Under the direction of the program supervisor, work involves providing comprehensive, person-centered, team based, assertive community treatment to persons living with severe and persistent mental illness and dual diagnosis receiving services through the Beloit Community Support Program. Work includes the provision of: case management, symptom management, supportive psychotherapy, psychosocial rehab, vocational related support and assisting clients with activities of daily living according to individualized treatment plans. This unique team position has a flexible role which is responsible for carrying a smaller caseload, provides group treatment on a as needed basis, and supports the changing needs of the clients and team. Responsibilities also include the development and maintenance of client case records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements. Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.
Provide comprehensive, person-centered, team based, assertive community treatment services in accordance with DHS 63.
1. Manage a case load and provide or arrange for provision of all needed services for each person on that case load. Develop and implement clinically relevant treatment plans ensuring that treatment is culturally competent, recovery oriented and involve consumer participation.
2. Provide interventions including; symptom management, supportive psychotherapy, psychosocial rehabilitation, vocational related supports, and assistance with activities of daily living. Provide services on an individual and group level including possible supportive services and education to families.
3. Advocate for and arrange transition to the least restrictive living situation for all CSP consumers. Attend and testify at court proceedings as needed.
4. Act as a team member on a multidisciplinary team contributing to the functioning of the treatment team, supporting and covering for other team members as necessary.
5. Regularly assess consumer mental status, areas of functioning, and symptom patterns and communicate this assessment to the team.
Develop and maintain consumer records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements.
1. Maintain needed documentation and benefits including; Medicaid and Medicare, Social Security reviews, FoodShare, and assistance received through other community services. Arrange other community resources as deemed needed offering consumers choice when available.
2. Act as a representative payee for consumers as assigned completing monthly budgets with those consumers and providing psychosocial rehab with a goal of increasing independence.
3. Writes clinically relevant individualized treatment plans on a six month and annual basis including the completion of an annual Functional Screen. Completes written discharge plans.
4. Regularly document assessed consumer mental status, progress and problems and share with the treatment team.
5. Enters client data into the Program Participation System (PPS) at admission, every six months and at discharge.
Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.
1. Actively participate in treatment team meetings, individual and group supervision meetings, and treatment plan meetings for consumers on your case load and team.
2. Attend in-services, trainings, division/department meetings, committee meetings and trainings as requested or approved by your supervisor.
3. Maintain prompt communication with family members, team members, Rock County Crisis Intervention, and collateral agencies requesting information.
Knowledge of assessment and treatment of persons whom have serious and persistent mental illness
including co-occurring disorders.
- Knowledge of the principals and practices of social work. The knowledge of best practices and the
ability to implement them.
- Ability to embrace and nurture a person centered, recovery oriented framework and culture for
- Knowledge of the laws, regulations and practices pertaining to DHS 63.
- Knowledge of psychotropic medications, their effect, side effects and abuse potential.
- Knowledge of substance abuse treatment and ability to perform substance abuse assessments and provide individual and group treatment.
- Knowledge of community resources and how to effectively utilize them.
- Ability to plan and organize work effectively.
- Ability to maintain accurate current records and prepare clear and concise reports.
- Ability to establish and maintain effective working relationships with agency staff, community
members, families, and collateral agencies.
- Knowledge of various cultures and diverse populations and ways in which cultural values impact
individuals, families, and the community.
- Ability to make assessments and provide or refer for appropriate treatment.
-Ability to manage change and workload in an environment with rapidly shifting priorities.
-Ability to be flexible with job tasks on a day to day basis.
- Bachelors Degree in a human services field, preference given to those with a Masters degree
- 2,000 hours or more of post-degree experience with chronically mentally ill persons or 1,500 hours in a CSP program.
- Preference to those with experience with individuals who experience substance abuse
-Must possess and maintain a current unrestricted (not due ot corrective lenses) driver's license and auto insurance pursuant to the Rock County Administrative Policy and Procedure 5.02 and 5.27.
Internal Number: RC-0802390
About Rock County Human Services
Rock County's Behavioral Health Division's vision is to create and sustain a welcoming system of high quality care that is focused on respect for the dignity of each person served and authentic belief in and hope for recovery.
The mission of the Behavioral Health Division is to deliver high quality behavioral health services in partnership with individuals and families to promote recovery and improve the quality of life.
Are Core Values are:
•Respecting the dignity of the people we serve
•Strengths based approaches
•Instilling Hope for our clients
•Clients' rights to choose their own goals and priorities
•Efficient use of resources
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Primary references are publications that are cited as references during examination development.