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
mm/dd/yyyy
3 Hr CST Serv. Def. Required Comp. (All Staff)
Within 30 Calendar Days of Hire
mm/dd/yyyy
3 Hr Crisis response (All Staff)
Within 30 Calendar Days of Hire
mm/dd/yyyy
3 Hr PCP Instr. Elements (Lead, QP Resp for PCP)
Within 30 Calendar Days of Hire
mm/dd/yyyy
13 Hr Intro MI - Mandatory 2-day (All Staff)
Within 90 Calendar Days of Hire
mm/dd/yyyy
15 Hr Perm. Supportive Housing Train (All Staff)
Within 90 Calendar Days of Hire
mm/dd/yyyy
3 Hr Psych Rehab & Functional Assess (All Staff)
Within 90 Calendar Days of Hire
mm/dd/yyyy
3 Hr Trauma Informed Care (All Staff)
Within 90 Calendar Days of Hire
mm/dd/yyyy
12 Hr EBT (Team Lead, QP, AP, Licensed SA)
Within 90 Calendar Days of Hire
mm/dd/yyyy
6 Hr Basic ASAM (Team Lead, Licensed SA)
Within 90 Calendar Days of Hire
mm/dd/yyyy
10 Hr Annual F-up Train & cont. ed. (All Staff)
Within 30 Calendar Days of Hire
mm/dd/yyyy
Staff Member Still Full-Time CST Yes/No
Within 30 Calendar Days of Hire
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
Comments
*
Send me a copy of my responses
Submit
Powered by
Privacy Policy
Report Abuse