CST Provider Training Log

Agency Name

Date of Submissoin

CST Team Site Location(s)

No Change

CST Staff Member - (4 full time) Names

Staff Position on CST Team

Date of Hire

3 Hr CST Serv. Def. Required Comp. (All Staff)

Within 30 Calendar Days of Hire

3 Hr Crisis response (All Staff)

Within 30 Calendar Days of Hire

3 Hr PCP Instr. Elements (Lead, QP Resp for PCP)

Within 30 Calendar Days of Hire

13 Hr Intro MI - Mandatory 2-day (All Staff)

Within 90 Calendar Days of Hire

15 Hr Perm. Supportive Housing Train (All Staff)

Within 90 Calendar Days of Hire

3 Hr Psych Rehab & Functional Assess (All Staff)

Within 90 Calendar Days of Hire

3 Hr Trauma Informed Care (All Staff)

Within 90 Calendar Days of Hire

12 Hr EBT (Team Lead, QP, AP, Licensed SA)

Within 90 Calendar Days of Hire

6 Hr Basic ASAM (Team Lead, Licensed SA)

Within 90 Calendar Days of Hire

10 Hr Annual F-up Train & cont. ed. (All Staff)

Within 30 Calendar Days of Hire

Staff Member Still Full-Time CST Yes/No

Within 30 Calendar Days of Hire

Select or enter value

Enter barriers identified this month

Enter Each Month - # of CST Teams Currently

Enter Each Month - Eastpointe Counties Served

Enter Each Month - Caseload Size Per Team

Enter Each Month - # EP TCL Recipients

Enter Each Month - List Staff Vacancies Per Team

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