Job description

Title: Crisis Intervention Team Member

Position: MSW

Annual Salary: $72,800- $ 88,800.00 (40 hours per week)

Full Employee Benefits ( Medical, Dental, Vision, Paid Vacations)

Monitored Reporting: LCSW-R/Program Manager

Reporting: Psychologist/Program Director

MedHelps for Epidemiology Inc. Non profit is a subsidiary of HipHoticHelps Inc. Nonprofit 501 C3. We are seeking MSW for our MedHelps Behavioral Health Clinics for Justice Involved Individuals.

MedHelps Behavioral Health Clinics offers on site high valued medical, mental health, and fitness services to Aging Out Youth/Young Adults, Domestic Violence Survivors/Sexual Crime Victims, LGBTQIA/HIV populations. Sub populations are substance abuse and mental illness. Our goals is to decrease the hospitalization days and increase more self efficiency in our residents.

The mission of the New York City Department of Health and Mental Hygiene (DOHMH) is to protect and promote the health of all New York City (NYC) residents. Addressing health inequities and achieving racial justice are the foundation of DOHMH’s public health approach. In accordance with this mission, the agency’s Division of Mental Hygiene aims to expand its capacity to provide Intensive Mobile Treatment (IMT) services to individuals with recent and frequent contact with the mental health, criminal-legal, and homeless services systems.

MSW will be responsible for handling patient appointments and performing routine examinations, diagnosis, and provide behavioral health treatment and support services to people experiencing homelessness and/or criminal-legal involvement. The duties include ]assignments for CRT members that are comprised of behavioral health specialist of (6) Purple Gun™ Mentors -Peer Specialist, and (2) Non Emergency Transportation Drivers to cover Kings and Richmond Counties. MSW will speak with patients about healthy lifestyle choices for their age, completing diagnostic tests to help diagnose and treat patients for injuries or illnesses and coordinating with other health care professionals to maintain updated medical records.

MSW Duties and Responsibilities

MSW duties and responsibilities vary depending on the specialized populations within DOHMH provisions, our proprietary programming systems, and MedHelps Behavioral Health Clinics SOP Manual. (Brooklyn and Staten Island) Intensive Mobile Treatment Team will fill a critical gap in the behavioral health care system for people with highly unstable housing situations, unclear diagnoses, and/or interaction with the criminal-legal system who have often been unsuccessfully served by the existing service system. IMT teams are resourced to respond rapidly to referrals for people in jail, shelter, or on the street, to enroll people with limited or unclear referral information, to stay connected with people who may move between boroughs, to keep serving people who may not be consistently available for face-to-face contact, and to focus on long term engagement rather than transitions to lower levels of care.

The goal of MedHelps BHC IMT(Brooklyn and Staten Island) is to improve program consumers' quality of life through engagement in treatment, rehabilitation, housing, and support services that promote wellness, recovery, community integration as well as community safety. MSW would provide these services and/or, where appropriate, link consumers to these services. To achieve these aims, the IMT adheres to the following principles:

• Access: Rapidly respond to new assignments from DOHMH wherever the individual is likely or known to be, including jail, shelter, street, community housing, or hospital. The individual is considered enrolled in the IMT service at the time of DOHMH assignment.

• Engagement: Work with the person (and his/her family of choice) as often as needed (flexible # of contacts) wherever the person is (flexible location). The IMT teams will have ultimate responsibility to remain connected with the person as much as possible if or when the individual enters into different systems orinstitutions. IMT providers will continue to outreach to and attempt to engage a person even when the person appears to be actively avoiding/refusing services.

• Continuity of Care: Once the person is successfully engaged, the MedHelps BHC IMT team provides clinical services including, but not limited to, individual counseling, psychopharmacology and substance use treatment, including medication assisted treatment. If or when an individual enters into an institution such as jail or hospital, the team will coordinate treatment and discharge from the institution. The individual may choose to access other, additional services at any time (e.g., PROS, Clubhouse etc.) but will be encouraged to remain connected to the team even while accessing such services.

• Awareness of and reduction of criminogenic and violence risk: Risk assessments will be performed to determine which factors can be addressed in treatment to decrease future incidents of violence and/or criminal-legal involvement. The team will work with the individual to address any criminogenic factorsthat may influence the risk of recidivism.

• Promotion of social inclusion and development of a sense of agency.

Target Population:

The Single Point of Access (SPOA) to mobile treatment and care coordination operated by DOHMH will make all assignments of new referrals to MedHelps BHC IMT teams. The target population for MedHelps BHC IMT is adults that move frequently across the behavioral health care system (outpatient and inpatient), the homeless and housing services (shelter, street, supportive, and independent housing) and the criminal-legal system (jail, prison, probation, parole). An existing underlying risk of violence and/or violent behavior is also a requirement for this program. While many individuals enrolled in IMT may have a serious mental illness diagnosis, no clear evidence of such a diagnosis is required. It is anticipated that most individuals will have a history of or will be actively using substances. Due to the high needs of these consumers, MedHelps BHC IMT team is expected to have a maximum caseload of 50 per quarter.

Racial Equity, Language Access and Cultural Competency:

To protect and promote the health of all New Yorkers, the New York City Department of Health and Mental Hygiene (DOHMH), Bureau of Mental Health has engaged in candid conversations and projects to eliminate health inequities and promote racial equity and social justice within our bureau, within HHH and MedHelps BHC agencies and programs, and within the city of New York. Racial equity goals, plans and evaluations will be a requirement in all Bureau of Mental Health contracts and/or Office of Program Review and Evaluation standards.

IMT teams will consider the impact of structural, institutional, interpersonal and internalized racism on their own experiences, the experiences of the individuals and communities serve. IMT staff will provide services that are culturally and linguistically appropriate to their consumers, the consumer’s families, and the community served. IMT teams work with consumers of various cultural backgrounds, sexual orientations, and gender identities. If a consumer has a background or need that the team does not have experience in working with, then the expectation is that they will seek out resources and additional training as needed (i.e. LGBTQ, complex family dynamics, sex offenders, domestic violence). If there is no available IMT staff

to provide services in the primary language of a consumer, then over- the-phone interpretation services must bemade available. These services may be accessed through a vendor of over-the-phone interpretation services. Copies of documents provided to the individual must be provided in the language of their choice.

Service Modalities and Program Activities:

Rapid response to new referrals is a critical component to the MedHelps BHC IMT model. The individual is considered enrolled in the MedHelps BHC IMT service at the time of DOHMH assignment. The expectation is that the team will respond as quickly as possible, acknowledging receipt of referral within two hours (during hours of operation). Arrangements to meet with, or to otherwise attempt to engage the individual and collaterals, must occur within 24 hours of assignment to a team.

MedHelps BHC IMT services include, but are not limited to: assessment and treatment planning, crisis intervention, medication management, medication assisted treatment, integrated mental health and substance abuse treatment, individual and group therapies, housing placement assistance, psycho-education, psychosocial and vocational rehabilitation, care coordination, assistance with medical concerns and medication, primary medical care including on-going communication with primary care physicians, assistance with activities of daily living, assistance obtaining entitlements, linkage/coordination with the criminal-legal system, and shelter system, and assistance in using family and community resources.

MedHelps BHC IMT teams may use wrap around service dollars for the purpose of meeting immediate and unplanned needs of the people served by the IMT Team.

Trauma Informed Care will be provided, in recognition of the tremendous impact trauma history has within the target population. Additionally, the Providers will use Motivational Interviewing, Integrated Dual Disorder Treatment (IDDT), Wellness Self-Management (WSM), Reasoning and Rehabilitation, Individualized Placement and Support (IPS), Harm Reduction, and Peer Models of Care as appropriate.

Additional specialized treatment interventions found to reduce substance use, aggressive and criminal behaviors may also be used. HHH and MedHelps BHC will partner with DOHMH to continue to determine which interventions may best serve the population and service model. As possible, DOHMH will provide training

opportunities in the selected interventions, including learning collaboratives. All IMT providers/staff are expected to participate in these training initiatives.

IMT teams will provide the primary mode of treatment and intervention for their consumers. However, recognizing that community integration is important to improved outcomes, IMT teams will continue to work with consumers even if/when the consumer has become involved in other community activities,including other treatment and care coordination services. This service continuation will provide continuity and a safety net, should the consumer become disengaged with other services or providers. In working specifically with Health Home and/or HARP Care Coordinators, IMT teams will work with Care Coordinators on the development of the consumer’s Plan of Care, recommending inclusion of specific services that may best meet the needs of their consumers as well as providing recommendations on the frequency and duration of such services. Finally, MedHelps BHC IMT teams will be expected to coordinate closely with any other treatment providers to ensure services provided are beneficial to the consumer and, particularly with medication administration, are not inappropriately duplicated. IMTs may discharge a consumer to the care of another treatment provider only once the individual has demonstrated significant progress in achieving long-term housing stability and maintenance of community tenure.

MedHelps BHC IMT will maintain regular hours of operation, Monday – Friday 9:00 am – 5:00pm, Saturday and Sunday 12:00-6:00 pm with flexibility to accommodate the needs and schedules of the consumers. The crisis intervention service is available 24 hours per day, seven days per week through MedHelps BHC IMT Transportation Services to our Satellite Clinic in Brooklyn.

The MedHelps BHC IMT Transportation Services is the first contact for after-hours calls. The team provides services designed to prevent or resolve crisis to avoid unnecessary use of emergency services and/or loss of community tenure. MedHelps BHC IMT would deliver comprehensive and flexible treatment, support, and rehabilitation services to individuals in their natural living settings rather than in hospital or clinic settings. This means that interventions and skills training will be carried out at Brooklyn and Staten Island locations where individuals live,work, and socialize, and where support is needed.

MedHelps BHC IMT would remain connected to consumers during periods of institutionalization. MedHelps BHC IMT would develop and implement strategies for maintaining continuity of care during periods of incarceration, including regular communication with treating provider during this time.Individuals may not be discharged from IMT services in the event of short-term incarceration or hospitalization.

MedHelps BHC IMT would continue to provide services to an individual consumer in whichever borough the person resides. Additionally, as it is expected that the consumers will be homeless, it should be anticipated that individuals might move repeatedly across boroughs.

MedHelps BHC IMT would discharge people for the following reasons, with DOHMH approval: the individual has demonstrated significant progress in achieving long-term housing stability and maintenance of community tenure; the individual has moved out of the NYC area and there is no reasonable expectation that the individual will return, or community tenure has not been able to be maintained and there is verification that long-term institutionalization, lasting for more than 1 year, will occur.

MedHelps BHC IMT provide crisis services via telephone to IMT consumers by IMT staff.

IMT staff would be available as needed for face-to-face delivery of crisis services.

All IMT consumers shall be given the 24/7 crisis response contact number at point of

enrollment/admission.

IMT teams maintain a ratio of approximately 1 staff member to 3 consumers.

MedHelps BHC IMT would maintain a minimum staffing plan, which includes the following required positions for each team (serving a caseload of 50 people per quarter):

MSW filled by a single person who holds a Master Degree in Social Work with at least 3 years of experience with justice involved individuals. The CRT member has primary clinical responsibility for ensuring adequate and appropriate service/treatment delivery, staff training, and maintenance of staff to consumer ratio and coverage. Additionally, the CRT member would have primary responsibility for the development and maintenance of ongoing relationships with HHH service providers, shelters, clinics, jails, courts and other community resources. S/he would practice according to the principles of Recovery oriented and trauma informed service delivery.

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EEOC employees and applicants are also protected against retaliation. Consistent with federal laws, acts of retaliation against an employee who engages in protected activity, such as reporting discrimination or harassment or participating in the EEO process, whistleblowing, or the exercise of any appeal or grievance right provided by law will not be tolerated at EEOC. In addition, as provided in the RESOLVE Program Non-Retaliation Statement, the EEOC will not tolerate retaliation against RESOLVE participants. Importantly, the EEOC will take prompt action when an EEOC employee, agent of EEOC, or non-employee is found to have engaged in discrimination, retaliation, or harassment (including sexual harassment).

Job Type: Full-time

Pay: $72,800.00 - $88,800.00 per year

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Addiction Medicine

Schedule:

• Weekend availability

Ability to commute/relocate:

• Brooklyn, NY 11216: Reliably commute or planning to relocate before starting work (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: In person

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