Service Coordinator - HUB

HUB - Flexible ACT - ACT

Shared Health is implementing wrap- around multi-disciplinary community mental health teams for individuals who have severe mental illness. These teams will be composed of the HUB, FACTT and ACT teams. The teams will work with individuals who have a severe mental illness and may have been in hospital for extended periods of time, in a special contract, use a number of services and require regular supports to assist in community living. Individuals do not require a diagnosis of primary psychosis but may have a mental illness diagnosis, behavioral complexity, co-existing medical conditions, cognitive impairment, addictions, be involved with the criminal justice system and do not meet the criteria for other mental health programs or services.

The model is a dual intensity level approach and allows for a coordinated approach of care, less intensive FACTT (with ability to scale up to ACT for a temporary duration of time), and continuously intensive ACT.

The HUB will be responsible for:

• the assessment, intake and navigation of individuals that are referred for services.
• the development and oversight of the provincial standardization for FACTT and ACT teams in Manitoba.
• the development of the eligibility criteria and referral pathways to and from the services, identify gaps in services and develop solutions.
• data collection, oversight, and analytics.
• consultation and assessment for service strategy planning for client and families.
• the assessment and reassessment of clients for appropriateness for FACTT and ACT.

The Flexible ACT team (FACTT) will service a broader mental health client population.

FACTT will be responsible for:

• case management services in the community.
• has the ability to provide more intensive treatment services for a short period of time when needed by the individual.

The ACT team would allow for intensive service for individuals with severe mental illness and have a number of functional and adaptive needs. The ACT team will provide 24-hour wrap around services provided by a multi-disciplinary team.

Main Function:
Under the general supervision of the Team Leader HUB/FACT, the Service Coordinator - HUB is responsible for providing reviews, screening and assessments of all referrals to the FACTT and ACT teams determining which team the individual will be directed to for ongoing services.

In collaboration with the HUB Psychologist; the Service Coordinator - HUB will provide clinical expertise and leadership specific to assessment of criteria, functional, adaptive and behaviors of concern of the individual. They will provide expertise in the area of clinical practice, consultation, supervision, inter-professional collaboration, education, training and program planning.

• Minimum of four years of relevant experience working with adults in clinical practice in a community mental health setting. Additional clinical experience working with specialized populations, including adolescents/young adults or seniors, is of benefit.
• Experience in consultative or supervisory role.
• Demonstrated skill and experience working with inter-disciplinary staff and promoting collaborative inter-professional practice.
• Comprehensive knowledge, training and experience in advanced level clinical practice in both assessment and intervention, with a behavioral focus.
• Experience in the assessment and treatment of complex mental illnesses and related behavioral presentations.
• Further experience working with individuals with intellectual disabilities and/or developmental disorders is an asset.

• BSW, OT, PT, BSc PN, RPN, BN, RN, SLP, RD, or related health/human service degree required.
• Specific discipline required will be based on the operational needs of the inter-disciplinary team.

SPECIAL TRAINING:

• Aboriginal Cultural Awareness Workshop.
• Thorough understanding of recovery principles, recovery-oriented practice and a comprehensive understanding of the environments, conditions and practices that support the recovery of individuals and families.
• Extensive knowledge of key intervention models including but not limited to: Behavior Modification, Behavioral Intervention and Management, Recovery model, Psychiatric/Psychosocial Rehabilitation, Strength Based Perspective, Crisis Response, Case Management, Motivational Interviewing, and Trauma Informed Practice.
• Proficiency in observing and assessing behaviors and developing customized behavioral intervention plans.
• Additional training and experience in Applied Behavior Analysis (ABA) and/or Board Certification through The Behavior Analyst Certification Board (BACB) is an asset.
• Training in Non-violent Crisis Intervention, Prevention and Management of Aggressive Behavior, and Applied Suicide Intervention Skills Training (ASIST).

• Active member in good standing of an associated regulatory body as appropriate.

• Adheres to all safety and health regulations and safe work practices.
• May be required to perform other duties and functions related to this job description not exceeding above stated skills and capabilities.
• Comprehensive knowledge and understanding of Flexible ACT, psychosocial rehabilitation, recovery, and empowerment.
• Comprehensive knowledge and understanding of evidence-based practices, including current knowledge of best practices in the area of Assertive Community Treatment.
• Superior organizational and time management skills in managing and prioritizing urgent requests for consultation and support over less urgent or time sensitive requests.
• Ability to work with minimal supervision and function well within the context of a team.
• Comprehensive knowledge and understanding of co-occurring mental health and substance use disorders.
• Ability to positively engage others and inspire a broad range of partners and stakeholders to facilitate collaborative intervention and practice.
• Understands the impact of stigma and discrimination pertaining to mental health and mental illness.
• Ability to examine and evaluate current research and literature and apply continued learning to daily work.
• Proficient use of web-based and personal-computer based software including Microsoft Word, Excel and PowerPoint.

Not Applicable