Community Outreach Coordinator

2 days ago

Oakville, Canada Support House Full time

Support House is directed by our core values. They guide our agency’s decisions and actions, unite our staff, define our brand, and inspire our culture. We put people first - our supports are person directed. We connect and engage and start conversations to build and maintain relationships. We focus on health and wellness practices to inspire our culture.

In keeping with our commitment to the community we serve:

- We take a team-based approach to client support.
- Our support is primarily delivered within the community and on a flexible schedule dependent on our clients’ needs.
- The duration of transitional case management services will be up to three months and will be 1-3 visits per week.
- The duration of long-term case management services will be three months or longer and will be 2-7 visits per month.
- Our staff to client ratio is 1:25 which includes a mix of high, medium and low intensity client needs.

**The main purpose of this position**

As the Community Outreach Coordinator, you are responsible for providing community based outreach and support through; assessments, ongoing monitoring and evaluation of your client’s progress using a supportive and collaborative approach. You will use the circle of care to coordinate services in areas such as assistance with daily living (housing), crisis intervention and treatment (i.e., supportive counseling and support), health promotion and prevention.

**Responsibilities**
- Assessment and planning_
- Perform comprehensive intake assessment/s to explore client needs.
- Provide in-depth assessments, collaboratively create individualized care plan considering housing, food, resources, employment, education, etc.
- Within each client care plan:

- identify strengths, skills and areas for development
- incorporate goals and values
- identify resources and service requirements
- Recognize client needs and facilitate connections to appropriate services, supports and partner resources within the community.
- Provide interventions such as engagement, crisis intervention, intensive/short-term support and linkage to appropriate levels of service.
- Monitoring, evaluation and follow-up_
- Provide person directed support to clients, ensure the client conversations are intentional, valuable and meet client needs.
- Regularly perform client check-ins to monitor plans and ensure services are supportive, appropriate and meeting client satisfaction and goals.
- Work in partnership with other agencies and incorporate circle of care.
- Administration_
- Maintain client records and files electronically in EMHware, OCAN.
- Occasional documentation including incident reports and Health and Safety reporting.
- Ensure that summaries are updated within records to ensure that monitoring plans are accurate and up to date.
- Develop a timely transition plan which includes criteria for follow-up, rapid re-instatement to service, and linkage to other community services and supports. Incorporate circle of care in transition planning.
- Health and wellness support_
- Provides symptom management and monitoring as related to physical health status.
- Provides supports associated with medications and treatment plan compliance/adherence.
- Health and wellness support can be delivered individually or in group settings and in collaboration with circle of care.
- Information, liaison, advocacy, consultation and collaboration_
- Provides information to individuals, key supports and service providers regarding access to and type of services and supports available.
- This function facilitates access to a range of services, including ones in other sectors, and works collaboratively with these to facilitate the provision of resources to clients.

**Knowledge and skills necessary to be successful in this role**
- Post-secondary education in the social services field coupled with relevant experience in community-based mental health services and/or case management.
- Registered with the Ontario College of Social Workers and Social Service Workers is an asset.
- Empathy and commitment to individuals experiencing mental health and addiction concerns.
- Trauma-Informed training and experience.
- Non-violent crisis/suicide intervention skills.
- Understands harm reduction framework and demonstrated ability to support complex client needs around this.
- Risk assessment skills and relevant experience is an asset.
- Experience with the GAINS assessment is an asset.
- Demonstrated group facilitation skills.
- Knowledge of recovery-based program philosophy.
- Must possess a broad knowledge of community resources and the ability to strongly advocate for clients and make professional referrals.
- Demonstrated complex problem solving.
- Excellent verbal communication and comfort with one on one dialogue.
- Excellent written and documentation skills.
- Able to mediate and negotiate situations.
- Able to work independently and co-operatively in a busy multidisciplinary environment.
- Self-motivated, comfortab

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