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HomeMy WebLinkAboutResolution 10-080-CCBOARD OF COUNTY COMMISSIONERS Grant County, Washington RESOLUTION No. 10- 6 0 V -CC WHEREAS, Jill Lybbert qualifies as a Designated Mental Health Professional as defined in WAC 388-865-0150 and RCW 71.05 and is employed by Grant County and specifically Grant Mental Healthcare. NOW, THEREFORE, BE IT HEREBY RESOLVED by the Board of Grant County Commissioners that the above named employee be designated to provide the services of a County Designated Mental Health Professional as defined above effective October 30, 2010. DATED this day of k) , 2010. Page 1 of 1 BOARD OF COUNTY COMMISSIONERS Yea Nay Abstain GRANT COUNTY, WASHINGTON M' ❑ ❑ I JA Oka Cindy C , Chair ATTEST:0/ .L�i ❑ ❑ Richard Stevens, Member Clerk of th ar R' ❑ ❑ CaTnlann Swartz, Member Page 1 of 1 "To promote healthy communities through the provision of quality mental October 7, 2010 To: Grant County Commissioners From: Susan Wolf, HR Specialist Grant Mental Healthcare Re: Designating Jill Lybbert Dear Commissioners: Board of County Commissioners Grant County, Washington Approve Disapprove Dist. 01 Dist. #1 Dist. #2 Dist. #2 Dist. #3 Dist. #3 Grant Mental Healthcare has filled an open Crisis Response Specialist position in our Crisis Department with Jill Lybbert. We need to have Jill designated to provide the services of a County Designated Mental Health Professional as defined in WAC 388-865- 0150 and RCW 71.05. As you can see from the enclosed transcripts, resume and application, Jill qualifies as a Mental Health Professional by having her Master's degree in Counseling and by having the two years experience needed. We wish to have Jill Lybbert's designation effective October 30, 2010. If there are other documents that you need provided to you, or if I can be of any other assistance, please let me know. Respectfully,, s&M b Susan Wolf HR Specialist Grant Mental Healthcare PO Box 1057 840 E. Plum St. Moses Lake, WA 98837 Phn:509-765-9239 Fax: 509-765-1582 Po Box 25 203 Central Ave S Quincy, WA 98848 Phn.509-787-4466 Fax: 509-787-1031 ifthcare S83NOISSIWW00 A1Nnoo.1 NV85 010Z V T 130 a3A1303a PO Box 565 322 Fortuyn Rd. Grand Coulee, WA 99133 Phn:509-633-1471 Fax: 509-633-2148 Washington State Department of Health By the authority of RCW 18.225 this person Jill Colleen Lybbert is granted a Mental He�alt�i diunsElor Associate License Status Credential Number ACTIVE MC Effective Date Initial Issuance Expirationtion Date Secretary 06/11/2010 06/11/2010 06/11/2011 Personal Copy of Your Credential Washington State Department of Health By the authority of RCW 18.225 this person Jill Colleen Lybbert is granted a Mental Health Counselor Associate License Status — - :Credential Number ACTIVE MC 60163351 A--1,-,A4-4,r,Expiration Date Secretary 06/11/2011 Printer Friendly Version Page 1 of 1 http://www.nbcc. org/directory/Pri ntC redentials. aspx?CertificantID=25 3181 9/27/2010 iN A r i O N A ; - B O roe. R_ FOR R ;�� ���` Print CERTIFIED C u" N N S L O ft j Close Window Jill Southam Moses Lake Washington - 98837 United States Certification Certification Date Expiration Date NCC 09/2912009 02/28/2015 Print I Close Window http://www.nbcc. org/directory/Pri ntC redentials. aspx?CertificantID=25 3181 9/27/2010 Name: Jill Colleen Southam Student ID: 1200234313 Jill Southam 9035 Goodrich Rd. Moses Lake WA 98837 USA Print Dale: W18f2009 External Degrees - Brigham Young University Provo Bachelor of Ads 06AH12003 Degrees Awarded Degree: Master of Counseling Confer Date: 05/14`2009 Degree GPA: 3.830 Plan: Counseling NUR 579 Mary Lou Fuson College of Education W Beginning of graduate Record A 2007 Fath Course Description Attempted Earned CED 522 Theories of 3.000 3.000 A COUrna ng/Psychoth CED 527 Community Counseling 3.000 3.000 CED 545 Analysis of the 3.000 3.000 ABamglad 15.000 Individual CED Sin Counseling 3.000 3.000 48.000 Prepracticum COE 501 Intro to French If Eval In 3.000 3.000 Educ Arizona State University Official Transcript Cum GPA: Course CED 523 CED 684 EDP 502 EDP 598 Course Topic: NUR 578 Term GPA: Cum GPA: Grade psmta Course A 12.000 CED 672 A 12.000 Internship A 12.000 CED 664 Introduction to Data 3.000 Cl 677 A 12.000 NUR 579 0.000 W SWG 697 A 12.000 A Lifespan Human Development 3.000 Course Topic: Page '1;of 1 USMLSS 3.85 Cum Totals 33.000 33.008 ' 104.001 2009 Fan Description Attempted Earned 50�Q Psychological Tests 3.000 3.000 A - Internship 3.000 3.000 Y Introduction to Data 3.000 3.000 B Analysis 3.000 0.000 W Special Topics 3.000 3.000 A Lifespan Human Development 3.000 3.000 A Gestalt Therapy l 3.000 3.000 A 3.67 Term Totals ABamglad 15.000 Earn 15.000 CEO 534 3.79 Cum Totals 48.000 48.000 A- 2009 Spring Description Attempted Earnvd Grade Marriage and Family 3000 3.000 A Counseling 15.000 15. WO Internship 3.000 3.000 Y Advanced Counseling 3.000 0.000 W Gestalt Therapy 11 3.000 3.000 A ST in WorNing w/Diveres 3.000 3.000 A Groups SpninualdyBHelping Proteases Term GPA: 4.00 Term Totals Attempted 15.000 Earn 15.000 Po me 60.W0 Earned Term GPA: 4.00 Term Teals 12A00 12.000 Cum GPA: 4,00 Cum Totals 15.000 15. WO 60.000 Cum GPA: 3.83 Cum Totals 60.000 60.W0 2008 Spring ENDOFTRANSCRIPT Come e Description Attempted Ea[D4d Grade Points CEO 534 Occupations and 3.000 3.000 A- 11.001 Careers CED 667. Group Dynamics and 3.0]0 3.000 A 12.000 Counseling CED 680 Praclicum 3.000 3.000 Y 0.000 Course Topic: Seminar CED 68D Practicum 3.003 3.000 Y 0.000 Course Topic Clinic CPY 646 Professional Issues and 3.000 3.000 B 9.000 Ethics Attempts Earned Points Term GPA: 3.56 Term Totals 15.000 15.000 32DOH Cu. GPA: 3.83 Cum Totals 30.000 30.000 92.001 2008 Summer Course Descrliften Attempted Earned Grade Points CPY 691 Seminar 3.000 3.000 A 12.020 Course Tople: Counseling Survivors of Abuse Altemon, Earned Points Term GPA: 4.00 Term Totals 3.000 3.200 12.000 This officially sealed and signed transcript is printed on maroon security paper. A raised seal is not required. When photocopied, the words "Arizona State University' and `cops should appear and the Signature & Seat distoi¢ or disappear. THIRD PARTY RESTRICTIONS: Federal law prohibits the release of information from this document to a third PartY without rho student's written consent See transcript guide for details Louise A. Denny, University Registrar Points 11.001 0 000 9.000 12.000 12.000 Points 44,001 148,002 Points 12.000 0.000 0.000 12.000 12 000 Palms W'" 184. 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I 1 N mb'S' C �Tt 1 I m 1 I Y OJT 1 I O 1 I p 09 1 I 0 1 n� 1 I yJ_ 1 nm� I 1 NNPAA 'WI OJm 1 1 flm 00000 m 0 0 Y Y Y Y Y In N GRANT COUNTY 35 "C" Street NW; PO Box 37; Ephrata, WA 98823 509.754.2011 www.co.grant.wa.us APPLICATION FOR EMPLOYMENT Instruction for completing the application: Please complete all sections. Completion of supplemental forms may also be required. Please review the job announcement and note the closing date. Applying For: Subject/ Last Year Date i ai U 1 D Title of Position t� Major u I S t Graduated Degree Referral Source .Website: ❑ Newspaper Grant County Other site ❑ Employee/Friend ❑Other Personal Name (last) (first) (middle initial) C'rorx)�'-CVi P- a. (7Y0) 70-1- 3cl)b City State Zip Code Message Telephone YYIo5eS Lake, IA-Vl `0337 (7116) Z 3112,, If you are under the age of 18, can you provide required proof of eligibility to work? (civil service positions you must be 21 years of age) B'Yes ❑ No Have you ever worked under another name? D—Yes ❑ No If yes, list previous name(s): 7 1 l S n a a he w Have you ever worked for Grant County before? ❑ Yes ©—No If yes, where? Approximate Date Mo[Yr Do you have any relatives currently employed with Grant County? ❑ Yes M -No If ves, name of relative(s): Are you currently employed? ©—Yes ❑ No If so. may we contact vour Dresent emolover? B --Yes ❑ No On what date would you be available to begin work? bep�cr ds o„ a. rra.,t PSH 0,y. i'c 0��.".s r..b'4 �)l 5r(fI/z Are you legally qualified to work in the United States? D—Yes ❑ No ' (Proof of eligibility will be required upon employment) Can you perform the essential functions of the position for which you have applied? D --Yes ❑ No (If you have questions as to what functions are applicable to the position for which you are applying, please ask the interviewer before answering this question). Have you been convicted of a misdemeanor or felony within the last 7 years? ❑ Yes P --No (A conviction record will not necessarily bar you from employment) If yes, explain: Education: Have you graduated high school or received a certified equivalent such as a GED at the time of this application? D -Ye -s ❑ No Type of Subject/ Last Year School Name and address of school Major Attended Graduated Degree �( cr�aM %". '.j �InIy 5p,% 5h D College c T- 1 2 3 ❑ No Graduate 1.Ife vn,vars;f.7 P.unsx�-�� n1 asJ-er - School iezo t4 -2 1 2j 3 4 Llys 1:1 No o ns i•n• Business, v t ar �, V 7 Ha y Sf , !o lye 5 �0.,, 5 Trade, other o rp n Truce -Y, 1) 2 3 4 f El No to c,; , 6. J I Additional Education, Experience or Quautications List any other education, training, seminars, certificates, licenses, experience, honors received or other qualifications, which you believe should be considered in evaluating your qualifications for employment. Please indicate any military service you would like considered. '(Y1.ey)�nl �-IPa}-i-� fiC'dihiv<ct S cinyc�f�e1-.� o f }op r s nrluC/'nit , r i�u Yrs.v S�.-c_trum � Uve(-lRdulcl > I Ch ldfavtnvtdu c f A c rd-0r� CCI,a Y`+ 3 1-I )Ll� Civil service and Public works positions: WA State Drivers License No. and any endorsements: Professional O rci a n izatio n s List any professional, trade, business or civic organizations that deal with the position for which you are applying. (Exclude memberships which reveal sex, race, religion, national origin, age, disability or other protected status). 1Y)h AIn o,nn� C er+t L?cd C'ouoGelcir t Prim Pct Ifo rler Cfar; kbor sa vers i owls Fr r T a l l o n 61 w h e v, S lake -s o r,- P, State any additional information you feel may be helpful in considering your application. lib'PGl of rt r ah rl F SPact)< N4 S �2n0 sV1 (UeyJ- 1v , 5: P, LA S"4 n C� F P,1 0 rf C-' to av\d on /Ic;d;n FPctcl,.hch ! �urro,�ly S Pr_ S Pah,5h cti' cntn r ni't?CWer'J If ft level if,N-PN _ ,alk n4 4 Y+'tC Ye O(-+eyl �10 LLQ-eue( ✓N V Sk {1 t su , IIL )nn O >VP References List three professionallbusiness references that are not related to you. If not applicable, list three school or personal references not related to you. NameITttle p��, alloiFY . Ed. Address jpy S. p; �,y Telephone Years known Ia, lm Hx,lg mans L�,K�,wt4 98537 (SCF/j 760- ;st -,�,I `IZ`-/ S p,Ut5lu;n rno5,'Stdkr u Y1 4Y337 ,4 /P PYI PIZZ NamelTit a �-lar�", Ph,A. Address l qy 5 5. D .bson � �. sr` �1�9 Tele hone p Years known S0.tY[Vt Ps, rho << ,Sfi r)')eS'tr 0Z (y-zo6-a-7-17 S.,,r•i X06 NamelTitle L, J Address Telephone Years known r, ( y �/�S•r5�o7t,s 5.r c< on, 5 o�-V.sor cF ;iia = Employment History Provide the following information for your current and past employers, assignments or volunteer activities, starting with the most recent (use additional pages if necessary). Employer Telephone Dates Employed Summarize the type of work performed and the 1 3�s.i (0c.rwsei; 5o,7 - 7io i-7-, job responsibilities. Address From To `IZ`-/ S p,Ut5lu;n rno5,'Stdkr u Y1 4Y337 ,4 /P PYI PIZZ Job Title Rate of Pay jr1FP1+'11 Coom5el/ �'— -} Immediate Supervisor[Title Starting �e-k ol{- ry1 G $ -164"c,ai,h d/v 4 111„1)i !1, Y1, f rn.,vII rl l �ssc+. s 5' 74f yHU-c _ A61 _co zS e . l l Reason for leaving Ending t?Noc+ k1 it Employer i Telephone Dates E.mplays Summarize the type of work performed and the job responsibilities Addr ss From To CCUhSeI i h %hc1;Uc7vg7S,gy�c�7 Coe ��r � �:� Z ,, �l 'M(�y Job Title Rate of Pay j, a p5 bo+�i : vt PA 4, a -, f and Coc vosei rc -� e uare- Immediate Sup rvisorlTitle 0If, e Fee.1 T h r t IL;rPNs,zo S,,e _ ;r. Starting $ J)'7 �l�dll� 11 nil_eNfs So,rl de Reason for leaving Ending hrOUPN};o✓ r .. := r,a "J .,.# $ w "r rah, [u/✓IY�e' Employer Telephone Dates Employed Summarize the type of work performed and the job responsibilities c/ Address From To "dew e Z 0�? m<..e. e c e;�ee� rlo� S�-" :r�•:a.a-.1 Job Title Rate of Pay VIS�Iac� I"•' ��� ;0 i C c„ din CO -L..df ;vt (U,d Immediate Supervisor/Tltle Starting 1 Sncctn 1,�uri $ hCl i U;CIUQI$ jn tR Ar. PYA Reason for leaving Ending Pc;,c+rt , Ae A of yY)et �cll h,-,(Mh wneerhs Employer Telephone Dates Employed Summarize the type of work performed and the 5-i,F�-UIU/�"�" ultinav( f QIC +nv job responsibilities Address From To Ph b eyv; 2 - 5 "' o 11L(r4-e,4 v h�'Y �,:��>^ (; Sk Eat ,j;eJ Job Title Rat e of Pay r �d o r e e het n res c f d wr sC- y V6kw,� ,v _'�1 .. r. k�tYl.'C d I! Immedi BSu a ISOr1TIt18 Starting q J ,, v f4J dY1 c�(P( '/fcvls 1„rc( uzl�Pi" $ Reason for leaving Ending 7e,6 I4eV,J f�,, 051 $ 01 Additional information regarding your work history; I certify that all answers given by me are true, accurate and complete, I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation. This application does not constitute and agreement or contract for employment for any specified period or definite duration. I acknowledge that I have read and understand the above statements and herebygrant permission to confirm the information supplied on this application by me. Applicant Signature 3`, f C Dateuo 71Ui U % Revised 06/2007 It is Grant County's policy to provide equal employment opportunityto all qualified persons and that applicants and employees be treated fairly at all times without regard to race, color, sex, creed, religion, age, marital status, sexual orientation, national origin, political ideology, union activity, industrial injury, whistleblower activities, the presence of any sensory, mental or physical handicap, veteran status, and any other basis that is prohibited by local, state or federal laws. Those applicants requiring reasonable accommodation to the application andlor interview process should notify the Human Resources Department. Jill Lybbert, M.C. Lybbert.iill(r.amail.corn • 740-704-3916.9035 Goodrich Rd. Moses Lake, WA 98837 Summary of Qualifications: Bilingual (Intermediate level Spanish) National Certified Counselor having worked in both inpatient and outpatient settings. Received supervision, training and case staffings for counseling work with groups and individuals. Counseling clientele include those in crises, those with severe personality or mood disorders, relationship concerns, general mental health illnesses, trauma and the DCFS population. Have participated on multidisciplinary teams as both a counselor and family support specialist. Provided in-home services to high risk Spanish speaking families, to prevent abuse and decrease high risk lifestyles. Variety of academic, social service, multicultural and leadership roles including long term international volunteer/ work in Ecuador and Taiwan. Research assistant for Mexican American study. Education: Master of Counseling • Arizona State University • Tempe, AZ 2009 Secondary Education License, Spanish Endorsement • Utah Valley State College • Orem, UT 2005 Bachelor of Arts: Spanish Major, English Minor • Brigham Young University • Provo, UT 2003 Credentials: Mental Health Counselor Associate • Washington State Department of Health National Certified Counselor • National Board for Certified Counselors Certified Trainer • Crucial Conversations: Tools for Talking When Stakes Are High Bilingual • Spanish: Intermediate level Mental Health Counseling: Private Practice Counselor • Basin Counseling • Moses Lake, WA 2009 -present • Counsel diverse clientele on various topics including trauma, grief, depression, relationship conflict, self esteem • Serve several state dependent children, collaborating with CPS case workers and other service providers • Participation in CPS multidisciplinary family team meetings with detectives, case workers, guardian ad litems, attorneys, and state dependents' foster and biological families, giving recommendations for child placement • Attend trainings and receive weekly supervision by licensed mental health counselor Counseling Intern - Superstition Mountain Mental Health Center • Apache Junction, AZ 2008.2009 • Clientele included both inpatient and outpatient adults with severe mental illnesses • Organized women's therapy group addressing bipolar, depression, anxiety, schizophrenia and trauma • Facilitated community outreach to nursing home, mutually benefitting therapy group as well as residents • Very positive feedback regarding clients' success and comfort in individual and group therapy Counselor in Training (Graduate Practicum) • ASU Counselor Training Center • Tempe, AZ 2008 • Given positive supervisor feedback on ability to understand and conceptualize clients • Regularly implemented supervisor feedback, strived to constantly hone skills Social Services: Graduate Research Assistant • Juntos (Mexican American Longitudinal Study) • Tempe, AZ 2008 • Conducted bilingual, in depth interviews with Mexican American youth on personal topics in their homes • Explained research procedures, agreements, participant rights and confidentiality Family Support Specialist • Southwest Human Development - Chandler, AZ 2005-2007 • Taught bonding, attachment and parenting to high risk parents of young children through in-home visits • Assisted families in finding appropriate community resources for mental, physical and emotional needs • Received over 150 hours of mental health, child development and social service training Recreation Aide for Disabled • Mesa Vista (Residential Facility) • Provo, UT 2003 • Followed treatment plans to help disabled residents develop skills, independence and societal integration • Established rapport with residents, planned and carried out recreational activities, documented progress Volunteer - Crisis Line - Orem, UT 1999 0 Validated callers' emotional needs and provided support in moments of crisis Jill Lybbert, M.C. Lybbert.iill@gmail.com • 740-704-3916.9035 Goodrich Rd. Moses Lake, WA 98837 International Leadership: English Teacher Trainer • International Language Programs - Provo, UT 2004 • Wrote curriculum that 200 teachers now use to teach to 1,500 students per year, in 20 language schools throughout Taiwan, China, Russia and Ukraine • Prepared and conducted training prior to English teachers' assignments in Europe and Asia English Teacher • Maryland Language School • Changhua, Taiwan 2003 • Taught English to Chinese -speaking students through English immersion program Trainer • Missionary Training Center • Provo, UT 2001.2002 • Taught Spanish to full time volunteers prior to their long term commitments in Spanish-speaking countries • Trained individuals on leadership, communication and cultural sensitivity 18 -Month Full Time Volunteer • Ecuador • South America 2000.2001 • Strengthened Ecuadorian individuals, families and communities through teaching and service