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15 <br />MENTAL HEALTH TASK FORCE REPORT <br />ATTACHMENT B <br />Supervision of Social Work Students and SA Professionals: <br />Creatin4 Capacity <br />Background <br />^ There are decreased resources for medically indigent clients (i.e. those without Medicaid or other <br />insurance) <br />^ The current market is a "seller's market", where providers can pick and choose clients <br />^ This results in real difficulty in accessing services for two groups-medically indigent and difficult to serve <br />^ In addition, there is a workforce crisis, for both P-LCSWs/LCAS registrants (workers who are provisionally <br />licensed) and MSW (Master of Social Work) students. <br />o State changes in policy result in P-LCSWs being unable to bill for many services -they must have <br />full licensure, or work as Qualified Professional in Community Support Services or other <br />enhanced services, in order to bill and generate revenue <br />o P-LCSWs and LCAS registrants also require clinical supervision in order to get their full licenses, <br />but this clinical supervision can be a burden on the agency, since it takes time of a licensed <br />professional away from billable services. So "growing" the next generation of licensed <br />professionals is hard <br />o For MSW students, the challenge is finding good field placements that do 3 things: 1) provide <br />good training in evidence-based practices; 2) get students excited about and committed to public <br />sector work; and 3) provide good clinical supervision. The cost of clinical supervision, as <br />mentioned above, is prohibitive in some places. <br />^ Summary: for a number of reasons, we have reduced sen~ice capacityand are notgrowing the next <br />generation of trained workforce in the public sector. <br />Possible Solution <br />^ For MSW Students: <br />o Increase the number of MSW students with internships in Orange County public mental <br />health/developmental disabilities/substance abuse service agencies. Have them focus on <br />providing services to medically indigent to increase service capacity <br />o Provide them with strong clinical supervision and with cross-agency training in evidence-based <br />practices, with agencies sharing training resources. By providing a diverse supervision <br />experience in the field, we are literally "taking walls down on silos" <br />^ For P-LCSW and LCAS registrants <br />o Provide additional best practice clinical supervision hours to allow them to get their full licenses <br />and to become stronger members of the workforce. Cross-agency group supervision would also <br />provide cross-population training and "cross fertilization" <br />Strategies <br />^ Provide agenaes with a stipend to hire a LCSW or LCAS to provide group clinical supervision to P-LCSW <br />and LCAS registrants, so they can hire more of them and provide supervision without incurring additional <br />prohibitive financial burden. <br />^ Provide agencies with a stipend to offset the cost of providing clinical supervision to MSW students, so <br />that agencies can take on more students. This could be group and individual. <br />^ Share information across agencies about trainings that students could attend (Google calendar?) <br />^ Fnd resources via grants, leveraged through the Mayor's office <br />Estimated Costs <br />^ 30 hours per year per student @ $100/hr ($3000/student), 10 additional students==$30,000 <br />^ $5000 for supervisor for P-LCSW group <br />^ TOTAL=$35,000 <br />13 <br />