Community Outreach Coordinator, Justice

**Community Outreach Coordinator, Justice**

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, 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, Justice, 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, crisis intervention and treatment (i.e., supportive counseling and support), health promotion and prevention.

In addition, the Community Outreach Coordinator, Justice, will support mental health and substance use needs with a focus on supporting clients experiencing social and physical harms associated with chronic substance use through providing support and resources for harm reduction and prevention.

This position is intended to increase access to Mental Health and Justice Supportive Housing for individuals with mental illness and/or addiction challenges to increase well-being and decrease justice system participation and possible incarceration.

**Responsibilities**

**Direct Client Service**
- Outreach and client identification_
- Outreach and community engagement with individuals in Halton Region.
- Reach out to potential clients who may identify or appear to have a service need.
- Assessment and planning_
- Perform comprehensive intake assessment/s to explore client needs.
- Provide in-depth assessments, collaboratively create individualized care plan considering justice involvement, 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.
- Ensure intentional pathways from other mental health and justice supports, and other relevant justice services.
- Support Services_
- Working alongside individuals to meet their needs through the foundation of a strong rapport
- Provide supports including supportive counselling, crisis intervention, intensive/short-term support and linkage to appropriate levels of service.
- Support clients with mental health concerns or crises utilizing supportive counselling, strength-based approach, crisis intervention skills and engaging appropriate resources as needed.
- Engage clients who use drugs into respectful conversations about safer drug use, safer sex, overdose prevention and reduction of other harms associated with drug use.
- Provide harm reduction and overdose prevention resources.
- 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.

**Indirect Client Service**
- 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_
- Support individual to get connected with supports for 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 individu