The Mental Health Rehabilitation Therapist I position is part of the Mental Health and Substance Abuse Rehabilitation program in North Dakota, which provides culturally competent services to adults and children who are Medicaid recipients and who are at risk of entering or re-entering a mental health or hospital facility. Services are designed to restore functioning to the highest possible level and enable clients to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills, when these abilities are impaired by symptoms of mental illness. Services are also appropriate when an individual may be at risk for functional decompensation or in a position of needing more restrictive services.
Services are provided under an Individual Treatment Plan and are overseen by a Licensed Mental Health Professional. The Mental Health Rehabilitation Therapist I provides individual, group, or family intervention from a range of treatment methods, within the scope of training and expertise of the Mental Health Rehabilitation Therapist I. Services provided are designed to reduce the client’s disability and restore the individual to previous functional levels by facilitating the development of skills needed for functioning in normal life roles in the community. The client’s ability to acquire and apply these skills helps to prevent relapse and strengthen goal attainment. The Mental Health Rehabilitation Therapist I may work individually with the client, within a group format, or in the context of the family, to assist family members or other significant others help address the identified problem areas.
Because of the risk level of clients being served in the rehabilitation program, services can be provided with greater frequency and intensity. Services are to be provided in the environment in which the best transfer of learning will occur; oftentimes this means the client’s home or other community setting. Skills training can be provided up to one hour per day. Skills training is one portion of the array of rehabilitation services, which also includes medication management, nursing and health assessment, behavioral intervention, and skills integration; therefore coordination of care and communication is required by the Skills Therapist. The Mental Health Rehabilitation Therapist I ensures that necessary documentation is in place in the file, including a current Diagnostic Assessment and treatment plan, and completes progress notes daily for therapy services provided and communication contacts with the individual, child, family, or other treatment providers.
Those who have direct experience in a residential placement setting and/or working with severe behavior issues particularly with children are best suited for this position.
The Skills Therapist must:
- Hold at least a bachelor’s degree in a human service field, AND
- be licensed / certified in North Dakota to practice in one of the following areas:
- Licensed Social Worker (LSW);
- Behavior Modification Specialist (BMS);
- Licensed Certified Social Worker (LCSW);
- Licensed Associate Professional Counselor (LAPC);
- Licensed Professional Counselor (LPC);
- Licensed Practical Nurse (LPN)
- Have 4,000 hours supervised experience in the delivery of mental health services
Other requirements for this position include:
- Must be at least 21 years of age
- Must pass a criminal background check
- Must possess a valid driver’s license, have current automobile insurance and a reliable vehicle
- Ability to work independently to meet job requirements and productivity expectations
- Willingness to maintain a flexible schedule to meet client needs, managing appointment cancellations and prioritizing activities when needed
- A desire to work in home and community settings with clients having mental illnesses
- Comfort and ability working with clients who may exhibit behavior problems
- Skills to work with a variety of cultures
- Skills in managing emotionally-charged situations / crises
- Sufficient organizational skills to manage daily charting requirements
- Proficiency in the use of computers
ESSENTIAL JOB FUNCTIONS:
1. Clinical Responsibilities: Clinical responsibilities are conducted under the supervision of a Licensed Mental Health Professional, and include:
- Along with the Mental Health Professional, develops and implements a culturally appropriate treatment plan and crisis plan for each client.
- Within the Mental Health Rehabilitation Therapist I’s scope of practice and expertise, provides skills therapy in an individual, group, or family setting to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment and independent living and community skills, when these abilities are impaired by symptoms of mental illness.
- Work with and receive regular direction from the Mental Health Professional for the purpose of helping the client achieve maximal progress, as well as identifying and problem solving any barriers to progress on the treatment plan.
- Within 45 days of employment the Mental Health Rehabilitation Therapist I is expected to support a caseload that allows for consistently providing the expected number of billable weekly.
- Coordinate with other service providers, such as the Mental Health Technician providing Skills Integration to assist the client in practicing those skills learned in therapy with the Skills Therapist.
- Provide crisis assistance services as needed, to address abrupt or substantial changes in the functioning of the child, identifying and managing crisis as they become evident and communicating this change of status to the overseeing Mental Health Professional.
- Provide after hours on call service with the mobile crisis team as assigned.
2. Administrative Responsibilities:
- Maintain current schedule with supervisor, communicating adjustments as they occur.
- Complete chart notes daily for services provided and contacts made, ensuring that the documented time frame in the note accurately represents the service provided and that the note clearly describes the intervention provided.
- Ensure that the file is in compliance with state standards and agency policy, including but not limited to: current Diagnostic Assessment, Individual Treatment Plan, financial agreements, releases of information, HIPAA / Notice of Privacy Practices, and evidence of ongoing case consultation.
- Attend 4 hours of case consultation each calendar month.
- Complete staff time and expense sheets bi-weekly for payroll processing.
- Participate in supervision activities as directed.
- Participate in 20 hours of training and continuing education annually, in the areas related to serving the needs of individuals with mental health problems.
- Adhere to HIPAA privacy guidelines, data security expectations, and mandated reporting requirements, notifying management immediately of any breaches or concerns.
- Adhere to agency policy and procedure
- Contribute to the development of agency policies and procedures as requested.