Community-Based Clinician

Supervisor: Director of Clinical Services and Community Based Programming

GOAL:  To provide high quality, trauma-informed & responsive therapeutic services & support to Gracehaven Community Based Team clients & their families, utilizing evidence based therapies & treatment modalities. 

KEY OBJECTIVES

• Provide individual and family based clinical services to youth who are at risk and/or have been exploited and are active clients engaged in Gracehaven continuum of care/services. 
• Assess youth referred for Community Based Therapeutic Services and make treatment and level of care recommendations in accordance with diagnosis and medical necessity. 
• Develop and implement individualized, therapeutic treatment plans in accordance with the youths diagnosis and treatment recommendations 
• Provide on-call coverage and crisis management consultation and intervention services to youth and families when deemed necessary.  
• Work in conjunction with Gracehaven Director of Clinical Services & Community Based Programming to identify and implement an evidence based treatment model for Therapeutic Group Home and Community Based Treatment Services. 
• Contribute to and foster a trauma-informed & responsive organizational culture. 
• Maintain all compliance standards. 
• Actively participate in supervision & ongoing professional development- training to foster the development of clinical skills, provide best practice and enhance Gracehaven therapeutic services for youth & families who are at risk and/or have been exploited. 

SPECIFIC DUTIES 

Responsibilities include, but are not limited to, the following: 

Clinical Responsibilities:  

• Establish therapeutic rapport and relationships with Gracehaven Community Based Services clients and families. 
• Assessment: Responsible for developing a comprehensive clinical formulation based on the completion of a diagnostic assessment, to establish medical necessity for services at time of admission. The comprehensive assessment will include at minimum an interview with the client, review of records, observation of current level of functioning, the formulation of a diagnostic impression, level of care, and individualized treatment recommendations. 
• Treatment Planning: Facilitate the collaborative development of an Individual Service (ISP) - Treatment Plan with the client, family, and other service providers. Monitor implementation of this plan. Regularly review, update/revise service recommendations/treatment goals, intensity of services based on the ongoing assessment of clients progress and needs, and maintain medical necessity of this plan with the interdisciplinary team according to regulatory guidelines (i.e. OhioMHAS, Medicaid, etc.).
• Therapy: Responsible for providing behavioral health services, including individual, group, and/or family therapy to adolescents and families based on mutually agreed upon treatment goals with the client and/or caregivers as identified in the Individualized Treatment Plan (ITP). 
• Discharge Planning: Participate in quarterly Multidisciplinary Progress Review and Maintenance/Discharge Planning Meetings and serve as an advocate for the clients to ensure that appropriate level of care and services are being provided, in the least restrictive environment necessary. Communicates changes in recommendations and/or referrals in a timely and concise manner to all stakeholders. 
• Documentation: Provide accurate and timely documentation of service delivery and client’s progress, in accordance with the treatment goals and within the timelines set forth by the agency and regulatory guidelines. 
• Communication & Collaboration: Collaborates and maintain effective, timely and thorough verbal and written communication with clients, families, Gracehaven service team, and other interdisciplinary service team members pertinent to each client’s formal/informal support system.  
• Crisis Intervention Services: Participate in a monthly on-call rotation. Provide crisis management consultation to services Gracehaven Therapeutic Group Home and Community Based Teams, risk assessments & crisis intervention services to clients and families when deemed necessary. Identify clients with urgent/emergent mental health symptoms (e.g. suicidal, homicidal, psychosis, etc.) and make appropriate referrals to available emergency or psychiatric treatment facilities when appropriate.
• Assist the client, their family, and the Gracehaven service team in developing effective safety and/or behavioral intervention plans. 

Trauma Informed-Responsive Organizational Culture Requirements: 

• Demonstrates personal and professional accountability and support the philosophy, goals, and mission of Gracehaven. 
• Shares information and training resources with staff that support the implementation of trauma informed/responsive practices when interacting with clients, families, and service team members.
• Supports a trauma informed and responsive team ethos by modeling, coaching, and/or reinforcing the teaching of symptom management, including relaxation techniques, anger management, therapeutic goal-setting, problem solving, coping skills, etc.
• Utilizes therapeutic, trauma informed/responsive intervention techniques before, during and after times of crisis to support safe client de-escalation and stabilization. 
• Compliance Responsibilities   
• Maintain an active license that is in good standing with the state of Ohio Social Work and Counselors Board.
• Obtains and maintains Dialectical Behavioral Therapy Certification, Gracehaven Level II QRTP approved Trauma Model.
• Participates in professional development (e.g. training, workshops, conferences, etc.) to maintain professional knowledge and proficiency, as well as the Continuing Education Units (CEUs) necessary to maintain appropriate licensure and credentialing.  
• Clinical services must be provided in accordance with all Gracehaven policies and procedures, as well as all current federal, state, and local standards, guidelines, and regulations governing Gracehaven Therapeutic Services. This includes, but is not limited to providing therapeutic services in a manner that ensures that the confidentiality of the client is maintained in accordance with federal HIPAA regulations.
• Maintains accurate and timely documentation/outcomes data/records and service delivery. requirements, as set forth by the agency policy & procedures and OhioMHAS.
• Meets monthly productivity standards for the position. 
• Participates in program quality improvement activities and maintains quality assurance standards.
• Strives to maintain positive client and stakeholder satisfaction.

Supervision/Team Responsibilities 

• Attends all COYFC/Gracehaven training and staff meetings. 
• Assists in Gracehaven Fundraising Events & Development Team initiatives. 
• Actively participate in supervision, community team meetings, case reviews, and other intra-agency meetings. 
• Performs all other duties as assigned by the Director of Clinical Services. 
• Complete necessary supervision training CEUs and obtain Supervisory License. 

Spiritual Responsibilities: 

Because COYFC, its affiliates and subsidiaries are a part of the same faith-based organization and share a faith mission and set of values, we require all employees to consistently apply and live according to the faith based mission and theological beliefs of. Each staff member, regardless of role, is asked to:

• Articulate and uphold COYFC religious beliefs and practices at work and outside of work. Each employee serves to represent the faith based message and mission of COYFC (as outlined in the Statement of Faith and Mission) to the broader community. 
• Be ready and willing to lead and contribute to distinctly Christian activities. 
• Participate in and lead regular times of prayer, devotion and Bible teaching as an ongoing aspect of your role within Gracehaven.  
• Seek God’s guidance and wisdom, through prayer and meditation, for the organization as a whole, as well as for specific ministry initiatives. 
• Regularly encourage and provide instruction and guidance to existing and prospective staff, contractors, volunteers, interns, and leaders through the Bible. 
• Pray for and share spiritual content with existing and prospective donors to COYFC.