Certified instructors are expected to offer at least three trainings per year to maintain certification.

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1 Mental Health First Aid Instructor Certification Program Application Packet Request for Applications to Receive MHFA or YMHFA Instructor Training Application Due Date: Original March 13, 2015 extended to 3:00 pm MT Wednesday March 18, 2015 Questions should be directed to by 3/9/15 Note: Subject line should read MHFA Instructor Application Question The Colorado Behavioral Healthcare Council (CBHC) and Mental Health First Aid Colorado are pleased to solicit applications from individuals interested in the strategic expansion of Mental Health First Aid (MHFA) and Youth Mental Health First Aid (YMHFA) in their communities. MHFA is a groundbreaking, internationally recognized evidence-based training program to help citizens identify mental health and substance abuse problems, connect individuals to care, and safely de-escalate crisis situations if needed. The Adult MHFA course trains adults assisting other adults. The Youth MHFA course trains adults and youth ages 16+ to assist adolescents. The MHFA Instructor training is held over five days and is taught by two authorized MHFA trainers connected to at least one of the Mental Health First Aid USA Authorities. Only participants who have been present for the entire 5-day training will be considered for certification as instructors. Unless, a participant is a current Instructor for the Adult MHFA curriculum, they will only be required to attend the first 2.5 days of training to become certified as an Instructor for the Youth MHFA curriculum. The opposite is also true If a participant is a current Instructor for the Youth MHFA curriculum, they will only be required to attend the first 2.5 days of training to become certified as an Instructor for the Adult MHFA curriculum. Certified instructors are expected to offer at least three trainings per year to maintain certification. Each participant must review this entire document & sign the attestation page before attending the training. In fall 2014, CBHC was awarded funding made available by the General Assembly and directed through the Colorado Department of Human Services, Office of Behavioral Health, to expand MHFA and YMHFA. This application process was designed to support individuals who have opportunities to reach out to populations (first responders; government; deaf and hard of hearing; criminal justice; schools; at risk populations, etc) in their community and demonstrate a clear commitment to the mission and values of the Mental Health First Aid initiative. Preference will be given to candidates who have not had the opportunity to receive MHFA/YMHFA Instructor trainings through their organization or association. Successful applicants will be awarded participant slots a MHFA or YMHFA Instructor training spot. In this application packet, you will find: 1) Instructor Certification Requirements & Expectations 2) Applicant & Organization Information 3) Questionnaire 4) Applicant Considerations and Attestation RFA Timeline Key Dates Include: RFA Issue Date 2/24/15 Applicant Question Deadline 3/9/15 Proposals Due 3/13/15 Extended to 3:00 pm MT Review Complete 3/27/15 Individual Award Announcements 3/31/15

2 Select Instructor Certification Program for which you are applying: Indicate order of preference (1-4) or enter 0 if unavailable for given option (eg interested in Denver metro area training but not available for Buena Vista training) Rank Preference Location Training Date Application Due Date Denver Metro April 13 th 3pm, Friday, March 13 th Extended to 3:00 pm MT Area- YMHFA April 17 th Buena Vista May 18 th 3pm, Friday March 13 th Extended to 3:00 pm MT YMHFA Denver Metro Area Adult MHFA Buena Vista Adult MHFA May 22 nd June 1 st June 3pm, Friday March 13 th Extended to 3:00 pm MT 5 th June 8 th June 12 th 3pm, Friday March 13 th Extended to 3:00 pm MT Please return your completed application to Britta Johnson at bjohnson@mhfaco.org or via fax at All applications are due Friday, March 13 th, 2015 at 3pm. Extended to Wednesday, 3:00 pm MT Part 1 - Instructor Certification Requirements & Expectations Note: Please initial each section as indication you have read and agree to all requirements listed below A Mental Health First Aid Instructor is a person who is certified to teach the 8-hour Adult MHFA or Youth MHFA-USA course to members of the general public. The following outlines the certification process, certification maintenance, and privileges for Mental Health First Aid Instructors. Instructor Training The MHFA Instructor training is held over five days and is taught by two authorized MHFA trainers connected to at least one of the Mental Health First Aid USA Authorities. Only participants who have been present for the entire 5-day training (or 2.5 day, if already certified in either the adult or youth course) will be considered for certification as instructors. During the training, each participant will present an assigned 30 minute portion of the 8-hour YMHFA/MHFA course to the group. Trainers will conduct an individual evaluation of each participant in addition to the peer feedback provided. Participants are expected to be active in providing peer reviews on days four and five. In addition to the presentation, each participant must complete and pass a written exam prior to the end of the training. Each of the above items determines whether or not an individual is granted certification to teach the MHFA course. It is not guaranteed that all participants who attend the instructor training will achieve certification. Certification Maintenance To maintain certification, each MHFA Instructor is required to: Teach their first course within 6 months of training and teach at least three YMHFA/MHFA courses per year. Present the current program in accordance with the course outline, objectives and key messages, and materials provided upon certification: While instructors should add local resources, contact information and examples, they cannot otherwise alter course materials in delivering MHFA to public audiences. MHFA Colorado welcomes any questions or concerns relating to the fidelity of the program in community presentations. Collect evaluations from each course participant to whom a certificate is issued. In order to standardize evaluations nationwide, instructors must use the standard course evaluation form provided in the MHFA-USA teaching kit and on the MHFA-USA Technical Assistance site. Report this evaluation information to MHFA-USA to ensure you are delivering the program on a regular basis, maintaining acceptable evaluations from participants, and to help evaluate how the program is received nationwide. This reporting is done electronically. Mental Health First Aid Colorado Instructor Training Application, Page 2

3 Post and report information about MHFA courses and participation to MHFA Colorado to meet data and evaluation requirements to demonstrate impact and reach of the program to the Colorado Department of Human Services and the Colorado General Assembly. This reporting is done online. Respect the privacy of course participants, colleagues and others, including the responsibility to protect personal information when gathering information on registration forms or in submitting evaluations; or in gaining permission prior to sharing personal stories or experiences of others. Post-Certification Resources Once certified, instructors are granted access to a variety of materials designed to help develop and present the program, including: Registration on the Instructor Technical Assistance Website: Allows access to program materials and resources needed to teach and promote the course, including course PowerPoint, handouts & exercises, evaluation forms, certificate template, and a variety of marketing and business development templates. Registration on the MHFA Colorado Website: provides access to the latest information, marketing materials, resources guides, funding opportunities, and other developments in Colorado related to MHFA. Also provides a centralized website for promoting and facilitating registration/admin of your MHFA courses. Enrollment in the MHFA-USA Listserve: Instructors nationwide can connect, discuss MHFA-related questions, and share news about developments in your community. Enrollment in the MHFA Colorado Listserve: Colorado Instructors connect, discuss MHFA-related questions, and share news about developments in your community. Access to Continuing Technical Assistance from MHFA - USA: Any further questions, comments, or concerns relating to the delivery or development of the course, we are available to speak with instructors directly or to connect with other instructors who may have a shared interest or specialty. Instructor Financial Requirements Instructors are required to prepurchase all materials needed to teach a course, including instructor manuals, printed resources, food, travel and lodging, prior to the course completion. Instructors who complete the proper course documentation requirements, as specified by MHFA USA and MHFA Colorado, are eligible for course reimbursement at $60 per participant through June, 2015, through MHFA Colorado. Course reimbursements only occur following course completion and completion of all items outlined above. Mental Health First Aid Colorado Instructor Training Application, Page 3

4 Part 2 Applicant and Organization Information Applicant Information: (provide contact information for each individual applying) Name Title Organization Daytime Phone Secondary Phone Postal Address Course Requested Note: Must only choose one Adult MHFA Youth MHFA Training Needed Expedited 2.5 day (applicant is already a certified MHFA or YMHFA instructor) 5-day (new participant) If certified in YMHFA/MHFA, when would you offer your first training? MHFA Primary Contact at your Organization (if applicable): Position/Title: Address: Telephone: (_)- Does your organization have an active public education program? YES NO What is your organizational structure? Private Public Non-Profit _for Profit Other Which most closely describes your service area? Frontier Rural Suburban Urban Other Mental Health First Aid Colorado Instructor Training Application, Page 4

5 Part 3 - Questionnaire Please answer the following questions so we may assess your fit with the selection criteria for becoming an Instructor for Adult or Youth Mental Health First Aid (see page 5 for full criteria). In particular, please include specific examples of your experience with MHFA to date (if any), relevant experiences and accomplishments (including the instruction of adult populations, facilitation of diverse groups, and familiarity with mental health and substance use information), and what you plan to do with the program. Please limit your responses to no more than 300 words per question. 1) CURRENT TRAININGS: How does MHFA/YMHFA complement the services and/or trainings you or your organization currently offers in your community? 2) APPLICANT BACKGROUND: Please outline specific experiences and/or skills you have that are relevant to facilitating the MHFA/YMHFA course. Include your relevant years of education or certifications, skills in training/educating adult groups and knowledge of behavioral health and behavioral health systems in Colorado. 3) MOTIVATION: What is your motivation for wanting to be a MHFA/YMHFA Instructor? 4) TRAINING PLAN: Mental Health First Aid is a public education program designed to appeal to a wide variety of audiences, particularly individuals with no background in mental health. Given the range of potential audiences for this program, who do you envision as your primary target audience(s) for MHFA/YMHFA? Please identify initial and long-term potential audiences, including a tentative timeline for your roll-out of the program. Identify any group(s) to whom you are particularly suited or networked with in order to deliver the course and explain why. (note While not restricted to these populations, educators, first responders, and military service personnel are identified as priority target audiences). 5) AREAS SERVED/ PARNTERSHIPS: Please indicate the specific community(-ies), by county and city/town name, that you plan to primarily target for delivering courses. Do you know of any other certified MHFA or YMHFA Instructors serving the area(s) indicated? If so, do you plan to coordinate with them to provide the program, or how will you serve your community differently? Mental Health First Aid Colorado Instructor Training Application, Page 5

6 Part 4 - Application Considerations & Attestation The ability to effectively deliver Mental Health First Aid nationwide is dependent on the quality of the instructors and their dedication to and enthusiasm for the program. The YMHFA/MHFA course may only be taught by certified YMHFA/MHFA instructors, who participate in a rigorous process to ensure the highest standard is maintained & their role as an instructor is clearly defined. As such, this application packet is designed for you to tell us about your plan and for you to learn about how instructors fit into ours as part of the larger vision for Mental Health First Aid in Colorado. We expect you will give it careful attention. Selection Criteria In their responses to the above questions, applicants should highlight any experience related to the instruction of adult populations, the ability to effectively facilitate diverse groups, and the competency/flexibility to create and maintain a positive learning environment. Preference will be given to individuals that: Are not directly affiliated withorganizations with well-established networks of trainers Have one or more years of experience leading adult education courses in formal or informal settings. Demonstrate a clear plan to maintain certification and expand upon the current statewide network. Plan on targeting audiences (rural, special populations, lower SES etc) Both agency or corporate employees and independent individuals may become certified to deliver the MHFA course. In either situation, outlining a plan for teaching the course, and one s experience in reaching community partners, must be included in the application via responses to the above questions. Individuals applying to become MHFA Instructors under the affiliation of their employer or otherwise as part of an organization must acquire a signature from one member of senior leadership in their organization on this form. Independent individual applicants must submit one letter of support/reference from an individual who can comment on their qualifications to be an effective MHFA Instructor. One aim of MHFA is to reduce the discrimination surrounding mental health problems. The curriculum is also specifically designed to promote the recovery/resiliency paradigm. Instructors must exhibit positive attitudes towards individuals with mental illnesses and should have enthusiasm to reduce the negative attitudes/discrimination associated with mental illness and addiction disorders. Attestation My signature indicates that I have read all portions of the MHFA Instructor Application and I have an understanding and commitment to the requirements of being an instructor. Applicant Signature_ Date My signature indicates that I am knowledgeable about Mental Health First Aid and support the above Applicant in his/her desire to become a certified instructor for the Youth MHFA course. We will work cooperatively with the Applicant to reduce stigma associated with mental health disorders by promoting MHFA. Employer Signature_ Date Mental Health First Aid Colorado Instructor Training Application, Page 6

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