Clinician, Early Psychosis Intervention

Detailed Overview: Reporting to the Clinical Coordinator, the EPI Clinician works as a Therapist and Case Manager in a multi-disciplinary team to provide clinical services to clients in the Early Psychosis Intervention (EPI) Program, including assessment, planning, treatment, consultation and follow-up, utilizing the Provincial EPI Standards and Guidelines and the Early Psychosis Carepath. Provides assertive outreach as required. Works in partnership with clients and caregivers, as well as facility managers and staff of relevant community agencies. Participates in planning, program development, policy recommendations, and research and evaluation. Provides community mental health education. Responsibilities:

- Functions as a primary therapist and case manager, providing diagnostic client assessment and short and long-term individual, group, and family therapy, using a variety of interviewing, counselling, and assessment methods, in accordance with professional standards, clinical policies and evidence-based best practices for early psychosis. Manages cases and formulates treatment plans and goals in conjunction with appropriate staff, including joint care plans with facility Directors of Care, assigned agency staff, and other services. Uses crisis intervention and assertive outreach as required.
- Facilitates clients'' utilization of appropriate community services and rehabilitative programs by performing duties such as researching available services, liaising with these agencies, providing related advice and consultation to clients and providing referrals to appropriate community treatment alternatives and services. Utilizes available community resources to develop supportive and rehabilitative programs for adults and their families. Makes arrangements for clients to be admitted to hospital when required, including on an involuntary basis. Makes phone calls to appropriate parties and necessary transportation arrangements.
- Provides client care linkages between community Mental Health Services and acute care facilities, including liaising with acute care hospitals and the Forensic Psychiatric Institute to ensure appropriate referrals of clients to the Residential Care Program, and to facilitate assessment and care planning for client discharge from hospital. Liaises with Forensic Community Outpatient Clinic. Exchanges relevant client information and receives information about the status and background of clients who will be discharged or referred, in order to make necessary preparations for provision of a smooth continuum of care between acute care and community mental health services.
- Assesses clients for placement to and discharge from residential facilities, including specialized residential care licensed facilities, family care homes, congregate care homes and semi-independent living units, by determining eligibility, and type and level of care required. Makes arrangements for client placement and care in residential facilities by liaising with facility operators, placing client names on wait lists, assisting clients to make moving arrangements, and completing necessary referrals and forms. Follows up with clients by visiting them at their accommodation and assessing the appropriateness of the facility and the level of care. Adjusts placements as required.
- Provides support and direction to clients requiring enhanced case management by assessing their social adjustment and ability to perform routine life activities, including managing money and taking medication regularly. Provides follow-up care and services as required, including providing referrals to service providers within the EPI Program and other healthcare professionals, such as Recreational Therapists, Occupational Therapists, and Psychiatrists. Updates the Clinical Coordinator on the status of client treatment and progress, as well as significant and unusual issues, developments, and circumstances.
- Maintains client records and statistics, prepares reports, and completes forms as required, in accordance with regional policies and standards, including clinical record standards of Mental Health Services. Obtains consent forms for release of client information.
- Advocates on behalf of clients, by performing duties such as providing clients with information about appeal processes, providing information about clients to relevant Ministries, and assisting clients to complete forms. Acts as a resource for clients and their families.
- Provides education to clients, their families, and staff of residential facilities and other agencies, regarding early psychosis and community mental health programs and issues.
- Participates in quality improvement and risk management activities for assigned area by performing duties such as participating in quality initiatives, providing feedback to the Coordinator about needs and gaps in programs and services, and suggesting solutions and initiatives to assist in the development and maintenance of a coordinate