TEN_2-21.pdf

ETA Advisory File
TEN_2-21.pdf (793.48 KB)
ETA Advisory File Text
1 TRAINING AND EMPLOYMENT NOTICE NO. 2-21 DATE July 23 2021 1 A substance use disorder SUD is a mental disorder that affects a person s brain and behavior leading to a person s inability to control their use of substances such as legal or illegal drugs alcohol or medications. Symptoms can range from moderate to severe with addiction being the most severe form of SUDs. National Institute of Mental Health https www.nimh.nih.gov health topics substance-use-and-mental-health Opioid addiction also referred to as opioid use disorder OUD is a specific substance use disorder and refers to a class of drugs that includes the illegal drug heroin synthetic opioids such as fentanyl and pain relievers available legally by prescription such as oxycodone OxyContin hydrocodone Vicodin codeine morphine and many others. National Institute for Drug Abuse https www.drugabuse.gov drug-topics opioids TO STATE WORKFORCE AGENCIES STATE WORKFORCE LIAISONS STATE WORKFORCE DEVELOPMENT BOARDS LOCAL WORKFORCE DEVELOPMENT BOARDS ALL AMERICAN JOB CENTER PROGRAMS FROM SUZAN G. LEVINE Acting Assistant Secretary SUBJECT Serving Individuals and Communities Impacted by Opioid Addiction and Other Substance Use Disorders 1.Purpose. To provide information to states and local areas regarding the role of the public workforce system in addressing the economic and workforce impacts associated with the high rate of opioid addiction and other substance use disorders.1 2.Action Requested. The Department of Labor s DOL or the Department Employment and Training Administration ETA requests State Workforce Administrators to provide information in this Training and Employment Notice TEN to appropriate programs and other staff in the state s workforce system. 3.Summary and Background. a.Summary The public workforce system complements the role of health law enforcement and social service agencies to address the impact of opioid addiction and other substance use disorders especially as they are compounded by the COVID-19 pandemic. Improving outcomes for individuals with substance use disorders depends on state and local policies program design and awareness of the complex challenges faced by these individuals. Based on experiences of grants targeted to address the opioid addiction and preliminary information and findings from an evaluation of a series of demonstration grants this TEN 2 provides information to state and local workforce agencies regarding service delivery customer outreach business engagement and partnerships to assist individuals who have been affected by opioid addiction or other substance use disorders. Attachment I of this TEN provides additional resources for states and local workforce systems in serving individuals and communities impacted by opioid addiction or other substance use disorders. b.Background While the United States faces recovery from the public health and economic impacts of COVID-19 another public health crisis which began years before continues to persist and escalate. The continued widespread misuse of and addiction to opioids and other drugs including illicit drugs remains a nationwide crisis. Data suggest overdose deaths accelerated during the coronavirus pandemic.2 Over 81 000 drug overdose deaths occurred in the United States in the 12 months ending in May 2020 the highest number of overdose deaths ever recorded in a 12-month period according to recent provisional data from the Centers for Disease Control and Prevention CDC . Those in recovery from addiction may have faced additional challenges during the pandemic through disruptions of daily life and isolation from support systems. These disruptions may continue to impact their recovery. As a result of the ongoing rates of opioid addiction and increase in overdose deaths the Secretary of Health and Human Services declared the opioid crisis a national public health emergency since October 26 2017 and has continued to renew the declaration every 90 days thereafter. Since 2018 the Department of Labor has issued three grant opportunities addressing the workforce impacts of the opioid addiction and other substance abuse disorders. Under these programs grantees provide reemployment services for individuals impacted by the crisis train individuals to transition into professions that can impact the crisis such as alternative pain management mental health treatment and addiction treatment and create temporary employment opportunities for peer recovery counselors and other positions that have a direct impact on the crisis. In 2018 the Department awarded 22 million across six Phase One National Health Emergency NHE Dislocated Worker Demonstration Grants. These innovative grants respond to the opioid crisis and were awarded to six states Alaska Maryland New Hampshire Pennsylvania Rhode Island and Washington.3 From 2018 to the present the Department has awarded over 54 million across 22 Phase Two NHE Disaster Recovery DWGs to states and tribal entities.4 NHE Disaster Recovery DWG funding continues to be available per Training and Employment Guidance Letter TEGL 4-18 to respond to the opioid crisis and these grants are reviewed on a rolling basis. In September 2020 the Department awarded 20 million in grant awards under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment 2 Overdose Deaths Accelerating During COVID-19 Expanded Prevention Efforts Needed Center for Disease Control and Prevention December 17 2020. https www.cdc.gov media releases 2020 p1218-overdose-deaths- covid-19.html 3 https www.dol.gov agencies eta dislocated-workers grants health-emergency phase-1-demonstration 4 https www.dol.gov agencies eta dislocated-workers grants health-emergency phase-2-disaster 3 for Patients and Communities Act SUPPORT Act 5 to respond to opioid addiction and other substance use disorders. Grants were awarded to four states Florida Maryland Ohio and Wisconsin.6 States and eligible applicants can continue to apply for NHE grants at www.grants.gov. These opportunities build on the existing service capacity and partnerships in the public workforce system. In addition to these specific funding opportunities the Adult Dislocated Worker Youth and Wagner-Peyser programs under the Workforce Innovation and Opportunity Act WIOA and the partnerships established through the American Job Center AJC Network can be instrumental in responding to public health emergencies related to substance use disorders and the COVID-19 pandemic. Ensuring that coordinated services are effectively matched to the customer s specific needs will be as important as ever as public health emergencies continue to affect our communities. Collaboration cooperation and seamless connection across the spectrum of workforce development services offered at the federal state and local levels will be paramount. As part of the NHE Demonstration grant activities the Department of Labor is conducting an implementation evaluation which will be completed in fall 2021. The Department plans to disseminate the completed study widely to share promising practices and lessons learned. Interim information from the evaluation includes a literature review and a resource guide both of which can be found on the Department s website and at www.WorkforceGPS.org The Role of the Workforce System in Addressing the Opioid Crisis A Review of the Literature.7 The Role of the Workforce System in Addressing the Opioid Crisis A Resource Guide.8 The final report from the NHE Demonstration Grant evaluation will be similarly posted to the Chief Evaluation Office s website the ETA Publications Database and the WorkforceGPS database. In November 2020 ETA hosted a presentation by the National Institute for Occupational Safety and Health NIOSH on the impact of opioids on the workplace and the impact of COVID-19 on opioid addiction and other substance use disorders and some preliminary data to characterize and address the opioid crisis that includes cultivating a supportive 5 Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act SUPPORT Act Public Law 115-271 enacted October 2018. 6 https www.dol.gov agencies eta dislocated-workers grants supportact 7 https strategies.workforcegps.org resources 2020 11 23 15 11 The-Role-of-the-Workforce-System-in- Addressing-the-Opioid-Crisis-A-Review-of-the-Literature 8 https strategies.workforcegps.org resources 2020 11 23 15 21 The-Role-of-the-Workforce-System-in- Addressing-the-Opioid-Crisis-A-Resource-Guide 4 workplace. This presentation entitled NIOSH Responds to the Opioid Overdose Crisis and an Update on Workplace Supported Recovery is also publicly available.9 In June 2021 ETA held a series of in-person and virtual presentations during the 2021 National Association of Workforce Board NAWB Conference featuring Robert Drake M.D Ph.D. Vice President for Social Policy and Economics Research at Westat Inc. to present on Supported Employment and Substance Use Disorder SUD . Dr. Drake spoke on how Job Centers can successfully place individuals with substance use disorders SUD in employment through Individual Placement and Support IPS . Individual Placement and Support is evidence-based supported employment for people with behavioral health conditions and places them in job opportunities that interest them and play to their strengths.10 4.Role of the Workforce System. ETA encourages state workforce agencies local workforce development boards outlying areas and tribal organizations to develop comprehensive partnerships to creatively align and deliver career training and supportive services that will best serve workers impacted by substance use disorders and opioid addiction. Employment services and supports work in tandem with evidence-based treatment for substance use disorders. As noted in the literature review Substance use treatment programs generally focus on stabilizing patients physical and behavioral health. However without focused employment services and supports people undergoing or who have completed treatment might not be well prepared to find and keep a job. 11 As described in the literature review of the NHE Demonstration Grant evaluation people with opioid addiction or other substance use disorders may face a variety of challenges in obtaining and maintaining employment such as Potential stigma and discrimination in the workplace from coworkers or employers Periodic relapses that an employer could find difficult to manage and that might affect an employer s willingness to retain workers who are in recovery or be a deterrent to hiring others who are in recovery The lack of employer supports for managing recovery and other personal responsibilities such as dependent care and Other challenges such as drug-related criminal history loss of a driver s license continuing health concerns or probation or treatment program requirements that make it difficult to adhere to work schedules. The workforce system s role in responding to substance use disorders generally falls into three main strategies supporting impacted jobseekers engaging supportive employers and funding training for the healthcare workforce providing treatment and assistance to individuals with substance use disorders. These strategies are described further below including examples from the implementation of the NHE Demonstration Grants and NHE 9 https www.workforcegps.org events 2020 10 14 13 34 NIOSH-Responds-to-the-Opioid-Overdose-Crisis-and-an- Update-on-Workplace-Supported-Recovery 10 What is IPS The IPS Employment Center ipsworks.org https ipsworks.org index.php what-is-ips 11 The resources cited above as well as State Narrative Quarterly Reports for the NHE Demonstration Grant and NHE Disaster DWG are referenced in the recommendations and examples described in section 4 of this TEGL. 5 Disaster Recovery DWGs. Unless otherwise specified the activities described below are allowable under WIOA. a. Supporting Individuals Impacted by Substance Use Disorders. Given the widespread occurrence of substance use disorders and the complex array of underlying causes successful models form comprehensive partnerships across the spectrum of workforce health justice and community organizations as well as other organizations. Two main approaches strengthen enrollment and services for individuals with substance use disorders bringing individuals into the AJC for tailored services and bringing AJC services to providers of behavioral health services. Partnerships support both of these approaches by building trust and helping to align and coordinate the form and delivery of employment and related services that best meet the needs of impacted individuals and create opportunities for reemployment. Local workforce boards can engage community partners to address the economic effects of widespread substance misuse opioid use addiction and overdose in significantly impacted service areas. Local areas can develop a tailored combination of career training and supportive services to meet the needs within their area. Career training and supportive services are described in detail in TEGL No. 19-16 Guidance on Services provided through the Adult and Dislocated Worker Programs under the Workforce Innovation and Opportunity Act WIOA and the Wagner-Peyser Act Employment Service ES as amended by title III of WIOA and for Implementation of the WIOA Final Rules. Below are examples of how partnerships and tailored services can serve individuals who are impacted by opioid addiction or other substance use disorders. i. Strategic Partnerships Strategic partnerships beyond those established by WIOA are key to adapting services provided to individuals in the AJC and connecting those services to individuals in the community. NHE Demonstration Grants and NHE Disaster Recovery DWGs have shown that these partnerships may include behavioral health agencies family services public health departments and schools. A number of grantees embedded workforce services within partner agencies offering mental health and substance use treatment. These co-location strategies reduce the need for outreach and are less intimidating to participants who may receive employment and training services immediately. Grantees also reported that courts and justice-related agencies are strong partners. These may include juvenile family court drug courts as well as prison and probation offices. The workforce system can connect individuals who have been involved by the juvenile and or adult justice system to Reentry Employment Opportunities grant programs where available to receive services and resources. These partnerships help to bridge the gap between recovery services and employment and self-sufficiency. Below are examples of strategic partnerships with local AJC networks to better meet the needs of individuals with opioid addiction or other substance use disorders. 6 Through its NHE Disaster Recovery DWG Ohio has developed partnerships with children services agencies in an effort to change the trajectory of the lives of parents with opioid use disorder who are at risk of losing or who have already lost custody of their children. Peer recovery coaches in these settings are developing strong relationships with the parents and children resulting in families being reunified. In addition under its NHE Demonstration grant funds Ohio created special staff positions to be navigators between these parents and the workforce system so that the parents receive the individualized employment and training services they need to provide financially stable and safe homes for their children. In Maine as a result of its NHE Disaster Recovery DWG an extensive outreach campaign is on-going which connects the workforce programs to Recovery Centers Recovery Residencies substance use treatment facilities behavioral health organizations adult drug courts and Department of Corrections facilities. Additionally each region in the state is using multiple media approaches to reach potential clients print media social media virtual information sessions and direct outreach through staff presence in recovery centers. As part of its NHE Disaster Recovery DWG Mississippi created a Communication In-take Plan to provide guidance to all all partners for making referrals asking questions and informing progress on all participants. The Communication In-take Plan was forwarded to all partners and service providers across the state. The Administrative Office of Courts AOC refers candidates for the program to Mississippi Department of Employment Security MDES . MDES reviews referrals and sends those potential candidates to the Labor and Workforce Development Agency to assess and enroll in WIOA and provide an initial service. ii. Tailored Supportive Services As local areas set policies for supportive services these policies may be reviewed with an eye toward better addressing specific needs of individuals in recovery. Traditional supportive services such as transportation vouchers work supplies and mileage reimbursement can be combined with living expenses such as rental assistance vehicle repairs fees and deposits on utilities physicals for employment and recovery supports. iii. Educating the Workforce System and Employers Training for professionals in the workforce system increases awareness and also provides important tools for improving outcomes for individuals in recovery. Many resources are included in the attachment to this TEN. Ohio in particular has developed materials available to the public which help to raise awareness among the workforce system and community partners The Ohio Office of Workforce Development Tool Kit includes general information about opioid use disorder and specific resources for the workforce system such as tips for tailoring services for individuals in 7 recovery and tracking their employment tools for developing recovery friendly workplaces training information sample policies lists of local organizations who may serve as partners and key action steps and sample documents to initiate a program.12 Supported by the State Targeted Response CURES grant from SAMHSA the Ohio Department of Mental Health and Addiction Services OhioMHAS provides an Opioid Online Curricula Series -- a 23-part series of free training courses to provide general education about addiction for a variety of systems that encounter individuals with an opioid use disorder.13 iv. Establishment of Peer Support Counselors and Navigators One promising strategy that many NHE grantees in both demonstration and Disaster Recovery DWGs have implemented is the training and placement of Peer Support Counselors or Peer Recovery Navigators. These initiatives train individuals with personal experience in substance use disorders and recovery to serve as guides and mentors to others going through similar challenges providing a potentially meaningful career path to these individuals and strengthening their own recovery as they assist others in doing the same. Training and certification requirements vary across states as well as the role of Peer Support Counselors or navigators. Below is a sampling of grantees that have used this strategy. In Connecticut members of the Workforce Opioid Advisory Board oversee the statewide initiatives of hiring and placing qualified individuals as Peer Recovery Navigators in each AJC. Peer Navigators receive apprenticeship training through providers listed on the State s Eligible Training Provider List ETPL . Currently two providers offer classes CT Community for Addiction Recovery CCAR and Connecticut Counseling Centers. In Mississippi peer support counselors are deemed eligible for WIOA services and assessed for an initial service hired and trained. The peer support counselors provide services to assist eligible drug intervention court potential participants family and friends with accessing and or setting up their Mississippi Department of Employment Security MS Works Profile to search for employment. Under the Rhode Island NHE Disaster Recovery DWG a Peer Recovery Specialist specifically working with people living in recovery houses and on-job-development is helping people in recovery obtain full time employment. b. Business Engagement to Support Those in Recovery. The workforce system can assist employers in adapting opioid-related programs and policies to the specific needs of their workers and occupations taking into account considerations such as workplace safety. 12 https jfs.ohio.gov owd WorkforceProf Docs OWDOpioidToolkit.stm 13 https jfs.ohio.gov owd WorkforceProf Docs OpioidSeries.stm 8 One way that employers can support employees in recovery is to foster a recovery- supportive workplace. As defined by NIOSH a recovery-supportive workplace aims to prevent exposure to workplace factors that could cause or perpetuate a substance use disorder while lowering barriers to seeking care receiving care and maintaining recovery. A recovery-supportive workplace educates its management team and workers on issues surrounding substance use disorders to reduce the all too common stigma around this challenge. 14 When implementing workplace-based interventions employers may consider the nature and types of job-related risks and recognize that opioid misuse varies by industry. The literature review for the NHE Demonstration Grant Evaluation found that medication-assisted treatment should not be a disqualifier for employment. When used appropriately medication-assisted treatment has no adverse effects on peoples intelligence mental capacity physical functioning or employability. However accommodations might be necessary for workers using these medications due to side effects that can impair their ability to drive operate heavy machinery or perform other duties safely. In supporting employers in developing recovery-supportive workplaces and hiring and retaining individuals in recovery the state and local workforce agencies can i. learn about and provide the support needed by employers to obtain their commitment and test creative solutions to employ and retain program participants and individuals with substance use disorders ii. connect small to mid-size businesses with community resources such as the Employer Resource Network to provide participants with job retention services work supports and training opportunities to support entry-level employees iii. connect employers to program participants receiving concurrent outpatient treatment and job training services iv. encourage hiring individuals with barriers to employment by promoting programs to support their employment such as the Federal Bonding Program15 and the Work Opportunity Tax Credit16 when those individuals meet relevant eligibility criteria 14 NIOSH website on Recovery-Supportive Workplace definition https www.cdc.gov niosh topics opioids wsrp default.html text A 20recovery 2Dsupportive 20workplace 20aims receiving 20care 2C 20and 20maintaining 20recovery. 15 The Federal Bonding Program provides bonds that cover the first six months of employment for at-risk hard to place job seekers including individuals in recovery from substance use disorders. Employers receive these bonds for free as an incentive to hire these applicants and the bond protects the employer against losses caused by any fraudulent or dishonest acts of the employee. https bonds4jobs.com 16 The Work Opportunity Tax Credit WOTC is a Federal tax credit available to employers for hiring individuals from certain targeted groups who have consistently faced significant barriers to employmenthttps www.dol.gov agencies eta wotc. The Work Opportunity Tax Credit WOTC is authorized until December 31 2025 Section 113 of Division EE of P.L. 116-260 -- Consolidated Appropriations Act 2021 . The WOTC fact sheet offers an overview of key information about the tax credit. https www.dol.gov sites dolgov files ETA wotc pdfs WOTC Fact Sheet.pdf 9 v. assist employers in identifying and providing reasonable accommodations for individuals with disabilities including those in recovery from a substance use disorder vi. explore the flexibilities available through WIOA to support work-based training such as On-the-Job Training OJT and Incumbent Worker Training and to expand the list of Eligible Training Providers vii. consider transitional jobs which are among the individualized career services that may be well suited for individuals struggling with substance abuse. Transitional jobs are time-limited and wage-paid work experiences that are subsidized up to 100 percent. These jobs are in the public private or nonprofit sectors and are only available for individuals with barriers to employment who are chronically unemployed or have an inconsistent work history as determined by the Local WDB. TEGL 19-16 further describes the requirements around transitional jobs and viii. consider whether waivers of WIOA requirements would be a useful tool in supporting service delivery. Waivers allowing for raising the allowable OJT employer reimbursement rate for small employers could serve to fill unmet areas of opportunity. Please consult the WIOA waiver web-page which describes currently approved waivers and available flexibility at https www.dol.gov agencies eta wioa waivers. The following are examples of states and local initiatives to engage employers in creating recovery-supportive workplaces and other strategies for supporting employees in recovery. A number of states that have created a designation to recognize employers who are working to support employees during treatment and recovery as discussed below In 2018 New Hampshire an NHE demonstration grantee launched the Governor s Recovery Initiative which encourages employers to foster a safe and healthy recovery environment. The initiative offers trainings on how to create and support a Recovery Friendly Workplace culture for all employees supports Partnerships with a Recovery Friendly Advisor to meet customized business needs related to substance use disorders and connects employers to prevention treatment and recovery resources. Recovery-friendly workplace information is found here https www.recoveryfriendlyworkplace.com In 2018 Rhode Island another NHE demonstration grantee joined the New Hampshire initiative in order to provide training and resources to employers that are willing to hire and work intentionally with people in recovery from substance use disorder. The Recovery-Friendly Workplace Committee is developing a recovery-friendly best practice guide for employers. Rhode Island has leveraged its sector partnership model Real Jobs RI to help make direct connections for job seekers that are in recovery through training and direct placement. More information is found here https dlt.ri.gov realjobsri . The Kentucky Chamber Workforce Center launched the state s Opioid Response Program for Business which offers to audit existing employer polices and recommend best practices for recovery-friendly policies. 10 The Connecticut Department of Labor CTDOL and the Connecticut Department of Mental Health and Addiction Services DMHAS coordinated to produce an Employer Recovery Friendly Workplace Toolkit. The creation of the toolkit was funded through the CT National State Opioid Response grant from SAMHSA which works in tandem with the state s NHE Disaster DWG. The Employer Recovery Friendly Workplace Toolkit is available at http www.drugfreect.org . CTDOL and DMHAS are in the process of establishing an official Recovery Friendly Workplace designation program. The Ohio Chamber of Commerce offers a five-module course A Dose of Reality for Employers that provides an overview of the legal and operational issues that employers should consider in responding to the opioid crisis including developing a drug-free workplace policy and determining when and how to test employees for drug use. c. Training for the Health Care Workforce. The need for a health care workforce to address substance use disorders spans a wide range of settings including general medical care specialty treatment providers social services and community-based settings. There is a national shortage of providers across the behavioral health workforce including psychiatrists psychologists mental health and substance use social workers and mental health substance use and behavioral disorder counselors. The workforce system can be instrumental in addressing the shortages in behavioral health occupations. i. State and local workforce boards can use labor market information to assess occupational shortages and collaborate with employers and industry groups to identify additional training needs for behavioral health professions. One resource is the University of Michigan s Behavioral Health Workforce Research Center which is one of seven centers nationally that collects analyzes and reports health workforce data. The Michigan center focuses on behavioral health with an emphasis on the mental health and substance abuse workforce. This portal includes publications related to the behavioral health workforce and data visualizations to explore state-by-state characteristics of the behavioral health workforce https www.behavioralhealthworkforce.org . ii. State and local workforce boards can collaborate with training partners including community colleges to develop new training programs and expand training slots in existing programs. Among training resources the SAMSHA Providers Clinical Support System PCSS is a national training and clinical mentoring project that includes trainings for primary care providers and other health care staff on identifying preventing and treating opioid use disorder https pcssnow.org iii. American Job Center staff can identify job seekers who might be appropriate for these occupations and connect them to training and financial support. 11 Examples of initiatives by grantees to increase the numbers of health care workers In Rhode Island s NHE Demonstration Grant participants may achieve Community Health Workers certification through a combination of volunteer work experience and education requirements. The combination of Peer Recovery Specialists and the Community Health Worker training continues to be the most effective approach for the program and recruitment and employment of individuals in the recovery-related fields. Community Health Workers are frontline public health professionals who often have similar cultural beliefs chronic health conditions disability or life experiences as other people in the same community. As trusted leaders they often serve as a link between their community and needed health or social services. In Indiana s NHE Disaster Recovery DWG the Workforce Development Boards worked with community healthcare and addiction services organizations to educate them on available training and certifications for Community Mental Health Workers and Peer Counselors. The program created opportunities for Disaster Relief Employment as well as earn and learn work-based learning with OJT and direct placement. In Ohio s NHE Disaster Recovery DWG funding has been provided for individual training accounts for training nurses chemical dependency counselor aides social workers peer recovery supporters and other jobs related to mental health and addiction treatment. 5. Inquiries. Please direct inquiries to the appropriate Regional Office. 6. References. Workforce Innovation and Opportunity Act WIOA Pub. L. 113-128 July 22 2014 Workforce Innovation and Opportunity Act Final Rule WIOA DOL Final Rule published at 81 FR 56071 August 19 2016 specifically 20 C.F.R. parts 680 and 687 Robert T. Stafford Disaster Relief and Emergency Assistance Act 42 U.S.C. 5121-5207 the Stafford Act The Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act SUPPORT Act Pub. L. 115-271 October 2018 Uniform Administrative Requirement Cost Principles and Audit Requirements for Federal Awards Uniform Guidance published at 82 FR 22609 March 17 2017 2 CFR Part 200 Wagner-Peyser Act Staffing Flexibility Final Rule 85 FR 592 available at https www.govinfo.gov content pkg FR-2020-01-06 pdf 2019-27260.pdf January 6 2020 Training and Employment Notice TEN 13-19 Announcing the Release of the Wagner- Peyser Act Staffing Flexibility Final Rule and Amended Information Collections Associated with this Rulemaking dated January 13 2020 https wdr.doleta.gov directives corr doc.cfm DOCN 6994 Training and Employment Guidance Letter TEGL 19-16 Guidance on Services Provided through the Adult and Dislocated Worker Programs under the Workforce Innovation and Opportunity Act WIOA and the Wagner-Peyser Act Employment Service 12 ES as amended by title III of WIOA and for Implementation of the WIOA Final Rules dated March 1 2017 https wdr.doleta.gov directives corr doc.cfm DOCN 3851 TEGL 12-19 National Dislocated Worker Grant Program Guidance dated March 18 2020. https wdr.doleta.gov directives corr doc.cfm DOCN 9054 and TEGL 12-19 Change 1 Change 1 to TEGL 12-19 National Dislocated Worker Grant Program Guidance dated November 2 2020 https wdr.doleta.gov directives corr doc.cfm DOCN 5028. 7. Attachment. Attachment I Resources for Serving Individuals and Communities Impacted by Opioid Addiction and Other Substance Use Disorders I-1 Attachment I Resources for Serving Individuals and Communities Impacted by Opioid Addiction and Other Substance Use Disorders A. Products from the Evaluation Study of ETA s National Health Emergency Demonstration Grantees 1. The Role of the Workforce System in Addressing the Opioid Crisis A Review of the Literature February 26 2020 found at https www.dol.gov sites dolgov files OASP evaluation pdf WorkforceOpioids LitReview 508.pdf and 2. The Role of the Workforce System in Addressing the Opioid Crisis A Resource Guide February 26 2020 found at https www.dol.gov sites dolgov files OASP evaluation pdf WorkforceOpioids ResourceGuide 508.pdf B. Resources for Supported Employment Opportunities for Individuals in Recovery 1. Resources on Mental Health for employers individuals and policy makers produced by DOL Office if Disability Employment Policy ODEP https www.dol.gov agencies odep program-areas mental-health i. Companion Toolkit State Strategies to Assist Employees with Mental Health and Substance Use Issues Stay At Work Return To Work developed by Women in Government partnership with ODEP s State Exchange on Employment and Disability SEED https www.dol.gov sites dolgov files ODEP pdf Stay-At-Work-Return-To- Work-for-Employees-with-Mental-Health-and-Substance-Use-Issues- Companion-Toolkit.pdf. ii. Additional Mental Health Substance Use Disorder Resources and Toolkits published by Women in Government https www.womeningovernment.org learn monthly-spotlight mental-health- substance-use-disorders-toolkits-resources 2. Supportive Services Desk Reference. This desk reference provides an overview of the different types Supportive Services available for adults dislocated workers and youth participants of programs under WIOA https ion.workforcegps.org resources 2017 03 09 10 53 link.aspx id D04DC E07784F4574839FBC1FE37ED5DA z z 3. DOL Grant Programs i. Awarded Grants Focused on Women Workers Affected by the Opioid Crisis Women s Bureau - Re-Employment Support and Training for the Opioid Related Epidemic RESTORE grants https www.dol.gov agencies wb grants restore ii. Reentry Employment Opportunities REO grants focused on re-entry for individuals with substance use disorder who are involved with the adult or juvenile justice system https www.dol.gov agencies eta reentry grantees C. Educating Workforce Professionals 1. The Ohio Office of Workforce Development Tool Kit includes general information about opioid use disorder and specific resources for the workforce I-2 system such as tips for tailoring services for individuals in recovery and tracking their employment tools fo r developing recovery friendly workplaces training information sample policies lists of local organizations who may serve as partners and key action steps and sample documents to initiate a program https jfs.ohio.gov owd WorkforceProf Docs OWDOpioidToolkit.stm . 2. As part of the State Targeted Response CURES grant from SAMHSA provided by the Ohio Department of Mental Health and Addiction Services OhioMHAS provides an O pioid Online Curricula Series a 23 -part series of free training courses to provide general education about addiction for a variety of systems that encounter individuals with an opioid use disorder https jfs.ohio.gov owd WorkforceProf Docs OpioidSeries.stm . 3. National Institute for Occupational Safety and Health NIOSH presentation NIOSH Responds to the Opioid Overdose Crisis and an Update on Workplace Supported Recovery https www.workforcegps.org events 2020 10 14 13 34 NIOSH -Responds -to- the -Opioid -Overdose -Crisis -and -an -Update -on -Workplace -Supported -Recovery . D. Workplace Resources for Employers 1. Office of Disability Employment Policy i. Employer Assistance and Resource Network on Disability Inclusion EARN https askearn.org ii. EARN s Mental Health Toolkit Resources for Fostering a Mentally Healthy Workplace https askearn.org mentalhealth iii. Information on the Retaining Employment and Talent after Injury Illness Network RETAIN https www.dol.gov odep topics Stay -at-Work - Return -to-Work.htm 2. Workplace Protections for Individuals in Recovery i. Information and resources on Section 503 of the Rehabilitati on Act www.dol.gov agencies ofccp section -503 ii. Resources for Federal Contractors and Workers Related to Past Drug Misuse https www.dol.gov agencies ofccp drug -misuse iii. Office of Disability Employment Policy The Job Accommodation Network JAN https askjan.org 3. Workplace Safety and Supporting Recovery at Work i. Resources on suicide pre vention and drug misuse https www.osha.gov preventingsuicides ii. National Safety Council s Opioid Toolkit for Employers htt ps www.nsc.org pages prescription -drug -employer -kit iii. Resources on complying with the Mental Health Parity and Addiction Equity Act MHPAEA https www.dol.gov agencies ebsa laws -and - regulations laws mental -health -and -substance -use -disorder -parity 4. Incentives to Hire Individuals with Barriers to Employment i. Federal Bonding Program Every state has a Bonding Coordinator. Find yours here https bonds4jobs.com our -services directory . ii. Work Opportunity Tax Credit https www.dol.gov agencies eta wotc contact state -workforce -agencies