LifeWays Community Mental Health Clinical Training Specialist Position in Jackson

Job Title: Clinical Training Specialist
Employment Type: Full Time
Location: Jackson, MI, US
Job Description:
General Summary:
LifeWays’ Clinical Training Specialist plans, organizes, and coordinates onboarding of new employees within the Clinical Care Division. This position plans, develops, implements, and conducts ongoing trainings across clinical programs and other partners (law enforcement, first responders, provider network, etc.) to increase skill and knowledge level within the mission, vision, and values of LifeWays.
Essential Functions:
Promotes an environment conducive to learning.
Provides onboarding and ongoing trainings in person and virtual to employees in the Clinical Care Division including but not limited to evidence-based practices, navigation of the electronic medical record (EMR – LEO), clinical documentation, and other clinical concepts.
Organizes onboarding packets for new employees in the Clinical Care Division, including training logs, onboarding schedules, competency checklists and other necessary documents,.
Assists in developing, implementing, and evaluating agency wide clinical training plan consistent with best practices. This plan will outline agency needs, requirements, and structure for the provision of clinical training and supervision, including supervised licensing hours.
Conceptualizes and creates training and development solutions such as classroom learning material, e-learning modules, job aids, and other resources as needed.
Conducts and coordinates a variety of training sessions, workshops, and seminars in alignment with LifeWays’ core values and strategic goals and with the use of various training programs, methods, instructional tools, and delivery strategies. Incorporates teaching aids and materials such as handbooks, multimedia visual aids, computer tutorials, etc. Presents courses and seminars independently and with co-workers. Coordinates training schedules and facilitate training sessions accordingly.
Prepares course feedback and evaluation tools to measure the effectiveness of courses. Periodically evaluates and reports on the outcomes of training sessions, overall effectiveness, success, and return on investment . Maintains records of trainee progress and achievements. Maintains a database of training materials as well as a reference library on training films, books, and other course materials.
Tracks clinical trainings provided to staff.
Develops and implements 90-day reviews for new employees in the Clinical Care Division.
Reviews documentation submitted by staff to ensure they comply with competency standards.
Provides clinical supervision to limited licensed staff, interns, and others as needed, assigned and within scope.
Supports implementation of evidence-based practices by participating in cohorts as appropriate.
Obtains and maintains various trainer status by completing necessary trainings and ensuring compliance with requirements to keep trainer status. Examples include but are not limited to: LOCUS, CAFAS, PECFAS, DLA20, CIT, Mental Health First Aid.
Provides ongoing monitoring of competencies through chart reviews, observation and other means to identify training needs within the Clinical Care Division.
Promotes teamwork by developing team building and learning opportunities.
Provides feedback to supervisors on staff competencies and collaborate on the development of performance improvement plans as needed.
Able to work at both Jackson and Hillsdale sites as required to ensure needs are met.
Assists in preparing for internal and external audits.
Required Education/Certification/Licensure:
Master’s degree in Human Services field with appropriate licensure with the State of Michigan.
Ability to be credentialed as a Mental Health Professional according to Michigan PIHP/CMHSP Provider Qualifications.
Must have reliable transportation
Preferred Education/Certification/Licensure:
Master’s degree in Human Services field with full licensure with the State of Michigan.
Certified Advanced Alcohol and Drug Counselor (CAADC).
CAFAS and PECFAS Train the Trainer Certification.
Certification and/or training in evidence-based practices such as Motivational Interviewing, Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (including trauma-focused), etc.
CPR, AED, and First Aid Training.
CPI Training or equivalent.

Hegira Health Currently Seeking Talented Clinicians

Therapist (Multiple)

As one of the largest providers of community-based behavioral health services in metropolitan Detroit, Hegira Health, Inc., primarily serving Western Wayne County communities, offers a broad scope of professional employment opportunities for our community’s therapists .

Our talented and diverse clinical staff provide services to infants through older adults with mild to moderate to persistent and severe emotional disorders mental illness substance use disorders and intellectual and developmental disabilities.

Hegira Health is proud to be a federally Certified Behavioral Health Clinic ( CCBHC ), a Zero Suicide , and Trauma Informed Care focused organization. We offer extensive training and are Wayne County’s primary agency delivering suicide prevention services.

We are currently seeking talented clinicians , both PT and FT, new grads and seasoned clinicians, specialists and generalists, to work and grow with our team .

Minimum Requirements :

· Master’s Degree and corresponding Michigan license

· 1-year relevant experience through employment or practicum

We offer FT salaried positions with comprehensive benefits and PT hourly rate with limited benefits. We currently utilize teleheatlh, in-office or from-home, and on-site office hours are flexible to meet individual’s professional, lifestyle, and health needs.

Services staffed by Hegira Health Masters degreed clinicians include :

· Child through older adult Mental Health Outpatient (brief treatment through long-term)

· Adolescent through older adult SubstanceUse Disorder Outpatient

· Infant Mental Health

· Home Based – children

· School Based – children

· Mobile Crisis Stabilization

· Crisis Screening – adults

· Crisis Residential – adults

· Law Enforcement Co-Response Teams

· Withdrawal Management – adults

· Short-Term Substance Use Residential – adults

· IOP – adults

Hegira Health offers staff ongoing opportunities for evidence-based practice training, including DBT, TREM, IDDT, TFCBT, PMTO and CAMS.

LOCATIONS: Livonia, Canton, Westland

Hegira Health offers:

· Salary based on experience – starting at $43,000 (for Limited License) and starting at $45,000 (for Fully Licensed)

· Advancement opportunities for leadership-minded clinicians

· A competitive benefits package that includes healthcare coverage, dental, vision, short term disability, long term disability, 403(b) retirement savings plan with company match, life insurance, wellness incentive, generous paid time off (PTO) and 10 paid holidays.

· Also, as a 501(c)(3) organization, Hegira employees are eligible to participate in the Public Service Loan Forgiveness (PSLF) Program for student loans.

PLEASE PROVIDE RESUME AND COVER LETTER WITH SALARY HISTORY AND SALARY REQUIREMENTS TO:

Sherrice Benjamin, MA, LLPC, CCTP, QIDP, QMHP, CMHP

sbenjamin@hegirahealth.org

(734) 458-4601 ext. 286

Clinical Staff Talent Coordinator

PA 96 includes no new continuing education (CE) requirements.

PA 96 includes no new continuing education (CE) requirements. What follows is MMHCA’s POSITION about the issue of CE requirements:
As we were writing HB 4325, which was signed into law as PA 96 of 2019, we used model licensure language, and added additional language to address issues that we were facing in Michigan. One of the areas of research and consideration was what we would do about a CE requirement. The research is very clear that requiring a certain number of hours of continuing education does not ensure continuing competence, which is the purpose of requiring it. The main benefactors of requiring a certain number of hours of continuing education for relicensure are those who provide continuing education. While not ensuring increased competence, requiring a certain number of hours of continuing education for relicensure often puts an undue financial burden on licensees. It is even possible to purchase certificates for continuing education online without actually participating in a program!
For all these reasons, we chose not to give in to the pressure of requiring a certain number of CEUs for counselors to maintain their licenses simply because other professions do so. Our new license is considered the gold standard for counseling licenses across the country. We did not want to tarnish it with an inappropriate and ineffective requirement.
We also looked at the issue of continuing competence, something some states have included in their law. For those states who have this requirement, continuing competence can be demonstrated in a number of ways. Continuing education is usually one of those ways, but also such activities as publications in journals, professional presentations, and participation in professional organizations are ways to demonstrate continuing competence. Again, we looked at whether this was something that should be included in our law. To include such a requirement, we would need to demonstrate that there was a need for such a requirement. Looking at the nature of complaints against counselors in Michigan over the past 20 years, it became clear that there was not a need for such a continuing competence requirement in our law at this time.
All that said, our new law does require continuing education in a way that is appropriate and makes sense. Our law clearly states that LPCs may only do those things in their scope of practice for which they are trained. What that means is that if an LPC chooses to add something new to their practice, perhaps a new technique or way of working with clients (such as EMDR or Hypnosis), they would need to get training in that technique. If they wanted to add a new assessment instrument, they would need to get training in that instrument. If they wanted to work in a new setting, such as an integrated care setting, they would need to be able to demonstrate that they had appropriate training to do that work.
It makes so much more sense to require continuing education that is relevant and appropriate rather than simply require a certain number of hours in a certain timeframe. We believe that the way we chose to do continuing education in our new law is far superior to what other professions and laws have chosen to do. MMHCA is committed to continuing to provide high-quality continuing education programs for counselors and other mental health professionals which are truly focused on helping them to grow as professionals. And while we do offer CEUs for those who need them, our true goal is to offer programs that professionals attend, not to check off a box on a form, but because these programs are truly relevant to their practice and professional growth.

MMHCA STATEMENT ON TELEHEALTH: LPCs BEWARE

MMHCA STATEMENT ON TELEHEALTH: LPCs BEWARE

It has come to our attention that many LPCs are providing counseling services through
telehealth companies. Some of these companies have indicated that they will “take
care of the intake process.” However, Michigan law (Section 333.18113 of the Michigan
Public Health Code) requires that prior to starting counseling, LPCs provide their clients
with a Professional Disclosure Statement (PDS) that provides the client with the name,
address and phone number of the counselor, the education and experience of the
counselor, a description of the counselor’s practice, the counselor’s fee schedule, and
the LARA contact information where they would file a complaint if necessary. This
statement is required to be submitted to LARA to be granted licensure as an LPC or
LLPC and any changes made to it must be submitted to LARA within 30 days of the
change.
If an LPC or LLPC does not provide this information to the client as required by the
Michigan Public Health Code, they are in violation of the law and disciplinary action
could be taken against their license. MMHCA is concerned that some LPCs might not
be aware that they still have this obligation even if they are working with a telehealth
company, and might be putting their licenses at risk.

D.A. Blodgett – St. John’s is hiring a Supervisor for Early Childhood Attachment Program

D.A. Blodgett – St. John’s is hiring a supervisor for its Early Childhood Attachment program.

$2000 signing bonus available during first year of employment.

Are you passionate about helping the youngest kids supported at DABSJ, newborns to age 5? Are you a person who is an advocate for preserving families, and encouraging healthy bonds from the start? Are you ready to lead a team in this important work that we do? Apply today or learn more by clicking here: https://bit.ly/3dap2d4

The ideal candidate will possess the following qualifications:

  • Master’s degree in Social Work, Counseling, Psychology or Marriage and Family Therapy required.
  • Level II Mi-AIMH endorsement is highly preferred with at least two years of Infant Mental Health experience.
  • Valid driver’s license, good driving record and adequate insurance with a reliable vehicle available at all times.
  • Proven oral and written communication.
  • Ability to develop, assist, and mentor clinicians through their supervision.
  • Demonstrated organizational and decision making skills.
  • No criminal record.

Segue, Inc. Has a Program Director/Team Leader – ACT Position open in Jackson

Job Title: Program Director/Team Leader -ACT 

Location: Jackson, MI

Job Summary: The Program Team Leader leads the team in providing ACT services to individuals with chronic mental illness who require intensive outpatient treatment. This individual gives clinical guidance, direction and support to their team and to the consumers of the Impact program. The Program Team Leader is responsible for the administration of the ACT Impact outpatient treatment program in accordance with policies and procedures, Medicaid and CARF standards.

Education: Master’s degree in a Behavioral Health related field is required
Certification/Licensure: Must hold and maintain licensure for social work, psychology or counseling in the State of Michigan.
Work Experience: 2 years post-degree clinical experience with adults who have serious mental illness is required.
Transportation: Must possess reliable transportation to conduct community and home visits.
Skills:

●              Knowledge of Standards of Best Practice for ACT and IDDT.

●              Knowledge of the Mental Health Code, Medicaid Standards, and CARF standards is required

●              Lives within a 45 minute radius of the local hospital to meet crisis response responsibilities

Physical and Mental Capabilities: Employees are frequently required to sit, stand, walk, and climb stairs/steps associated with a normal office environment. Manual dexterity needed for using a computer keyboard and other electronic devices. Requires talking and hearing in person and on the telephone, and vision for close work. Frequently drives a vehicle including travel to and from community settings or other programs sites.

Applying for job postings

External: Qualified candidates may be referred by active or former employees. Qualified candidates may send their resume to Segue, Inc., Attn: Human Resources, P. O. Box 6159, Jackson, MI 49204, or via email to jfrownfelder@segueinc.org.

LifeWays Community Mental Health has a position open in Hillsdale

Job Title: Evaluator
Employment Type: Full Time
Location: Hillsdale, MI, US
Job Description:
Pension. Fantastic Benefits, 1st of the month following hire. Competitive Pay. PTO after 45 days. 12 paid Holidays, Free Supervision towards professional licensure. + more.
General Summary:
The Evaluator position, working with the Supervisor, Access Services provides culturally competent and trauma informed services to all consumers seeking access to behavioral health services through LifeWays. This person utilizes established criteria and clinical skill to evaluate individuals for community mental health eligibility and service needs, to provide appropriate interventions to individuals presenting in crisis. The Evaluator incorporates LifeWays’ mission, vision and values into the decision-making process.
Essential Functions:
1. Welcomes all individuals by demonstrating empathy, and provides opportunity for the person presenting to describe their situation, problems and functioning difficulties. Exhibits excellent customer service skills and working with all individuals in a non-judgmental way.
2. Screens individuals who approach the access system to determine whether they are in crisis and, if so, assures they receive timely and appropriate attention.
3. Determines an individual’s eligibility for Medicaid specialty services and supports, MIChild, Healthy Michigan Plan, Substance Abuse Block Grant (SABG) or for those who do not have any of these benefits as a person whose presenting needs for behavioral health services makes them a priority to be served.
4. Collects information from individuals for decision-making and reporting purposes.
5. Refers individuals in a timely manner to the appropriate health practitioners for assessment, person-centered planning, and/or supports and services; or if the individual is not eligible for Prepaid Inpatient Health Plan (PIHP) or Community Mental Health Program (CMHSP) services, to community resources that may meet their needs.
6. Informs individuals about all the available mental health and substance abuse services and providers and their due process rights under Medicaid, or MIChild, Healthy Michigan Plan, SABG, and the Michigan Mental Health Code.
7. Performs all duties as assigned to ensure the LifeWays Access Department runs efficiently and effectively. Duties include but are not limited to: Triage, Open Access, Rapid Access, REMI screenings, Call Back Que, Waitlist updating, specialty screenings (M-CHAT, SCQ, etc.), testing (ADOS/ADIR), petitions, brief screens, intakes, pre-screens, crisis and safety planning.
8. Performs duties in a variety of settings to include but not limited to: the office, community locations, emergency departments, schools, consumer homes, and jails.
9. Works a non-traditional schedule which may include evenings, weekends and/or holidays.
10. Provides on-call services, as needed or assigned.
Required Education:
 Master’s degree in Social Work, Counseling, Family & Marriage Therapy or Psychology.
 Screener I: Master’s degree. Limited Licensed Masters Social Worker (LLMSW), Limited Licensed Professional Counselor (LLPC), Limited Licensed Psychologist (LLP).
 Screener II: Master’s degree. Fully Licensed Masters Social Worker (LMSW), Fully Licensed Professional Counselor (LPC), Fully Licensed Psychologist (LP).
Screener III: Master’s degree. Fully Licensed Masters Social Worker (LMSW), Fully Licensed Professional Counselor (LPC), Fully Licensed Psychologist (LP) and is a Certified Alcohol and Drug Counselor (CADC) or is a Certified Advanced Alcohol and Drug Counselor (CAADC).

LifeWays Community Mental Health in Jackson has an opening for Crisis Clinician

Job Title: Crisis Clinician
Employment Type: Full Time
Location: Jackson, MI, US
Job Description:
General Summary
The Crisis Clinician conducts unscheduled crisis intervention activities for the purpose of resolving a crisis situation requiring immediate attention. The Crisis Clinician provides culturally competent and trauma-informed services to all consumers in need of crisis intervention while incorporating LifeWays’ mission, vision and values into the decision-making process.
Essential Functions:
Team:
Receives and responds to calls from the crisis line (or other means of request), and coordinates activities of others to ensure response time within guidelines.
Serves as the team leader when responding to a situation with Crisis Specialists, Aides, or Peers.
Conducts crisis/risk assessments and determines risks and chooses appropriate intervention to address and reduce the risk.
Documents assessment of crisis, intervention and follow up.
Develops safety plans and ensures warm hand offs of consumers to appropriate providers/services.
Promotes the safety and emotional stability of individuals with mental illness or experiencing emotional crises.
Uses clinical skills to minimize further deterioration of individuals, couples, families in crisis.
Assists individuals in developing and/or enhancing better coping skills and a natural support system.
Specific:
Works with primary case holder to addend the Individual Plan of Service (IPOS) meeting and provides brief intensive individual and family counseling until ongoing services are in place.
Provides the consumer/guardian with ideas and techniques that will assist with skill building to help handle situations more appropriately. Skills include coping skills, anger management, communication, crisis de-escalation.
Consults and arranges with the psychiatrist for urgent medication management evaluations.
Assists individuals in crisis to obtain appropriate care, treatment, and follow up care.
Encourages services in the least intensive or restrictive setting that is clinically appropriate to meet the individual’s needs.
Maintains contact with all staff/providers providing services for the purpose of monitoring and care coordination.
General:
Informs the community of Crisis Team services available.
Performs all duties as assigned to ensure the Crisis Team runs efficiently and effectively.
Performs duties in a variety of settings to include but not limited to: the office, community locations, emergency departments, schools, consumer homes, and jails.
Works a non-traditional schedule which may include evenings, weekends and/or holidays.
Provides on-call services, as needed or assigned.
Maintain regular and predictable attendance.
Required Education:
Masters degree in social work, counseling, marriage and family, or psychology.
At least one years’ experience in working with children if performing duties within Intensive Crisis Stabilization Services (ICSS).
Crisis Clinician I: Master’s degree. Limited Licensed Masters Social Worker (LLMSW), Limited Licensed Professional Counselor (LLPC), Limited Licensed Psychologist (LLP).
Crisis Clinician II: Master’s degree. Fully Licensed Masters Social Worker (LMSW), Fully Licensed Professional Counselor (LPC), Fully Licensed Psychologist (LP).
Crisis Clinician III: Master’s degree. Fully Licensed Masters Social Worker (LMSW), Fully Licensed Professional Counselor (LPC), Fully Licensed Psychologist (LP) and is a Certified Alcohol and Drug Counselor (CADC) or is a Certified Advanced Alcohol and Drug Counselor (CAADC).
Note: to work with children must meet qualifications as a CMHP per the MDHHS provider guidelines.
Preferred Education:
Master’s degree in Social Work, Counseling, Family & Marriage Therapy or Psychology with licensure with the State of Michigan.
Certified Advanced Alcohol and Drug Counselor (CAADC).

A Message from AMHCA CEO, Joel E. Miller

December 21, 2020

There is no doubt that 2020 has been an extraordinary year in many ways.

And I know that many of you cannot wait for 2021 to come and put this year behind you.

At AMHCA it has been year of adaptation, flexibility, and resilience – and many accomplishments.

Each member of our staff team worked so hard to think outside of the box and find creative ways to continue to serve clinical mental health counselors (CMHCs). It has been so inspiring to watch everyone dedicate such tremendous amounts of time and energy to finding solutions to the challenges that came up due to the pandemic.

But before I talk about AMHCA and accomplishments on behalf of our members, I want to talk about your accomplishments and thank you for all your contributions to American society during a very difficult year, and your continued support of AMHCA.

Ensuring access to mental health and addiction treatment could not be more urgent or important at this time. As we reported in our meta-study in August, we revealed that symptoms of anxiety disorder were approximately three times higher and prevalence of depression about four times higher among adults during the third quarter of 2020 compared with the same time in 2019. Meanwhile, overdoses have spiked during the pandemic with more than 40 states reporting increased opioid-related deaths. Suicide rates have continued to increase, up 35 percent between 1999 and 2019 with early indications of additional increases in suicides more recently.

The Covid-19 pandemic is uniquely intertwined with behavioral health conditions. Research has found that substance use disorders constitute a risk factor for Covid-19. In addition, recent findings point to increased risk of mental health conditions (anxiety and depression, in particular) among those who contract Covid-19, as well as an increased risk of contracting Covid-19 among those with preexisting mental health conditions.

Since the onset of the pandemic, clinical mental health counselors – serving as primary mental health providers on the frontlines of our behavioral health system — have been intensely focused on implementing many new practices and protocols to address the increased demand for behavioral health care while preventing the spread of the coronavirus. Clinical mental health counselors have developed and implemented new screening measures as well as greatly expanding the use of tele-mental health to provide care.

Your dedication to your clients and resilience have not gone unnoticed as we regularly have discussions with policymakers and stakeholders throughout the health care delivery system about your efforts, who recognize your outstanding caregiving skills as primary mental health caregivers to address the needs of people with mental health conditions during this tough period.

It is honor and privilege to represent you, and thank you for all you do.

In return, I want to highlight what we have tried to do on your behalf on a number of association fronts.

As we have the opportunity to hear from AMHCA members, I am inspired by the incredible work that you continue to do during these difficult times. Through many strenuous challenges, we have learned how to connect and re-connect with each other in new and innovative ways.

However, with all that we have been able to accomplish this year, I am left with a feeling of hope. I know that together, we will continue to push forward, learn, adapt, and grow. Thank you again for what you do.

I hope this holiday season brings you much joy – and wishing you a healthy and prosperous New Year!

Warm Regards,

Joel E. Miller, CEO and Executive Director, American Mental Health Counselors Association

New DHHS Epidemic Order

New DHHS Epidemic Order

On 10/30/2020, the previous MDHHS order expires and a new one goes into effect.  The new order remains in effect until rescinded.

DHHS is not imposing a stay at home order under the epidemic order issued yesterday, but is placing restrictions on public, workplace and other gatherings.  There doesn’t appear to be anything in the latest order that explicitly prohibits an LPC from meeting in-person with a client (so long as face masks and social distancing requirements are met).  There also is nothing in the order that requires counseling services to be provided in-person.  DHHS is recommending that anyone who can work from home do so.  (Please see the attached DHHS infographic on the 10.29.20 order.)  We have highlighted relevant provisions in the current order by making them a larger font size.

    1. “Child care organizations” means that term as defined by section 1(b) of the Child Care Organizations Act, 1973 PA 116, as amended, MCL 722.111(b)) and day, residential, travel, and troop camps for children (as defined by Rule 400.11101 of the Michigan Administrative Code).
    2. “Face mask” means a tightly woven cloth or other multi-layer absorbent material that closely covers an individual’s mouth and nose.
    3. “Food service establishment” means that term as defined in section 1107(t) of the Food Law, 2000 PA 92, as amended, MCL 289.1107(t).
    4. “Employee” means that term as defined in section 2 of the Improved Workforce Opportunity Wage Act, 2018 PA 337, as amended, MCL 408.932, and also includes independent contractors.
    5. “Gathering” means any occurrence, either indoor or outdoor, where two or more persons from more than one household are present in a shared space.
    6. “Organized sports” means competitive athletic activity requiring skill or physical prowess and organized by a sports organizer.
    7. “Sports Organizer” means an institution, association, or other organization that sets and enforces rules to ensure the physical health and safety of all participants for an organized sport.
    8. “Recreational sports and exercise facilities” means a location in which individuals participate in individual or group physical activity, including, gymnasiums, fitness centers, recreation centers, exercise studios, bowling centers, roller rinks, ice rinks, and trampoline parks.
    9. “Symptoms of COVID-19” means fever, uncontrolled cough, or atypical new onset of shortness of breath or at least 2 of the following not explained by a known physical condition: loss of taste or smell, muscle aches, sore throat, severe headache, diarrhea, vomiting, or abdominal pain. Per section 1(h) of PA 238 of 2020, this definition represents the latest medical guidance, and serves as the controlling definition.
  1. General capacity limitations at gatherings.
    1. Indoor gatherings are permitted only as follows:
      1. 10 or fewer persons are gathered at a residence;
      2. 50 or fewer persons are gathered in a non-residential venue without fixed seating, and attendance is limited to 20 persons per 1,000 square feet in each occupied room;
      3. 500 or fewer persons are gathered in a non-residential venue with fixed seating, and attendance is limited to 20% of seating capacity of the venue; and
      4. At non-residential gatherings, all persons wear a face mask;
    2. Outdoor gatherings are permitted only as follows:
      1. 100 or fewer persons are gathered at a residence;
      2. At non-residential venues:
        1. 1,000 or fewer persons are gathered at a venue without fixed seating, and attendance is limited to 30 persons per 1,000 square feet, including within any distinct area within the event space;
        2. 1,000 or fewer persons are gathered at a venue with fixed seating, and attendance is limited to 30% of seating capacity of the venue; and
        3. All persons wear a face mask.
      3. The limitations to the size of gatherings in sections 2(a) and 2(b) do not apply to:
        1. Incidental, temporary gatherings of persons in a shared space, such as frequently occur in an airport, bus station, factory floor, food service establishment, shopping mall, public pool, or workplace.
        2. Voting or election-related activities at polling places;
        3. Training of law enforcement, correctional, medical, or first responder personnel, insofar as those activities cannot be conducted remotely;
        4. Organized sports gatherings held in accordance with section 5 of this order;
        5. Students in a classroom setting;
        6. Children in a daycare setting; or
        7. Persons traveling on a school bus or other public transit.
      4. As a condition of hosting a gathering, organizers and venues hosting gatherings described in sections 2(a) and 2(b) must design the gathering to encourage and maintain physical distancing, and must ensure that persons not part of the same household maintain six feet of distance from one another to the extent possible. For all non-residential gatherings, if attendees are seated at tables, no more than six persons may share a table and tables must be spaced a minimum of 6 feet apart.
    3. Gathering restrictions for particular types of facilities. In addition to the gathering limitations set forth in section 2, and as a condition of permitting gatherings within the facilities described in this section, the following capacity limitations apply:
      1. A gathering at a retail store, library, or museum must not exceed 50% of total occupancy limits established by the State Fire Marshal or a local fire marshal.
      2. A gathering at recreational sports and exercise facilities:
        1. Must not exceed 25% of the total occupancy limits established by the State Fire Marshal or a local fire marshal, and;
        2. Must have at least six feet of distance between each workout station.
      3. Gatherings in waiting rooms at outpatient health-care facilities, veterinary clinics, personal care services, and other businesses are prohibited unless the facility implements a system to ensure that persons not of the same household maintain six feet of distance. To the extent possible, this system must include a policy that patients wait in their cars for their appointments to be called.
      4. A gathering at an outdoor pool must not exceed 50% of bather capacity limits described in Rule 325.2193 of the Michigan Administrative Code.
      5. A gathering at an indoor pool must not exceed 25% of bather capacity limits described in Rule 325.2193 of the Michigan Administrative Code.
      6. A gathering at non-tribal casinos must not exceed 15% of total occupancy limits established by the State Fire Marshal or a local fire marshal.
    4. Food service establishment gathering restrictions.
      1. In addition to the gathering limits set forth in section 2, gatherings in food service establishments are prohibited as follows:
        1. In indoor common areas in which people can congregate, dance, or otherwise mingle;
        2. If there is less than six feet of distance between each party;
        3. If the number of persons at a table exceeds 6;
        4. If the number of patrons in the restaurant exceeds 50% of normal seating capacity;
        5. Anywhere alcoholic beverages are sold for consumption onsite, unless parties are seated and separated from one another by at least six feet, and do not intermingle; and
        6. If they involve any persons not seated at a table or at the bar top (customers must wait outside the food service establishment if table or bar top seating is unavailable).
      2. In the event that an employee of a food service establishment is confirmed positive for COVID-19 or shows symptoms of COVID-19 while at work, a gathering at that food service establishment is prohibited until the food service establishment has been deep cleaned consistent with Food and Drug Administration and CDC guidance.
    5. Organized sports gathering restrictions. Gatherings for the purpose of organized sports are prohibited unless the gathering meets all the following conditions:
      1. Athletes wear a face mask (except when swimming), or consistently maintain six feet of physical distance (except for occasional and fleeting moments) when training for, practicing for, or competing in an organized sport. Any sport in which the participants are not able to consistently maintain six feet of distance, (including, for example, football, soccer, basketball, or volleyball) must wear a face mask. Athletes may also fulfill the face mask requirement through compliance with the MDHHS guidance on Additional Measures for Safer Athletic Practice and Play.
      2. Sports organizers ensure that athletes comply with this section for each organized sporting event; and
      3. Sports organizers and venues ensure either that the live audience for organized sport competitions is limited to the guests of the athletes (requiring face masks as specified in this order), with each athlete designating up to two guests, or that the event complies with gathering requirements in section 2 of this order.
    6. Face mask requirement at gatherings.
      1. Except as permitted in section 7, all persons participating in non-residential gatherings are required to wear a face mask. Persons participating in residential gatherings are strongly encouraged to wear a face mask.
      2. Public transit systems, including buses and cars for hire, must require use of face masks, and must enforce physical distancing among all patrons to the extent feasible.
      3. Except as provided elsewhere in this order, a person responsible for a business, store, office, government office, school, organized event, or other operation, or an agent of such person, must prohibit gatherings of any kind unless the person requires individuals in such gatherings (including employees) to wear a face mask, and denies entry or service to all persons refusing to wear face masks while gathered.
      4. A person responsible for a business, store, office, government office, school, organized event, or other operation, or an agent of such person, may not assume that someone who enters the facility without a face mask falls within one of the exceptions specified in section 7 of this order, including the exception for individuals who cannot medically tolerate a face mask. An individual’s verbal representation that they are not wearing a face mask because they fall within a specified exception, however, may be accepted.
      5. A person responsible for a child-care organization or camp, or an agent of such person, must not allow gatherings unless face masks are worn by all staff. Children must wear face masks as indicated below:
        1. All children 2 years and older when on a school bus or other transportation provided by the child-care organization or camp;
        2. All children 4 years and older when in indoor hallways and common areas;
        3. All children 5 years and older when in classrooms, homes, cabins, or similar indoor settings.
      6. Exceptions to face mask requirements.Although a face mask is strongly encouraged even for individuals not required to wear one (except for children under the age of 2), the requirement to wear a face mask in this order does not apply to individuals who:
        1. Are younger than 5 years old, outside of child-care organization setting (which are subject to requirements set out in section 6(e);
        2. Cannot medically tolerate a face mask;
        3. Are eating or drinking while seated at a food service establishment;
        4. Are exercising outdoors and able to consistently maintain six feet of distance from others;
        5. Are swimming;
        6. Are receiving a service for which removal of the face mask is necessary;
        7. Are asked to temporarily remove a face mask for identification purposes;
        8. Are communicating with someone who is deaf, deafblind, or hard of hearing and whose ability to see the mouth is essential to communication;
        9. Are actively engaged in a public safety role, including but not limited to law enforcement, firefighters, or emergency medical personnel, and where wearing a face mask would seriously interfere in the performance of their public safety responsibilities;
        10. Are at a polling place for purposes of voting in an election;
        11. Are engaging in a religious service; or
        12. Are giving a speech for broadcast or to an audience, provided that the audience is at least six feet away from the speaker.
      7. Contact tracing requirements for particular gatherings.
        1. Gatherings are prohibited at the following facilities unless the facility maintains accurate records, including date and time of entry, names of patrons, and contact information, to aid with contact tracing, and denies entry for a gathering to any visitor who does not provide, at a minimum, their name and phone number:
          1. All businesses or operations that provide barbering, cosmetology services, body art services (including tattooing and body piercing), tanning services, massage services, or similar personal care services;
          2. Recreational sports and exercise facilities, and entertainment facilities (except for outdoor, non-ticketed events), including arenas, cinemas, concert halls, performance venues, sporting venues, stadiums and theaters, as well as places of public amusement, such as amusement parks, arcades, and bingo halls;
        2. All businesses or operations that provide in-home services, including cleaners, repair persons, painters, and the like must not permit their employees to gather with clients unless the business maintains accurate appointment records, including date and time of service, name of client, and contact information, to aid with contact tracing.
        3. All dine-in food service establishments must maintain accurate records of the names and phone numbers of patrons who purchase food for consumption on the premises, and the date and time of entry.
        4. Upon request, businesses, schools, and other facilities must provide names and phone numbers of individuals with possible COVID-19 exposure to MDHHS and local health departments to aid in contact tracing and case investigation efforts.
        1. Nothing in this order modifies, limits, or abridges protections provided by state or federal law for a person with a disability.
        2. Under MCL 333.2235(1), local health departments are authorized to carry out and enforce the terms of this order.
        3. Law enforcement officers, as defined in the Michigan Commission on Law Enforcement Standards Act, 1965 Public Act 203, MCL 28.602(f), are deemed to be “department representatives” for purposes of enforcing this order, and are specifically authorized to investigate potential violations of this order. They may coordinate as necessary with the appropriate regulatory entity and enforce this order within their jurisdiction.
        4. Neither a place of religious worship nor its owner is subject to penalty under this order for allowing religious worship at such place. No individual is subject to penalty under this order for engaging in religious worship at a place of religious worship.
        5. Consistent with MCL 333.2261, violation of this order is a misdemeanor punishable by imprisonment for not more than 6 months, or a fine of not more than $200.00, or both.
        6. The October 9, 2020 order entitled Gathering Prohibition and Mask Order is rescinded. Nothing in this order affects any prosecution or civil citation based on conduct that occurred before the effective date of this order.
        7. Consistent with any rule or emergency rule promulgated and adopted in a schedule of monetary civil penalties under MCL 333.2262(1) and applicable to this order, violations of this order are also punishable by a civil fine of up to $1,000 for each violation or day that a violation continues.
        8. If any provision of this order is found invalid by a court of competent jurisdiction, whether in whole or in part, such decision will not affect the validity of the remaining part of this order.

This order is effective immediately, except for section 8(c), which takes effect on November 2, 2020. This order remains in effect until rescinded. Persons with suggestions and concerns are invited to submit their comments via email to COVID19@michigan.gov.