Substance Use Clinician

Detailed Overview

As a member of the designated community Mental Health & Substance Use Services or Integrated Response team, supports engagement, care coordination and system navigation across substance use & mental health services, local service areas, and regional and provincial services, with an emphasis on reducing barriers to enter/re-enter the system of care and facilitating timely treatment and rapid re-engagement of clients where appropriate and feasible. Provides client and family-centered care through a trauma-informed approach and evidence-informed practice to individuals and families with and affected by serious and persistent mental disorders and alcohol and drug addictions. As a clinician in a shared-team model, provides initial screening, intake, client assessment, treatment recommendations and plans, determines referral needs, follow-up support, provides therapy including group therapy, liaises regarding complex situations, provides group education, liaison with community resources for specialized services, counsels clients, and provides outreach as required; where assigned to Aftercare services, assigned as the "most responsible clinician" to specific clients dependent on the client's primary needs. Maintains respect for client dignity and maximum client self-determination and independence in provision of services. Participates in local committees and internal and external case conferences, and develops and delivers in-services, presentations and training to clients, families and caregivers. Participates in the development of standardized documents, procedures and process, and contributes to the collation of data analytics. Participates in process improvement activities and follows clinical and customer best practices. May be required to work at more than one location and/or on an outreach basis in order to assess and/or engage with clients within their own environment and community. Responsibilities Performs initial screening of referrals from other health care providers/agencies, family members, physicians and other sources to determine appropriate treatment based on client needs, urgency of request and best practices. Assesses client needs by gathering client information/history via phone interviews or other methods; seeking additional background information to perform initial assessment of client mental health status and risk to themselves or others and to determine priority of care, client eligibility, availability of resources, and service priorities; collaborating with the interdisciplinary team to determine best approach to care, and assessing the need for emergent crisis intervention. Provides first level intervention and support until formal treatment or further assessment can be conducted, such as short term brief interventions, follow-up, monitoring, and evaluating treatment outcomes. Provides treatment/support and case management for complex situations including people in crisis through provision of services such as delivery of individual and group therapy to clients and families; developing and implementing recovery-oriented treatment options and plans through collaboration with clients and natural supports; providing comprehensive case consultation and follow-up support on treatment decisions in collaboration with other interdisciplinary team members. Where longitudinal Aftercare services are required, designated "most responsible clinicians" will provide treatment/support through case management, individual counselling, and brokered connection to adjunct community services including group therapy, addiction medicine, individual counselling, and recovery-oriented treatment options. Supports recovery and connection to system of care pre- and post-treatment recovery services, inclusive of pre-treatment readiness and regular connection with treatment facilities. Supports development of a recovery plan to best understand how the client views their recovery journey and key supports to achieving identified goals and addressing social determinants of health. Facilitates client utilization of appropriate community services and rehabilitative programs through methods such as considering the client’s motivation and their stage in the treatment process, researching available services, liaising with service and program providers, providing advice and consultation to colleagues, and/or referring to other community resources as required. Provides referrals to appropriate community treatment alternatives and services, including residential programs, family therapy, marital and separation counselling, alcohol and drug treatment, victim assistance, employee assistance programs, clubhouses, transition homes, vocational programs, and other agencies. Utilizes available community resources such as volunteers, community groups, alternate care services and other service agencies to develop supportive and rehabilitative programs for clients and their families. Provides education to clients and families in accordance with theoretical models grounded in evidence-based practice by exploring identified problems that may have resulted in substance use and mental health symptoms; identifying goals, expectations, and support resources; assisting with understanding of mental health and substance abuse issues, the interaction of both, and the recovery process; suggesting positive behaviour modifications; examining motivations for change; and, teaching relapse prevention strategies. Provides short-term counseling to clients and families and provides information and guidance to other caregivers, health providers and the general public regarding the assigned program services, intake policies, procedures and processes, availability of Community Health Services, Mental Health & Substance Use Services and/or Integrated Response Teams. Maintains client records by recording information such as client assessments, charting client information via PARIS and/or other clinical information systems, preparing progress notes and reports in accordance with established standards, policies and procedures to meet regulatory requirements, documenting for future reference and ensuring that access to and disclosure of information and records are in accordance with the Freedom of Information Act. Carries out responsibilities in accordance with health and safety requirements. Immediately reports unsafe situations by notifying supervisor or other appropriate personnel. Develops linkages with other facilities and community resources, and advocates on behalf of the client and others to improve access, integration and coordination of mental health services, by way of establishing, maintaining and enhancing relationships/communication with community physicians, consulting psychiatrists, colleagues, community mental health services, acute hospitals, community services agencies, and other healthcare professionals. Maintains relevant data and statistics on information such as intakes, requests, referrals in/out, priority, sources and nature of requests, and provides input to Coordinator and Manager. Promotes quality improvement through recommendations on policies, processes and procedures that streamline and provide for more efficient and effective client/family centred practices; develops and evaluates clinical protocols, identifies service needs and provides input and recommendations to the Clinical Coordinator and Manager. Participates actively and collaboratively in team planning, team meetings, committees, and/or corporate initiatives through discussions, presenting relevant material, acting as an advocate for the goals and objectives of the program, and promoting optimal support for clients, families and caregivers. Maintains current and relevant mental health and substance practice through methods such as reviewing literature and research, consulting with clinical and community experts within the field, evaluating clinical practice and participating in professional development activities, in-services, and/or case conferences in order to improve care through new practices. Performs other related duties as assigned. Qualifications Education, Training and Experience Master’s Degree in an applicable social or health sciences program such as Counselling Psychology or Social Work. Two years' recent related experience working with clients and families with, or affected by, mental illness and substance use disorders, or an equivalent combination of education, training and experience. Eligible for registration with relevant/applicable professional association. Valid B.C. Driver’s License and access to a personal vehicle for work-related purposes. Skills and Abilities Demonstrated knowledge of harm reduction, trauma-informed, recovery-oriented approach; concurrent disorders; addictions and addictions counselling. Demonstrated comprehensive knowledge of relevant Acts such as Mental Health Act, Freedom of Information Act, pertinent regulations, policies and procedures, and other statutory duties. Comprehensive knowledge of psychiatric diagnosis and professional practice guidelines for the treatment of various disorders. Demonstrated ability in utilizing mental health and addictions standardized tools for client assessments. In-depth knowledge of community resources and strong collaborative skills in working with other community partners to inform the referral process. Ability to communicate effectively verbally and in writing within a diverse and multicultural community. Ability to work effectively with individuals, groups, and interdisciplinary professionals through understanding the frameworks of other disciplines. Demonstrated ability to assess, plan, organize, implement, evaluate and problem-solve, and organize and prioritize workload in a complex environment. Ability to effectively develop, coordinate and deliver in-services, education, presentations, psycho-educational and support groups and consultation to clients, families and healthcare professionals. Demonstrated therapeutic skills in the areas of case management, individual and group therapy with adults with various mental disorders including concurrent disorders. Proficiency in the use of personal computers, including related word processing and database management software applications. Physical ability to carry out the duties of the position.

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