The Family Behavioral Health System provides an integrated and flexible array of strengths-based therapeutic services and supports to families and children with complex therapeutic needs. Family Behavioral Health Services are delivered primarily in the client’s home or community and are designed to reinforce the strengths of the family to prevent the out-of-home placement of a child or prepare for the return home of a child from out-of-home care. Services focus on empowering the family to effectively use their strengths and abilities to address their needs and challenges with the primary goals of supporting them to become self-sufficient and to strengthen their relationships with community and natural supports that can sustain their long term success.
This position provides one-on-one mental health treatment strategies and services to high-risk children, youth and their families in the family home, therapeutic foster home, and/or community locations (e.g. during crisis in emergency departments, crisis response or behavioral observation and assessment in home and schools, etc.). In addition, the FSS works with the youth and family to participate in community safety and wellness activities during times of stabilization. This position requires the skills and abilities to assess safety and risk ‘in-the-moment’ in crisis situations while providing assistance and while accessing additional support as needed. Mentoring and coaching/implementing behavioral support, treatment and safety/crisis plans in the home and community is a strong component.
The FSS must, at all time, present as a positive and responsible role model to the youth and family, while maintaining appropriate and professional boundaries. This position requires on-call availability, including 24/7 availability scheduled on a rotating basis.
Therapeutic Assessment, Service Implementation and Delivery:
- Act as a “First Responder”, providing direct crisis response, de-escalation, emergency supervision and redirection of children and youth who may be experiencing behavioral crises in their home, school, and community.
- Responsible for participating in clinical intake observation and assessment of child/youth with the goal of multi-dimensional assessment in all life areas including home, school and community. FSS will demonstrate ability to present clinical observations to team as input into the safety and treatment plan.
- Based on child/youth treatment needs and mental health diagnosis, collaborate with assigned clinician to identify and support consumer access to physical health and substance abuse treatment services available in the community.
- Participate in clinical decision making for high risk youth, contributing to the development and implementation of an individualized treatment plan that outlines supervision and assessment of current mental health and safety needs.
- Implement prescribed behavioral strategies and treatment services to high risk children and youth, modeling and teaching social behavior, self-protection skills and awareness, and developmentally appropriate coping and social interaction skills. Provide skill building support that enhances a youth’s ability to function effectively and safely in the community addressing therapeutic issues such as anger management, alternatives to aggression toward others, frustration tolerance, and socialization.
- Complete family and behavioral health assessments with youth and parent, including CANS (child adolescent strengths and needs) and SNCD (Strength Need Culture Discovery). Where required, assist clinician in completing the CALOCUS (Child and Adolescent Level of Care Utilization System).
- As part of a clinical team, assess family need for community resources to ensure safety and recovery oriented treatment. Work with other Medicaid funded providers to introduce youth and family to needed behavioral health and community resources.
- Analyze and assess home environment. This may include performing safety sweeps in the home or therapeutic foster home for children and youth with suicidal ideation and other high risk safety concerns (as identified in a Mental Health intake or crisis referral).
- Participate in gathering child and youth intake information and assist in determining medical eligibility for services, demonstrating an understanding of Medicaid requirements and State Access to Care Standards.
- Demonstrate an understanding of behavioral health services and their role in wellness and recovery by communicating role, responsibility and agency philosophy to assure mutual respect, confidence and trust with the child, family and other stakeholders. *Meet and engage the family communicating compassion, support, respect and enthusiasm for their recovery journey.
- Accurately complete documentation per required timeframes, to be entered into the FBH Electronic Health Record, Psych Consult.
- Deliver direct therapeutic services including Evidenced Based and Promising Practices (i.e. Cognitive Behavioral Therapies) that are customized to meet each youth and family’s uniqueness, personality, culture and interest and treatment goals as identified in their Individualized Treatment Plan.
- Deliver prescribed behavioral health services, working with assigned clinician to evaluate effectiveness of the Treatment Plan and Safety Plan, and recommend changes as needed to ensure the success of the child or youth.
- Healthcare Coordination – Work in collaboration with families, primary care physicians and healthcare specialists to support coordination of medical and behavioral health services to children/youth and their caregivers.
- Utilize Motivational Interviewing techniques to ensure therapeutic intervention maintains a focus on strengths, needs and capacities of child, youth, and their families.
- Using clinical tools in “Practice Wise” (treatment strategies manual) plan treatment sessions for children and youth identifying evidenced based services to address behavioral health needs and provide those services directly to youth in the home and community.