MHRT/Community Guidelines

 

Quick Links for this Section:

A.  Scope of Practice
B.  Knowledge Competencies
          Introduction to Community Mental Health
          Psychosocial Rehabilitation
          Interviewing and Counseling
          Crisis Identification and Resolution
          Cultural Competence/Diversity
          Substance Abuse with a Dual Diagnosis Component
          Sexual Abuse, Trauma, and Recovery
          Case Management
          Mental Health and Aging
          Vocational Aspects of Disability
 

A.  Scope of Practice for MHRT/C

The MHRT/Community Certificate meets the MaineCare “other qualified mental health professional” requirement for providing specific services to adults. Those services include community integration, intensive case management, assertive community treatment, skills development, day support services and family psycho-education as outlined in Chapter II, Sections 17 and 65 of the MaineCare Benefits Manual.

Note: Starting April 1, 2007, all new hires providing crisis intervention services to adults must be certified as a Mental Health Rehabilitation Technician/Crisis Services Provider (MHRT/CSP) prior to providing services.  The MHRT/C no longer meets the requirement for crisis providers.

 

B.   Knowledge Competencies Required for MHRT/C

The MHRT/C is a competency-based certification.  As described in the Introduction to these Procedural Guidelines, the following knowledge competencies are deemed necessary to work in the field of adult community mental health and are therefore required for MHRT/C Certification.


Introduction to Community Mental Health (required for Provisional Level B)

  • Understands family theory, developmental theory, human development across the life span, counseling theories, and crisis theory
  • Knowledgeable about collaborative planning with people with psychiatric disabilities including the following: goal setting, skill assessment and training, and linking with supports in the community
  • Understands Maine’s laws regarding mental health recipients’ rights
  • Knowledge of the Americans with Disabilities Act (ADA)
  • Understands benefit and entitlement programs
  • Knowledgeable about etiology, progression, and treatment of major disabling conditions
  • Understands interaction of co-occurring medical issues
  • Understands role of medication in symptom management
  • Understands basic social services and entitlements
  • Knowledge of community provider system
  • Aware of the need to act as a contributing member of an interdisciplinary team
  • Knowledge of confidentiality
  • Interacts effectively with community members and other professionals

Psychosocial Rehabilitation (required for Provisional Level B)

  • Aware of outcomes-based research regarding people with psychiatric disabilities
  • Understands effective psychosocial rehabilitation interventions to help individuals with psychiatric disabilities function successfully in the community
  • Knowledgeable about collaborative planning with people with psychiatric disabilities including the following: goal setting, skill assessment and training, and linking with supports in the community
  • Identifies and respects consumer choice
  • Knowledge of generic community resources including available natural supports
  • Understands strategies that empower consumers

Interviewing and Counseling (required for Provisional Level B)

  • Understands family theory, developmental theory, human development across the life span, counseling theories, and crisis theory
  • Aware of prevalence and common effects of trauma
  • Aware of screening and assessment strategies for trauma
  • Aware of stages of recovery for survivors of trauma
  • Knowledgeable about etiology, progression, and treatment of major disabling conditions
  • Understands role of medication in symptom management
  • Understands ethics and conducts practice in a professional manner
  • Aware of the need to evaluate effectiveness of personal practice
  • Understands effective use of supervision

Crisis Identification and Resolution (required for Provisional Level B)

  • Understands family theory, developmental theory, human development across the life span, counseling theories, and crisis theory
  • Aware of prevalence and common effects of trauma
  • Aware of prevalence and common effects of co-occurring disorders (substance abuse and mental health)
  • Aware of screening and assessment strategies for co-occurring disorders (substance abuse and mental health)
  • Identifies consumer risk factors (i.e. suicide) and takes appropriate action
  • Understands role of medication in symptom management
  • Aware of the need to act as a contributing member of an interdisciplinary team
  • Knowledge of confidentiality
  • Aware of the need to evaluate effectiveness of personal practice
  • Understands effective use of supervision

Cultural Competence/Diversity (required for Provisional Level B)

  • Demonstrates cross-cultural awareness and sensitivity
  • Communicates effectively across cultures
  • Sensitive to gender differences and differing sexual orientations
  • Knowledgeable about changing treatment needs for adult stages of transition 

Substance Abuse with a Dual Diagnosis Component (required for full certification)

  • Aware of prevalence and common effects of co-occurring disorders (substance abuse and mental health)
  • Aware of screening and assessment strategies for co-occurring disorders (substance abuse and mental health)
  • Aware of stages of recovery of persons who have co-occurring disorders
  • Knowledgeable about resources to assist in recovery process for persons who experience co-occurring disorders
  • Aware of the need to evaluate effectiveness of personal practice
  • Understands effective use of supervision

Sexual Abuse, Trauma, and Recovery (required for full certification)

  • Aware of prevalence and common effects of trauma
  • Aware of screening and assessment strategies for trauma
  • Aware of stages of recovery for survivors of trauma
  • Knowledgeable about resources to assist in trauma recovery process
  • Aware of the need to evaluate effectiveness of personal practice
  • Understands effective use of supervision

Case Management (required for full certification)

  • Understands importance of community inclusion and use of natural supports
  • Understands Maine’s laws regarding mental health recipients’ rights
  • Understands benefit and entitlement programs
  • Understands interaction of co-occurring medical issues
  • Knowledgeable about changing treatment needs for adult stages of transition
  • Understands basic social services and entitlements
  • Knowledge of community provider system
  • Knowledge of generic community resources including available natural supports
  • Understands ethics and conducts practice in a professional manner
  • Aware of the need to act as a contributing member of an interdisciplinary team
  • Knowledge of confidentiality
  • Aware of the need to evaluate effectiveness of personal practice
  • Understands effective use of supervision
  • Interacts effectively with community members and other professionals
  • Understands strategies that empower consumers

Mental Health and Aging (required for full certification)

  • Knowledge of Americans with Disabilities Act (ADA)
  • Understands benefit and entitlement programs
  • Understands interaction of co-occurring medical issues
  • Knowledgeable about changing treatment needs for adult stages of transition
  • Knowledge of community provider system
  • Knowledge of generic community resources including available natural supports

Vocational Aspects of Disability (required for full certification)

(NOTE: This course will be required for MHRT/C Certification after January 1, 2009.  After that date, applicants will no longer be given a choice of Group Process or Vocational Aspects of Disability.)

  • Has working knowledge of the National Consensus Statement on Mental Health Recovery and the 10 fundamental components of recovery as they relate to employment (www.samhsa.gov)
  • Understands that research shows that most people with psychiatric disabilities want to pursue employment opportunities and that a consumer can be successful in competitive employment regardless of diagnosis, symptoms, disability status, prior hospitalizations, or co-occurring substance use
  • Familiarity with resources and roles or people involved in the employment support system for consumers with psychiatric disabilities, including job developers, job coaches, and community work incentives coordinators
  • Understands the role of a MHRT/C in supporting an individual pursuing a vocational goal
  • Knowledgeable about the current and evolving research regarding evidence-based practices in employment of individuals with psychiatric disabilities, including supported employment
  • Working knowledge of engagement and motivation techniques to assist consumers in pursuing employment