CRISIS RESPONSE CLIN

Center for Health Care Services•San Antonio, TX

49d

About The Position

Crisis Response Clinicians (CRC) work in collaboration with public safety agencies to include law enforcement and Emergency Medical Services (EMS) under the guidance of the Southwest Texas Regional Advisory Council (STRAC). As part of this team, the Crisis Response Clinician will respond to 9-1-1 mental health-related calls. The CRC serves as the subject matter expert in triage, assessment, de-escalation, and care navigation. Provides direct services for consumers, and completes associated case management documentation for the consumer and program. Works within a multidisciplinary team to provide an array of direct (face-to-face) and indirect clinical services to adults in a person-centered, trauma-informed, individualized focused approach utilizing evidenced-based practices delivered to fidelity. These services are delivered in multiple types of settings including field-based services in the individual's home or other identified locations as well as clinic-based services. Individuals served may have multi-system involvement such as Criminal Justice, Child and Adult Welfare, Veterans, Homelessness, etc. Program Description A collaborative effort with First Responders - San Antonio Police Department Mental Health, Bexar County Sheriff Office Mental Health, South Texas Advisory Council (STRAC), Department of Human Services (DHS), EMS Providers - San Antonio Fire Department Mobile Integrated Health Team (MIH) and Acadian Ambulance aimed at addressing 9-1-1 mental health related calls more effectively by responding with a trained multidisciplinary team to divert individuals experiencing a mental health crisis away from jail and emergency departments and instead to the least restrictive environment. Target population is high acuity patients with mental health, homelessness and/or substance use issues. Additionally, there will be cross-training to cover the Integrated Navigation model which performs teleassessments for bed placement purposes and assist with escalated mental health crisis calls, coordination with CHCS liaisons, community entities, and linkage to CHCS services. Focus efforts include but not limited to: Identifying consumers currently being treated by CHCS and provide connection back to assigned CHCS case manager to ensure their mental healthcare needs are being met. De-escalating on scene of a client in crisis by providing crisis intervention to individuals to reduce symptoms, provide education and prevent admission to a more restrictive environment. Assisting clients with accessing appropriate social services resources (i.e. housing, clothing, identification documentation (IDs), food, water, hygiene materials). Reducing the utilization of Emergency Detention Orders (EDOs) and assess for least restrictive environment. Serving as the primary role to provide aggressive referral, linkage and transition to the next level of care. Reducing the utilization of Emergency Services when possible. Diverting consumers from jail, emergency rooms and hospitals. Routing patients to their most appropriate level of care.

Requirements

Graduate Degree in Social Work, Psychology, Counseling, or a related Behavioral Health field, and (3) Three years experience in work experience in behavioral health or related field.
Complete the Qualified Mental Health Professional Community Services (QMHP-CS) within six (6) weeks of hire or transfer
Must pass a CJIS background screening prior to placement (CORE & SMART)
Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business.
Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies.
Adhere to established CHCS Employee Handbook, policies and procedures.
Must adhere to all agency, community and facility policies in regards to harassment, discrimination, dress code and conduct in addition to the established CHCS Employee Handbook, policies and procedures.
Must be able to meet the physical requirements to complete Nonviolent Crisis Intervention (NCI) and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
Nonviolent Crisis Intervention (NCI) is a proven safe and harm-free method of behavior modification. All consumer-facing employees of CHCS must take NCI courses facilitated by the CHCS Training team within the first 45 days of employment.
NCI is intended to support human service professionals in giving aggressive, disruptive, or out-of-control people the best care and welfare possible, even in the most violent situation.
NCI training provides staff with the skills to safely recognize and respond to everyday crisis situations that may involve more challenging behaviors. It focuses on prevention and offers proven strategies for safely defusing anxious, hostile or violent behavior at the earliest possible stage.

Nice To Haves

Current license in good standing in the State of Texas as a Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT) and/or Licensed Psychologist (LPHD).
Credentialed with all CHCS payers.
One (1) year experience providing similar services, prior experience with or knowledge of trauma-informed care is preferred.
Bilingual (English/Spanish) preferred. Language Proficiency Pay (LPP) payments are subject to successful testing, certification by CHCS Payroll, and availability of funding. Funding may be renewed in subsequent fiscal years but is not guaranteed.
Prior training and/or experience in field-based services.

Responsibilities

Adheres to established CHCS Employee Handbook, policies and procedures.
Assesses the social determinants of health on each individual.
Completes all CHCS and contract specific required documents in timely manner and to standard.
Complies with and participates in Quality Assurance and Quality Improvement processes.
Coordinates CHCS intake function.
Coordinates coverage for planned absences in advance with supervisor.
Documents all interactions in Electronic Health Record systems.
Employees on this team will perform duties such as an after-hours on-call rotation including weekends and holidays.
Ensures clinical documentation is submitted in accordance with CHCS standards and contract specific requirements.
Identifies and separates new and established patients and links patients back to assigned CHCS care manager or other behavioral health provider.
Participates in coordination and communication with law enforcement and EMS team members on the progress of individuals that are receiving services and navigation during linkage efforts by the team.
Participates in supervision and development opportunities including individual supervision, group supervision, and meetings/trainings as assigned.
Provides direct clinical services and assessments. Develops treatment plan for consumers.
Serves as the primary role to provide aggressive referral, linkage, and transition to the next level of care.
Employees on this team could utilize their own vehicles to support the linkage efforts.
Depending on which team being supported, could carry a caseload of at least 20 individuals.
Monitors the progress of clients when carrying a case load from the initial referral/interactions until satisfactory progress is reached and continuation of service is no longer needed.
In accordance with Texas Administrative Code requirements, staff must participate in an equitable rotation of on-call shifts to ensure 24/7 crisis response coverage
Performs other related duties as required.