# Addressing Workforce Challenges with an Apprenticeship-Based Training Program for Paraprofessionals in Behavioral Health: Conceptual Framework and Effectiveness

## TL;DR

A new apprenticeship-based training program for behavioral health paraprofessionals improves their skills, confidence, and career intentions.

## Contribution

A novel two-level training program combining online courses and a supervised apprenticeship for behavioral health paraprofessionals is introduced and evaluated.

## Key findings

- 87% of participants rated the program as highly satisfactory after completing Level II.
- Significant improvements in knowledge, confidence, and competence were observed across all domains.
- 69% of participants reported increased interest in continuing their behavioral health career and education.

## Abstract

There is a need to enhance the behavioral health (BH) workforce. Paraprofessionals and peers are often on the “front lines” working with families affected by substance misuse. While they possess valuable lived experience, they often lack the requisite education to be most effective, resulting in high burnout and turnover. This study describes a novel training program for paraprofessionals working in family BH that included three online, 8-week courses (Level I) and a 12-month supervised apprenticeship (Level II). This study measured program satisfaction and effectiveness (knowledge, confidence, and perceived competence) and explored effects on career intention. A sample of paraprofessionals in the BH workforce provided data at baseline, after Level I, and after Level II. After Level II, 87% of participants rated their satisfaction with the program as high. Statistically significant improvements were found for knowledge, confidence, and competence across all domains. Almost all participants reported increased confidence after each level (93% and 94%, respectively). The majority (69%) reported increased interest in continuing their BH career and education. Overall, results suggest that the program was well-received by participants and was associated with improvements. Results provide preliminary support for apprenticeship-based training to enhance the BH workforce and address workforce challenges.