Course 8T - Human Trafficking of Adolescents in America

CEU By Net, LLC sponsors this online course, 'Human Trafficking of Adolescents in America' - NOW RE-APPROVED by Texas HHSC for the required certificate through August 9, 2025.

The course earns 8 credit hours (CEUs) that you can apply to multiple continuing education categories including SUD and mental health Assessment, Cultural Awareness; Federal and State Laws and Rules; Ethics, Crisis Intervention and Trauma-Informed Care; LGBTQ youth; interagency and community coordination; abuse, neglect, exploitation, and more.

The course earns 8 CEUs for Texas, Florida, and most other states nationwide for mental health and addiction licenses and certifications, and 8 hours for NAADAC and IC&RC. Earns 8 PDHs for EACC-EAPA, re-approved May 6, 2024, domains I, II, and III. Earns 5.5 credit hours for NBCC and California BBS (and applies to your required 6 hours of Laws and Ethics for BBS).


This course presents an ethical, sensitive, and culturally appropriate approach to identifying, assessing, and assisting minors who are victims of Human Trafficking, including coordination with local and Federal Law Enforcement in the prosecution of trafficking perpetrators.

The course material includes a printable, downloadable prototype assessment for use with trafficking victims, which is important in securing interagency services for survivors and successful prosecution of perpetrators. The course also explains the Federal laws applying to the trafficking of minors vs. adults and clarifies common misunderstandings about what constitutes 'trafficking.'


The GOALS of this course:

1. Learn the focus, approach, and achievements of the US Department of Justice and its partner organizations in the National Strategy to Combat Human Trafficking.

2. Understand the Federal laws and legal definitions of Human Trafficking for both minors and adults as defined in the Trafficking Victims Protection Act (TVPA); know how to recognize the various forms of sex and labor trafficking to which victims are submitted which violate their Human Rights; and understand the volitional difference between Human Trafficking and Prostitution in Adults.

3. Learn a research-based ETHICAL and CULTURALLY AWARE approach to assisting adolescent victims of Human Trafficking with the development of personal SAFETY strategies and methods of escape from the perpetrator.

4. Become familiar with the ethically formulated Trafficking Assessment content which is required for the successful prosecution of human trafficking perpetrators, including victim-centered language and questions, awareness of trauma-sensitive dynamics, sensitivity to safety issues, and respect for the victim's right to PRIVACY and CONFIDENTIALITY.

5. Understand the ETHICAL ISSUES and PROFESSIONAL CHALLENGES involved when working with the law enforcement team—i.e., the inherent limitations placed on CLIENT CONFIDENTIALITY, to successfully prosecute the perpetrator; and the need for both the credentialed staff and the unlicensed staff to maintain compliance with the rules for SCOPE of PRACTICE.

6. Know the characteristics and methods of Human Trafficking perpetrators and the diverse settings in which they operate, violating the FEDERAL LAW in the United States and the HUMAN RIGHTS of the victim.

7. Understand the typical etiology of how Human Trafficking exploitation and abuse occur in the lives of homeless and runaway youth, and the reasons why escape is difficult or impossible without TRAUMA Informed assistance and INTERAGENCY COORDINATION between LAW enforcement, SOCIAL SERVICES, and behavioral health professionals.

8. Understand the role of drugs, alcohol, homelessness, and survival sex in the deprivation of human rights which is characteristic of Human Trafficking.

9. Know an ethical way to work with trafficking victims to develop a safety plan at various stages in the human trafficking situation – while a victim is in the situation, during the process of leaving, and once the victim has left – and how to ensure safety for staff within the program.

10. Recognize the impact of the COVID-19 Pandemic upon resources for homeless and runaway adolescents who are targets of Human Trafficking perpetrators.


AUTHORS, PUBLISHERS: The material in this manual is published and copyrighted in the public domain by the U.S. Department of Justice, U.S. Department of Health and Human Services, SAMHSA, U.S. Office of Victims of Crime, Homeland Security, The Polaris Project, and Family & Youth Services Bureau - Runaway and Homeless Youth Training & Technical Assistance Center - National Safe Place Network.

APPROVALS:

NBCC, California BBS (including Laws and Ethics), Texas Mental Health licensing boards, Texas TCBAP-TCB-TAAP, California CAADE and CADTP, NAADAC, IC&RC, Florida Certification Board (FCB), Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Earns 8 PDHs in Domain 3 for EACC-EAPA approved Dec 22, 2021. Based on these approvals, the course is approved by most mental health and addiction licensing boards.

Note: You are free to read, download, save, and print the Study Guide(s) and Quiz(zes) for this Course, before deciding to enroll in the course. These course materials are public domain, and CEU By Net is sponsoring the course for CE Credit. You may STUDY THIS COURSE and the quiz AT NO CHARGE. You may enroll in the course at any time. You must take the quiz ONLINE, by logging into your My Home Page , clicking on the course you want to complete, completing the quiz or quizzes required, and submitting the Feedback Form. You will then instantly receive your course completion certificate! For more information on this course - and to see a COPY of the online quiz - click the '+' symbols, below:

Guide 1_Course 8T_Human Trafficking of Adolescents in America

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Guide 2_Course 8T_Human Trafficking of Adolescents in America

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Guide 3_Course 8T_Human Trafficking of Adolescents in America

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Course 5A - Welcome to Care Management! Do They REALLY Need Treatment?

Course 2B - 'They're Coming to Audit WHEN?' - a.k.a, 'What Can Go WRONG in That Chart?'

This course is copyrighted and published by Marsha Naylor, MA, LPC, CEU By Net, Pendragon Associates LLC. The course earns 2.75 Clock Hours of credit for multiple State Boards including Florida, Texas, and Alabama, TCBAP-TAAP, IC&RC, NAADAC, California CCADE and CADTP, and Florida Certification Board. EACC 2.75 PDHs Domain I expires June 30, 2024 It also awards 1.75 CA BBS Hours and 1.75 NBCC Hours.

Based upon these credentials, the course credits are accepted by most state boards for multiple licenses.

This is a PDF formatted slide show course which addresses the details of effective documentation in client records, within a Managed System of Care. This includes the newly forming ACA Health Plans as well as any other COST-CONTROLLED mental health or addiction funding arrangement or contract. And it applies to both public and private providers, unless their work is strictly private pay.

Want to pass that TREATMENT RECORD AUDIT? Want to avoid RECOUPMENT of claims payments already paid to you, when your records are audited? Want to avoid embarrassment and anxiety when the MCO calls for a client's record, or their auditors show up unannounced at your door? This course tells you how.

Course 2B clearly illustrates 12 problematic 'documentation syndromes' which will sabotage even the best and most experienced clinicians - including the 'POORLY DOCUMENTED LEVEL OF CARE’ Syndrome, the ‘ZOMBIE CLIENT’ Syndrome, the ‘PERPETUAL CARE’ Syndrome, the ‘ANY-PATIENT ITP’ Syndrome, the ‘FAILURE TO MODIFY’ Syndrome, and several more. We tell you how to avoid those 12 deadly documentation problems - no matter which type of assessment, counseling or treatment setting you're in, if you must justify what you do with your clients.

This self-paced slide show describes in plain language what's 'DIFFERENT' about how we must DOCUMENT both ASSESSMENT and TREATMENT in mental health and AOD client records, compared to how we may have been trained, if we are working within a Health Care Reform environment. We give you useful and do-able tips on how to audit your own records - so that you are ready BEFORE the MCO, State auditor, or other contract manager arrives at your door or calls for a record (which is called a 'desk audit').

This popular course also provides a clear explanation about HOW managed care contractors make pre- or post-authorization decisions to approve or deny your requests for treatment OR your submitted claims, based upon your assessment and documentation of the treatment your client needs. We are very clear about the nature of WHAT you must write in the client's record to support that authorization, in an entirely ethical manner.

GOALS of This Course:

1. Know the Goals and Issues Associated With the Conversion to Managed Care (Health Care Reform)

2. Be Aware of the Ethical Issues Which Health Care Reform Brings to Providers When Requesting Authorization, and When Delivering and Documenting Assessment, Treatment and Response to Treatment.

3. Understand the Four CORE PRINCIPLES Which Govern Care Management's 'Medical Necessity' and 'Level of Care' Decisions About the Need for Treatment ..... and How This Meshes with Ethical Requirements for Treatment Professionals

4. Know Specific Approaches to Documentation In Client Records Under a 'Care Managed' Contact, i.e., How to Avoid 12 Problematic 'Documentation Syndromes' Which Can Sabotage Even the Most Experienced Clinicians.

To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE
To view Study Guide 3 now CLICK HERE
To view and print QUIZ 1 for free, CLICK HERE.
To view and print QUIZ 2 for free, CLICK HERE.
To view and print QUIZ 3 for free, CLICK HERE.

Course 2C - Introduction to Professional & Clinical Issues in Managed Care - Necessary Shifts in Program Design and Treatment Approach

This course is written, copyrighted, and published online by CEU By Net and earns 2 Clock Hours of credit for multiple State Boards including Florida, Texas, and Alabama, TCBAP-TCB-TAAP, IC&RC, NAADAC, California CCADE and CADTP, and Florida Certification Board. EACC 2 PDHs Domain I expires June 30, 2024. Also earns 2 NBCC Hours and 2 CA BBS Hours.

Based upon these credentials, this course is accepted by most state boards for multiple licenses.

This course is appropriate for both Mental Health and Chemical Dependency Treatment Providers - Counselors, Social Workers, LMFTs, etc..

Some of this course's material overlaps Course 2B material (related to managed care goals, how managed care companies THINK, and how we have to change what we write in treatment records) . . . but then the course moves ahead to include professional, clinical, and programmatic CHANGES in store for professionals who are working under a Managed Care Provider Agreement. Of particular importance: We include specific, practical clinical examples of the 4 Core Concepts that guide and direct the Care Management process for approval or denial of treatment requests.

You can VIEW the Study Guides and Quizzes for FREE through the links at the bottom of this course description.

GOALS:

1. Obtain an Overview of the Basic Goals of Health Care Reform (aka, Managed Care), 'Why Are They Doing This To Us?'

2. Understand the Impact of the New Healthcare Industry's Goals Upon Us (The Providers) and Our Clients..

3. Learn To Think Like a Care Manager: Understand the * FOUR CORE CONCEPTS Which Drive Those 'Level Of Care' (LOC) Decisions, and Document Accordingly.

4. Understand How the Insurance Company or Plan Administrator's RISK Affects Providers In Their Professional Operations -- The Positives, The Challenges, and Examples of Creative Service and Treatment Approaches.

5. Review 'Provider Networks' As A Way to Survive the Major Health Care Shifts, Through 'Step-Down' and 'Step-Up' Referrals, and Sharing the Task of Service Delivery


* Note: The 'Four Core Concepts' have been mentioned briefly in other lessons .... but in this lesson we go into more detail about what they are:

1. Medical Necessity – Is the Treatment Needed to Improve, Maintain, or Prevent Deterioration?

2. Current Functionality – Diagnosis is Not Enough!

3. Treatment Goals & Interventions – Do They Match the Diagnosis and Functionality That Is Described in the Assessment and Elsewhere?

4. Progress – Is the Client Responding to Treatment, and Likely to Benefit with More?


Are you interested in this material, but want more credits than this course offers - and more information? Some of this material appears in MiniCourse 3A (3 credit hours total), and in FlexiCourse 5A (5 credit hours).


To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE
To view Study Guide 3 now CLICK HERE
To view and print QUIZ 1 for free, CLICK HERE
To view and print QUIZ 2 for free, CLICK HERE
To view and print QUIZ 3 for free, CLICK HERE

Course 3B - The Big Transition in the AOD Field: Managed Care, the ACA, Justifying Need for Treatment - Oh How It's Changed!

This RECENTLY REVISED and expanded Course 3B focuses primarily upon addiction and SUDs treatment issues in the Health Care Reform environment.

The course is approved for 5 clock hours of CE credit by multiple State Boards including Texas and Florida, and by TCBAP-TAAP, IC&RC, California CCADE and CADTP, NAADAC, and the Florida Certification Board (FCB). EACC 5 PDHs Domain I expires June 30, 2024 It also earns 3.25 CA BBS Hours, and 3.25 NBCC Hours. Based upon these credentials, this course is accepted by most state boards for multiple licenses.

This course is authored and copyrighted by Marsha Naylor, MA, LPC, CEU By Net, Pendragon Associates LLC. See bio in site's 'About Us' page.

With the Affordable Care Act (ACA) as the springboard, we explore the intent and the impact of Managed Care Plans upon AOD treatment providers and their clients. The issues we consider include how to work effectively with the Care Management process, including the key features of clinical documentation which ultimately determine approval or denial of our treatment requests.

We also discuss one of the more controversial approaches to implementation of the ACA, now being piloted by several ACA Plans around the country - i.e., 'Vertical Integration of Care'. In Vertical Integration, physical health and behavioral health providers deliver and coordinate treatment to the patient "under one umbrella" - likely under the direction of a Primary Care Physician. In such scenarios, a Bundled Payment may be made to the treatment group, which is then shared by all providers involved in the care episode.

In addition, this course addresses the 'nitty gritty' of:

-- the major CHANGES in SA-CD programming, brought about by Managed Care in general, and

-- the traditional practices which no longer have a place in the new "scheme of things", as the Health Plan administrators see it.

-- the 'admission criteria' for the more intensive levels of care, and the discharge criteria from same

-- the interventions which are viewed as the most effective in bringing about stabilization and continued progress,

-- the type of written documentation that is needed to demonstrate the 'medical necessity' of specific treatments, and the justification for continuation of those treatments

-- the role of diagnosis and functionality in determining the 'medical need' for treatment, and

the significance of relapse, progress, or lack of progress.

This course is appropriate for chemical dependency counselors, social workers, mental health counselors, marriage and family therapists, case managers, rehabilitation workers, EAP providers, school psychologists and counselors, , and others who work with persons who have AOD issues which need assessment, treatment, or referral for same.

FOR EAP COUNSELORS who may or may not be delivering the actual AOD treatment for their clients (in many programs, you will be referring and ensuring continuity rather than treating), it is nevertheless critical that you document your client’s need for treatment in the same thorough and clinically acceptable way that the treatment program must do. Otherwise, the insurance company or other behavioral health administrator will focus upon the disparity in the EAP record vs. the treatment record, and approval for services may then be at risk.

Offers a bird's eye view of how ASSESSMENT of the client's NEED FOR TREATMENT must be documented to secure an authorization, and HOW the treatment or interventions must be delivered and documented under managed systems of care ..... and how to CONSTRUCTIVELY ADAPT to these changes when it's ethically possible.

You can VIEW the Study Guides and Quizzes for FREE through the links at the bottom of this course description.

GOALS of This Course:

1. Understand the main features of the Affordable Care Act (ACA), and how they affect addiction professionals, AOD clients, and referral patterns for various modalities of treatment.

2. Know the essential clinical shifts imposed upon the AOD treatment professional and traditional CD programming, under a managed system of care.

3. Understand the changing expectations for documentation in service records.

4. Know some workable and creative service options which may be negotiated with health care contractors - and how to maximize the provider's autonomy in referral and treatment decisions.

5. Know how AOD treatment and intervention programs and individual service plans are designed, within the new health care reform environment, and what will likely be approved by the contractor.

6. Understand HOW the health care contractors make those controversial treatment DECISIONS for substance abusing and chemically dependent individuals - and HOW TO ASK for 'WHAT' in terms of services and/or referral for your clients with AOD issues.

7. Learn about 'Vertical Integration of Care' - the major shift in store for many mental health and AOD providers - in terms of how 'care teams' are likely to be formed, who's in charge, and how they will be paid (Hint: One check from insurance, to be shared by ALL who participated in the care of the client).

>br> Course 3B presents some specialized treatment and case management scenarios which can be discussed with an MCO or other contractor for services, which can provide effective services and treatment to recidivistic AOD clients, under a 'Care Management' system.

Also provides an understanding of HOW the health care contractors make those controversial treatment DECISIONS for substance abusing and chemically dependent individuals - and HOW TO ASK for 'WHAT' in terms of services and/or referral for your clients with AOD issues. Maximize your client’s chances of getting what he or she actually needs, based upon competent assessment in a new health care environment.

For EAP workers who may or may not be delivering the actual AOD treatment for their clients (in many programs, you will be referring and ensuring continuity rather than treating), it is nevertheless critical that you document your client’s need for treatment in the same thorough and clinically acceptable way that the treatment program must do. Otherwise, the insurance company or other behavioral health administrator will focus upon the disparity in the EAP record vs. the treatment record, and approval for services may then be at risk.

We also present clear 1-2-3 guidance on how to DOCUMENT both your assessment and the services you deliver under a managed system of care – and an introduction to RECOUPMENT of funds already paid to you (which typically occurs due to inadequate DOCUMENTATION OF SERVICES in client records). The course explains how to AUDIT your own professional documentation, so that it fits in well with the new CARE MANAGEMENT or Utilization Review (UR) process.

Some material in this course is included in MiniCourses 1B and 1C and elsewhere, but this course does it from the AOD perspective.

THE GOALS OF THIS COURSE:

The goals of Course 3B focus upon managing change within the traditional chemical and substance dependency culture under managed systems of care, i.e., understanding how it affects our interpretation of ‘need for treatment’ and our interventions to promote sobriety.

1. Understanding the New Managed Care Treatment Contracts and How They Affect Us and Our Clients.

2. The Essential Clinical Shifts Imposed Upon the CD Treatment Professional and Traditional CD Programming, Under a Care Management System

3. Changing Expectations for Documentation in Service Records.

4. Know Some Workable and Creative Service Options Which CD Treatment Professionals May Negotiate with Health Care Contractors, Given the Provider’s Greater Autonomy In Referral and Treatment Decisions.

To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE
To view Study Guide 3 now CLICK HERE
To view Study Guide 4 now CLICK HERE
To view and print QUIZ 1 (which follows Study Guide 2), CLICK HERE.
To view and print QUIZ 2 CLICK HERE.
To view and print QUIZ 3 for free, CLICK HERE.

Managed Care Course 4A - This Is Managed Behavioral Health Care - and It's Not Your Grandpa's Chevy

Course 3A - Managed Care - Is There Anything GOOD About It? a.k.a., 'The Good, The Bad, and The Ugly of Providing Treatment Under Managed Care - The Perils and The Good Stuff.'

This course is copyrighted and published online by CEU By Net. The course earns 3 Clock Hours of credit for multiple State Boards including Florida, Texas, TCBAP-TCB-TAAP, IC&RC, NAADAC, California CCADE and CADTP, and Florida Certification Board. EACC 3 PDH Domain I, III expires June 30, 2024. Also awards 2.75 CA BBS Hours and 2.75 NBCC Hours.

Based upon these credentials, the course is accepted by most state boards for multiple licenses.

All of the material in 1B and 1C is included in this course, and then we expand on the clinical opportunities and perils for providers. We attempt to put to rest the question, 'So Is there really anything GOOD about Managed Care for Mental Health and Chemical Dependency professionals?' Oh yes indeed, there is!

This course emphasizes how innovative, non-traditional counseling, case management, and support services can be provided under the new managed care models, particularly for difficult, recidivistic, high-risk clients - a natural fit for EAPs and AOD providers of Dual Diagnosis services.

Although 'managed care' has become known as an increasingly 'medical' model – necessitating that services be deemed essential to recovery and adaptive functioning – in this course we address the positive changes which this shift has brought to the behavioral health field, as well as the challenges. The 'positives' include flexible home-, job-, and school-based interventions utilizing non-institutional case management and support services for children/adolescents, adults and youth with substance abuse issues, and adults with depression and other mental health problems.

We provide the details of how Care Management departments make decisions to approve or disapprove requested services, and how these decisions must impact the way that you communicate clinical need for services and Level of Care. Such understanding is essential in order for providers to accommodate to this shift in treatment and counseling emphasis.


You can VIEW the Study Guides and Quizzes for FREE through the links at the bottom of this course description. Part of the material in this course is similar to some of the material found in FlexiCourses 4A and 5A.

GOALS:

1. Learn why Managed Care affects the way that we deliver services to clients with mental health and substance use disorders.

2. Understand how 'Managed Care' is designed to work in clinical settings and why adaptation of traditional therapeutic intervention approaches to persons with serious mental health and addiction disorders is essential.

3. Understand the 'Clinical Side' of the Care Manager's decision-making process - 'how Managed Care thinks' about the need for treatment and Level of Care - and how to give them the information they need.

4. Understand the gaps in clinical thinking which are oftentimes reflected in patient records - i.e., twelve 'documentation syndromes' that will result in negative Quality of Treatment reviews.

5. Know the importance of auditing your program's clinical records to identify clinical gaps and approaches that are 'unfriendly' to managed systems of care.

6. Learn about the ways that Managed Care can affect "Access to Treatment" and how providers can adapt the services they offer to offset the impact.

7. Learn creative ways to deliver treatment to persons with serious mental health and addiction disorders -- including non-traditional case management, wrap-around, and support services -- and how to 'sell' these approaches to your funding contractor.

PLEASE NOTE: Part of the material in this course is similar to some of the material found in other managed care courses on this website. For example, you will also find some similar information in Courses 2B and 2C about documentation, but 2B and 2C go into greater detail about audit issues and self-audit of your clients’ records.

To view and print QUIZ 1 for free, CLICK HERE
To view and print QUIZ 2 for free, CLICK HERE
To view and print QUIZ 3 for free, CLICK HERE
To view and print QUIZ 4 for free, CLICK HERE
To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE
To view Study Guide 3 now CLICK HERE
To view Study Guide 4 now CLICK HERE