levels are determined by the centers
contracted student enrollment capacity 12
Slide 13
Primary Objective of Job Corps Health and Wellness Program
Improve each students employability by establishing and maintaining
the student at his or her optimal health level Achieve this through
provision and/or coordination of health care including case
management of chronic illness, promotion of self management of
health care, and through preventive health education to instill
good wellness habits and prevent avoidable illness, injury, and
death Mentor, model, and monitor good employability skills 13
Slide 14
Wellness Philosophy Allows the roles of the health care
practitioners to be redefined so they impact the students entire
Job Corps experience, including the body, mind, heart, and spirit
Health care practitioners interact with students not only when the
student seeks health care due to illness, but also during times of
good health Health staff may take on roles of teacher, mentor, role
model, or advisor 14
Slide 15
Important Resources PRHThe Policy and Requirements Handbook
contains the rules by which all centers operate; Chapter 6
(Sections 6.10-6.12) provides policy on ensuring students receive
health and wellness services, support, and education that will
enhance their employability and encourage and maintain a healthy
lifestyle PAGThe Program Assessment Guide is a companion to the PRH
and contains the parameters by which the quality of each centers
program is measured; it can also be used on an ongoing basis as a
tool for determining program effectiveness 15
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Important Resources (continued) COPs/SOPsCenter Operating
Procedures and/or Standard Operating Procedures for the health and
wellness program; these procedures define how your program will
operate on a day- to-day basis, describe staff roles and
responsibilities, and provide guidance on center specific
documentation, reporting, and communication protocols TAGsTechnical
Assistance Guides are designed to aid center staff in meeting
health and wellness program requirements; they are how-to guides
that offer many suggestions but no additional program requirements
16
Slide 17
Important Resources (continued) DRGsDesk Reference Guides
provide information and strategies to meet and exceed
health-related Policy and Requirements Handbook (PRH) requirements,
and contain all health and wellness program-related documents and
forms. The DRGs will help new center health and wellness staff
learn the foundations of their position, and experienced health and
wellness staff will find the central location of forms and
information useful. DRGs are located on the Job Corps Community
Website under the Health and Wellness Tab. Presently there are DRGs
available for HWMs, center physicians, CMHCs, center dentists, and
center disability coordinators. 17
Slide 18
Health Directives PRH Change NoticesContain new or revised
policy with instructions to delete, replace, or add pages to the
PRH Program InstructionsProvide one-time instructions with a
designated expiration date and usually require center response
(e.g., survey) Information NoticesProvide one-time announcements
with information that is of interest to centers (e.g., data
summaries, meeting or training announcement) 18
Slide 19
Job Corps Health & Wellness Website Designed for Job Corps
health and wellness staffuse it to connect with your peers, get the
latest information on new initiatives and training events, learn
about the health and wellness program, and link to related
resources https://access.jobcorps.org To access this site, you will
need to obtain a Citrix account from your centers administration
Log into Citrix, click on the Job Corps Community website, then
click on Health and Wellness 19
Slide 20
TEAP is an abbreviation for?
Slide 21
Trainee Employee Assistance Program
Slide 22
Evolution of TEAP in Job Corps Job Corps started in 1964 1992
drug and alcohol testing program and full-time AODA Specialist at
every center Zero Tolerance for Violence and Drugs Policy
implemented in 1995 Changed to an employee-driven model and TEAP
was modeled after an EAP (Employee Assistance Program) 22
Slide 23
TEAP Responsibility Overall Goal Assist students in developing
appropriate health and wellness practices that will enhance their
ability to obtain and maintain employment 23
Slide 24
Minimum Program Requirements (PRH 6.11, R1) AssessmentTo
identify students who need TEAP help and determine the kind and
degree of help needed InterventionTo develop and implement services
to students who use or are at risk for using AOD CounselingTo
provide support, by using a number of strategies, to students who
use or are at risk for using AOD Relapse preventionTo develop and
implement strategies that help students remain abstinent Prevention
and educationTo offer intense AOD education programs to all
students in an effort to prevent onset and reduce and eliminate AOD
use 24
Slide 25
Assessment Screening Identifying high-risk students prior to
enrollment is form of early interventionTEAP specialist has
opportunity to know if a prospective student is ready to commit to
the Job Corps ZT policy and sets the stage for success Contact with
outreach and admission counselors Pre-arrival calls Center tours
Evaluation of applicant folders Participation on the Reasonable
Accommodation Team (RAT) 25
Slide 26
Assessment (continued) Identification Early identification of
high- and at-risk students Ensures that these students quickly
receive appropriate services or referrals Helps to maintain a
drug-free center environment Drug testing Cursory health
questionnaire Counselors intake Student introduction to center life
(to include ZT policy, biochemical testing procedures, and center
prevention programming) 26
Slide 27
Assessment (continued) Formal Assessment Objective: determine
type and severity of addiction and whether the students AOD
difficulties are manageable within scope of program Students who
need treatment services and who cannot succeed in the program
because of their addiction should not be retained; Job Corps is a
training program NOT a treatment program Standardized surveys and
inventories (SASSI3) Counselors intake Clinical assessment by the
CMHC (as needed) Interdisciplinary case review Medical separation
with reinstatement (MSWR) 27
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Intervention Intensive intervention services for all who test
positive on entry Probationary Intervention Period: Occur
frequently and focus on behavior awareness and change Emphasize AOD
awareness and consequences of using AOD Expose students to
individual internal processes that maintain addictive behaviors
Help students set individual abstinence goals TEAP Specialist
should cover the following issues in the group/individual intensive
services: self assessment, family dynamics related to addiction,
denial, relapse Recreation involvement 28
Slide 29
Counseling Different types of counseling techniques as
intervention strategies for students during probationary period and
throughout their stay in Job Corps Counseling component supports
drug-free students as well as at-risk students Types: Groups,
Special Topics, Student- Generated Support Groups, Individual, and
Crisis Intervention 29
Slide 30
Time Out for Charting Wellness model is a multidisciplinary
treatment team approach Assessment, treatment, and case management
notes must be legible and part of the student health record Notes
should be in the chronological record If in TEAP section, document
in the chronological record that the student was seen by TEAP
Problem-oriented record system (SOAP notes) recommended for health
service entries 30
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Relapse Prevention Supporting abstinent students Continuum of
care and community connections Develop AOD-free recreation/wellness
programs 31
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Prevention and Education Information dissemination Prevention
education Alternative activities Problem identification and
referral 32
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Interactions with Other Staff 33
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Center Director Frequent meetings with CD to discuss: Center
AOD programs Testing statistics Information regarding AOD
availability on center 34
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Health and Wellness Manager HWM is TEAP Specialists supervisor
Budget requests Time schedules 35
Slide 36
Health and Wellness Staff Assist with sample collection for
drug testing, as needed Refer students to TEAP when AOD use is
suspected 36
Slide 37
Basic Education and Vocation Meet with education and vocation
staff to: Discuss suspicious behavior identification and referral
Provide AOD information related to employment 37
Slide 38
Center Mental Health Consultant Request student evaluations
Discuss case management Support students with co-occurring
disorders Consult on recommendations for MSWR 38
Slide 39
Center Disability Coordinator Assist with applicant folder
review Conduct pre-arrival calls Participate in RAT Assist in
developing accommodation plans Evaluate and update accommodation
plans when AOD involved 39
Slide 40
Center Standards Officer Process referrals when students
violate the ZT policy Assist with the development of appropriate
sanctions 40
Slide 41
Other Staff Counselors Refer students to counseling groups;
stress management, anger control, and peer resistance groups
Drivers Education Instructor Provide AOD information at drivers
education classes Health and Wellness Instructor Be a guest speaker
at sessions related to AOD information 41
Slide 42
Other Staff (continued) Career Transition Specialist Introduce
TEAP when student begins transition Personnel Manager Schedule
center staff of AOD policy training and document in personnel file
Placement Specialist Enforce the concept of fitness for work during
career transition phase Recreation Staff Assist with provision of
alternative leisure-time activities 42
Slide 43
Administrative Activities Reporting Provide information on the
number and results of alcohol tests for quarterly alcohol testing
report Testing Integrity Use proper chain-of-custody principles
Assist with staff training in use of AOD testing supplies
Bloodborne Pathogen Plan Ensure compliance with plan 43
Slide 44
MSWR Recommend MSWR for AOD-involved student, when appropriate
Monitor progress of students on MSWR for AOD involvement 44
Slide 45
Center Committees Meet with center committees as requested Meet
with student government health and wellness committee Meet with
Sexual Assault Prevention and Response Team (SART) 45
Slide 46
Continuous Quality Improvement Use of student satisfaction
surveys Conduct continuous evaluation of program success Monitor
and evaluate center statistics on an annual AOD report Participate
in Regional TEAP teleconferences 46
Slide 47
Health Care Guidelines Assist with training Collaborate on
change when asked 47
Slide 48
Special Programs Tobacco Use Prevention Program (TUPP) Assist
in developing program and implement as required in PRH 48
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Community Connections Community Services AA, ACOA, NA Community
Events Red Ribbon Week Professional Organizations Community health
fair involvement 49
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Lets Play Jeopardy! 50
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OrlandoTestingPolicyProgram 100 200 300 400 51
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How many hotels are located in Orlando? 52
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Orlando has over 500 hotels. 53
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How long would it take to visit all 95 attractions (such as
theme parks and museums) located in Orlando? 54
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67 eight hour days 55
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What year did Walt Disney World open in Orlando? 56
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1971 (October 1) 57
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What does EPCOT stand for? 58
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Experimental Prototype Community of Tomorrow 59
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When do we start counting the days for the probationary test?
60
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The day of entry 61
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When do we start to count the days for the suspicion
intervention test? 62
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The day the test is collected 63
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What is the earliest day to collect the probationary test?
64
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35 th day 65
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When must a student being separated for drugs be sent home so
the center will not have to count that student in their stats?
66
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Before the end of the 45 th day 67
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Can we test on suspicion during the probationary period?
68
Slide 69
Yes 69
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Can we separate a student who refuses to test? How? 70
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Yes 5.1b, failure to follow center rules 71
Slide 72
Can we test a student on suspicion for drugs or alcohol without
a referral? 72
Slide 73
No A referral must always be in place to document suspicion or
the test is considered random. 73
Slide 74
If a student who was positive at entry is AWOL for the
probationary test and exits the program before returning are they a
drug use (5.2a) separation?
Slide 75
No The student is an AWOL separation and counts in the center
statistics. 75
Slide 76
What does a TEAP caseload consist of? 76
Slide 77
All students on center and all staff. 77
Slide 78
How many groups must the TEAP Specialist run? 78
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As many as is needed determined by TEAP Specialist 79
Slide 80
When can a TEAP Specialist go into the community to collect a
test? 80
Slide 81
Never 81
Slide 82
Where does the TEAP Specialist document services provided?
82