First Episode Psychosis care in Pennsylvania is exciting and dynamic work! Please complete this form to update HeadsUp of staff changes. The HeadsUp team will be following up to ensure the Pennsylvania First Episode Psychosis (PA FEP) directory remains current.
You can use this form to submit up to 3 updates at a time. If you have more than 3 updates to share, you will be prompted to re-enter the form, to submit up to another 3 updates at a time.
HeadsUp will submit these staff changes to OMHSAS on your behalf. Update HeadsUp and then you're done!
Thank you!
Are you associated with a Pennsylvania First Episode Psychosis (PA FEP) Center?
* must provide value
Yes
No
Thank you for your interest in sharing staff changes! At this time, HeadsUp collates staffing information for Pennsylvania FEP teams.
If you have questions about HeadsUp or PA FEP programs, please contact HeadsUpPAorg@gmail.com .
What is your first and last name?
* must provide value
What is your email address?
* must provide value
Please verify your email address.
* must provide value
What is your role at your PA FEP Center?
* must provide value
Site Director Team Lead HR Administrative Other
If other, please explain:
With which site is this position affiliated? If this position is affiliated with more than one site, please select the primary location for the position.
* must provide value
Connect 2 Empower, Danville, PA (part of CMSU Behavioral Health) CAPSTONE, Harrisburg, PA (part of PPI/YWCA/CMU) CHOP FEP, Philadelphia, PA (part of Children's Hospital of Philadelphia) ENGAGE, Wilkinsburg, PA (part of Wesley Family Services) ENGAGE, Westmoreland County, PA (part of Wesley Family Services) HOPE, Honesdale, PA (part of Children's Service Center) HOPE, Stroudsburg, PA (part of Children's Service Center) HOPE, Wilkes-Barre, PA (part of Children's Service Center) InSight, State College, PA (part of Oasis LifeCare) On My Way, Allentown, PA (part of Child and Family Focus) On My Way, Broomall, PA (part of Child and Family Focus) On My Way, Valley Forge, PA (part of Child and Family Focus) On My Way, Northampton County, PA (part of Child and Family Focus) On My Way, Bucks County, PA (part of Child and Family Focus) PEACE, Philadelphia, PA (part of Horizon House) PERC, Philadelphia, PA (part of University of Pennsylvania) Safe Harbor, Erie, PA (part of UPMC Western Behavioral Health) STEP, Pittsburgh, PA (part of UPMC Western Psychiatric Hospital) Clinton/Lycoming County FEP Program Other
If other, please explain:
Are you adding, removing, or modifying your staff directory?
* must provide value
Adding Removing Modifying (e.g., changes to name/degree/role/access needs/etc.) Other
If modifying, please explain:
If other, please explain:
What is the staff member's first name?
* must provide value
What is the staff member's last name?
* must provide value
What is the staff member's institutional email address? (e.g., staffname@yourparentorganization.org)
* must provide value
When is the staff member's estimated date of hire?
Today M-D-Y
When is the staff member's estimated date of departure?
Today M-D-Y
(Optional) If known, what is the staff member's reason for leaving?
We'd like to learn more about why PA FEP staff members transition away from our programs, to help us identify additional avenues of advocacy for HeadsUp. We will only analyze this data in aggregate form, and it will have no impact on your site's Program Evaluation or Fidelity scores.
Please select all that apply, to the best of your ability.
If other, please explain:
What is the staff member's role at your PA FEP Center?
* must provide value
Site Director Team Lead Fiscal Contact Administrative/Support Staff Therapist Case Manager Psychiatrist Nurse Physician Assistant Other Prescriber (please explain) Supported Employment and Education Specialist Certified Peer Support Specialist Family Peer Support Specialist Occupational Therapist Student/Intern (please explain) Other (please explain)
If other prescriber, student/intern, or other, please explain:
What is the staff member's degree?
Is this position full-time or part-time?
* must provide value
Full-Time Part-Time Other
If other, please explain:
Is this staff member a main site contact?
A main site contact is usually the team lead and/or director of a PA FEP Center. Some Centers select one or two other staff members as main contacts, to receive HeadsUp communications. In our HeadsUp PA FEP Directory, main site contacts are denoted with an *.
* must provide value
Yes
No
To which HeadsUp systems should this staff member be added/removed?
Please select all that apply.
* must provide value
If other, please explain.
If not applicable, please type "NA."
Will this staff member need to complete the Clinical Assessment trainings?Required for all clinical staff completing the COMPASS-10 and/or Role/Social Function Scales hired after 1/1/23 and for any staff member who will complete/assist to complete Clinical Assessments for Program Evaluation.
Yes
No
If yes, please specify the clinical assessments this individual will be completing and/or assisting with.
To what HeadsUp-sponsored meetings should this staff member be invited/removed?Please select all that apply.
* must provide value
If other, please explain.
If not applicable, please type "NA."
If role-based support meetings selected above, please specify all that apply:
If other role-based support meetings selected above, please explain:
Have you updated OMHSAS about this staffing change?
If you have not yet shared this update with OMHSAS, HeadsUp will do that for you!
* must provide value
Yes
No
Do you have another addition/removal/modification to the PA FEP directory at this time?
* must provide value
Yes
No
With which site is this position affiliated? If this position is affiliated with more than one site, please select the primary location for the position.
* must provide value
Connect 2 Empower, Danville, PA (part of CMSU Behavioral Health) CAPSTONE, Harrisburg, PA (part of PPI/YWCA/CMU) CHOP FEP, Philadelphia, PA (part of Children's Hospital of Philadelphia) ENGAGE, Wilkinsburg, PA (part of Wesley Family Services) ENGAGE, Westmoreland County, PA (part of Wesley Family Services) HOPE, Honesdale, PA (part of Children's Service Center) HOPE, Stroudsburg, PA (part of Children's Service Center) HOPE, Wilkes-Barre, PA (part of Children's Service Center) InSight, State College, PA (part of Oasis LifeCare) On My Way, Allentown, PA (part of Child and Family Focus) On My Way, Broomall, PA (part of Child and Family Focus) On My Way, Valley Forge, PA (part of Child and Family Focus) On My Way, Northampton County, PA (part of Child and Family Focus) On My Way, Bucks County, PA (part of Child and Family Focus) PEACE, Philadelphia, PA (part of Horizon House) PERC, Philadelphia, PA (part of University of Pennsylvania) Safe Harbor, Erie, PA (part of UPMC Western Behavioral Health) STEP, Pittsburgh, PA (part of UPMC Western Psychiatric Hospital) Clinton/Lycoming County FEP Program Other
If other, please explain:
Are you adding, removing, or modifying your staff directory?
* must provide value
Adding Removing Modifying (e.g., changes to name/degree/role/access needs/etc.) Other
If modifying, please explain:
If other, please explain:
What is the staff member's first name?
* must provide value
What is the staff member's last name?
* must provide value
What is the staff member's institutional email address? (e.g., staffname@yourparentorganization.org)
* must provide value
When is the staff member's estimated date of hire?
Today M-D-Y
When is the staff member's estimated date of departure?
Today M-D-Y
(Optional) If known, what is the staff member's reason for leaving?
We'd like to learn more about why PA FEP staff members transition away from our programs, to help us identify additional avenues of advocacy for HeadsUp. We will only analyze this data in aggregate form, and it will have no impact on your site's Program Evaluation or Fidelity scores.
Please select all that apply, to the best of your ability.
If other, please explain:
What is the staff member's role at your PA FEP Center?
* must provide value
Site Director Team Lead Fiscal Contact Administrative/Support Staff Therapist Case Manager Psychiatrist Nurse Physician Assistant Other Prescriber (please explain) Supported Employment and Education Specialist Certified Peer Support Specialist Family Peer Support Specialist Occupational Therapist Student/Intern (please explain) Other (please explain)
If other prescriber, student/intern or other, please explain:
What is the staff member's degree?
Is this position full-time or part-time?
* must provide value
Full-Time Part-Time Other
If other, please explain:
Is this staff member a main site contact?
A main site contact is usually the team lead and/or director of a PA FEP Center. Some Centers select one or two other staff members as main contacts, to receive HeadsUp communications. In our HeadsUp PA FEP Directory, main site contacts are denoted with an *.
* must provide value
Yes
No
To which HeadsUp systems should this staff member be added/removed?
Please select all that apply.
* must provide value
If other, please explain.
If not applicable, please type "NA."
Will this staff member need to complete the Clinical Assessment trainings?Required for all clinical staff completing the COMPASS-10 and/or Role/Social Function Scales hired after 1/1/23 and for any staff member who will complete/assist to complete Clinical Assessments for Program Evaluation.
Yes
No
If yes, please specify the clinical assessments this individual will be completing and/or assisting with.
To what HeadsUp-sponsored meetings should this staff member be invited/removed?Please select all that apply.
* must provide value
If role-based support meetings selected above, please specify all that apply:
If other role-based support meetings selected above, please explain:
If other, please explain.
If not applicable, please type "NA."
Have you updated OMHSAS about this staffing change?
If you have not yet shared this update with OMHSAS, HeadsUp will do that for you!
* must provide value
Yes
No
Do you have another addition/removal/modification to the PA FEP directory at this time?
* must provide value
Yes
No
With which site is this position affiliated? If this position is affiliated with more than one site, please select the primary location for the position.
* must provide value
Connect 2 Empower, Danville, PA (part of CMSU Behavioral Health) CAPSTONE, Harrisburg, PA (part of PPI/YWCA/CMU) CHOP FEP, Philadelphia, PA (part of Children's Hospital of Philadelphia) ENGAGE, Wilkinsburg, PA (part of Wesley Family Services) ENGAGE, Westmoreland County, PA (part of Wesley Family Services) HOPE, Honesdale, PA (part of Children's Service Center) HOPE, Stroudsburg, PA (part of Children's Service Center) HOPE, Wilkes-Barre, PA (part of Children's Service Center) InSight, State College, PA (part of Oasis LifeCare) On My Way, Allentown, PA (part of Child and Family Focus) On My Way, Broomall, PA (part of Child and Family Focus) On My Way, Valley Forge, PA (part of Child and Family Focus) On My Way, Northampton County, PA (part of Child and Family Focus) On My Way, Bucks County, PA (part of Child and Family Focus) PEACE, Philadelphia, PA (part of Horizon House) PERC, Philadelphia, PA (part of University of Pennsylvania) Safe Harbor, Erie, PA (part of UPMC Western Behavioral Health) STEP, Pittsburgh, PA (part of UPMC Western Psychiatric Hospital) Clinton/Lycoming County FEP Program Other
If other, please explain:
Are you adding, removing, or modifying your staff directory?
* must provide value
Adding Removing Modifying (e.g., changes to name/degree/role/access needs/etc.) Other
If modifying, please explain:
If other, please explain:
What is the staff member's first name?
* must provide value
What is the staff member's last name?
* must provide value
What is the staff member's institutional email address? (e.g., staffname@yourparentorganization.org)
* must provide value
When is the staff member's estimated date of hire?
Today M-D-Y
When is the staff member's estimated date of departure?
Today M-D-Y
(Optional) If known, what is the staff member's reason for leaving?
We'd like to learn more about why PA FEP staff members transition away from our programs, to help us identify additional avenues of advocacy for HeadsUp. We will only analyze this data in aggregate form, and it will have no impact on your site's Program Evaluation or Fidelity scores.
Please select all that apply, to the best of your ability.
If other, please explain:
What is the staff member's role at your PA FEP Center?
* must provide value
Site Director Team Lead Fiscal Contact Administrative/Support Staff Therapist Case Manager Psychiatrist Nurse Physician Assistant Other Prescriber (please explain) Supported Employment and Education Specialist Certified Peer Support Specialist Family Peer Support Specialist Occupational Therapist Student/Intern (please explain) Other (please explain)
If other prescriber, student/intern or other, please explain:
What is the staff member's degree?
Is this position full-time or part-time?
* must provide value
Full-Time Part-Time Other
If other, please explain:
Is this staff member a main site contact?
A main site contact is usually the team lead and/or director of a PA FEP Center. Some Centers select one or two other staff members as main contacts, to receive HeadsUp communications. In our HeadsUp PA FEP Directory, main site contacts are denoted with an *.
* must provide value
Yes
No
To which HeadsUp systems should this staff member be added/removed?
Please select all that apply.
* must provide value
If other, please explain.
If not applicable, please type "NA."
Will this staff member need to complete the Clinical Assessment trainings?Required for all clinical staff completing the COMPASS-10 and/or Role/Social Function Scales hired after 1/1/23 and for any staff member who will complete/assist to complete Clinical Assessments for Program Evaluation.
Yes
No
If yes, please specify the clinical assessments this individual will be completing and/or assisting with.
To what HeadsUp-sponsored meetings should this staff member be invited/removed?Please select all that apply.
* must provide value
If other, please explain.
If not applicable, please type "NA."
If role-based support meetings selected above, please specify all that apply:
If other role-based support meetings selected above, please explain:
Have you updated OMHSAS about this staffing change?
If you have not yet shared this update with OMHSAS, HeadsUp will do that for you!
* must provide value
Yes
No
Thank you for your submission!
The HeadsUp team will update our systems and documents soon. We may reach out to you with additional follow-up questions as needed.