Exposure Coach I

Brown Medicine•Madison, WI

2d•$19 - $31•Onsite

About The Position

Exposure Coach I Summary Under the direction of the Clinical Director and with daily oversight from the Exposure Coach III, the Exposure Coach I is responsible for the care and safety of assigned children and adolescents. As a member of the interdisciplinary treatment team, the Exposure Coach I assumes a primary role in implementing Exposure and Response Prevention (ERP)–based treatment. The Exposure Coach I contributes to the development of ERP‑based therapeutic milieu care plans and is responsible for the implementation, observation, and documentation of these plans under the direction of the Clinical Director and Exposure Coach III. Brown University Health employees are expected to role model the organization’s values of Compassion, Accountability, Respect, and Excellence, which guide everyday interactions with patients, families, and colleagues. Employees are also expected to demonstrate the organization’s core Success Factors: Instill Trust Value Differences Patient and Community Focus Collaboration

Requirements

Bachelor’s degree in a Human Services field preferred
Equivalent education and experience may be considered
Knowledge of human development, cultural patterns, and lifespan care
Bradley Hospital Safety Care Certification
Pediatric Anxiety Research Center training in Exposure Treatment
Completion of one month of structured on‑the‑job exposure training, including: Didactic learning Observation of experienced staff Supervised practice of exposure exercises
Ability to identify core fears and symptom relationships
Ability to adapt exposure plans independently while maintaining fidelity to the exposure model
6 months to 1 year of direct childcare experience with emotionally impaired youth
Current CPR, ERS, OSHA, and Safety Certifications
Employees work in a psychiatric setting and must be able to safely manage crisis situations and physical intervention when necessary using approved methods.
Physical requirements include: Lifting up to 50 pounds Standing, walking, and sitting frequently Bending, kneeling, reaching, and grasping Occasional running for short distances Physically escorting patients when required

Responsibilities

Maintains a safe and therapeutic environment
Actively engages with assigned children throughout the program day
Participates in the development and implementation of ERP‑based milieu care plans
Supervises assigned children during exposure‑based activities
Assists patients with anxiety‑impacted activities of daily living using an exposure therapy framework
Identifies and reports safety issues or clinical concerns
Completes timely verbal reporting and written documentation of incidents
Completes required documentation, including incident, seclusion, and restraint reports
Participates in debriefings as required
Carries out daily assignments as delegated and reports back prior to the end of the program day
Intervenes therapeutically during disruptive or unsafe situations
Maintains appropriate professional boundaries
Adheres to hospital, department, and program policies and procedures
Attends staff meetings, peer reviews, and development activities as assigned
Maintains current certifications, including: Crisis Management / Safety Care CPR OSHA, ERS, and required safety certifications
Participates in patient care planning under the direction of clinical leadership
Assists with admission interviews and supports therapeutic alliance with patients and families
Supports patient separation and transition into the program milieu
Completes initial patient assessments, including detailed anxiety symptom evaluation
Collaborates with psychologists and psychiatrists to develop anxiety hierarchies that guide ERP treatment
Reviews and recommends updates to care plans and anxiety hierarchies based on observation
Communicates care plan updates to unit staff and interdisciplinary providers
Participates in diagnostic conferences, treatment teams, rounds, and handoff reports
Documents observations and care provided accurately and timely
Shares learned knowledge with peers through formal and informal education
Adapts care approach to meet the developmental needs of children and adolescents
Contributes to patient‑specific exposure and behavioral management plans
Assists with activities of daily living and personal hygiene
Co‑leads community, milieu, social skills, and exposure therapy groups (twice daily)
Collaborates with the treatment team in designing and adjusting exposure‑based programming
Organizes and actively participates in unit and community activities
Participates in daily community visits with patients and families
Provides psychoeducation to families regarding exposure therapy
Models exposure coaching techniques for parents during community visits
Supports parents in implementing exposure strategies
Models therapeutic interpersonal interactions consistently
Participates in recreation therapy programs
Manages crisis situations using safe, least restrictive interventions
Seeks supervision and feedback to support professional development
Performs additional duties as assigned by the Clinical Director or Exposure Coach III