BHF, Child Psychiatry

Cincinnati Children's•College Hill, TX

5d•$24 - $30•Onsite

About The Position

The Child Psychiatry role at Cincinnati Children's, located at the College Hill Campus, is a full-time position with a weekly schedule of 32 hours, operating on a rotating shift. This role focuses on milieu management and care delivery, functioning as a behavioral/milieu leader to ensure the implementation of therapeutic milieu and group programming. The position involves overseeing shift-to-shift application of individualized programming, coaching staff through crisis events, and leading patient care across various settings. The role requires adapting the milieu to manage disruptive behaviors, designing and evaluating creative therapeutic programming based on evidence-based practices, and educating/precepting new staff. Responsibilities include ensuring a safe work area, practicing according to CCHMC and Divisional policies, monitoring patient locations and risk levels, and alerting nurses to mental status changes. The role also involves making shift assignments, assigning daily tasks, ensuring timely staff documentation, participating in treatment rounds, and ensuring materials and resources are available for groups. Patient and family interaction is key, encouraging participation in family meetings, addressing customer service concerns, and providing coaching to staff on engagement, positive reinforcement, de-escalation, and crisis management. The role also involves parent coaching and education regarding behavioral interventions and safety plans, demonstrating leadership in working with families, and integrating age-specific and culturally inclusive concepts into patient care. Regular communication with the interdisciplinary treatment team regarding treatment plans, family communication, and progress is essential. The role oversees the implementation of positive reinforcement and token economy systems. In Group Therapy II, responsibilities include developing group topics, educating new staff on group leadership skills, tailoring groups to patient needs, adapting groups to address behavioral issues, and adjusting group processes to be more productive. The role actively participates in quality improvement initiatives, provides oversight for complex patients, gives constructive feedback to coworkers, educates and coaches new staff on the therapeutic use of 1-on-1s, and provides feedback for ICMP completion. This position involves more leadership responsibilities, acting as a clinical expert, and leading teams, working with compliance to achieve clinical outcomes, attending rounds, and milieu leadership. Prioritization, independence, and detail orientation are crucial. The role may involve responding to referrals, completing patient assessments, rounding on patients, responding to crises, and supporting bedside staff. Crisis management includes working with the Code Violet Response Team, participating in and coaching seclusion/restraint episodes, supervising and coaching staff in active implementation of treatment plans, and facilitating behavioral interventions in collaboration with the Behavior Specialist. Ensuring staff complete appropriate documentation related to individualized behavioral programming is also a responsibility. Family education involves clear communication of parental attitudes and behaviors affecting treatment, facilitating problem-solving of behavioral-medical treatment options, participating in team staffing and clinical case reviews, and providing and exchanging patient care information during admissions, referrals, transfers, or discharges. The role functions as a member of the inpatient units to provide support and input regarding parental issues or child characteristics influencing treatment.

Requirements

Bachelor's degree in related field
2+ years of work experience in a related job discipline

Responsibilities

Functions as behavioral/milieu leader across waking hours to ensure implementation of therapeutic milieu and group programming.
Oversees shift to shift application of individualized programming, coaching/oversight of crisis events for staff and patients.
Leads in managing patient care across various settings; Adapts milieu to manage disruptive behaviors; designs and evaluates creative therapeutic programming based on evidence-based practice interventions.
Leads in educating/precepting new staff.
Ensures work area are safe and ready for next activity or shift; practices according to CCHMC and Divisional polices with emphasis on managing high risk patients.
Has awareness of patients locations, by making rounds; monitors risk levels, alerts nurse to mental status changes.
Leads in making shift assignments.
Assigns daily tasks including environmental rounds, patient observation checks, etc.
Ensures timely staff documentation.
Participates in treatment rounds and facilitates staff participation consistent with patient assignment.
Ensure materials/resources are available/prepared for group as well as appropriate allocated time.
Facilitate ordering/management of resources and supports unit functions.
Encourages patients to make a plan for family meeting attendance and participation; promptly addresses customer service concerns and questions, attempts to meet customer needs before referring to others in the treatment team.
Seeks out parent interactions during visiting, provides coaching to staff on engaging with patients and on implementation of positive reinforcement system as well as de-escalation and crisis management skills.
During leisure activities and discussions regarding family expectations; provides parent coaching education regarding behavioral interventions and safety plans; demonstrates leadership to staff in working with families by providing support to families and co-workers.
Consistently integrates age specific and culturally inclusive concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning.
Communicate regularly with interdisciplinary treatment team regarding plan for treatment including communication with family, expectations for treatment, and treatment progress.
Oversees implementation of positive reinforcement system/token economy system by unit staff.
Develops group topics; educates new staff on group leadership skills; utilizes knowledge of development levels and psychiatric diagnosis to tailor groups to patient needs; able to adapt group to address behavioral issues; recognizes when group process is non-productive and demonstrates ability to adjust the group to make the group more productive.
Actively participates in quality improvement initiatives with goal to improve patient outcomes; Provides oversight and support with on assignment of more complex patients; able to give constructive feedback to co-workers, educates and coaches new staff on the therapeutic use of 1 on 1 ; provides feedback to encourages ICMP completion.
May respond to referrals, complete patient assessments, round on patients, respond to crisis, and support bedside staff.
Works with the Code Violet Response Team in responding to and managing crises effectively on unit.
Participates, supports and coaches in episodes of seclusion/restraint when necessary.
Supervise and coach staff in active implementation of treatment plans/behavior plans and interventions.
Facilitate implementation of behavioral interventions in collaboration with the Behavior Specialist.
Ensure staff complete appropriate documentation related to implementation of individualized behavioral programming/plans.
Communicates clearly parental attitudes and behaviors that may affect treatment both verbally and in writing.
Facilitate problem solving of behavioral-medical treatment options.
Participate in team staffing of children and clinical case reviews as they occur.
Provide for the exchange of appropriate patient care and clinical information when patients are admitted, referred, transferred or discharged.
Function as a member of the inpatient units to provide support and input regarding parental issues or child characteristics that influence the treatment of the child.