District of Columbia Department of Behavioral Health Planning Council (BHPC) Member Application

District of Columbia Department of Behavioral Health Planning Council (BHPC) Member Application

Fiscal Year 2025 BHPC Application Form

Help make a difference in the lives of adults and children with mental illness and substance use disorders by joining the Behavioral Health Planning Council (BHPC) today! The BHPC serves as an advisory body to the Department of Behavioral Health (DBH) to assist in the planning and implementation of behavioral health services throughout the District. If selected, you will have the unique opportunity to advocate for those with behavioral health needs and make recommendations on the allocation and adequacy of behavioral health services.

DBH is currently accepting applications to fill four (4) three (3)-year vacancies on its BHPC. These vacancies must be filled by individuals residing in Wards 1, 3, 4 or 5. Applicants must be District residents who are: (1) recipients of behavioral health services; (2) family members of adults with lived experience with behavioral health conditions; or (3) the parent to a child/youth with serious emotional disturbance and/or substance use disorder.

Interested individuals may apply by completing and submitting the information below. The deadline for applications is October 15, 2024.

Applicants needing assistance in completing this application form should contact Mr. Mark LeVota at mark.levota@dcbehavioralhealth.org or DBH staff at dbh.bhpc@dc.gov.

All BHPC meetings are open to the public. For more information on the BHPC, including how you can join future meetings, please visit: https://dbh.dc.gov/service/behavioral-health-planning-council-bhpc.

Name of Applicant*

Organizational Affiliation (if applicable)

Address*

Phone Number*

Email Address*

Membership Category*

I am a behavioral health consumer/client with lived experience with mental health, substance use or co-occurring issues.

I am a community member with adult family member(s) with lived experience with mental health, substance use or co-occurring issues.

I am a parent to a child/youth with a serious emotional disturbance and/or a substance use disorder.

Ward*

Ward 1

Ward 3

Ward 4

Ward 5

In the space below, explain why you should be considered for appointment to the BHPC. DBH will consider the following in your response, at minimum:

• Demonstrated interest in the need, planning, operation, funding, and use of behavioral health services and support;

• Interest, willingness, and time to work in the planning and implementation of person-centered behavioral health services;

• Current or recent experience as an advocate for adults and/or children with behavioral health disorders and needs;

• Awareness of community needs for which behavioral health programs can be developed and improved; and

• Ability to represent a diverse community in race, ethnicity, disability, gender, age, sexual orientation, culture, and geographic representation.

Narrative*

Send me a copy of my responses

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