TEAP Specialist’s Role in AFR Page 1

Trainee Employee Assistance Program (TEAP) Applicant File Review (AFR) Process Overview with TEAP Refer to “AFR Snapshot” tool for additional AFR guidance and tips

The HWD completes a review of the “Job Corps Health Questionnaire” (ETA 653) and the medically related documentation to determine:	The health care needs of the applicant and whether Job Corps can meet those needs, or	If the applicant presents a direct threat to self or others. The HWD determines who else may need to review the protected information based upon the determination of “need to know.” This is your File Review Team (FRT)! The HWD designates one or more qualified health professionals (QHPs) to be on the FRT. For Non-Health DC’s review in AFR, please review Non-health Disability Coordinator Role in Applicant File Review (AFR). QHPs are selected based on whether there are potential health care needs that exceed basic care and/or direct threat concerns related to their specific areas of expertise, Each QHP on the FRT is expected to review the documentation in the file, and if needed, conduct an interview with the applicant. IDENTIFYING THE CENTER APPLICANT FILE REVIEW TEAM HOW QUALIFED HEALTH PROFESSIONALS ARE SELECTED FOR FRT If significant substance use issues (e.g., a history of a substance use diagnosis, recommended or actual substance use treatment, or report of regular use of one or more substances that result in significant impairment in functioning), the following center clinician is expected to review the file: TEAP Specialist If significant substance use AND mental health or medical issues, the following respective QHPs may be expected to review the file: TEAP Specialist CMHC and/or Center Physician See DUAL REVIEWS Snapshot on the JC Disability Website for step-by-step guidance on multiple reviewers completing the AFR process. Areas of Expertise: Substance use Center TEAP Specialist Mental health Center Mental Health Consultant (CMHC) Oral Health Center Dentist Medical Center Physician

MENTAL HEALTH and TEAP (MH is primary) If there are both substance use and mental health issues but the primary basis for recommending denial will be for mental health and not substance use, follow the steps below: MENTAL HEALTH AND TEAP (Both are primary) If the basis for recommending denial is based on substance use AND other clinical concerns such as mental health, the TEAP Specialist and the CMHC must have interviewed the applicant and documented their findings on the assessment; then both must co-sign the assessment. If there is no TEAP Specialist on center, contact your Regional TEAP Specialist to confirm which QHP should fill in for the TEAP Specialist in this capacity. WHAT HAPPENS IF YOUR CENTER DOES NOT HAVE A TEAP SPECIALIST? When there is an applicant file that requires a review in more than one clinical area, the QHP related to the PRIMARY reason that poses the greatest barrier to enrollment should begin the review process. IF MULTIPLE REVIEWERS, WHO STARTS THE REVIEW? DOCUMENTING DECISIONS TO ENROLL OR RECOMMEND DENIAL The QHP makes a final decision based upon the findings of the assessment. Enrolling Applicant: If the center is recommending enrollment of the applicant, then the applicant file review notes should be documented in the Student Health Record (SHR). Recommending Denial: If the center determines that a recommendation of denial is warranted, please note the following: TEAP ONLY If the primary basis for recommending denial is based only on substance use concerns, the TEAP Specialist must have interviewed the applicant and documented their findings on the assessment; then the TEAP Specialist must sign the assessment. WHAT IF ONE FILE REVIEWER IS UNABLE TO REACH THE APPLICANT? IMPORTANT: If two QHPs have been identified to review an applicant file and one of the two is unable to reach the applicant, please contact your Regional Health Specialist for guidance. IMPORTANT! There is a general expectation that when there is an applicant file for dual clinical review, BOTH qualified health professionals will consult with each other and if a recommendation of denial will be submitted for one or both of the conditions, both reviewers will need to document their findings (recommend enrollment or denial) on the HCNA or DTA. Page 2 Page 2

The first QHP recommends denial by completing and signing an HCNA or DTA (to include documentation of the completed DAC); then the first QHP coordinates with the second QHP, who adds their review, summary, recommendation, and signature to the assessment and uploads the assessment to its corresponding container in the Health E-Folder (or forwards to the HWD, via Job Corps email, to upload into E-Folder). CMHC and TEAP Specialist consult and arrange for the TEAP Specialist to add their review/interview summary and recommendation for enrollment on the assessment (e.g., HCNA or DTA) being completed by the CMHC. Subsequently, the CMHC who IS recommending denial should make sure that the TEAP Specialist’s review/interview summary and recommendation is included in the completed assessment (e.g., HCNA or DTA). Once complete, the CMHC uploads a completed HCNA or DTA to the respective container in the Health E-Folder. Page 2