Mentor APPLICATION 2015-2016 AMERICAN INDIAN & ALASKA NATIVE LEADERSHIP ACADEMY



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AMERICAN INDIAN & ALASKA NATIVE LEADERSHIP ACADEMY 2015-2016 Mentor APPLICATION National American Indian and Alaska Native Addiction Technology Transfer Center. University of Iowa. 1207 Westlawn. Iowa City, IA 52242 Phone: 319-335-5564. Fax: 319-335-6068. Email: americanindianalaskanative@attcnetwork.org. Website: attcnetwork.org

STRATEGIC LEADERSHIP DEVELOPMENT A unique leadership development opportunity for behavioral health and addiction professionals The National American Indian & Alaska Native ATTC would like to offer support to future American Indian and Alaska Native leaders in the behavioral health and addiction service fields by inviting participation in a comprehensive leadership preparation program which provides a balance of traditional training seminars, distance education, and field education. Many leaders of tribal behavioral health programs in both urban and tribal communities have expressed concerns about the graying workforce, especially among the leaders of substance abuse, mental health, prevention, and treatment programs. These are very challenging times, and our American Indian and Alaska Native leaders are concerned about who will lead these programs into the future, particularly given the substantial changes in health care, the introduction of the Affordable Health Care Act, and the integration of behavioral health into primary care. The need for leadership development and support is imminent. Your agency, among many others, may already be faced with a shortage of adequately prepared leaders in supervisory and administrative positions. Though experience is important, many leaders find themselves lacking vital skills - such as business, administrative, or formal leadership training - needed to successfully guide an agency in this increasingly demanding field. The American Indian & Alaska Native Leadership Academy is addressing this need by building a network where leaders can obtain these skills through support and guidance using a holistic approach. This program addresses the urgent need to make available thoughtfully developed, comprehensive training that is founded on the latest research in all relevant fields, and delivered to those who will benefit the most: future administrative and supervisory leaders. Why participate in the American Indian & Alaska Native Leadership Academy? This program provides a meaningful experience for mentors, including opportunities to: Offer professional networking at local, state, regional, and national levels Take the behavioral health and addiction services field into the future Encourage intellectual and professional stimulation Develop mentee s individual leadership qualities Foster agency growth as a result of engaging in mentee projects Nurture behavioral health and addiction services professionals Share knowledge and experiences Experience self-fulfillment through mentee growth Mentors who have participated in this program in the past have found this program to be a valuable and rewarding experience, and a vital piece of preparing the next generation of leaders. 2 What does the Leadership Academy entail? The American Indian & Alaska Native Leadership Academy offers an exceptional opportunity for behavioral health and addiction professionals to be mentored by current leaders in the field, as well as empowerment, support, and professional networking on local, state, regional, and national levels, which will play a vital role in strengthening the healing community. The program provides a balance of traditional training seminars, distance education, and field experiences. This nine-month experience takes commitment on the part of the participant, mentor, and the agency in which the participant is employed. The primary goal of the Academy is to cultivate new leaders within the behavioral health and addiction field through the enhancement of knowledge and development of competencies among emerging leaders. The program incorporates a fourphase design that will lay a foundation in developing leadership, as well as some management skills: Phase 1: Assessment Participants are required to undergo a formal assessment of their leadership and management interests, values, and skills, which should include participation of their supervisors, peers, and persons who report to them. Phase 2: Training Experiences Participants are required to attend a five-day Immersion Training that provides the

conceptual framework and an appropriate body of knowledge for understanding the theory and practice of leadership and management. It is recommended each participant take at least 20 hours of additional continuing education training based on the participant s individualized development plan which will be made available through various educational venues. Phase 3: Experiential Learning This phase moves the participant from the classroom to relevant settings (likely their own organization) to hone their leadership competencies. Participants will be paired with a mentor who will help guide the choice of topic and planning of an individualized leadership project relevant to their work and career goals. Examples: client recovery mentoring or advocacy plans, community case management and referral development, counselor self-care, processes for reducing stigma, or cultural competency. Participants will have an opportunity to present on the progress of their project and receive feedback during the Enhancement Session in Winter 2016, which will also include continued training on various leadership skills. Phase 4: Recognition The program culminates at the end of the nine-month training when all participants and their mentors gather to acknowledge accomplishments. Participants will present their individual projects and participate in a special ceremony in which they will be awarded a formalized certificate of proficiency. What are the commitments? Throughout the year, mentors are expected to be available to the participant based on expectations set at the outset of the relationship. Please see the schedule of the program described above for more information on the mentor s role. It is required to attend face-to-face meetings including: two days during the five-day Immersion Training in Tama, Iowa, August 17-21, two-day Enhancement Session in Miami in January, and two-day Graduation in Portland in early May. AUG 17-21 Immersion Training Meskwaki Casino and Hotel, Tama, IA JAN 2016 Enhancement Session Miami, FL MAY 2016 Graduation Portland, OR The costs for the Leadership Academy are largely offset by funding provided to the National AI & AN ATTC by the Substance Abuse and Mental Services Administration (SAMHSA/CSAT). The National AI & AN ATTC will support mentor travel, hotel, and per diem expenses during the Leadership Academy Immersion Training, Enhancement Session, and Graduation unless otherwise specified by the mentor. How do I apply? Please use the application included in this packet to submit to the National AI & AN ATTC office. The application deadline is June 22, 2015. Applications will be screened and selected for the program through a committee process by the Leadership Steering Committee. The selected candidates will be notified by July 1, 2015. Send to: National AI & AN ATTC Leadership Academy, 1207 Westlawn, Iowa City, IA 52242 or email to: Kate Thrams: kate-thrams@uiowa.edu; Mandy Conrad: mandy-conrad@uiowa.edu; or Sean Bear: sean-bear@uiowa.edu The American Indian & Alaska Native Leadership Academy Committee is asking for your application if you have spent five years or more in an administrative, supervisory/administrative, and/or clinical supervisory position and are interested in guiding future leaders in the behavioral health, addiction treatment, or helping professional field. Any questions about this program may be directed to kate-thrams@uiowa.edu, mandy-conrad@uiowa.edu, or sean-bear@uiowa.edu. Sincerely, Anne Helene Skinstad, PhD, Project Director Sean Bear Sr., BA, CADC, Meskwaki Tribal Member, Senior Behavioral Health and Training Coordinator Mandy Conrad, BS, Doctoral Trainee, Graduate Research Assistant Kate Thrams, BA, Research Support Coordinator Jacki Bock, Fiscal Manager 3

LEADERSHIP ACADEMY MENTOR APPLICATION CONFIDENTIAL Note to Applicant: Your commitment to both your agency and the behavioral health and addictions field in general is an important component in the advancement of behavioral health and addiction services. Your willingness to submit your accomplishments, needs, and potential will assist the Leadership Academy s selection committee in matching your talent with the needs of the mentee. Application process: Mentors will be selected for the participation through a Leadership Academy Committee review process. This process allows for the selection of individuals that have characteristics which demonstrate management and leadership abilities, and capitalization on their willingness to support mentees during the program. Mentors for the Academy will be matched accordingly to selected mentee needs. Mentor criteria: The National American Indian & Alaska Native Leadership Academy will select 10 mentors who: Are Native American, American Indian, or Alaska Native. Elders are encouraged to apply. Are or have been employed in behavioral health, addiction treatment, or helping professions field. Have spent five years or more in an administrative, supervisory/ administrative, and/or clinical supervisory position. Have no certification violations. Have demonstrated leadership in the behavioral health and addiction services field at a local, state, regional, or national level. Have exhibited advocacy for Best Practices in the behavioral health and addiction services field. *Verify passing of criminal background check or fingerprint clearance. Options are listed on the following page. The Leadership Academy Committee members appreciate the time and care necessary to prepare this application and are grateful for your consideration of participation in the program. Please type or print your answers to the questions on all pages of this form or re-create the form and complete the questions electronically. Name: Mentor Information Agency: Title: Address (agency): City: State: Zip: Telephone (day): Highest academic level: Email: Years in behavioral health/addiction/helping professions field: Current Position: Is this position supervisory or administration? Yes No Tribal Affiliation: The following fields are OPTIONAL. This information is included on the nomination form to help assure balanced participation. Gender: Male Female Race/Ethnicity: American Indian or Alaska Native Multi-racial Other 4

PLEASE ANSWER THE FOLLOWING QUESTIONS. Please submit a typed summary answering the following questions, not to exceed 2 pages. 1. What leadership qualities do you have that would benefit the Leadership Academy mentee? 2. Please provide examples that describe your leadership skills. 3. With the complete application, please also submit an autobiographical overview or resume. OPTIONAL Is there any additional information that you world like to add which would assist the selection committee in making a decision? You may attach additional information if you desire but supplemental material is limited to two (2) pages. CERTIFICATION AND AGREEMENT The purpose of the American Indian & Alaska Native Leadership Academy is to enrich the experience of a wide range of promising individuals at an optimal point in their career to help them prepare for greater responsibilities and contributions to the agencies in which they work, and to the behavioral health and addiction field in general. By signing below, the applicant agrees to commit to the requirements for the 2015-2016 program if accepted, and will initiate steps to have results of a criminal background check or fingerprint clearance sent to the review committee, choosing one of the following options: My organization has conducted a background check. I consent for the results to be sent to the review committee of the Leadership Academy. I would like to pay for a background check myself. I consent to have the results of the background check sent to the review committee of the Leadership Academy. I will obtain a copy of my fingerprint clearance card. I consent for the copy to be sent to the review committee of the Leadership Academy. Signature of Applicant: Date: I certify that the information included in this application is correct. ALL APPLICATION FORMS MUST BE POSTMARKED OR RECEIVED ON OR BEFORE: June 22, 2015 Send to: National AI & AN ATTC Leadership Academy 1207 Westlawn, Iowa City, IA 52242 or email to: Kate Thrams: kate-thrams@uiowa.edu; Mandy Conrad: mandy-conrad@uiowa.edu; or Sean Bear: sean-bear@uiowa.edu 5

AMERICAN INDIAN & ALASKA NATIVE LEADERSHIP ACADEMY Trainer Brent Lierman, PhD, Member of Cherokee Nation Curriculum Development Brent Lierman, PhD, Member of Cherokee Nation Mandy Conrad, BS, Doctoral Trainee Sean Bear, Sr., BA, CADC, Meskwaki Tribal Member Facilitator and Curriculum Writer Pam Waters, MA Task Force Members Lisa Brunk, Lac Vieux Desert Band of Lake Superior Chippewa Indians Julie M. Cain, BS, LAC, Blackfeet Nation of Montana Arlene Kashata, Odawa enrolled with Grand Traverse Band of Ottawa & Chippewa Indians in Michigan William Martin, Creek Nation Richard Moreno, M Ed Clyde B. McCoy, PhD, Eastern Band of the Cherokee Nation Lenore Myers, Chippewa Cree Tribe of the Rocky Boy Reservation Roger Dale Walker, MD, Cherokee Nation of Oklahoma Kellie Webb, Eastern Shoshone/Cowlitz Linda Woods, Odawa enrolled with the Grand Traverse Band of Ottawa & Chippewa Indians of Michigan Marilyn Spoon, BS, CADC, Member of the Sac and Fox Nation of Oklahoma Lakota R. M. Holman, M Ed, Rosebud Sioux tribe Myron Lee Little Bird, AAS, CADC, NCEAC, Tribal Councilman for Northern Cheyenne tribe National American Indian & Alaska Native ATTC Anne Helene Skinstad, PhD Sean Bear, Sr., BA, CADC, Meskwaki Tribal Member Mandy Conrad, BS, Doctoral Trainee Kate Thrams, BA Jacki Bock National Rural and Frontier ATTC Terra Hamblin, MA, NCC, DCC 6