Primary Purpose of the Organizational Unit
The PORT Health Services Outpatient Unit primary purpose is to provide substance abuse, mental health and psychiatric services to individuals. Voluntary and involuntary patients are accepted. Services available to those in need include but are not limited to screening, assessment, forensic screenings, intake, treatment, referral, psychiatric evaluation, group therapy, family intervention, community consultation, aftercare, and follow-up supports. Additionally, the facility provides a safe, supportive, therapeutic environment.
Primary Purpose of Position
The primary purpose of the Outpatient Independent Practitioner is to provide screening, evaluation, diagnostic assessments, develop with the client treatment goal and person centered plans, treatment, after-care, and referral services to adults/children in need of outpatient treatment. To provide stabilization and treatment services to mental health and substance abusing patients. The employee will work closely with the physician, other clinical staff, and community agencies. Another function of this position is to receive referring information from referral sources and relay that information to the treatment team during weekly clinical staff meetings. The employee will provide services to patients, which include but are not limited to co-facilitating/facilitating psycho education groups, counseling, psychotherapy, establishing client aftercare plans, arranging identified treatment services and needs related to life domains and initiating contact and collateral work with family members or support systems. This position will maintain accurate and up to date referral sources, and maintain a therapeutic environment and promote appropriate and healthy interpersonal behavior.
This position will maintain an average work schedule of 40 hours per week. Generally, working the hours between 8:00am-9:00pm, but flexibility will be expected depending on client and Program's need. In the event of inclement weather, the employee may be required to remain on the unit beyond their normal eight-hour workday.
Change in Responsibilities or Organizational Relationship: None
DESCRIPTION AND RESPONSIBILITY OF DUTIES
The Outpatient Unit provides screening, assessment, intake and intervention for individuals experiencing symptoms from mental health, substance abuse or psychiatric disorders and who are in need of outpatient treatment. The unit provides services to North Carolina's entire Eastern Region. Patients who present to this unit are adults/children of both genders and all races. The Unit provides information, screening, assessments, evaluations, referral, and intakes of new patients.
The position requires the ability to work independently without the need of clinical supervision in a mutually respectful partnership with persons served and their families to gain the skills and confidence to address any issues and problems they face. It also requires conviction about the capacity of people to grow and change ability to set limits and maintain the helping role of the Physician/PA/FNP and to intervene appropriately to meet the needs of the persons served or their family members.
60% Direct Services - The following are specific duties involving direct care or contact with patients and the public:
1. Communicate with referral agencies and review pre-screening information for potential patients. Confer with co-workers, clinical supervisor, and physician to establish an appropriate placement within the continuum of care. Receive appropriate authorization and reauthorization for services.
2. Diagnostic assessment, evaluation and intake of new patients.
3. Serve as a liaison with local community agencies, interested citizens, and groups to establish direct referral networks. Educate and/or refer client and/or family members to other services or agencies.
4. Facilitate psycho-education/psycho-therapy groups; provide structured activities, and family education.
5. Develops treatment goal (person centered) plans in collaboration with consumers and monitors progress towards goal completion. Conducts utilization reviews.
6. Work in collaboration with client and co-workers to complete necessary forms required for admission.
7. Communicate with clinical supervisor, physician, physician's assistant, and other treatment staff regarding observations and treatment interventions.
8. If part of the service delivery system includes the provision of Substance Abuse Intensive Outpatient Program (SAIOP) this position must be on site 50% of the time the service is being provided, and must supervise any Qualified Professional or Associate Professional proving services in the SAIOP program. If there is the provision of Substance Abuse Comprehensive Outpatient Treatment (SACOT) this position must be on site 90% of the time the service is being provided, and must supervise any Qualified Professional or Associate Professional providing services in the SACOT program
9. Arrange follow-up services, such as therapy, halfway house/housing placement, referral to vocational rehab, medical follow-up, and case management.
10. Provide First Aid, CPR, or emergency intervention as needed.
11. In the event of a disaster or emergency situation (i.e. hurricanes, flood, severe winter storms, widespread damage or human suffering) affecting any community within Pitt County, every employee shall perform after hours duties and special assignments as directed by the supervisor or by PORT Health Services Management whether or not such duties or assignments are related to the employee's regular duties.
30 % Documentation: The following are specific duties involving documentation:
1. Upon client's admission to the Outpatient Unit, the employee is responsible for obtaining and recording in a timely manner, pertinent medical and social information for the medical record. This includes admission assessments, treatment goal plans, target population, substance abuse evaluation, LOE's, Target pop, SARs, consent forms, release of information, infectious disease screening form, progress notes, and index of attendance. Will document appropriate aftercare plans and termination/discharge plans in a timely manner.
2. Document patients' participation, response to therapy or other program activities on a progress note.
3. Will document any non-routine activities.
10% Other Duties:
1. Participation in training as a recipient and/or facilitator, staff meetings, committee work, team buildings, serve in assigned emergency shelter during natural disasters, and other duties as assigned.
2. Serve as a supportive role model to the patients and peers. Enforce program rules and regulations. Ensure that the interaction with each client therapeutic and educational in nature.
3. Attend all required staff meetings, scheduled supervision, and maintain privileging.
4. Attend conferences and training to upgrade skills and continue education in the substance abuse field.
1. Insure Quality Programming: Works with all staff to promote and maintain only the highest quality service. Employee is responsible for insuring the program meets quality standards including insuring scheduled activities are adhered to and treatment services are provided.
2. Co-Worker Relationships: Employee will be expected to promote a healthy and productive work environment. Responsibilities include submitting ideas for program improvement, participate in evaluations with co-workers, recognize positive and appropriate staff performance, confront inappropriate staff behavior, schedule employee conferences with supervisor when necessary, participate in scheduled team building activities, and be involved in problem solving meetings when necessary.
B. Other Position Characteristics
1. Accuracy Required in Work: This position requires a significant amount of decision-making and sound judgment, which can affect quality of services, rendered and program development. Accuracy is essential when assessing and evaluating client condition/behavior as a means of developing treatment strategies to meet the clinical and needs of the client. Accurate documentation in the client record is also essential in that it leaves a clinical trail that dictates the treatment approach.
2. Consequences of Error: Should error occur, it could result in loss of life, litigation, significant emotional damage, and in some cases, physical harm. Errors in clinical and medical judgment affect the treatment process and the quality of care of the program. Delays or errors in the medical record documentation may cause problems in meeting certification accreditation standards.
3. Instructions Provided to Employee: Written instructions are provided through the Clinical Program Guidelines, Policies and Procedure Manual, LME Written Directives and Memoranda. Instructions also provided through supervision and training. Also, state mandates reporting requirements. Other instructions, both written and oral, general and specific, and from attending physicians/physicians assistance
4. Guidelines, Regulations, Policies, and References Used by Employees: The guides most frequently used by this position include the program policy and procedures manual; quality assurance guidelines, state standards for Provider Programs, state and federal licensure regulations, current literature or professional journals, pioneer guidelines, general standards for operating substance abuse services.
5. Supervision Received by Employee: Although this positions professional status by rule does not require supervision, administrative and clinical supervision will be available upon demand or when deemed necessary to address employee or programmatic needs. The outpatient program supervisor will provide this supervision. Supervision will always be documented in a supervisory log. If the program supervisor determines that interventions are necessary due to performance issues, a supervision plan will be established. Work is further reviewed by the immediate supervisor during the first year of employment at 180 days to determine regular status. Evaluations thereafter will be conducted on an annual basis or when deemed necessary. Work may be reviewed quarterly or annually by local, state, and regional site review teams and/or various funding sources to determine case counts, quality of records, programmatic issues and fiscal issues and reports.
6. Variety and Purpose of Personal Contact: The employee in this position will have frequent contact with Mental Health and Substance Abuse Professionals representing other agencies, personnel of LME Access Unit. The position will also relate to the consulting psychiatrist, program physicians/physician's assistant, as well as patients and their families. Employee should engage in such interactions as are necessary to ensure the optimum care of our patients. Will serve as a liaison with community agencies, human services professionals, county employees, and the general public to establish direct referral basis, and to provide consultation, education and training. At times, the employee may also have contact with the criminal justice system including, law enforcement, probation officers, judges, and lawyers.
7. Physical Effort: The ability to transport ones self to group rooms and offices within the PORT Health Services Complex, and on occasion to facilities located throughout the county. This would include the physical effort to operate a motor vehicle. The mobility necessary to sign one's name. Finally, the job requires an ability to communicate both verbally and written.
8. Work Environment and Conditions: The work environment is made up of offices, group rooms, classrooms, and conference rooms. The work schedule is such that it may necessitate working in both daylight and dark hours. The facility meets all disability requirements (wheelchairs, etc.). On occasion, work may include outside activities such as travel to various meetings and agencies, participation in team building activities. Security includes a security guard, the presence of other staff, lighting, and a facility alarm system.
9. Machines, Tools, Instruments, Equipment, and Materials Used: This employee should be computer literate. Position will need to be able to use the DSM IV as well as understand educational materials necessary to do the job. Should be able to make use of pens, pencils, books, forms, manuals, computers, calculators, telephone, copy machine, fax machine, automobile, audio-visual equipment, equipment used to monitor vital signs and drug/alcohol use (breathalyzer).
10. Visual Attention, Mental Concentration and Manipulative Skills: Paperwork and reading duties are areas requiring visual attention. Concentration and active listening are required in dealing with patients and staff. These skills will be necessary all of the time this employee is on the job.
11. Safety for Others: Universal precautions must be taken in dealing with blood borne pathogens. Potential for harm in this position involves physical attack by a client, family member, or intruder. It is for this reason the employee is informed to be careful about closing office doors while dealing with the potentially violent client. Since this position includes night work, the employee is cautioned to be careful when exiting or entering the campus at night. Also, the employee is cautioned about conducting groups in building unoccupied by other staff.
12. Dynamics of Work: This is a specific population of patients that have mental health and psychiatric disorders, substance abuse and dependency. Changes in the nature of service delivery, structure and assessments may be necessary from time to time in order to meet emerging client needs. When indicated, changes will be made by the Chief Clinical Officer as needed.
KNOWLEDGE, SKILLS AND ABILITIES, AND TRAINING AND EXPERIENCE REQUIRED
A. Knowledge, Skills, and Abilities: The satisfactory completion of MIndSet or demonstrated competencies observed and documented during the hiring process.
B. Required Minimum Training: An independent practitioner is an individual who possess at minimum a Masters Degree and holds an unrestricted license, issued by the board regulating the profession in question, in the following disciplines: LCASA, . Associate level licensed individuals will be considered.
C. Additional Training/Experience:
MindSet, CPR, First Aid Certification and TB test are pre-employment requirements for employees, who will provide Community Support services. Blood-borne pathogens (BBP), Client Rights, Confidentiality and HIPAA trainings must be obtained within 120 days of employment.
All other staff must obtain MindSet, CPR First Aid Certification, BBP, Client Rights, Confidentiality and HIPAA trainings within 120 days of employment as applicable.
D. License or Certification Required by Statute or Regulation: Licensed Clinical Addictions Specialist or Licensed Clinical Addiction Specialist Associate certification required. Valid NC Drivers License required.