Training Overview



REQUEST FOR APPLICATIONSFor Preschool & Youth PTSD Treatment (PPT/YPT) Online Training for Louisiana Medicaid Behavioral Health Practitioners Issued byLSUHSC Center for Evidence to Practice32004002959100017583151143000Release Date: December 16, 2020 Applications must be received no later than: January 15, 2021 All applicants will be notified by January 29, 2021 Please direct questions to the Center for Evidence to Practice at EvidencetoPractice@lsuhsc.edu Training Overview IntroductionThe Center for Evidence to Practice (hereby referred to as E2P) has written this Request for Applications in order to identify behavioral health agencies in Louisiana that are equipped to successfully participate in Preschool and Youth PTSD Treatment (PPT/YPT) training and implementation. Due to the identified need for Medicaid behavioral health services specific to children and their caregivers, PPT/YPT has been selected by the Office of Behavioral Health (OBH) as an evidence-based program that will be expanded statewide. As of June 2019, the Medicaid Behavioral Health Provider Manual includes a service definition for PPT/YPT demonstrating the state’s dedication to this service. E2P and the Tulane-based PPT/YPT Training trainer, Dr. Devi Murphy, look forward to reading all applications. Qualified organizations will be those whose behavioral health providers serve Medicaid-insured individuals, are licensed (or actively working towards licensure) in Louisiana, and are actively treating children and their caregivers. There will be no cost to agencies for the training itself; however, agencies must financially commit to the time and effort required to successfully complete all training requirements. Information about the Louisiana Center for Evidence to Practice E2P is funded by the Louisiana Department of Health, Office of Behavioral Health and tasked with improving access to evidence-based behavioral health practices for Louisianan children and families insured by Medicaid. The center is housed at the Louisiana State University School of Public Health, in New Orleans. E2P’s mission is to support the state and its agencies, organizations, communities, and providers in the selection and implementation of evidence-based interventions to promote youth and family well-being, improve behavioral health outcomes, and to address challenges related to sustaining quality practice.?For more information on the E2P please visit our website: and subscribe to receive frequent updates through our newsletter. SCOPE OF WORKInformation about Preschool/Youth PTSD Treatment PPT/YPT?is a manualized, 12-session cognitive-behavioral therapy protocol to treat children, ages 3 to 18 years, with posttraumatic stress disorder (PTSD) and trauma-related symptoms. The sessions are either with the therapist working individually with the child (with the caregiver observing as possible) or with the caregiver and child together.The protocol is applicable to all types of traumatic events. Sessions are conducted one on one with each child, but caregivers are encouraged to participate by observing the sessions, either from another room using a video monitor or in person. PPT begins with a psychoeducation session in which the therapist and child discuss the concept of posttraumatic stress disorder (PTSD) and expectations for the remaining sessions. The second session is used to develop a discipline plan for oppositional behavior, in recognition of the comorbidity of oppositional defiant disorders with PTSD in very young children. The third session is used to practice the skills of identifying emotions. In the fourth session, therapists teach children three relaxation techniques. In the fifth session, children recount the narrative of their most distressing experience. Sessions 6 through 10 are used to expose the children to anxiety-provoking stimuli with drawings, mental imagery, and in vivo homework. In session 11, children are taught to cope with future distressing situations. Session 12 is used to review and consolidate autobiographical narratives.The essential components of?PPT/YPT?include:Psychoeducation about posttraumatic stress disorder (PTSD) with pictorial aids for young childrenA focus on defiant behavior and discipline plans following traumaIdentification of feelings and gradations of feelings Relaxation exercises as new coping skillsNarrative techniques for recall of traumatic eventsIn-office and homework exposure exercisesDevelopment of developmentally appropriate safety plansRelapse prevention sessionAttunement of caregivers to children’s internalized phenomena through observation of sessions and reflection with therapistInvolvement of caregivers in every aspect of treatmentDirect discussion of reluctance to attend therapy0000952524765000Online PPT/YPT Training and Consultation Overview This evidence-based practice was developed by Dr. Michael Sheeringa of the Department of Psychiatry and Behavioral Sciences at Tulane University. PPT/YPT training consists of one full day of training. For the Monday, February 22, 2021 training sponsored by the Center for Evidence to Practice, the training will be taking place online (full day of training). All participants must have adequate technology (computers with webcam access and working audio) and internet access to participate in this training. After completing the day of online PPT/YPT training, practitioners will begin consultation calls. To complete the Advanced Training designation, clinicians must complete either PPT or YPT with at least one child, must attend weekly consultation calls and receive consultation on each therapy session with Dr. Murphy for a minimum of 12 calls. The goal of this training and implementation program is for participating Medicaid agencies to successfully implement PPT/YPT into their agency and community. Providers should be able to demonstrate the capacity to identify and engage appropriate children and families for PPT/YPT, deliver the model to fidelity, and sustain the model long-term. Individual practitioners and teams from agencies are invited to apply for this training opportunity. Additionally, we highly encourage participation from supervisors and administrators as their understanding and support of the model contributes to long-term sustainability. E2P expects all selected practitioners to complete all required training and consultation responsibilities over the duration of the training. If selected for training, practitioners will sign a training agreement demonstrating their commitment to this EBP. Sustained Practice Following the completion of the full training and implementation program, agencies will be expected to independently sustain PPT/YPT, including facilitating ongoing referrals and engagement, maintaining case load, and ensuring supportive supervision, leadership, and policy. Having an agency's leadership (e.g., CEO, supervisors, and other decision-makers) directly involved in the implementation of an EBP is key to its long-term success. Strategies of an engaged leadership include the CEO being knowledgeable about PPT/YPT and directly involved in the following: Supporting clinicians and supervisors in maintaining fidelity to PPT/YPTRecruiting staff to participate in learning and using the EBPIntegrating the EBP into the culture of the agencyDemonstrating commitment to the EBP through follow-through with the implementation plan. In addition, each agency should also consider how their policies might support or conflict with EBP practice and identify ways to integrate PPT/YPT into their policies and procedures. Examples may include: Considering an applicant's knowledge of (or openness to) EBPs in hiring decisions and integrating information about PPT/YPT into new employee orientationsSetting participation in EBP supervision as a regular requirementCreating processes to track fidelity and measures in electronic medical recordsIntegrating PPT/YPT into clinical documentationRecognizing EBP clinicians formally in performance reviews and merit raises and informally in newsletters, websites etc.Application and selection process Eligibility Requirements and Expectations Selection will be based upon organization readiness for PPT/YPT implementation, acceptance of Medicaid-MCO plans, and relevance of this EBP to the population served by the applicant organization. Preference will be given to organizations with multiple practitioners applying to be trained and agencies that do not currently offer evidence-based practices for children and families. All behavioral health agencies selected to participate in the PPT/YPT training will be expected to complete all training components and apply for certification. Agencies that dropout of the training and do not meet all requirements for advanced designation in PPT/YPT may face consequences such as not being considered for future training opportunities. Upon selection, all agencies will be requested to sign a Training Agreement between the agency and E2P. As this is a free, state-funded training, all agencies must demonstrate their commitment to the training and sustaining implementation of PPT/YPT. PPT/YPT Informational Webinar The Center for Evidence to Practice will be hosting an informational webinar on Preschool and Youth PTSD Treatment. This will give practitioners interested in learning more about PPT/YPT the opportunity to understand the basics of the model, learn about the training and consultation process, and meet our trainer Dr. Devi Murphy. A Q&A session will follow. If you are planning on applying to the February PPT/YPT training, it is highly recommended that you attend this webinar. January 11, 202111:00 AM – 12:00 PMRegistration Linkapplication process The application for the PPT/YPT online training can be found on the following pages. Appendix A is the main portion of the application, and to be completed by an official at the agency requesting participation in PPT/YPT training and signed by the Administrator and Supervisor. Appendix B is the Trainee Information Form and is to be completed by each potential participant. There is limited availability of spaces for training sponsored by the Center for Evidence to Practice. Applicants that are not accepted will be added to the waitlist and will be contacted for future training opportunities. All completed documents must be submitted by email to EvidencetoPractice@lsuhsc.edu by Close of Business oN JANUARY 15, 2021. APPLICATIONS MUST BE tyPED, NOT HANDWRITTEN. Applicants will be notified via email by January 29, 2021 regarding their acceptance into the Learning Collaborative.Thank you for your commitment to serving Louisiana’s children and families.We look forward to reading your application! Appendix A. PPT/YPT Online Training ApplicationOrganization InformationName of Applicant Organization Applicant Address List all personnel applying for PPT/YPT training: masters or doctoral level staff that is licensed or working towards licensure. Name Role (Clinician, Supervisor, Administrator) Email Address Does your agency have administrators that are interested in attending part or all of the PPT/YPT online training? Please explain. The pre-requisites to have your agency’s application considered for the PPT/YPT training is that you must accept Medicaid and be actively treating children and their caregivers. Does your agency accept Medicaid? □ Yes □ NoIf so, which MCOs do you currently accept? Does your agency currently see children (0-5) and their caregivers? □ Yes □ NoContact InformationPlease designate a main contact person for your agency. This is the individual we will be in contact with regarding the status of your application. Main Contact PersonMain Contact Person: Title Phone Number Email Agency Application Executive Summary: Provide a summary of the reasons why your agency should be selected to participate in the PPT/YPT Online Training. Population Served: Describe the geographic area and population served at your agency. Additionally, please mention any unique characteristics of the population. Treatment Modalities and other EBPS: Please describe the services that are currently offered at your agency. Please mention any evidence-based practices that your team implements (examples include Multisystemic Therapy, Functional Family Therapy, Trauma-Focused CBT, Parent-Child Interaction Therapy, etc.) Referral Pathways: Describe your agency’s current sources for child/caregiver referrals. Do you anticipate any challenges in finding families who would be able to serve as test cases for PPT/YPT training? Caseload: Trainee practitioner(s) must reduce their current caseload to accommodate PPT/YPT training activities and cases. Please briefly explain how ready your organization is prepared to adapt to this change in caseload. Sustainability: Describe your agency’s plan for sustaining the implementation of PPT/YPT for the long term. What will be done to maintain the commitment of agency leaders, policies, and retain staff? Signature of Supervisor: ________________________________________________________Name and Date: _______________________________________________________________Signature of Administrator: _____________________________________________________Name and Date: ______________________________________________________________Appendix B. PPT/YPT TRAINEE INFORMATION FORMThis questionnaire is to be completed by each potential participant.Name of ApplicantTitle of ApplicantApplicant Email and Phone Number Agency Name Do you work at this agency full-time? □ Yes □ NoEducational Degrees and year(s) graduated Professional Discipline Are you licensed in Louisiana? □ Yes □ No □ Provisionally Licensed What is the National Provider Identifier (NPI) number you use? (agency or individual)Are you actively treating children and families? Please describe if this is individual work with the child or adult, family-level treatment, etc. Are you trained and certified in an evidence-based practice? Have you received training or education focused on early childhood development? □ Yes □ NoHow many years of clinical experience do you have working with children? Please specify age range of children served. Explain why PPT/YPT would be an appropriate fit for your practice and the community that you serve. ................
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