HomeMy WebLinkAboutOut of State Travel Request - RenewGRANT COUNTY
COMMISSIONERS AG ' ENDA ME.ETING REQUEST FORM
(Mutt be submitted to the Clerk. of the Board by 12:00pm on Thursday)
Renew I- Theraistsp
REQUESTING DEPARTMENT: DATE41/18/24
Anna Serrano (509) 765-9239 Ext, 5353
REQUEST SUBMITTED BY., PHONE:
l
CONTACT PERSON ATTENDING. RO U NDTABLE.DelAnderson ,
CONFIDENTIAL INFORMATION ..4 OYES W NO
UN
IN LU 4
M I i F-1111 M :1 a-
DAgr emeht/cofttract
CIAP Vbuchers
OAppOintment Reappointment
OARPA Related
013ids [RFPs Quotes Award
013.1d Openi ng SchOdulod'
'ElBoairds Committees
Li'sud'9 et
OComputer Related
County Code
OEmergency Purchase
nEmployee Rel,
nFacilitie8 Related
1771 Financial
0 Hearing
1:1 Invoices I Purchase Orders
0 Grants Fed/State/County
01 -eases
MMOA M, OU
DMinutes
00rdinances
i9out of State Travel
0 1 Petty Cash
0 Policies
MProclamations
0 Request for Purchase
0 Resolution
D.Recommendation
ClProfessional Serv/Consultant
OSupport Letter
[]Surplus Req
nTax Levies
DT.halnk You's
OTax Title Property
nWSLC'B
[A= *3 9 A CUM
Out of state travel for Juan Padilla 3/24/24.- 3/27/24, 2.024 Behavioral H ealth Management
SuMmit, Conference in Las Vegas, .NV -.-Total Cost $ 3130.50
DATE OF ACTION:— DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D 1 1:
D2:
D3:
1
1118/24,11:18 AM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Juan Padilla
Dept/Committee*
Therapists
....... .... . -- 0—
Grant County, WA
Date of Request* Travel Type*
118/2024 Out of State Travel
Departure Date* Return Date* Grant* Fund/Dept*
MAMA
Lw/2412024 3/27/2024 No Therapists
:0t} AM 6:00 P
Destination (City, County, State)* Purpose of Travel*
Las Vegas, NV 2024 Behavioral Health Management Summit
Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required
..........
$152 $236 Conference Rate No
Hotel Total* Conference Fee* Daily MW at Destination* Rental Car Cost per day*
$950 $1495 $69 $0
lee
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
No GSA rate rooms avallablb, only conference rate rooms available,
Air Carrier* Cost of Flight* Total trip cost (include all cost totals)*
Delta $300 $31130.50
Preparer's Name* Preparer's T11tle*
Anna Serrano Accounting Technician
Preapproved by EO/DH?* Use of travel card to fill a rental vehicle gas tank prior to Its return Is
Yes recommended.
LTA"
V
https:llwww.graritcountywa.gov/FormCenterlPrint?formlD=86&Preview=YES&Save=False&savedProgressID-8 1/1
❑f TRAINING REQUEST
STAFF NAME: Juan Padilla
NAME OF TRAINING: 2024 Behavioral Health Mjj
LOCATION: Las Vegas Nevada
a -da
LOCATED )N-WA.STATE? MYes [:]No
DATES CSF TRAINING: 3/25/24rQug
th h 3/28/24
DEPARTING DATE &.TIME: 3/24/24 Sam
TRAVEL REQUEST
DATE 1/16/2024
TRAVEL PURPOSE:
RECEIVED
JAN 1 7 2024
RENEW
RETURNING DATE & TI M E -3/217/24 8arn
HOTEL NEEDED?[ZlYes [:]No
AIRFARE NEEDED? ✓[] Yes []No
FLIGHT PREFERENCES... Any
REGISTRATION. NEEDED? Yes DNa
WHO WILL B1! IMPACTED BY THIS TRAINING?
QEmployee E] Team Members ❑Other Agency Staff MAII Agency Staff
WHAT WILL YOU BE ABLE TO BRING BACK, TO THE AGENCY? (What can you then train your team, other
teams, ..agency leadership, and other groups on?)
Attending will help with learning in what direction 'BH 'I's going and its advancements.
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Managerinitials
MANAGER APPROVAL (CIRCLE ONE): ESSend form to Leadership for further approval
NO, Training is denied Manager initials]'13
ESTIMATED COST:
LEADERSHIP APPROVAL (CIRLCE ONES: YE NO I N ITALS Date I 'Y
-7-
1/28/22
1/17/24, 2:35 PM 20.24'Behavioral He.alth Management Summit. - BRI Network
Network
Select Page
.2024 Behavioral Health Mara; ement Summit
Media Partner
r Medheaffh Outiodik
5xMito—r,
2024 Behavioral Health Manage -m- ent Summit,
March 25-26, 2024 * Aria Resort & Casino * Las Vegas, NV
Registrer No\,\j
EReCjUest Bt-aCITUr-e
2024 Behavioral Health Management Sun-imit
Jr%
u67 Uo 3
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1/17/24,2:35 PM 2024 Behavioral Health Management Summit - Q.R.1 Network
together caused enormous strain on the mental and behavioral health of people across the country-. There have been spikes in ankiety, depression, and other
behavloral.healLh issues as people navigate these complexities, intens lf Jh&the n'eed. for access to treatment.
Today's challenges have made clear the need for players across the behavioral health landscapp—including but not limited to healthcare prov dOrs, both private
e
a . nd public insurers, government policyrnakers,and employ* ers—toinnovate. to better serve the: behavioral health needs of people across the country. This
conference will explore how doing so could not only address a pressing -social challenge but also improve healthcare outcomes; reduce healthcare costs; and
create a healthier, happier, and more productive workforce.
Who Should Attend? 4)
Agenda
Cbnfi�rence A' hd
,.
Day ane. - Monday, March 25, 2024
7:15am - &.00AM
Conference Registration & Networkin
areakfast
9:00a. m- - 81.1sam
Chairperson's opening Remarks
8:1 Sam - .9:00am
Strategies to Address Behavioral Health Workforce.Shorta
ges
Nearly half of all Americans will have a behavioral health issue in their lifetime, from amood disorder to a substance use problem. B.Phav I loral healthcare
encompasses a wide varioty of Interventions delivoredby many different types of providers.'In the U.S,, nearl' all theteprov-iders:�r�!in!�hdrtt-upply The'r
Y
scarcity t of behavioral .health fessionals is.undermining people's.abllkyto�get timely, care-, This is reinfo . ed by historical underinvestment in behavioral.
pro.--
he-Wth care oy public insurance prgr ms'(Ilke Medicaid ndM dicarL private nsurersi and emplqyers -- including lack of coverage and. low
reimb,ursd t rates. In 2Q21 fewer half of pe'- pte* with a mental illness were fe-'able to Ocde-S'S' Cim' ely c�ir-�; thos� with substanice disorders were even
ven
lesslike* Some &rqupsare
Ois roportionately 1mpacted by.woTk(p p4.shortages. To better understand these shorts is session will- examine. who
�ge
makes upthe. behavloril 'hea' Ithw orikforde and the, challen'ges- they f6ce in n , providing care t 6 u -"Ade: rserved communities.
Karen 'L. Fortuna, PhD, LICSW
Assistant -Professor -of Psychiatry
Gelse-1 School. of Medicine at Partmouth
Research Health, Scientist Speciali st
VA White Riverjuniction Healthcare System
-9:00am - 9.45am
organizational Design for Population Behavioral HeAh: Theory and Real World Applications
ions
This Session y4ill showcase the. potenda(of digital solutions in tackling prestiqg.k ehavi6ral heoldicam, c4ailenge!0ricluding, access; affordability, and eqUily.*.
(see tf to *Inning of our -,UC Tech video,)
The talk W- lit stress the ImI56'ratlVe rale of Enterprise Architecture in 6rMaW1z6ti6ns�-a'l ming to itnplem�nt, scale and sustain digital health tools, addressing the
,digital. health's high foilure rates (7.0-95%
The discussion will also explore a specific type of Enb�rp'ise Architecture-, called Djgltal.Ou�ine.s Desi i
r s De gn, and its essential or
ga�izational caabilities.in more.
detail. Those are known as'the "We building' blocks of digital trah . sf6rm atidn,
Rachel Linonis, IVIS
Director, Digital Solutions, UCLA Division of Population Behavioral Health
UCLA Health System
9:45am - 10:15am
Networking & Refreshments Break
100.15AM -11 00am
Schooll-Based Mental and Behavioral Health
Mentally healthy children are more successful In school and life. Research derno"ristrates that students who receive social-er6otional and mental and
behavioral health support achieve betteracadernically, School climate, classroom behavior, engagement in learning, and students'sense GF-connectedhess
and well-being all Improve en not simply the ab'
prove as well, Mental health Is: absence of,metital Illness but also encompasses wellness promotion; social, emotional,
and behavioral health; and the_abilltytbcopewith life's challenges. n L eft -uhrbet, mental health problerris are linked to costly* negative outcomes such as
,academic and behavior problems, dropping out, and delinquency, Mental and behavioral health problems, not only affect students' -short-term classroot
engagement, but also interfere with long-term.develo,pmen.t of positive relationships and work-related skills.. This session Will explore the landscape of
mental and behavioral health services In schools, barriers to offering services, and how recent policies facilitate the expansion of schoo.1-based mental and
behavioral healthcare.
Rachel Jew, MPAff
Project Manager
Texas Child Health Access Through Telemedicine
nR It 1h& soft
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1/17./24t 2:135 PM 2024.Behavioral Health Management Summit - BRI Network
Sarah McLaughlin, LCSW
Project Managrer
Texas Child Mental Health Care Consortium
office otHealth Affairs
The University ofTekat Systerh
11 !00am - 1111:45pm
Telebealth and Behavioral Heald) integration.
Wide adoption and expansion of telehealth in primary care and behavioral health took place rapidly as a means to provide ongoing patient care d.utihg the
COVIb-1 9 pandemic. The implementation tation ortelehealth continues to rapidly change and evolve, particularly with regard to policies, payment, regulations and
laws. To be able to provide patient -centered integrated behavioral healthcare in.primary and ambulatory care practices, those actively engaged In behavioral
health integration must keep up with these changes with a. keen rocus,pn the importance of tailoring
g teleheatth choices to the needs of patients, providers,
and care teams, This session ill provide practical inform t!-
on,andresources or using telehealth telc.hnol.qgiqs Ito implement Ratient-centered 'integrated.
behavioral heal d, ambulator
7r health care in primary an. .y. care practices, including:
Various components of irtegrated behaviora'I.hehealthcare L. ascan be suppored via telehealth technologies
'Integrated behavioral healthcare that have been fufi� or partially "y implemented using telehealth technologies
Models of
'Evidence Wbehaviorahealth-I t 'ration
for the use of ielehe6lth't&h hol oglestn eg
Things . to consider when using tel , ehealth technologies esfbr behavioral toral heal I th I Integr ti on
irearsanee C. Davis, DNP, FNP -BC, PMH VP
Director, Cllhiol,Progtarns and Strategy
UMMC Ceintdr for Telphealth
Associate Professor, UM
MCSchool of Nursing
Urtiversity of Mississippi MedicalCenter
11:45am "12I1.30pm
Te m
.Mental Health and Virtual Pteal4y, The Role. of Emerging chnologips,inTransfor. Ing Behavioral. and Mental. Healthcare
world ri behavioral concent With one out of eight people- In the wo d fivi g with a mental ditdrder, behav rat and health has become a critical c 6 erh of global i'mportance.
I - still FortUnAt" ly,' e 0 atebecdm and
Ho�vever, many peop e are s i I not receiving -the tare. they: need and deserve, e emerging techn ld&§ trig
accessible offringn.ew possibilles to transform mental health care.Onesuch solution is Mental health services `in virtual realit.
To eixplore the key role. emerging techn.ologies play in revolutionizing the field of behaVloralbrid mental health, this session will explore the current
challenges -the industry faces and how new: t,echnologiescan potentially address them. We'll discuss how digital and immersive technologies can augment
.the deliver
.y of mental health care services.
Donna Z. Davis.. Ph.D., APR
Assoc lte Professorand Direetor, Imn7ersive Megfia GpIrmuhication. Master' Prograrn
Director,Oregon Reality(ORI) Lab I 50JC
university of Oregon
Lunch Break
12,"Jdpirn -1:30 prn
I 30pm - 24 Spm
The intration of Care for Mental Heafth,.tubstance Ab* use,.and Other'Sehavioral Health Conditions into Primary care
abuse mons, ealtKbth' lorc change, life s
Behavioral health care Includes care for patients &bund mental health 'and substance condit' � I h av . h e I ttre sesahcl,crisies,, and
stress-related physical s pto e n substance 0 physical diseases as a major cause of worldwide
Ym ms..M Mental dsubst n eusedl�orclersal alone are estimated to surpass all p
disability. This session will explore.,
- The importance of the healthcare system effectively addressing behavioral health conditions
- Better Integration of behavioral health Into the p.Ornary care setting
- Barriers to increased integration Into primary care
�
Various approaches of integrated care delivery
Wason S. Turner, MD, DFASAM.
Senior Medical ; )irectoro Behavloral , Iealth
Inteirmoun'tain Health
2:15pm - 315prn
Panel: Improving Behavioral Health: A Community Effort
Across the country, communities are facing, significant challenges in meeting the growing needs for behavioral health care services. Healthcare and
community-based organizations alike have seen that they cannot tackle this surge in demand alone. This session will explore strategic and coordinated
efforts that champion a coniprehensive and proactive approach to mental wellness --leaving no individual or community behind. Topics to be discussed will
Include:
o The pivotal role of community-based organizations in enhancing mental health caredelivery
MR 19 4,& ;1ft
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1/17/24, 2:35 PM 2024 Be'havioral Health Management Summit - BRI Network
Julia Bruner-, MD, MS, MEIA
Senior Vice President Behavioral Health Opercltfdfzs and Correctional Medidne
Metro Health
Hossa.m. Mahmoud, MD, MPH
East Re.orlon Chienviedical. Officer
Carelon Behavioral Health
3:15prn - 3:45prn
Networking &: Refreshments Break
3:45pm - 4:30prn
Advancing Health Equity throughBehavioralHealth Integration
This session will present considerations and approaches: to add ress_ disparities that d isproportionately affect racial ethnic 01 0
-and ethni min rtygr ups in receiving
.equitable behaviloral healthcare andaccessing treatment, W.eWill focuson diversity./equity related to ra*ceiethnicfty,.socto-eco*no*mit status, .-and sexual
orientation and gender Identity. We'll atso highlight, hbW mental, hea,lt,h and primary.0re...colleagues .can work together to provide coordinated, culturally
informed and equitable care.
Way6eyoung, MBA, PC, FACHE.
Chief Executive officer
The HArris Center for Mental Health & IDD
4:30pm 515pm
Special Behavioral Health Treatment for Women
Women who areaff6cted mainly by behavioral and mental health Illnesses Are often reluctant to get help. Seek I ing. treatment can
feel dauntingThe -fight
against behavioral and mental illness In the healthcafe Industry is real-Diagposing severe conditions isn't.easy. Depression 'and anxiety, bipolar cl&Mer as
well as sch)-zophrenia are amongst the main conditions that requfte� proper cliag.nosls,, There is an. uriderlying:st! g -ma at.tac hed to mental cllseas�, that.k.eeps
people feom-being treated. Millions. of adults, io'tho Q's, are treated for Mental illness each year. 8 -rder'-c h.aff ctwi
Mental ehavloral and men0l h4althdiso s a 6 omen
and men differently. Some disorders are more common,in women such as depression,anxiet d eating disorders. There are
_y an e t-ial.so.certain Alsorders that
.are I unique, t. owomen For ex . a . m . p le,, 't d , rn .. e women o . me '. n. experience - . symptoms of depression at times of hdrmone change,- such as during or . after pregnane;
) fegna - nc
y(
around the time of their period (prert�enstru
ol dly5 'horic,disdrd' and during menopause (per! enop�au -related,.Optession),,Thls I explore
M se, session will I
specialized behavioral health treatmen0or women.
Uroj Kamal Haiddr,..MD
tvIedical Director of Consultation Seryice$-
Assistant Professor of Psychiatry at.the University ,of Massachusetts Medical.School
Founder and, Director of the Women"s mental Health Outpatient Clinic
515prn
End of Day One
Qay'Two Tuesday, March .26, 2024
7.15ain - 8:00,am'
Networking Breakfast
8,006m - 8:15am.
Chairp:terson.ls Recap
8,015am - 9:00am
Achieving Behavioral Health Care Integration In Rural America
Integrating primary care services and treatment for mental health and substance use conditions not only enhances patients' access to needed care but aflso
Improves health outcomes in a cost-0fectIve way. Yet the barriers to integrated care are, substantial, and it is even more difficult to achieve In rural -and
frontier communities, which are home to 1 In 7 Americans, Primary care providers already handle some of the behavioral healthcare needs of'I I
ti e.'r patients,
but they describe feeling overwhelmed, Ill-equipped to handle these tasks, and underpaid, To Incentivize and enable primary care providers -to take on a
,greater role in dell"Vedrig mental health and substance use treatment services, they need tr611hiqg, teichrilcal. assistance, adequate relrribursierneh%, and access
to larger0 '
pool or behavioral , health providers for both consultations and referrals. This session will explore the opporwriftles.and challenges r,elated:to
delivering integrated pare -in rural areas.
Tawnya Meadows, PhD
Director of Pediatric PCSH
Gelsinger Health System
9:00am - 91,45am
Importance of TalicIng about Mental Health In the Workplace
Make no mistake, the success and longevity of a business rely an the collective, positive. mental health of its workers. Positive mental health gives a person
resiliency against life's stressors, challenges, and setbacks obstacles that often go hand-in-hand with ajob. Being fortified against the negative emotions
and anxietythat accompany difficult times can help a person navigate with agility and remain productive. Whileemployers are often aware of the costs of
mental health issues to their business, they may not be as aware of the extent of employees' mental health struggles, one reason may be that employees
�A& In
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1/17/24, 2.#35 PM 2024 Behavioral Health Management Summit - BRI Network
session will explore the attributes for nurturing high performance and strong corporate culture, and the importance of talking about mental health In the
workplace.
orkplace.
Natalie K. Kelly
Chief Execud ve Officer
Florida Association of Managing Entities
9:45am - 10:15am
Networking & Refreshments Break
1015am - 11:00am
Addiction is a Complex Disease: Linking Patients to Treatment Shouldn't be
The MATTE R-S'(M ed icatio n for Addiction Treatment and Electronic Referrals) pr gram rapidly connects Individuals with opi 1&use disorder to community-
based medicator assisted treatment programs. Re'* rrals to treatment are made in under 3 minutes,. linking individuals to services, including
sup :port ive-s
p
peer support., transpoitation ass4s.tance,. and medication vouchers for the uninsured. Individuals can also request an evaluation vi-acine
tej'eme.clj*_for , a quick
,assessme'nt,ccosid6rationfor buprenorphine Prescri tion, and linkage to treatment, MATTERS also provides kee harm redut
tion supplies, including
fentanyl and xylazine teststrilps. MATTERS alms to breakdown barriers,to opioid use disorder treatment, adding new p I rtn' rs.and services to
_e continually a e
aur referral platf6rm,
Mia Dickinson
Naris Reduction Specialist
Matters Network
11:00am - 11:45am
The Future of Behavioral Healthcare
Navigating through the aftermath'of the COVID-19 pandemic calls fora nimble, creative and robust redesign cif funding mechanisms: and associated
policies
to invest In the. U.S,'s. behavioral healthcare system This.sestlon will explore significaht and high -potential opportunities to, expand qualify Integrated
x a
y integi
healthcare through community behavl".O:ral.health organizations, We'll also discuss addressingand a
behavioral Nalth needs atth local, state federal level.
Deb Goldfarb, LICSW
Director of Behavioral Health,, Population Health
Boston Medical -Center
Grayken Center for Addiction
I 1.:4,5.a rn - 1.2:30pm
Hometessness and 6ehaVi.oral Health: Lessons Learned & Future Co nsiderations
Mental health conditions are highly preval'en't in homeless populations, Although homeless individuals have higher mortafty.relate
d to many causes, access
.to care ipores o r than that forthe general population.
This session will expl6re the. challenges homeless individuals encounter in accessing 9 quality of care
sin mental healthcare, historical approachesto assessing
,and future.considerations,"f6r improving outcomes.
Andrew Kbpoll6w MPA, MSW, CPHQ, PMP, CLSSMBB, FNAHQ
AsqfStapt Program Dfrecto, Healthcare Quality and Safe
Adjunetp4eulty
jeffersdo College of PopOlation Health
Thomas Jefferson University
1.230
1, PM
Conference Co'ncludes
Workshop - Tuesday, March 26, 2024
11245pim - 2:45pm
.Behavioral and Mental Health: Design to Meet the Challenges of Today and Tomorrow
The mental health crisis around the world continues to grow at alarming rates that affects individuals of all ages, ethnicities and socio-economic positilons,
These challenges reach fai- beyond the, behavioral health unit into -a myr . lad of care settings. Now, more than ever, it Is Imperativethat these settings respond
w n, s
to complexities of care, provide flexib - ility to fluid care needs, and offer equity to patients, To meet theIncrtased demand for care, support improved care
and enhance staff safety, toda)(s, diestgn, facility and care professionals have to -advance 'the It understanding of the environment's impact on behavioral
healthcare and learn how to incorporate the best and latest design solutions throughout
gn all healthcare settings, This session will provide the latest in design,
thinking for behavioral and mental'health care settingsandoffers state-ofthe-art best practice I s. A . ttendees will have opportunities to pose questions and
Interact with fellow attendees in fun and Innovative ways,.
Jeff Reiter, PhD, ABPP
Consultant
Whole Team PLLC
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1/17/24, 2:43 PM 2024 Behavioral Health Management Summit - BRI Network
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1/18124, 11:20 AM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Irene Garza
x
Departure Date*
[3/24/2024'.]
I�II.i11.�w.rw
8:00 AM
JM.rMM4NANNJ��.v.MW1
Dept/committee*
Therapists
Return [date*
--w.r--rw•rvrr••.•w•rww•r-.
3127f)202yj�4
�lI.RYrNVNr•rvrlCllR�•'{OIIY
IIfTr•1YI.r�.Wr/.•�
Destination (City, County, state)*
Las Vegas, NV
4
Hotel - GSA Rate*
$152
Hotel `Total*
$950
Hotel . Nightly Mate*
$235
Conference Fee*
$1498
Grant County, WA
Date of Request*
111812024
I4MlY•�MW Mwrlw.r•J•r.♦�r�.rwin•
Grant*
No r
Travel Type*
Out of State Travel 1r
Fund/Dept*
Therapists
T t
Purpose of Travel*
2024 Behavioral Health Management Summit
Cost Application*
Conference Date
Gaily M&lE at Destination*
$80
�r
Explanation for Rate (required if hotel cost is greater than per diem, or government rate*
No GSA rate rooms available, only conference rate rooms available.
Air Carrier*
Delta
Preparor's Name*
Anna Serrano
Preapproved by EOIDH?*
Yes %*
Cost of Flight*
$300
Rental Car Required
No
Rental Car Cost per day*
$0
oil
Total trip cost (Include all cost totals)*
$3130.60
r
Preparer's Title*
Accounting Technician
Use of travel card to fill a rental vehicle gas tank prior to Its return is
recommended.
https:llwww.grantcountywa.govlFormCenterli'rint?formlD=86&Preview=YES&Save=False&savedProgross1D=8 1/1
TRAINING REQUEST TRAVEL. REQUEST
STAFF NAME: DATE.- X
NAME OF TRAINING q0;,q ?,eVv-.vl O -N,-- �--TRAVLEL PURPOSE: SL4 rnfovv
LOCATION: � p,� �(`�(�(►S
LOCATED IN WA. STATE? ❑Yes.. (]No
DATES OF TRAINING,. through 3��.c���
DEPARTING DATE TIMEN ��+�t�{ �c��'
RETURNING DATE & TIME: 'b��yl ���"�
HOTEL NEEDED? [Yes ❑No
AIRFARE NEEDED? j 2/Yes QNo
FLIGHT PREFERENCES: -,,l
REGISTRATION NEEDED.? [v/YeSEI No
RECEIVED
JAN 1 7 2024
REN.EW
WHO WILL. BE IMPACTED BY THIS TRAINING?
[:]Employee oTeam Members �] Other Agency Staff Agency Staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AG.EN'CY?.(Wh8t can you then train your team, other
teams, agency leadership, and other groups on?)
?)
�-Ss� +lne 0.yZm
S+ �l-�h [ea rn �n� lCr�aual �ctrr� `ia he-�� �tc�
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Mapager initials.
MANAGER APPROVAL (CIRCLE ONE r."E , Send form to Leadership for further approval
NO, Training is denied Manager initials
ESTIMATED COST:
LEADERSHIP APPROVAL(CIRLCE. ONE): Y &S NO INITALS Date
4"
1/28/22
1118124,11:20 AM
OUT OF STATE TRAVEL. REQUEST APPLICATION
`traveler's Marne*
Tanya Nunez
Departure Date's
M1 W MN tNM(+W YwNN1Y W �JsY
/24f 2024
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Y:00 � M •Y
+w..wrwn,w..NA.I•.Nr.... N....
Destination (City, County, State)*
Las Vegas, NV
Hotel - GSA Rate*
$152
Hotel Tota I*
$550
Dept/CoMMIttee*
Therapists
x
Return Date*
3/27/2024
WNII ww�NN.NW NNfYNNMNi.w...lAl
[5M,40 P
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Grant County, WA
Date of Request* Travel Type*
1MN IYA.M41N.Mww.rtirv...
1/13/2024 ] Out of State `travel �
Grant* Fund/Dept*
No `therapists
T
Purpose of Travel*
2024 Behavioral Health Management Summit
Hotel - Nightly Rate* Cost Application*
$233 Conference Rate
r
Conference Fee*
$1405
Daily M&IE at Destination*
$00
Explanation for hate (required 4f hotel cost is greater than per diem, or government rate)*
No G8A rate rooms available, only conference rate rooms available.
Air Carrier*
Delta
r
Preparer's Name*
Anna Serrano
Preapproved by EO/DH?*
Yes so
Cast of Flight*
$300
Rental Car Required'
No
Rental Car Cost per days*
$0
Total trip cost (include all cost totals)*
$3130.50
Preparer's Title's
Accounting Technician
Use of travel carts to fill a rental vehicle gas tank prior to its return is
recommended.
V
htips:llwww.grante,ountywa.gov/FormCenter/Print?formID=86&Preview=YES&Save=False&savedProgressID=B 111
.0 TRAINING REtUEST
f 0%0
,STAFF NAME: Tanya Nunez
DATE; January 16, 2024
F-1 TRAVEL REQUEST
-NAME., OF TRAINING: 2024 Behavioral Health Management Summit
Travel PURPOSE: i.e. 8tate\,N/,1*de1Mee tji
n
LOCATION:-- Las Vegas, NV
0' CATE'D IN WA NATE? El
L Yes FX_1 No
DATES OF TRAINING: 03/25/2024-03/26/2.024
DEPARTING DATE & TIME*- 03/24/2024
RETURNING DATE &TIME: 03127/2024
HOTEL NEEDED? 0
Yes C No
AIRFARE NEEDED? FX -1. Yes 1:1 No FLIGHT PREFERENCES, Morning from Spokane
REGISTRATION NEEDED?. Z Yes 1:1 No
'RECEIVED
JAN 1. 7 2024
RENEW
WHO WILL BE IMPACTED BY THIS TRAINING?
,X Employee MTeamMetubers
E1 tither Agency Staff
NAII Ag"e staffricy.
WHAT WILL YOU BE ABLE TO BRING BACK TO THEAGENCY? (What c.a.n you then train your team, other
teams agency lea-dersh.1
p, and other groups on.
nay attendance at this co fe r-ence wo, Id oil
n_ u ow me to learn new strategies to it the
integration of telehealth in behavioral health and learn. about school based mental health and
behavioral health as I oversee one of the school district contracts.
NOT TO BE COMPLETED BY EMPLOYEE
EE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manage I r initials
tials
DS
MANAGER APPROVAL (CIRCLE. ONE): -.-E—. Send for'' to Leadership for further approval
m s
N, Training is denied Manager Initials
ESTIMATED COST.,
LEADERSHIP APPROVAL (CIRLCE ONE): NES) NO I N ITALSDate 1// 17) /�_v
1 lk ( C�
3/21/19
1/18/24, 11:22 AM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Velma De La Rosa
Departure Date*
[3;2412024
6:00 AM
Dept/Committee*
WISE
Return Date*
w.w •Nvw.wa..
3/ 27/2024
I -
---
PMW WeirI
Destination (City, County,, State)*
Las Vegas, NV
/0
Hotel - GSA Rate*
Hotel Total*
$950
Grant County, WA
Date of Request*
111812024
Grant*
No
Travel Type*
Out of State Travel
Fund/Dept*
Y WISE
Purpose of Travel*
2024 Behavioral Health Management Summit
Hotel - Nightly Rate* Cost Application*
1$236 Conference Rate
Conference Fee*
$1495
Daily M&IE at Destination*
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
No GSA rate rooms avatiable, only conference rate rooms available.
Air Carrier*
Delta
Preparer's Name
'Anna Serrano
Preapproved by EO/DH7
Yes
Cost of Flight*
$300
Rental Car Required
No
Rental Car Cost per day*
$0
40
Total trip cost (include all cost totals)*
$3130.50
Preparees Title
Accounting Technician
Use of travel card to fill a rental vehicle gas tank prior to Its return Is
recommended.
Lvd,
https,.Ilwww.grantcountywa.gov/FormCentorlPrint?formlD=86&Preview=YES&Seive=False&savedProgressiD=8 ill
TRAINING REQUESI
STAFF NAME: Velma De La Rosa.
NAME OF TRAINING: banrJ
LOCATION: Las Vegas, NV
LOCATED IN WA STATE? ❑Yes C]✓No
DATES OF TRAINING. 3/25/24
DEPARTING DATE & TIME: 3/24/24
RETURNING DATE &TIME : 3/27/24
HOTELNEEDED? [E]Yes ONo
AIRFARE NEEDED? E Yes [DNo
FLIGHT PREFERENCESO,
through 3/27124
REGISTRATION NEEDED? [Z]Yes E]NO
WHO WILL BE .IMPACTED BY THIS TRAINING?
TRAVEL REQU EST
DATE: 0 1 /1612024
RECEIVED
JAN 1 7 2024
RENEW
TRAVEL PURPOSE:
C.on-�C r-42 rlCe,
❑EmployeeTeam 'Members ❑Other Agency Staff [All Agency Staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train yourteam, other
to encv ,. and other groups on?)
ams, agency leader� h"Ps I n rg u
Lill
n
(-j
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--E� (P
�ge �keY- 5ey/-UQ-- Ou r- C-&MMU�r C- kw-►�.-s CLncV ot�.c ��4
NOT TO BE COMPLETED BYE PLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager initials,
MANAGER APPROVAL (CIRCLE ONE): CE5) Send form to Leadership for further approval
NO, Training is denied Manager initials
ESTIMATEDCOST:
LEADERSHIP APPROVAL (CIRLCE ONE); YES )
NO I N ITALS�`Date I/I
1/2.8/22
1/18/24, 11;22 AM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Anselmo Quezada
NNNI
Departure mate*
�M�TMIIW.RI�NNMh.�w
3124/2024
MwrP.rYw�M1MrN...nv.r1-1
6.00 A�
Dept/Committee*
Crisis
Return Date*
WMf1111.1� IiMINMI�MMpM1M W MNI
312 712024
w�wrwv«I«Wwwll
IW W111N/i.Mvlw.IWY
5:00 PIUI
.Nrrnlnliw.Nlro1'rlw W IK..aur
Destination (City, County,. State)*
Las Vegas, NV
4
Motel - GSA mate*
$152
Hotel Total*
$950
Hotel - Lightly Rate*
$235
Conference Fee*
$1495
Grant County, WA
Date of Request*
NMPIMAI�V 11/18/2024
Grant*
No
Travel 'type*
Out of State Travel �
Fund/Dept*
Crisis
Purpose of Travel*
2024 Behavioral Health Management Summit
Cost Application* Rental Car Required
Conference BateNo
Daily MWE at Destination*
$09
Explanation for Rate (required If hotel east is ,greater than per diem, or government rate)*
1.
No (38A rate rooms available, only conference rate rooms available.
Air Carrier*
Delta
Cost of Flight*
$300
lei
Preparers Dame*
Anna Serrano
i
Brea pproved by EO/DH s?*
Yes Ne
Rental Car Cost per day*
$0
Total trip cost (Include all cost Totals)*
$3130.50
Preparees Title*
Accounting Technician
Use of travel card to fill a rental vehicle gas tank prior to its return is
recommended.
https.Itwvvw.grantaountywa.govlFormCenter/Print?formID-8G&Preview--YES&Save=False&savedProgresslD=8 1/1
RECEIVED
TRAINING REQUEST TRAVEL REQUEST JAN 17 2024
STAFF NAME: Anselmo QuezadaDATE: I 2��EW
NAME OFTRAINING: TRAVEL PURPOSE;
LOCATION: �Q� �I� C,,, J
LOCATED IN WA STATE? [:]Yes bn-,No
DATES OF TRAINING. through sl �-� (2`--j
DEPARTING DATE & TIME'* -
RETURNING DATE & TIME: -5 /21�-( '(�
HOTEL NEEDED? �Yes .. -ONo
AIRFARENE.EDIED? 6:�es E]No
FLIGHT 'PREFERENCES M.
REGISTRATION NEEDED? [Yes [:]No
WHO 0 WILL BE IMPACTED BY TH IS TRAINING?
�,;'Q,Employee jTeam Members ❑Other Agency StaffAll Agency Staff
WHAT WILL YOU BE ABLE TO BRING -BACK TO THE AGENCY? (What can you then train your team., other
teams, agency leadersh1p, and other.lgroupson?)
� � � r�, c i � lC � 1 C ;� �.� �C
cil
NOT TO BECOMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager initials
MANAGER APPROVAL (CIRCLE ONE)0 E , Send form to Leadership for further 'approval
NO, Training is denied Manager initials
ESTIMATED COST:
LEADERSHIP APPROVAL (CIRLCE ONE): YES NO INITAL,S '(A Date
1/28/22