tMHFA Preparation and Learning Collaborative Site Interest Form

Hosted by the Great Lakes (HHS Region 5) Mental Health Technology Transfer Center
Funded by the Substance Abuse and Mental Health Services Administration

tMHFA is an evidence-based program managed by the National Council for Behavioral Health. Trained personnel at schools and other organization use tMHFA to teach young people how to identify, understand, and respond to signs and symptoms of mental health challenges in their friends and peers. Implementing tMHFA requires several commitments from sites before providing the curriculum to teens connected to their schools and organizations. The tMHFA Preparation and Learning Collaborative aims to increase capacity for schools and youth-serving organizations to participate in tMHFA training scheduled for June 21-June 23, 2022, and teach teens during Fall 2022.

Goals of the tMHFA Preparation and Learning Collaborative:
- Address barriers that potential sites may have in implementing tMHFA
- Offer technical support, strategic planning, and facilitate conversations with stakeholders for sites interested in implementing tMHFA
- Create readiness to apply for and participate in tMHFA Instructor Training scheduled for June 21-June 23, 2022.

Note: all tMHFA Preparation and Learning Collaborative activities will be virtual.

If your site is selected to participate in the tMHFA Preparation and Learning Collaborative, you will:
- Complete a Memorandum of Understanding
- Receive information about the timelines and various supports available through the learning collaborative
- Be offered different pathways to strategically plan for tMHFA implementation during Fall 2022 (i.e., timelines, supporting protocol development, task lists, etc.,).
- Receive assistance in completing the tMHFA application (required by the National Council) to participate in the tMHFA Instructor Training, scheduled for June 21-June 23, 2022.

Funding Support: The Great Lakes MHTTC and Wisconsin Safe and Healthy Schools will provide funding for sites accepted into this pilot to participate in the tMHFA Instructor Training at no cost.

The teen Mental Health First Aid Preparation and Learning Collaborative (tMHFA PLC) will accept up to 10 sites for this year's cohort. If your site is interested in participating in the tMHFA PLC, please complete this application by January 17th, 2022. Sites will be notified by the week of January 24th. Accepted sites will be asked to complete a Memorandum of Understanding by January 31st.

If you have any additional questions, please reach out to soumya.palreddy@gmail and jillkluesner5@gmail.com.

Thank you for your interest in the tMHFA Preparation & Learning Collaborative.

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* 1. tMHFA is available for schools and youth-serving organizations to implement.
Are you a school or a youth-serving organization?

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* 2. What is the name and address of your site?

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* 3. There will be a few different modalities available for tMHFA to be taught. In Fall 2022, our site is planning on teaching tMHFA...

In-person

Virtual

Hybrid

Unsure. Need more information before making a decision.

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* 4. How many teens does your site plan on teaching tMHFA to during Fall 2022? Please note that tMHFA requires that entire grade levels to be taught tMHFA.

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* 5. If selected to participate in the tMHFA Preparation and Learning Collaborative, sites will be invited to participate in 5-7 webinars, email check-ins, and individual meetings during February-June. Additionally, sites will asked to send 1-2 staff members to a tMHFA Instructor Training (virtual) on June 21-23, 2022. Please confirm the level of involvement your site is able to commit to at this time.

Check all that apply.

If accepted into the tMHFA Preparation and Learning Collaboration, my site can commit to send 1-2 staff members to tMHFA Instructor Training and participate in all required meetings and webinars.

If accepted into the tMHFA Preparation and Learning Collaboration, my site can commit to attending most or all meetings and webinars.

My site is unsure of our availability to commit to these events at this time.

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* 6. Do you already have tMHFA Instructors on staff? Do you have potential tMHFA Instructors identified to attend the tMHFA Instructor Training on June 21-23?

No, we do not currently have any tMHFA Instructors on staff.
Yes, we have 1-2 staff members identified who would be able to attend the tMHFA Instructor Training on June 21-23.

Yes, we already have 1-2 staff members already trained to be tMHFA Instructors.
Yes, we have 1-2 staff members identified who would be able to attend the tMHFA Instructor Training on June 21-23.

No, we do not currently have any tMHFA Instructors on staff.
No, we do not currently have staff members identified to attend the tMHFA Instructor Training on June 21-23.

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* 7. Implementing tMHFA requires several commitments from sites before being able to provide the curriculum to teens. The primary goal of this project is to address barriers that potential tMHFA sites may have and create a learning collaborative that offers technical support, strategic planning, and facilitation of conversations with stakeholders for sites interested in implementing tMHFA. 

Note: All accepted sites will receive paid tuition for 1-2 individuals to attend tMHFA Instructor Training. This cost will be paid for by the Great Lakes Mental Health Technology Transfer Center and Wisconsin Safe and Healthy Schools.

Which of the following barriers might impact your implementation of tMHFA for Fall 2022? Check all that apply.

Funding for tMHFA manuals for each teen ($8.95)

Logistics on training an entire grade level (10th, 11th, 12th graders)

Developing and implementing safety protocols

Meeting the requirement of atleast 10% of staff trained in Youth Mental Health First Aiders

Unsure of where and how to start planning.

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* 8. Who will be your site's coordinator (primary contact)? The site coordinator (alongside the implementation team of 2-3 individuals) will be responsible for attending webinars or viewing recorded webinars, helping to implement tMHFA, and supporting staff and students during Fall 2022 tMHFA courses.

We will be contacting the site coordinator to communicate whether your site has been accepted into the PLC and to share next steps.

tMHFA Preparation and Learning Collaborative Site Interest FormHosted by the Great Lakes (HHS Region 5) Mental Health Technology Transfer CenterFunded by the Substance Abuse and Mental Health Services Administration

Question Title

* 1. tMHFA is available for schools and youth-serving organizations to implement. Are you a school or a youth-serving organization?

Question Title

* 2. What is the name and address of your site?

Question Title

* 3. There will be a few different modalities available for tMHFA to be taught. In Fall 2022, our site is planning on teaching tMHFA...

Question Title

* 4. How many teens does your site plan on teaching tMHFA to during Fall 2022? Please note that tMHFA requires that entire grade levels to be taught tMHFA.

Question Title

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* 6. Do you already have tMHFA Instructors on staff? Do you have potential tMHFA Instructors identified to attend the tMHFA Instructor Training on June 21-23?

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* 9. Do you have any other comments, questions, or concerns?

tMHFA Preparation and Learning Collaborative Site Interest Form

Hosted by the Great Lakes (HHS Region 5) Mental Health Technology Transfer Center
Funded by the Substance Abuse and Mental Health Services Administration

* 1. tMHFA is available for schools and youth-serving organizations to implement.
Are you a school or a youth-serving organization?