Strengthening Human Resources Through Development of Candidate Core Competencies for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa Workshop Summary (2013) / Chapter Skim
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Appendix A: Summary of Candidate Core Competencies
Appendix A: Summary of Candidate Core Competencies
Pages 49-80
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for definitions of acronyms. Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use Screening/Identification (SI)
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50 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use SI.3 Community/Lay ALL ALL ALL ALL Demonstrates Worker basic Non-specialized, knowledge of ALL ALL ALL ALL Non-prescribing causes Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL SI.4 Community/Lay ALL ALL ALL ALL Provides the Worker patient and Non-specialized, community ALL ALL ALL ALL Non-prescribing with awareness Non-specialized, ALL ALL ALL ALL and/or Prescribing education Specialized ALL ALL ALL ALL SI.5 Community/Lay ALL ALL ALL ALL Demonstrates Worker cultural Non-specialized, competence ALL ALL ALL ALL Non-prescribing Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL SI.6 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge of Non-specialized, other mental, ALL ALL ALL ALL Non-prescribing neurological, and substance Non-specialized, ALL ALL ALL ALL use (MNS) Prescribing disorders Specialized ALL ALL ALL ALL
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APPENDIX A 51 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use SI.7 Community/Lay ALL CHW CHW CHW Demonstrates Worker the ability to Non-specialized, screen for and SW, OT SW, OT SW, OT Non-prescribing use screening Non-specialized, tools ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL SI.8 Community/Lay CHW CHW CHW CHW Demonstrates Worker knowledge Non-specialized, and skills in SW, OT SW, OT SW, OT SW, OT Non-prescribing taking patient history Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL SI.9 Community/Lay CHW CHW CHW CHW Demonstrates Worker the ability to Non-specialized, conduct a SW, OT OT SW Non-prescribing mental status exam Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL SI.10 Community/Lay CHW Recognizes Worker patients who Non-specialized, are relapsing SW SW, OT Non-prescribing and require inpatient care Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL
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From page 52... ...
52 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use SI.11 Community/Lay Demonstrates Worker knowledge Non-specialized, SW, OT SW, OT SW, OT SW, OT and skills to Non-prescribing assess Non-specialized, patients and ALL ALL ALL ALL Prescribing determine level of care PRN, Specialized ALL ALL NE, PS ALL needed SI.12 Community/Lay ALL ALL ALL ALL Identifies Worker cases during Non-specialized, SW SW SW SW home visits Non-prescribing Non-specialized, Prescribing Specialized SI.13 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, identify high- Non-prescribing risk patients or treatment Non-specialized, ALL ALL ALL ALL complications Prescribing (e.g., children, PRN, PRN, PRN, PRN, breastfeeding Specialized NE, PS NE, PS NE, PS NE, PS women) SI.14 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing assess Non-specialized, patients at CO, MD CO, MD CO, MD CO, MD Prescribing risk of relapse PRN, Specialized PS PS NE, PS PY, PS
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APPENDIX A 53 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use SI.15 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing conduct a Non-specialized, physical ALL ALL ALL ALL Prescribing exam PRN, PRN, PRN, PRN, Specialized NE, PS NE, PS NE, PS NE, PS SI.16 Community/Lay Recognizes Worker primary manifest- Non-specialized, tations of Non-prescribing other disorders Non-specialized, (e.g., Prescribing conversion disorder, Specialized NE, PS NE, PS NE, PS NE, PS anxiety) SI.17 Community/Lay Recognizes Worker comorbidities Non-specialized, that cause Non-prescribing secondary Non-specialized, epilepsy ALL Prescribing PRN, Specialized NE, PS
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Formal Diagnosis/Referral (DR) DR.1 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge of Non-specialized, when to refer ALL ALL ALL ALL Non-prescribing to next level Non-specialized, of care/other ALL ALL ALL ALL Prescribing provider/ specialist Specialized ALL ALL ALL ALL
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APPENDIX A 55 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use DR.2 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge of Non-specialized, ALL ALL ALL ALL potential Non-prescribing providers for Non-specialized, specialized ALL ALL ALL ALL Prescribing care within the Specialized ALL ALL ALL ALL community DR.3 Community/Lay CHW CHW CHW CHW Demonstrates Worker skills in Non-specialized, SW, OT SW, OT SW, OT SW, OT assessment of Non-prescribing relative levels Non-specialized, of social, ALL ALL ALL ALL Prescribing cognitive, and physical Specialized ALL ALL ALL ALL functioning DR.4 Community/Lay CHW CHW CHW CHW Demonstrates Worker knowledge of Non-specialized, required Non-prescribing information Non-specialized, for effective ALL ALL ALL ALL Prescribing referral Specialized ALL ALL ALL ALL DR.5 Community/Lay CHW Demonstrates Worker skills in using Non-specialized, OT OT various Non-prescribing assessment Non-specialized, tools ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL
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56 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use DR.6 Community/Lay Demonstrates Worker knowledge Non-specialized, SW, OT SW, OT SW, OT SW, OT and skills in Non-prescribing diagnosis of Non-specialized, psychosocial ALL ALL ALL ALL Prescribing factors related PRN, PRN, PRN, to condition Specialized PY, PS PY, PS ALL PY, PS DR.7 Community/Lay Demonstrates Worker an understanding Non-specialized, of and ability Non-prescribing to apply contextually Non-specialized, appropriate ALL ALL ALL ALL Prescribing diagnostic systems (e.g., Specialized ALL ALL ALL ALL DSM, ICD) 2 DR.8 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, make a Non-prescribing formal Non-specialized, ALL ALL ALL ALL diagnosis and Prescribing formulation of differential Specialized ALL ALL ALL ALL diagnosis 2 DSM: Diagnostic and Statistical Manual of Mental Disorders; ICD: International Statistical Classification of Diseases and Related Health Problems.
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APPENDIX A 57 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use DR.9 Community/Lay Demonstrates Worker ability to Non-specialized, determine Non-prescribing severity level Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL DR.10 Community/Lay Demonstrates Worker ability to make a Non-specialized, diagnosis Non-prescribing according to an algorithm Non-specialized, ALL ALL ALL ALL (not Prescribing considered a clinical Specialized ALL ALL ALL ALL diagnosis) DR.11 Community/Lay Demonstrates Worker ability to Non-specialized, interpret Non-prescribing laboratory results Non-specialized, MD MD MD MD Prescribing Specialized NE, PS NE, PS NE, PS NE, PS
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58 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use DR.12 Community/Lay CHW Demonstrates Worker knowledge Non-specialized, about status OT Non-prescribing epilepticus and other Non-specialized, ALL types of Prescribing seizures Specialized ALL DR.13 Community/Lay Demonstrates Worker ability to Non-specialized, SW diagnose Non-prescribing alcohol use Non-specialized, disorders and ALL Prescribing related problems Specialized ALL DR.14 Community/Lay Demonstrates Worker psychological Non-specialized, interview Non-prescribing skills Non-specialized, Prescribing PRN, PRN, PRN, Specialized PY, PS PY, PS ALL PY, PS DR.15 Community/Lay Demonstrates Worker ability to Non-specialized, conduct a Non-prescribing neuro- Non-specialized, psychiatric Prescribing evaluation PY, NE, Specialized PY, PS PY, PS PS PY, PS
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TC.1 Community/Lay ALL ALL ALL ALL Provides Worker support for Non-specialized, ALL ALL ALL ALL patients and Non-prescribing families while Non-specialized, in treatment ALL ALL ALL ALL Prescribing and care Specialized ALL ALL ALL ALL
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60 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.2 Identifies and Community/Lay ALL ALL ALL ALL assists Worker patients and families in overcoming Non-specialized, ALL ALL ALL ALL barriers to Non-prescribing successful treatment and recovery (e.g., Non-specialized, ALL ALL ALL ALL adherence, Prescribing stigma, finances, accessibility, access to Specialized ALL ALL ALL ALL social support) TC.3 Community/Lay ALL ALL ALL ALL Demonstrates Worker ability to Non-specialized, ALL ALL ALL ALL monitor Non-prescribing mental status Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.4 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge of Non-specialized, ALL ALL ALL ALL how to offer Non-prescribing emergency Non-specialized, first aid ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL
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APPENDIX A 61 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.5 Community/Lay Initiates ALL ALL ALL ALL Worker and/or participates in Non-specialized, ALL ALL ALL ALL community- Non-prescribing based Non-specialized, treatment, ALL ALL ALL ALL Prescribing care, and/or prevention Specialized ALL ALL ALL ALL programs TC.6 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge of Non-specialized, ALL ALL ALL ALL treatment and Non-prescribing care resources Non-specialized, in the ALL ALL ALL ALL Prescribing community Specialized ALL ALL ALL ALL TC.7 Community/Lay ALL ALL ALL ALL Promotes Worker mental health Non-specialized, ALL ALL ALL ALL literacy (e.g., Non-prescribing to minimize Non-specialized, impact of ALL ALL ALL ALL Prescribing stigma and discrimi- Specialized ALL ALL ALL ALL nation) TC.8 Community/Lay ALL ALL ALL ALL Commu- Worker nicates to the Non-specialized, ALL ALL ALL ALL public about Non-prescribing MNS Non-specialized, disorders ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL
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62 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.9 Community/Lay ALL ALL ALL ALL Monitors for Worker adherence to Non-specialized, ALL ALL ALL ALL and/or side Non-prescribing effects of Non-specialized, medication ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.10 Community/Lay Practices ALL ALL ALL ALL Worker good therapeutic Non-specialized, ALL ALL ALL ALL patient Non-prescribing interactions (e.g., com- Non-specialized, ALL ALL ALL ALL munication, Prescribing relationship, attitude) Specialized ALL ALL ALL ALL TC.11 Community/Lay ALL ALL ALL ALL Provides links Worker between Non-specialized, patients and ALL ALL ALL ALL Non-prescribing community Non-specialized, resources ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.12 Community/Lay ALL ALL ALL ALL Identifies Worker available Non-specialized, resources to ALL ALL ALL ALL Non-prescribing support patients (e.g., Non-specialized, ALL ALL ALL ALL rehabilitation, Prescribing medication supplies)
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APPENDIX A 63 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.13 Community/Lay Promotes ALL ALL ALL ALL Worker activities that aim to raise Non-specialized, ALL ALL ALL ALL awareness Non-prescribing and improve the uptake of Non-specialized, ALL ALL ALL ALL interventions Prescribing and the use of services Specialized ALL ALL ALL ALL TC.14 Community/Lay ALL ALL ALL ALL Protects Worker patients and Non-specialized, identifies ALL ALL ALL ALL Non-prescribing vulnerabilities (e.g., human Non-specialized, ALL ALL ALL ALL rights) Prescribing Specialized ALL ALL ALL ALL TC.15 Community/Lay Demonstrates ALL ALL ALL ALL Worker respect, compassion, Non-specialized, ALL ALL ALL ALL and respon- Non-prescribing siveness to patient needs Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.16 Community/Lay ALL ALL ALL ALL Demonstrates Worker knowledge and skills to Non-specialized, ALL ALL ALL ALL use Non-prescribing information Non-specialized, technology to ALL ALL ALL ALL Prescribing improve treatment and Specialized ALL ALL ALL ALL care
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64 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.17 Community/Lay Demonstrates ALL ALL ALL ALL Worker ability in general Non-specialized, SW SW SW SW counseling Non-prescribing skills Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.18 Community/Lay ALL ALL Demonstrates Worker ability to Non-specialized, SW SW SW administer Non-prescribing brief Non-specialized, interventions ALL ALL ALL Prescribing Specialized ALL ALL ALL TC.19 Community/Lay Demonstrates Worker ability to select Non-specialized, appropriate Non-prescribing treatment based on an Non-specialized, ALL ALL ALL ALL understanding Prescribing of diagnosis Specialized ALL ALL ALL ALL TC.20 Community/Lay Initiates, ALL ALL ALL ALL Worker organizes, and/or Non-specialized, SW, OT SW, OT SW, OT SW, OT facilitates Non-prescribing self-help or Non-specialized, support ALL ALL ALL ALL Prescribing groups PRN, PRN, PRN, PRN, Specialized PY PY PY PY
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APPENDIX A 65 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.21 Community/Lay CHW CHW CHW CHW Provides brief Worker advice on Non-specialized, symptom SW SW SW SW Non-prescribing management Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.22 Community/Lay Demonstrates CHW CHW Worker skills to provide Non-specialized, SW, OT SW, OT OT psychosocial Non-prescribing interventions Non-specialized, ALL ALL ALL Prescribing PRN, Specialized ALL ALL PY ALL TC.23 Community/Lay Conducts CHW CHW CHW Worker relapse prevention Non-specialized, SW SW SW programs Non-prescribing Non-specialized, CO, RN CO, RN CO, RN Prescribing Specialized PY PY PY TC.24 Community/Lay Demonstrates CHW CHW CHW CHW Worker skills in home visitation Non-specialized, SW, OT SW, OT SW, OT SW, OT Non-prescribing Non-specialized, CO CO CO CO Prescribing Specialized
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66 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.25 Community/Lay ALL ALL ALL ALL Assists with Worker adjustments Non-specialized, following SW, OT SW, OT SW, OT SW, OT Non-prescribing discharge Non-specialized, CO, RN CO, RN CO, RN CO, RN Prescribing Specialized TC.26 Community/Lay CHW CHW CHW CHE Demonstrates Worker competence Non-specialized, in the SW SW SW Non-prescribing delivery of evidence- Non-specialized, CO CO CO, MD CO based Prescribing therapies PY, NE, Specialized PY, PS PY, PS PS PY, PS TC.27 Community/Lay Advises Worker patients and Non-specialized, families on PH, SW PH, SW PH, SW PH, SW Non-prescribing taking medications Non-specialized, ALL ALL ALL ALL properly Prescribing PRN, PRN, PRN, PRN, Specialized NE, PS NE, PS NE, PS NE, PS
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APPENDIX A 67 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.28 Community/Lay Demonstrates Worker knowledge of Non-specialized, and ability to SW SW SW SW Non-prescribing apply relevant legislation Non-specialized, and policies ALL ALL ALL ALL Prescribing and access to appropriate Specialized ALL ALL ALL ALL services TC.29 Community/Lay Demonstrates Worker knowledge of Non-specialized, drug PH, SW PH, SW PH, SW PH, SW Non-prescribing interactions Non-specialized, ALL ALL ALL ALL Prescribing PRN, PRN, PRN, PRN, Specialized NE, PS NE, PS NE, PS NE, PS TC.30 Community/Lay CHW CHW CHW CHW Provides Worker appropriate Non-specialized, forms of SW SW SW SW Non-prescribing therapy (e.g., individual Non-specialized, CO CO CO CO group, family, Prescribing marital) Specialized PY PY PY PY TC.31 Community/Lay CHW CHW CHW CHW Demonstrates Worker knowledge of Non-specialized, community- SW, OT SW, OT SW, OT SW, OT Non-prescribing based rehabilitation Non-specialized, ALL ALL ALL ALL approaches Prescribing Specialized
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68 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.32 Community/Lay Educates Worker patients about Non-specialized, side effects, PH PH PH PH Non-prescribing contraindications, Non-specialized, ALL ALL ALL ALL etc. Prescribing PRN, PRN, PRN, PRN, Specialized NE, PS NE, PS NE, PS NE, PS TC.33 Community/Lay Demonstrates Worker skills to provide long- Non-specialized, OT OT OT OT term Non-prescribing support/care Non-specialized, ALL ALL ALL ALL Prescribing PRN, PRN, Specialized PY, PS PRN, PS PRN, PS PY, PS TC.34 Community/Lay Reports Worker information Non-specialized, to relevant SW, OT SW, OT SW, OT SW, OT Non-prescribing health management Non-specialized, ALL ALL ALL ALL systems Prescribing Specialized ALL ALL ALL ALL TC.35 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to PH PH PH PH Non-prescribing dispense medications Non-specialized, MD MD MD MD Prescribing Specialized NE, PS NE, PS NE, PS NE, PS
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APPENDIX A 69 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.36 Community/Lay CHW CHW CHW CHW Assists Worker patients with Non-specialized, access to SW SW SW SW Non-prescribing other providers and Non-specialized, ALL ALL ALL ALL helps Prescribing coordinate efforts Specialized ALL ALL ALL ALL TC.37 Community/Lay CHW CHW CHW CHW Provides Worker advice on Non-specialized, symptom SW SW SW SW Non-prescribing management Non-specialized, ALL ALL ALL ALL Prescribing PRN, PRN, PRN, Specialized PY, PS PY, PS ALL PY, PS TC.38 Community/Lay Documents Worker medical records Non-specialized, Non-prescribing Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.39 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, consult with Non-prescribing other providers in Non-specialized, ALL ALL ALL ALL the Prescribing treatment/care team Specialized ALL ALL ALL ALL
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70 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.40 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing provide proactive Non-specialized, follow-up and ALL ALL ALL ALL Prescribing monitors outcomes of Specialized ALL ALL ALL ALL care TC.41 Community/Lay Demonstrates Worker knowledge of Non-specialized, standard drug Non-prescribing regimens Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL TC.42 Community/Lay Provides Worker mentoring and support to Non-specialized, other health Non-prescribing care providers Non-specialized, ALL ALL ALL ALL Prescribing Specialized ALL ALL ALL ALL
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APPENDIX A 71 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.43 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, prescribe, Non-prescribing monitor, and adjust Non-specialized, ALL ALL ALL ALL medication Prescribing per patient response and in PRN, PRN, PRN, consultation Specialized NE, PS NE, PS NE, PS NE, PS with other providers TC.44 Community/Lay Demonstrates ALL ALL ALL ALL Worker ability to offer work, Non-specialized, social, and SW, OT SW, OT SW, OT SW, OT Non-prescribing recreational activities in a Non-specialized, welcoming Prescribing atmosphere Specialized TC.45 Community/Lay Demonstrates Worker skills to provide structured Non-specialized, clinical Non-prescribing interventions Non-specialized, ALL ALL ALL Prescribing Specialized PRN, PS PRN, PS PRN, PS
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72 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.46 Community/Lay Manages Worker acute hospitalization of Non-specialized, patients with Non-prescribing severe conditions pending Non-specialized, CO, MD CO, MD CO, MD CO, MD review/ Prescribing transfer to mental health specialist Specialized ALL ALL NE, PS ALL TC.47 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing treat comorbidities Non-specialized, ALL ALL ALL ALL according to Prescribing level of PRN, PRN, PRN, PRN, training Specialized NE, PS NE, PS NE, PS NE, PS TC.48 Community/Lay Provides team Worker members with Non-specialized, skills in Non-prescribing assessment, treatment, and Non-specialized, CO, MD CO, MD CO, MD CO, MD follow-up Prescribing PY, NE, Specialized PY, PS PY, PS PS PY, PS
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APPENDIX A 73 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.49 Community/Lay Screens for Worker adverse Non-specialized, events and PH PH PH PH Non-prescribing allergies Non-specialized, ALL ALL ALL ALL Prescribing Specialized NE, PS TC.50 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing supervise treatment and Non-specialized, care/follow- CO, MD CO, MD CO, MD CO, MD Prescribing up care by other PY, NE, PY, NE, PY, NE, PY, NE, Specialized PS PS PS PS providers TC.51 Community/Lay Manages Worker inpatient Non-specialized, treatment and Non-prescribing care Non-specialized, CO, MD CO, MD CO, MD CO, MD Prescribing Specialized ALL ALL ALL ALL TC.52 Community/Lay ALL Provides Worker follow-up and referral for Non-specialized, SW, OT patients with Non-prescribing active Non-specialized, CO, MD epilepsy; Prescribing recognizes status epilepticus Specialized NE, PS and referral as an emergency
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74 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.53 Community/Lay CHW Demonstrates Worker mental health Non-specialized, promotion Non-prescribing skills to Non-specialized, prevent ALL Prescribing depression Specialized ALL TC.54 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, provide Non-prescribing medication management for complex Non-specialized, MD cases, Prescribing including second- and PRN, third-line Specialized NE, PS PS NE, PS PS medications TC.55 Community/Lay Supervises Worker complex Non-specialized, regimens Non-prescribing requiring more than one Non-specialized, MD drug Prescribing Specialized NE, PS NE, PS NE, PS NE, PS TC.56 Community/Lay Administers Worker long-term Non-specialized, interventions Non-prescribing Non-specialized, Prescribing Specialized PY, PS PY, PS NE PY, PS
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APPENDIX A 75 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.57 Demonstrates Community/Lay knowledge Worker and skills to provide Non-specialized, structured Non-prescribing psychosocial interventions, individual Non-specialized, and group Prescribing (e.g., interpersonal psycho Specialized PY, PS PY, PS PY, PS therapy, CBT, PST) 3 TC.58 Community/Lay Defines and Worker initiates a Non-specialized, treatment Non-prescribing plan Non-specialized, CO, MD Prescribing PY, NE, PY, NE, PY, NE, Specialized PS PS NE, PS PS 3 CBT = cognitive behavioral therapy; PST = problem solving therapy.
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76 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.59 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, apply various Non-prescribing modalities of psycho- Non-specialized, therapy to Prescribing treat patients Specialized PY, PS PY, PS PY, PS PY, PS TC.60 Community/Lay Recognizes Worker when to consult Non-specialized, PH PH PH PH prescriber Non-prescribing about appropriate- Non-specialized, ness of Prescribing prescription (e.g., wrong dose, critical drug Specialized interaction) TC.61 Community/Lay Develops and Worker administers a Non-specialized, rehabilitation OT OT OT OT Non-prescribing plan in consultation Non-specialized, with primary Prescribing care provider Specialized
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APPENDIX A 77 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.62 Community/Lay Demonstrates Worker skills to Non-specialized, OT OT OT OT monitor and Non-prescribing assist in Non-specialized, rehabilitation Prescribing Specialized TC.63 Community/Lay Provides Worker supervision of Non-specialized, complex Non-prescribing cases, Non-specialized, including Prescribing those with neurological Specialized NE, PS NE, PS NE, PS NE, PS comorbidities TC.64 Community/Lay Manages Worker status Non-specialized, epilepticus Non-prescribing Non-specialized, ALL Prescribing Specialized NE, PS TC.65 Community/Lay Demonstrates Worker knowledge and skills to Non-specialized, treat serious Non-prescribing neurological disorders that may present Non-specialized, MD with seizures Prescribing or epilepsy (e.g., CNS infection, Specialized NE, PS stroke, tumor)
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Specialized NE, PS TC.68 Community/Lay Demonstrates Worker knowledge and skills in Non-specialized, treatment of Non-prescribing cases complicated by infectious Non-specialized, and non- Prescribing communicable diseases (e.g., HIV/AIDS) Specialized NE, PS NE, PS NE, PS NE, PS
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From page 79... ...
APPENDIX A 79 Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.69 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing provide a full range of Non-specialized, psychological Prescribing therapies Specialized PY PY PY TC.70 Community/Lay Demonstrates Worker knowledge of Non-specialized, when to Non-prescribing initiate treatment if a Non-specialized, CO, comorbid Prescribing MD neurological condition Specialized NE NE NE exists TC.71 Community/Lay Demonstrates Worker knowledge and skills for Non-specialized, the selection Non-prescribing of patients for surgical Non-specialized, management Prescribing Specialized NE
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80 CANDIDATE CORE COMPETENCIES FOR MNS DISORDERS IN SSA Candidate Condition Core Provider Types Alcohol Depression Psychosis Epilepsy Competency Use TC.72 Community/Lay Demonstrates Worker skills to Non-specialized, provide social SW Non-prescribing intervention -- addressing Non-specialized, social Prescribing problems that led to/are maintaining Specialized depression TC.73 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills to Non-prescribing manage Non-specialized, refractory Prescribing epilepsy Specialized NE TC.74 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills in Non-prescribing management Non-specialized, of psychiatric Prescribing comorbidities Specialized PS, NE TC.75 Community/Lay Demonstrates Worker knowledge Non-specialized, and skills in Non-prescribing management Non-specialized, of pseudo- MD Prescribing seizures Specialized PS, NE
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