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LOUISIANA Community Mental Health Services Block Grant ...

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OMH <strong>Community</strong> Staff Liaisons on June 30, 2010<br />

Region/ LGE FTE Child/Youth Family<br />

Liaisons<br />

FTE Adult Consumer<br />

Liaisons<br />

MHSD 1 0.5<br />

CAHSD 1 1<br />

III 0 0<br />

IV .8 0<br />

V .8 .8<br />

VI 0 .60<br />

VII .50 0<br />

VIII 0 0<br />

FPHSA 0 0<br />

JPHSA 1.0 0<br />

Includes civil service and contract employees<br />

Training for the delivery of Evidence based practices (EBPs) has been a focus statewide. For instance,<br />

a series of Trainings on Dialectical Behavior Therapy was recently begun statewide, and workshops on<br />

Cognitive Behavior Therapy and Interpersonal Therapy have also been offered. In spite of the positive<br />

things happening with the workforce, the difficulty of delivering services with decreased funding and<br />

numbers of clinicians has become an urgent priority.<br />

Due to budget reductions, there were a significant number of positions that were cut in the various<br />

clinics. The OMH Redesign Project provided an opportunity to implement a business reorganization<br />

plan to better utilize the limited workforce to meet the needs of the residents of the state.<br />

Rural areas continue to have a shortage of psychiatric coverage. Hiring freezes have made a difficult<br />

situation even more so. Some clinics are using technical school internship positions to offset staff<br />

shortages.<br />

All Regions/ LGEs report difficulties providing necessary services due to a workforce shortage. In<br />

addition to the usual problems, the economy is putting an increasing strain on workforce delivery.<br />

Previously, it had been noted that many healthcare professionals left state government jobs or literally<br />

left Louisiana after the hurricanes, for better pay and better working conditions. Hiring freezes have<br />

been the norm since Governor Bobby Jindal was inaugurated in January of 2008; and with the<br />

downturn in the economy, layoffs and furloughs have become all too common in healthcare and state<br />

government in general. Workforce vacancies have affected all aspects of direct service: medical,<br />

nursing, counseling, and clerical. The shortage has caused challenges for clinicians on the front lines<br />

with an impact on the number of clients seen, the length of time from first contact to psychiatric<br />

evaluation, medication management, and counseling.<br />

PART C <strong>LOUISIANA</strong> FY 2011 PAGE 267<br />

SECTION III: ADULT & CHILD/ YOUTH PLAN – CRITERION 5<br />

MANAGEMENT SYSTEMS – RESOURCES, STAFFING, TRAINING OF PROVIDERS

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