Mental Health Counselor

Fora Health•Portland, OR

1d•Hybrid

About The Position

The Dual Diagnosis Counselor role involves providing services to adult residential clients, working under the direction of the Residential Programs Manager and collaborating with a multidisciplinary team. This role requires the skills to complete mental health assessments, develop collaborative treatment plans, and conduct individual and group therapy to support clients in their recovery from substance use and mental health disorders, aligning with Fora Health's mission and philosophy.

Requirements

Graduate degree in psychology, social work, or other behavioral health field.
QMHP credential
Ability to conduct an assessment, including identifying precipitating events, gathering histories of mental and physical health, substance use, past mental health services and criminal justice contacts, assessing family, cultural, social and work relationships, and conducting a mental status examination.
Ability to complete a DSM diagnosis, write and supervise the implementation of a Service Plan and provide individual, family or group therapy within the scope of their training.
CADC I or ability to qualify for CADC I credential within 6 months.
Has basic knowledge of substance use disorders and the impact SUDS has on managing mental health symptoms.
Understands basic psychopharmacology.
Can describe warning signs, symptoms, and the course of substance use disorders.
Can describe how substance use disorders affect families and concerned others.
Can describe principles and philosophy of prevention, treatment, and recovery.
Incorporates foundational models (e.g., MI, DBT).
Skillfully addresses issues related to self-awareness, diversity, and ethics.
Effectively communicates and establishes rapport.
Can facilitate clinical evaluation covering the scope of both ASAM and DSM 5 dimensions.
Demonstrates knowledge of and ability to maintain clinical documentation, including treatment plans, consistent with agency standards.
Demonstrates ability to facilitate groups.
Able to effectively engage in problem solving and independent decision making.
Understands emergency situations and protocols to maintain a safe milieu.
Ability to use de-escalation skills in crisis situations.
For employees with a history of substance use disorder, certification of a minimum of two years of sobriety is required.
Ability to pass a pre-employment or for cause drug tests.
Ability to pass DHS criminal background check.
Position will require some amount of regular connection to work via cell phone to answer questions and respond to internal and external contacts.
Completed registration with Oregon Health Authority (DMAP) and National Plan and Provider Identifier (NPI).

Nice To Haves

CADC II or III preferred

Responsibilities

Gather data systematically from the client and other available collateral sources.
Obtain and interpret all relevant assessment information.
Determine the client's appropriate level of care and stage of change.
Utilize the DSM-5 to assess and diagnose substance use and mental health disorders.
Formulate with the client mutually agreed upon and measurable treatment outcome statements for each need.
Identify appropriate strategies for each outcome.
Inform client of confidentiality rights, program procedures that safeguard them, and the exceptions imposed by regulations.
Protect client rights to privacy and confidentiality in the communications of client information.
Assess treatment and recovery progress and make appropriate changes to the treatment plan in consultation with the client and significant others.
Describe and document treatment process, progress, competencies, and outcome relative to treatment goals and objectives.
Apply placement, continued stay, and discharge criteria.
Conduct and document continuing care, relapse prevention, and discharge planning with the client and involved significant others.
Work collaboratively with all service areas within the agency to provide appropriate client referrals and communicate relevant client information.
Communicate and collaborate with referral agencies regarding scheduled screenings, status of client, and treatment and discharge planning.
Contact referents within 24 hours of admit, at least once per month during the client’s treatment, and before and during the client’s discharge.
Document these contacts in progress notes.
Progress notes are documented in client charts within 24 hours for individual treatment.
ASAM treatment plan reviews are completed and reviewed within 30 days of admit and every 30 days thereafter.
Submit treatment plans to supervisor as required and posted in a timely fashion in order to obtain continuing authorization for clients.
Progress toward goals are updated bi-monthly and communicated during with both internal and external treatment providers.
A Discharge Plan is developed with the client 30 days prior to a planned discharge, and continuing care plan is completed with client in final session.
When required by contract, County exit surveys are completed within the last 5 days prior to the planned discharge.
A Discharge Summary is completed within 5 days following discharge.
When required, insurance is notified within 24 hours of discharge.
Establish a helping relationship with the client characterized by warmth, respect, genuineness, concreteness, and empathy.
Facilitate the client's engagement in the treatment and recovery process.
Role models and coordinates with residentials counselors on effective milieu therapy interventions.
Provide individual and group counseling as a part of the therapeutic process to achieve treatment goals.
Supports family therapy by reinforcing goals in individual and group sessions.
Sensitize others to issues of cultural identity, ethnic background, age, and sexual orientation in treatment and recovery.
Describe the health and behavior problems related to substance use, including transmission and prevention of HIV/AIDS, TB, STDs, and other infectious diseases.
Teach life skills, including but not limited to, stress management, relaxation, communication, and refusal skills.
Provide therapeutic interventions to address treatment-interfering behaviors as needed.
Meet individually with clients on caseload with the frequency determined on treatment plan.
Arrange or assist clients in following through with referrals to other professionals, agencies, community programs, or other appropriate resources to meet client needs.
Explain in clear language to the client the necessity for and process of referral.
Exchange relevant information with the agency or professional to whom the referral is being made.
Facilitate the client’s transition to continuing care resources prior to his/her discharge from treatment.
Demonstrate ethical behaviors by adhering to established professional codes of ethics.
Adhere to Federal and State laws and agency policies and procedures regarding the treatment of substance use disorders.
Recognize the importance of individual differences that influence client behavior and apply this understanding to clinical practice.
Participate in ongoing supervision and consultation.
Maintain (or complete) current addiction counselor certification and QMHP privileging.
Maintains healthy boundaries with clients and their families.
Attend and participate in all treatment team meetings as assigned.
Attend all clinical supervision meetings as assigned.
Maintain and strengthen good working relationships with team members.
Communicate and coordinate with staff from other departments effectively.
Maintain cleanliness and safety of work environment.
Attend all meetings as assigned.
Perform related tasks as assigned.
Complete additional trainings as assigned in a timely manner.
Complete special projects and other duties as assigned.