Facilitator - HFW - Lancaster

Counseling and Research Associates•Lancaster, CA

About The Position

The Full Service Partnership - High Fidelity Wraparound (FSP-HFW) Facilitator coordinates individualized, family-driven, youth-guided, culturally responsive, and strengths-based services for children and youth with complex behavioral health needs and their families or caregivers. The Facilitator works with the child or youth and family or caregiver to identify Child and Family Team (CFT) members and leads the team in developing, implementing, monitoring, and updating the Plan of Care. The child or youth’s and family’s strengths, needs, culture, values, preferences, and natural supports guide planning and decision-making. The Facilitator coordinates care across families, natural supports, service providers, schools, healthcare providers, child welfare, probation, regional centers, community organizations, and other systems. The role includes monitoring and updating care and crisis plans, supporting co-occurring mental health and substance use needs, coordinating referrals and community supports, and helping children and youth pursue meaningful educational, vocational, employment, volunteer, and community roles. The Facilitator also supports crisis response and after-hours access through the FSP-HFW on-call team, within the employee’s training and scope. The position requires timely and accurate documentation, use of the electronic health record and Agency-approved platforms, compliance with applicable service standards and policies, and participation in supervision, training, fidelity reviews, and quality-improvement activities. Services may be provided in offices, homes, schools, and community settings. The work environment is primarily office, clinical, and remote or hybrid, with community-based work as operationally required. The schedule is flexible based on program and family needs.

Requirements

  • Qualify as a Medi-Cal Specialty Mental Health Services (SMHS) provider.
  • Complete Statewide Child and Family Team (CFT) Facilitation Training through an identified Regional Training Academy, UC Davis Resource Center for Family-Focused Practice, or California Child Welfare Training program.
  • Possess a valid California driver’s license, proof of automobile insurance, and a good or acceptable driving record; driving is an essential function of the position.
  • Have relevant experience that may include behavioral health, Wraparound, care coordination, case management, family support, youth services, social services, education, child welfare, probation, or community-based services.
  • Demonstrate the ability to provide care coordination and lead collaborative Child and Family Team meetings.
  • Be able to engage children and youth, families and caregivers, natural supports, service providers, and representatives from multiple systems in a family-driven and youth-guided planning process.
  • Know or be able to learn High Fidelity Wraparound principles, Full Service Partnership services, trauma-informed care, Specialty Mental Health Services, and applicable documentation requirements.
  • Demonstrate effective verbal, written, organizational, facilitation, conflict-resolution, problem-solving, and interpersonal communication skills.
  • Be able to work independently, manage multiple priorities, maintain accurate records, meet timelines, and respond appropriately to changing or urgent circumstances.
  • Be able to provide culturally responsive services and work respectfully with children, youth, and families from diverse backgrounds.
  • Be willing and able to complete required training, certification, coaching, and fidelity-monitoring activities.
  • Be able to provide services in office, home, school, and community-based settings and work a flexible schedule based on program and family needs.
  • Successfully complete Agency-required background checks, clearances, health screenings, and employment requirements.
  • Meet the physical requirements of the position, including remaining stationary for extended periods, moving among offices and community locations, operating a computer and standard office equipment, communicating frequently, occasionally moving routine materials up to 20 pounds, and traveling as required.
  • Hold a high school diploma or equivalent, associate degree, bachelor’s degree, master’s degree, or an education and relevant experience combination that prepares the individual to perform the role.

Nice To Haves

  • Experience providing Wraparound, intensive care coordination, behavioral health, case management, or family-support services.
  • Experience facilitating CFT or multidisciplinary team meetings.
  • Experience supporting children, youth, and families involved with multiple service systems.

Responsibilities

  • Identify and engage Child and Family Team members, including natural supports, providers, schools, healthcare representatives, community partners, and others selected by the family.
  • Schedule, prepare for, and facilitate inclusive, organized, strengths-based CFT meetings guided by youth and family voice and choice.
  • Identify strengths, needs, culture, values, preferences, community connections, and formal and natural supports; communicate with the CFT and incorporate available IP-CANS ratings into planning.
  • Lead the CFT in developing and implementing an individualized Plan of Care with defined goals, strategies, responsibilities, timelines, and expected outcomes.
  • Promote meaningful participation by children, youth, families, and caregivers and build their knowledge, confidence, skills, and ownership of the plan.
  • Coordinate with schools, healthcare providers, child welfare, probation, regional centers, community organizations, and other systems to promote continuity of care and reduce fragmented or duplicative services.
  • Identify barriers to engagement or progress and work with the CFT on practical, individualized solutions.
  • Monitor the implementation and effectiveness of the Plan of Care; reconvene the CFT and modify goals, strategies, services, or supports when needed.
  • Help children, youth, and families identify, develop, and strengthen natural and community-based supports that can continue after formal services end.
  • Collaborate with children, youth, families, the CFT, clinical staff, and designated responders to develop and update individualized crisis and safety plans.
  • Participate in crisis-response coordination, provide prevention, de-escalation, stabilization, and post-crisis follow-up within training and scope, and follow agency procedures.
  • Communicate risk changes to the appropriate clinician or supervisor and seek immediate clinical or emergency assistance when needs exceed the employee’s scope or available resources.
  • Follow mandated reporting requirements and complete incident and safety reports within required timeframes.
  • During office hours, support assessment and crisis management, including coordination of in-person crisis response and facilitation of an involuntary psychiatric hold when clinically indicated by a qualified professional.
  • Serve as a direct connection to the FSP-HFW on-call team for clients experiencing after-hours crises; this connection may not be replaced solely by directing clients to the LACDMH ACCESS Line, 911, or a crisis hotline.
  • Support integrated, developmentally appropriate, trauma-informed, family-centered care for children and youth with co-occurring mental health and substance use conditions.
  • Recognize observable substance-use concerns, overdose risks, and changes in functioning; communicate concerns to the appropriate clinician or supervisor and assist with referrals and service coordination.
  • Support approved interventions related to problematic substance use, apply harm-reduction principles, and link clients to age-appropriate substance-use resources and recovery supports.
  • Support identification and appropriate response to suspected opioid overdose consistent with agency procedures and training, and facilitate linkage to medication-assisted treatment and other clinically necessary services when appropriate.
  • Assist children and youth, as appropriate, in identifying educational, vocational, competitive employment, volunteer, and community-involvement opportunities and coordinate relevant linkages.
  • Maintain a safe, hazard-free workplace and comply with agency safety policies, OSHA requirements, safety procedures, and applicable regulations; promptly report injuries, illnesses, hazards, unsafe conditions, and safety incidents.
  • Begin transition planning early with the CFT; identify readiness indicators, sustainable resources, natural supports, and follow-up strategies, and prepare the child or youth and caregiver to manage the Plan of Care and support network after transition.
  • Complete accurate, timely, complete, and clinically relevant documentation of services, interventions, client response, progress, coordination, risks, referrals, linkages, and follow-up in accordance with applicable standards.
  • Use the electronic health record and Agency-approved platforms, including Greenspace, Eleos, iDashboards, and designated assessment, certification, fidelity, or outcome systems as applicable.
  • Maintain assigned productivity, service, scheduling, outreach, and documentation expectations while prioritizing safety, access, engagement, continuity, quality, and compliance.
  • Deliver services consistent with California High Fidelity Wraparound standards, Specialty Mental Health Services requirements, contractual obligations, and agency policies; participate in fidelity reviews, consultations, chart reviews, audits, outcome monitoring, and quality improvement.
  • Participate punctually in supervision, team meetings, case consultation, training, quality improvement, and program fidelity activities; seek consultation for complex, risk, safety, ethical, or out-of-scope matters.
  • Complete required agency, regulatory, and evidence-based practice training within established timeframes.
  • Perform other duties consistent with the position’s scope and responsibilities as assigned.
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