Healthcare Apprenticeship Consortium - Washington

On-the-job Training

• Working With Others
  • 1 - Communicates Effectively - Engages in active and reflective listening.
  • 2 - Communicates Effectively - Speaks clearly and slowly enough to be understood.
  • 3 - Communicates Effectively - Uses non-judgmental words and behaviors.
  • 4 - Communicates Effectively - Communicates directly with the client's family and significant others (with client consent).
  • 5 - Communicates Effectively - Uses "person centered/person first" language.
  • 6 - Builds Positive Relationships - Demonstrates warmth, empathy, and genuineness.
  • 7 - Builds Positive Relationships - Shows respect and concern for others through words and actions.
  • 8 - Builds Positive Relationships - Focuses on and respects the concerns and preferences of the client and family.
  • 9 - Builds Positive Relationships - Provides support and encouragement to clients.
  • 10 - Builds Positive Relationships - Collaborates with providers and clients to complete tasks and solve problems.
  • 11 - Builds Positive Relationships - Maintains appropriate boundaries in all relationships.
• Screening & Assessment
  • 12 - Gathers information using multiple sources - Summarizes, confirms, and records all information verbally or in writing.
  • 13 - Gathers information using multiple sources - Demonstrates sound judgment in collecting, recording, and using the information collected.
  • 14 - Gathers information using multiple sources - Assists clients in completing screening tools on substance use and mental health symptoms.
  • 15 - Assesses and identifies strengths and needs - Assesses clients' preferred method of communication and language barriers.
  • 16 - Assesses and identifies strengths and needs - Identifies and assists participant in identifying signs of abuse and neglect and danger to self or others.
• Planning Services
  • 17 - Placeholder 1
  • 18 - Placeholder 2
  • 19 - Placeholder 3
  • 20 - Placeholder 4
  • 21 - Placeholder 5
  • 22 - Supports client & family member decision-making in developing plan of care - Discusses client goals with recommended services and alternate options.
  • 23 - Supports client & family member decision-making in developing plan of care - Assists client in communicating his or her needs to others.
• Assists clients in developing personal plans
  • 24 - Assists clients in developing personal plans
  • 25 - Supports the client in developing wellness & recovery plans and implementing in day-to-day life.
  • 26 - Educates client & assist in developing psychiatric advance directive.
• Providing Services
  • 27 - Coordinates Care - Arranges for assistance, if needed, with language translation or literacy.
  • 28 - Coordinates Care - Initiates peer support service and coordinates with other members of the care team.
  • 29 - Coordinates Care - Regularly engages with the client, and recognizes/reduces barriers to recovery. Fosters client motivation to achieve goals.
  • 30 - Coordinates Care - Offers support to clients for continuous engagement and re-engagement.
  • 31 - Coordinates Care - Provides ongoing support to client during development of a discharge plan.
• Maintains safe working environment and working relationships (emotional, physical, etc. safety).
  • 32 - Establishes working relationships & coordinates care with other providers and teams in the BHA and in other agencies.
  • 33 - Awareness of safety concerns related to medication - Assists the client in monitoring and reporting medication effects and side effects to the medical prescriber
  • 34 - Awareness of safety concerns related to medication - Management -> red flags about lethal medications, access and knowledge of safety planning, concurrent substance use.
  • 35 - Awareness of safety concerns related to medication - Comfort advocating for client in a team setting -> ex: recommend weekly prescription vs. monthly.
  • 36 - Recognizes behavioral health crises and early warning signs of crises
  • 37 - Support client in de-escalating problems in the earliest phase while maintaining boundaries with scope of practice.
  • 38 - Reports crises and seeks assistance from a supervisor or licensed behavioral health professional, or emergency services/first responders.
  • 39 - Manages crises - Assists in implementing the response to an individual, family, or community crisis, including communication with family and others as necessary.
  • 40 - Manages crises - Assists with notifications and investigations of reportable events (e.g., abuse, domestic violence, assaults, neglect, deaths), understands Duty to Warn.
  • 41 - Manages crises - Provides support to client in crisis and (as needed) those affected by the crisis; has knowledge of relevant resources available (e.g. DV shelter, emergency foster care, etc.); assist them in accessing supportive services.
  • 42 - Manages crises - Participates in debriefing meetings to discuss the crisis and the response.
  • 43 - Identifies recommended resources - Maintains information on a range of community resources (e.g., service, medical, financial, housing, spiritual, volunteer), traditional cultural supports, and intervention resources (Elders, traditional healers).
  • 44 - Identifies recommended resources - Identifies recommended resources and traditional supports for the client and family based on need and eligibility.
  • 45 - Supports client & family decision-making in electing resources - Discusses resource recommendations & options with the client & family based on client's identified goals.
  • 46 - Supports client & family decision-making in electing resources - Empowers the client & family to access and use resources.
  • 47 - Connects individuals and families to community resources - Identifies and facilitates referrals and conducts follow-up coordination of care to extern al community supports, supportive individuals, and services.
• Community Education & Advocacy
  • 48 - Provides education - Educates clients, families, and the community about behavioral health conditions and their prevention and treatment.
  • 49 - Provides education - Provides information to destigmatize mental health and substance use conditions.
  • 50 - Participates in prevention activities - Uses community gatherings to encourage healthy behaviors.
  • 51 - Participates in prevention activities - Serves in community workgroups focused on prevention and early intervention with behavioral health conditions.
  • 52 - Participates in prevention activities - Works with community leaders to develop supports for individuals and families at risk.
  • 53 - Participates in prevention activities - Engages and provides support to clients and families at risk.
  • 54 - Participates in prevention activities - Educates clients and families about strategies for improving physical and mental health.
  • 55 - Participates in prevention activities - Assists in assessing community needs and readiness for prevention and early interventions activities.
  • 56 - Provides advocacy - Provides information to clients and families about their rights and responsibilities.
  • 57 - Provides advocacy - Supports individual and family goals and wishes within the agency and with other organizations.
  • 58 - Provides advocacy - Helps clients and families to participate in service planning meetings.
  • 59 - Provides advocacy - Refers clients and families to peer and family support activities and advocacy organizations.
• Cultural Competency & Individualized Care
  • 60 - Delivers culturally relevant services - Recognizes and respects cultural diversity, as it relates to differences in communication styles, values, beliefs, and traditions.
  • 61 - Delivers culturally relevant services - Is aware of and able to manage their own stereotypes and biases, as it relates to race, gender, class, ability, age, sexual orientation, immigration status, religion, and other marginalized groups. Has learned
  • 62 - Delivers culturally relevant services - Is aware of their privileged identities and uses their privilege to advocate on behalf of those who experience marginalization, being mindful not to do for their clients what they can do for themselves.
  • 63 - Delivers culturally relevant services - Is sensitive to how connected a client is to their culture e.g., degree of involvement in their traditions, values, beliefs, communication style, etc.
  • 64 - Delivers culturally relevant services - Adapts care that is culturally responsive to the unique characteristics and preferences of the client and family.
  • 65 - Delivers culturally relevant services - Leading with race as a foundation; applies knowledge of race, ethnicity, gender identity, sexual orientation, life span development, socio economic status, religion, disability, immigration status, and intergen
  • 66 - Delivers culturally relevant services - Utilizes a strength-based model, promoting empowerment as a goal and desirable treatment outcome for all people by fostering client and family decision-making, problem-solving, and self-determination.
  • 67 - Delivers culturally relevant services - Takes risk and leans into their discomfort to engage clients in conversations about their experiences related to race, class, gender, sexual orientation, ability, and immigration status.
  • 68 - Delivers culturally relevant services - Has knowledge of cultural norms as it relates to views of health and family when assessing and assisting in providing services.
  • 69 - Delivers culturally relevant services - Utilizes appropriate culturally relevant resources and a combination of traditional and client-centered practices when providing services (e.g., storytelling, talking circles, and deferring to elders), while be
  • 70 - Delivers culturally relevant services - Identifies and addresses issues of difference to reduce conflict between individuals and groups.
  • 71 - Delivers culturally relevant services - Understands and applies knowledge of the systemic roots of addiction, history of drugs in America, and the intersection of failed interventions and racism. Also understands resiliency and what is working in in
  • 72 - Delivers culturally relevant services - Understands and applies knowledge of the compounding effects of having more than one identity (e.g., race, class, gender, sexual orientation, immigration status, ability, age) and more than one variable (e.g.,
  • 73 - Delivers culturally relevant services - Has knowledge of and works to mitigate the mental health and cultural stigma around substance use; acts as an advocate
  • 74 - Delivers culturally relevant services - Applies knowledge of implicit bias to institutions; advocates for change when an institutional policy or procedure has a bias.
  • 75 - Delivers culturally relevant services - Demonstrates foundational knowledge of microaggressions and engages in courageous conversations when they witness, experiences, or commit a microaggression or other offenses.
  • 76 - Delivers culturally relevant services - Applies knowledge that the tools and infrastructure of mental health diagnosis and care is inherently biased and has been used to further racism. Acknowledges cultural trauma and adjusts patient care appropria
  • 77 - Delivers culturally relevant services - Provides culturally appropriate, trauma-informed care and healing from multiple angles. Understands health disparities in the context of mental health.
  • 78 - Delivers culturally relevant services - Effectively integrates culturally responsive practices and skillfully adapts utilizing multiple practices - e.g. motivational interviewing, group facilitation, trauma-informed practices, health and social sys
  • 79 - Delivers culturally relevant services - Engages client to increase understanding of how the person sees the world and how they view the world seeing them (e.g., shapes, trust, and respect; impact of oppression, systemic racism, discrimination).
  • 80 - Delivers culturally relevant services - Understands the compounding impact of incarceration, poverty, and/or other systems involvement (i.e. foster care, homelessness).
  • 81 - Delivers culturally relevant services - Is flexible in care, communication, and approach so the client feels comfortable being themselves.
  • 82 - Delivers culturally relevant services - Demonstrates awareness of how the power differential between the care provider and the client impacts the helping relationships.
  • 83 - Delivers culturally relevant services - Understands the complexity of dual relationships and how to navigate ethically.
  • 84 - Obtains consultation on cultural issues - Routinely considers and discusses cultural responsiveness in supervision and team meetings.
  • 85 - Obtains consultation on cultural issues - Consults with elders or traditional healers in the community when appropriate.
• Documenting
  • 86 - Completes required documentation - Produces documentation that is objective, accurate, and legible with correct language, grammar, and spelling.
  • 87 - Completes required documentation - Completes documentation in a timely manner.
  • 88 - Responds to client requests to view records - Reviews file documentation with clients when they request to do so and when approved by the agency.
  • 89 - Responds to client requests to view records - Demonstrates sensitivity when assisting clients in understanding their documentation during a records review.
• Professional and Ethical Conduct
  • 90 - Fulfills responsibilities and commitments - Minimizes absences, arrives on time, and completes a full workday.
  • 91 - Fulfills responsibilities and commitments - Completes assigned duties in a timely way and follows through on instructions received, reasonable requests, and promises made.
  • 92 - Fulfills responsibilities and commitments - Acts professionally in interactions with the client, family, community, and other professionals.
  • 93 - Fulfills responsibilities and commitments - Works within the limits of assigned duties and role.
  • 94 - Fulfills responsibilities and commitments - Recognizes personal limits of knowledge and skills.
  • 95 - Fulfills responsibilities and commitments - Seeks additional supervision or consultation when uncertain about what to do or concerned about the performance of others.
  • 96 - Practices ethically - Complies with the Agency Code of Ethics.
  • 97 - Practices ethically - Complies with laws, regulations, and agency policies.
  • 98 - Practices ethically - Manages effectively personal and professional boundaries with clients, families, and the community.
  • 99 - Practices ethically - Models appropriate personal and professional behavior.
  • 100 - Practices ethically - Respects client and family rights.
  • 101 - Obtains client consent - Complies with laws, regulations, and agency policies regarding confidentiality and privacy (e.g., HIPAA, Federal Privacy Act, 42 C.F.R, Part 2).
  • 102 - Obtains client consent - Complies with laws, regulations, and agency policies regarding confidentiality and privacy (e.g., HIPAA, Federal Privacy Act, 42 C.F.R, Part 2).
  • 103 - Obtains client consent - Complies with the procedures regarding disclosure of confidential information (e.g., mandated reporting, duty to warm, client mandated reporting, duty to warm, client authorized releases of information).
  • 104 - Obtains client consent - Maintains the physical security of confidential information (electronic and hard copy).
  • 105 - Obtains client consent - Educates clients and families about confidentiality, privacy, and their limits.
  • 106 - Obtains client consent - Assists clients with decisions and process to release confidential information.
  • 107 - Obtains client consent - Maintains the confidences and privacy of clients and families, even when not required by law, regulation or policy.
  • 108 - Obtains client consent - Protects client and family anonymity when providing information for statistical evaluation and research.
  • 109 - Obtains client consent - Assists in ensuring that other individuals providing services comply with the laws, regulations, and policy on confidentiality and privacy.
  • 110 - Manages stress and maintains personal health - Recognizes signs of personal stress.
  • 111 - Manages stress and maintains personal health - Uses self-care strategies to manage stress, maintain health and prevent burnout.
• Professional Development
  • 112 - Seeks opportunities to improve knowledge, skills and abilities - Sets personal goals for professional development.
  • 113 - Seeks opportunities to improve knowledge, skills and abilities - Participates in employer sponsored training and other continuing education activities.
  • 114 - Seeks opportunities to improve knowledge, skills and abilities - Adopts best practices learned through continuing education.
  • 115 - Uses supervision effectively - Participates routinely and constructively in supervision.
  • 116 - Uses supervision effectively - Uses supervision, peer consultation, and self-evaluation to enhance self-awareness and improve professional performance.
  • 117 - Uses supervision effectively - Uses formal evaluations to improve professional performance and the quality of services provided.
  • 118 - Uses supervision effectively - Provides guidance and mentoring to others.
• Engages Peers in Collaborative and Caring Relationships
  • 119 - Initiates contact with peers.
  • 120 - Listens to clients with careful attention to the content and emotion being communicated.
  • 121 - Reaches out to engage clients across the whole continuum of the recovery process.
  • 122 - Demonstrates genuine acceptance and respect.
  • 123 - Demonstrates understanding of clients' experiences and feelings.
• Provides support
  • 124 - Validates clients' experiences and feelings.
  • 125 - Encourages the exploration and pursuit of community roles.
  • 126 - Conveys hope to clients about their own recovery.
  • 127 - Celebrates clients' efforts and accomplishments.
  • 128 - Provides concrete assistance to help clients accomplish tasks and goals.
• Shares lived experiences of recovery
  • 129 - Relates their own recovery stories, and with permission, the recovery stories of others to inspire hope.
  • 130 - Discuss ongoing personal efforts to enhance health, wellness, and recovery.
  • 131 - Recognizes when to share experience and when to listen.
  • 132 - Describes personal recovery practices and helps clients discover recovery practices that work for them.
• Personalizes peer support
  • 133 - Understands his/her own personal values and culture and how these may contribute to biases, judgements and beliefs.
  • 134 - Appreciates and respects the culture and spiritual beliefs and practices of peers and their families.
  • 135 - Recognizes and responds to the complexities and uniqueness of each client's process of recovery.
  • 136 - Tailors services and support to meet the preferences and unique needs of clients and their families.
• Supports recovery planning
  • 137 - Assists and supports clients to set goals and to dream of future possibilities.
  • 138 - Proposes strategies to help a client accomplish tasks or goals.
  • 139 - Supports clients to use decision-making strategies when choosing services and supports.
  • 140 - Helps clients to function as a member of their treatment/recovery support team.
  • 141 - Researches and identifies credible information and options from various sources.
• Links to resources, services and supports
  • 142 - Partner with peers to investigate, select, and use needed and desired resources and services
  • 143 - Helps clients to find and use health services supports.
  • 144 - Accompanies clients to community activities and appointments when requested.
  • 145 - Participates in community activities with clients when requested.
• Provides information about skills related to health, wellness and recovery
  • 146 - Educates clients about health, wellness, recovery and recovery supports.
  • 147 - Participates with clients in discovery or co-learning to enhance recovery experiences.
  • 148 - Coaches clients about how to access treatment and services and navigate systems of care.
  • 149 - Coaches clients in desired skills and strategies.
  • 150 - Educates family members and other supportive individuals about recovery and recovery supports.
  • 151 - Use approaches that match the preferences and needs of peers
• Helps peers to manage crises
  • 152 - Recognizes signs of distress and threats to safety among clients and in their environments. Provides reassurance to clients in distress.
  • 153 - Recognizes signs of distress and threats to safety among clients and in their environments. Provides reassurance to clients in distress.
  • 154 - Strives to create safe spaces when meeting with clients
  • 155 - Takes action to address distress or a crisis by using knowledge of local resources, treatment services, and support preferences of clients.
  • 156 - Assists clients in developing advance directives and other crisis prevention tools.
• Values communication
  • 157 - Uses respectful, person-centered, recovery-oriented language in written and verbal interactions with clients, family members, community members, and others.
  • 158 - Uses active listening skills.
  • 159 - Clarifies their understanding of information when in doubt of the meaning.
  • 160 - Clarifies their understanding of information when in doubt of the meaning.
  • 161 - Conveys their point of view when working with colleagues.
  • 162 - Documents information as required by program policies and procedures.
  • 163 - Follows laws and rules concerning confidentiality and respects others' rights for privacy.
• Supports collaboration and teamwork
  • 164 - Works together with other colleagues to enhance the provision of services and support.
  • 165 - Works together with other colleagues to enhance the provision of services and support.
  • 166 - Coordinates efforts with clients' family members and other natural supports.
  • 167 - Partners with community members and organizations to strengthen opportunities for clients.
• Promotes leadership and advocacy
  • 168 - Uses knowledge of relevant rights and laws (ADA, HIPAA, Olmstead, etc.) to ensure that clients' rights are respected.
  • 169 - Participates in efforts to eliminate prejudice and discrimination of people who have behavioral health conditions and their families.
  • 170 - Educates colleagues about the process of recovery and the use of recovery support services.
  • 171 - Maintains a positive reputation in peer/professional communities.
• Promotes growth and development
  • 172 - Recognizes the limits of their knowledge and seeks assistance from others when needed.
  • 173 - Uses supervision (mentoring, reflection) effectively by monitoring self and relationships, preparing for meetings and engaging in problem-solving strategies with the supervisor (mentor, peer).
  • 174 - Reflects and examines own personal motivations, judgments, and feelings that may be activated by the peer work, recognizing signs of distress, and knowing when to seek support.
  • 175 - Reflects and examines own personal motivations, judgments, and feelings that may be activated by the peer work, recognizing signs of distress, and knowing when to seek support.
  • 176 - Seeks opportunities to increase knowledge and skills of peer support.