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Social Worker

3 weeks ago

Toronto, Canada Taddle Creek FHT Full time

**Position Summary**

As a key member of Taddle Creek Family Health Team (TC FHT), and an integral part of an interdisciplinary health care team, you will deliver social worker care in accordance with TC FHT policies and professional practice standards. You will perform routine social worker duties, and ensure that the needs of our patients are met.

Your primary roles are to work in partnership with TC FHT’s primary care providers & interdisciplinary health care providers to perform patient psychosocial assessments, provide short-term counseling, education/advocacy, case management, and group/workshop facilitation.

You will deliver services to a variety of patient populations including patients experiencing anxiety and/or depression, trauma and other mental health disorders and occasionally homebound patients.

**Roles and Responsibilities**
- **Psychosocial Assessments**_
- Review referrals & patient charts
- Provide psychosocial assessment for patients and their families
- Analyze findings of health assessments and interpret patient health records
- Monitor, record and report symptoms and changes in patients’ conditions
- Collect data through a therapeutic relationship with a patient
- **Treatment/Management**_
- Provide short-term counselling including instrumental, supportive, psycho-educational crisis intervention, short-term psychotherapy and group facilitation
- Coordinate referrals and facilitate access to other health care providers and community organizations
- Provide case management
- May perform house calls and community outreach visits
- Maintain communication with patients and families
- Monitor patient goals and outcomes through ongoing assessment and documentation of treatment progress
- Participate in treatment planning with other team members
- Consult with team members and external professionals involved in the care of patients
- **Education/Advocacy**_
- Initiate group programs to promote and support patients as they strive to achieve the highest possible level of health
- Act as an advocate for patients and their families
- Assist in overcoming barriers within health care system for timely delivery of services
- Help patients identify and use health resources, including those available in the community and from community agencies
- Involve patients in decisions about their own health
- Participate in case presentations/reviews and discussion within the team
- Develop/research learning resources for health care providers
- Present on various aspects of social work to TC FHT staff and physicians to assist them in their practice
- Act as field instructor for students and coach/mentor other members of the health care team
- Maintain current discipline specific standards of practice
- Maintain awareness & understanding of current Mental Health legislation
- **Referrals/Collaboration**_
- Collaborate with members of an interdisciplinary health team to plan, implement, coordinate and evaluate patient care in consultation with patients and their families
- Liaise and consult with other agencies/programs/services as required
- Provide communication to hospital and community staff and other inter-professional team members, as required, to ensure smooth transition for care between care sites
- **Administration/Reporting**_
- Collect accurate and comprehensive patient-related information and document on clinical management system
- Complete documentation required to facilitate care for the patient (reports, referrals, forms, etc)
- Keep monthly statistics for the Ministry of Health and Long-Term Care (MOHLTC)
- Maintain an organized appointment schedule
- Monitor and manage referrals from the team and assist with waitlist mgt
- Participate in program planning and evaluation within the team or externally as appropriate

**Note**: On occasion, the social worker will provide support for homebound patients in conjunction with a physician assistant and an embedded Home & Community Care Support Coordinator for patients of TC FHT. In this capacity the social worker provides short term counselling, case management, advocacy and mental health consultations. The social worker builds supportive relationships with these patients and their caregivers. Some interactions will be in the person’s home environment or in the context of accessing care.

**Skills, Knowledge Requirements**
- Strong verbal and written communication skills and the ability to adjust language and terminology to suit the individual patient or patient group (including cultural sensitivity)
- Excellent clinical skills
- Autonomous and able to function with mínimal supervision
- Ability to work effectively with all members of the health care team
- Ability to work in an inter-professional team environment
- Proven exceptional interpersonal skills
- Ability to prioritize, manage time effectively and be flexible in a very active work environment
- Strong knowledge of community resources in GTA
- Ability to remove obstacles standing in the way