On-Call Health Worker -SOMA Rise

HealthRIGHT 360San Francisco, CA
Onsite

About The Position

This is a union-eligible, on-call position for the SOMA Rise program. The program serves adults 18 and over who are under the influence of substances and require short-term assistance and support. The team focuses on engaging participants with health resources, operating a 24-hour space that is welcoming, compassionate, trauma-informed, culturally attuned, and user-responsive, with an emphasis on harm reduction principles. The program prioritizes the safety of individuals at increased risk of substance use-related high-risk behaviors, trauma, homelessness, and overdose deaths. All staff receive training in OD Prevention, Recognition, Response, and Narcan Administration. HR360 aims to reduce barriers for people who use drugs to access a non-judgmental, participant-centered program that addresses the interconnected harms of homelessness, substance use, and trauma. The program provides radical hospitality and support to marginalized populations in a safe, compassionate, trauma-informed, culturally attuned, and user-responsive space focused on harm reduction. It seeks to reduce the harmful impacts of substance-related harms in the community by providing a space for individuals experiencing substance use-related crisis, reducing overdose deaths, and promoting restorative approaches to conflict. The goal is to create a stigma-free zone for SOMA RISE services, incorporating the needs and preferences of people who use drugs in San Francisco into the program's mission, policies, practices, and development. Continuous monitoring of successes and challenges is done to improve service delivery. Collaboration with community partners, including harm reduction, treatment, and wellness resources, is key to creating sustainable links for individuals during and after their SOMA RISE stay.

Requirements

  • High School Diploma or equivalent
  • Possess at least 2 of the following: Basic Life Support or other advanced first aid certification, AOD Certification and 2 years' experience working in a crisis environment, Crisis De-escalation Training Certification, Certified Nursing Assistant, Certified Medical Assistant
  • Experience working successfully with diverse populations specifically with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self-sufficiency.
  • Experience working with people who use drugs and people experiencing homelessness.
  • Overdose Prevention and Narcan Administration trained within 30 days of employment.

Nice To Haves

  • We value a lived experience of homelessness, illicit drug use, and alcohol use.
  • Proficiency with harm reduction, restorative justice, and trauma-informed care preferred.

Responsibilities

  • Treat program participants with respect and dignity, interacting with them in a caring, non-judgmental manner, utilizing harm reduction and trauma-informed care principles.
  • Take participant vital signs as appropriate per protocol.
  • Interviews and screens clients, identifies patient's general condition and assists with client’s needs through consultation with professional staff; may perform crisis intervention activities.
  • Engage participants in compassionate ways to build motivation toward health initiatives in their own lives.
  • Respond to participants’ needs, ensure that SOMA RISE protocols are being addressed, and, to respond to crises (e.g., conflict) and overdose with crisis de-escalation interventions and Narcan.
  • Monitor SOMA RISE safety adherence and general well-being of all participants and call 911 when needed.
  • Take the lead in response and de-escalation in cases of moderate to severe displays of aggression or physical ailment including calling 911.
  • Attend to SOMA RISE program milieu to help maintain safe space for participants.
  • Verbally de-escalates tense, high-pressure, and emotionally charged situations.
  • Provide health education and support in accordance with harm reduction principles.
  • Work as an active team member along with other health workers, janitors, safety monitors, and supervisors to maintain safety, calm tone, and cleanliness of program.
  • Complete SOMA RISE program intakes by welcoming people, informing them of program norms/parameters/resources, and documenting their participation.
  • Monitor SOMA RISE safety adherence and general well-being of all participants and call 911 when needed.
  • If necessary, to provide proactive “warm handoff” referral and linkages for participants to hospital care, substance use treatment, health, and social services.
  • Chaperone “fresh air” breaks, “smoking breaks”, on-site food delivery service, and other onsite services.
  • Engage clients and provide resources on overdose prevention, safe use and harm reduction interventions.
  • Engage with community partners around participant referrals.
  • Complete observation logs, document rounds and observations of the milieu, and every 30 minutes for those sleeping.
  • Attend internal program staff meetings and administrative supervision including regular shift meetings and various ad hoc meetings.
  • Along with the Team, take ownership to ensure the overall quality of customer and health services at program.
  • Fill the role of Health & Safety Representative including monthly safety trainings, emergency drills, maintain safety supplies, update emergency response plan, and attend safety meetings.
  • Participate in ongoing trainings on radical hospitality, harm reduction, OD Prevention/Narcan Administration, anti-stigma, crisis response and de-escalation.
  • Basic drug knowledge, motivational interviewing, customer service, trauma-informed service provision, team-based care, and other related topics.
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