Psychiatrist

The Psychiatric Care Provider is a member of the Assertive Community Treatment Team. This person is licensed as a Medical Doctor in the State of North Carolina. As a member of a service team, the Psychiatric Care Provider has overall clinical responsibility for assessing, providing and monitoring medication treatment. The purpose of this position is to provide psychiatric and medical assessment and treatment, clinical supervision, education, and training and development, maintenance, and supervision of medication and psychiatric and medical treatment policies and procedures. The Psychiatric Care Provider will provide psychiatric evaluation, treatment and counseling.

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Work Schedule

This is a full-time position with the work schedule being a forty-hour work week, some evening and weekends may be required. Since Assertive Community Treatment Team services are often required at irregular hours a day, seven days a week, some evenings and weekends may be required. A flexible schedule is required and dependent on the needs of the consumers being served. Regular and predictable attendance is required to perform the duties of this position.

Description of Responsibilities and Duties

The primary purpose of this position is to serve as Psychiatric Care Provider to all consumers referred by the Strategic Interventions Assertive Community Treatment Team and administer medication services and monitor consumer treatment.

Individual and group treatment will be provided in the office and in community settings. This position will coordinate services with inpatient facilities, detoxification facilities, and coordinate linkage of medical services for consumers in the community. Treatment progress for the consumers served will be reviewed and monitored by this position. Continuous consultation with Strategic Interventions clinical staff and community agencies is necessary to ensure the consistent therapeutic management of the consumers needs.

Division of Responsibilities

85% Direct Services

Assessment and treatment of symptoms and response to medication including side effects. Frequency shall vary for each beneficiary, with the majority seen within 4-6 weeks of last appointment, with many of the contacts being in the community. Provides clinical supervision and oversight of the psychiatric services delivered by the NP or PA. Provides advanced professional evaluation and treatment services as a physician extender. He/She provides medication evaluation and prescription for psychiatric medications as well as brief counseling interventions. The Psychiatric Care Provider will work with the treatment team and server as a consultant for other staff. Medication evaluations may be a part of the overall evaluation and treatment of clients. Collaborate with the team leader in sharing overall clinical responsibilities for monitoring beneficiary treatment and clinical supervision to the team. Actively collaborate with nurses to develop and implement medication administration policies and procedures as well as oversee the medical care of beneficiaries that include regular screenings for medication conditions and assessment of wellness and health management. Conduct psychiatric assessments including psychiatric history, course of illness, response to treatment, mental status examination, and DSM V diagnoses and present assessment results at treatment planning meetings. Provide brief therapy (formal and informal). Collaborate with community medical providers in the assessment of consumers physical health, making appropriate referrals to community physicians for further assessment and treatment, and coordinating medical treatments with psychiatric treatment. Monitor non-psychiatric medical conditions and non-psychiatric medications. Prescribe psychotropic medications and conduct regular assessments of therapeutic responses and side effects and educate clients regarding psychotropic medications. With other team members, provide support, education, and counseling to family members of consumers to help them become knowledgeable about mental illness, collaborate in the treatment process, and assist in their family members progress. Provide on-site crisis assessment and management of consumers during regular work hours, both on-site and over the telephone, during other hours on an on-call basis. Be actively involved in both acute and long-term psychiatric inpatient treatment of consumers including regular communication and consultation with the attending psychiatrist. Educate non-medical team members on psychiatric and non-psychiatric medications, their side effects, and health-related conditions; and provide diagnostic and medication education to beneficiary, with medication decisions based on shared-decision making. Regularly participate in daily team meetings and treatment planning meetings, and attend daily team meeting in proportion to time allocated on team. Provide psychiatric back-up to the program after-hours and weekends.

15% Documentation

This position documents consumer activities consistent with the service record manual for area programs. The Psychiatric Care Provider will write an event note that reflects consumer activities, goals, interventions, and outcomes/progress. This position completes intake assessments and diagnostic reports and screens referrals in coordination with other clinical staff. Initial intake and comprehensive assessments are a part of the documentation responsibilities for this position.

Other Position Characteristics

Accuracy Required in Work

The accuracy of this employees decisions acutely affects the safety and personal well-being of each consumer served. Making clinical judgments as to proper treatment recommendations, including emergency situations also requires accuracy and exactness. Work with prescriptive medicines must be exact.

Consequence of Error

Errors could result in consumer discomfort, illness, or death. Errors in paperwork could

result in lost revenues or liability for the agency. Errors in work with the consumer could result in the consumers quality of life being adversely affected.

Instruction Provided to the Employee

The state provides detailed written regulations for operations, consumer confidentiality, documentation, consumer rights, and other aspects of Assertive Community Treatment Team services. Each employee receives written and verbal instructions from the Assertive Community Treatment Team coordinator.

Physical Effort

This position must be able to physically perform the life support functions of standing, reaching, walking, talking, lifting, hearing, and use of repetitive movement. Physical activity is varied (i.e. climbing, stooping, crouching, and lifting). This employee could be required to exert up to forty (40) pounds of force on occasion and twenty (20) pounds of force occasionally. The employee will constantly manipulate objects. Physical effort involves written documentation of services, driving, the ability to express ones self and exchange ideas, the ability to hear and interpret information. The work environment includes general and various community settings including consumer residences. This employee may on rare occasion be exposed to extreme behavioral aggressiveness from consumers. The staff has the potential for exposure to blood borne pathogens.

Safety of Others

This employee holds tremendous responsibility in the care of consumers. His/her decisions also impact families and the community. Safe practice must be adhered to in order to protect other staff, consumers, and the community. This employee is responsible for adherence to the Mental Health Association in North Carolinas Drug and Alcohol Policy.

Knowledge, Skills, and Abilities

This employee must have general knowledge regarding principles of Assertive Community Treatment Team and the laws, regulations, and policies that govern these services. This employee must possess a thorough knowledge of social work principles, techniques and practices, and their application to complex casework, group work, and community problems. This employee will possess considerable knowledge of family and group dynamics and a range of intervention techniques. This employee must have considerable knowledge of a wide range of behavioral and psychosocial problems and their treatments. This position should have knowledge of substance abuse and MH/SA issues and treatment interventions. This position must have skills in establishing a rapport with consumers and in applying techniques of assessing psychosocial, behavioral, and psychiatric aspects of a consumers problems. This employee must have the ability to establish and maintain effective working relationships with members of the caseload and their families as well as civic, legal, medical, social, and religious organizations. This employee must have the ability to express ideas clearly and concisely and to plan and execute work effectively. This person must have considerable knowledge of the fundamental principles, techniques, and methods of the recovery process. This employee must have knowledge of task analysis and goal writing. This employee must have the ability to observe behaviors and communicate these observations in writing and verbally and to make recommendations for treatment. This employee must have knowledge of task analysis and time management. This person must have the ability to communicate in both oral and written form. This person must have the ability to document progress. This employee must have the ability to work cooperatively, creatively, and productively as a member of a service delivery team. Teamwork is an essential job function and is evaluated for both conduct and performance issues. This employee must be able and willing to delegate service assignments of another team member when absences occur and communicate with other team members in a clear, honest, and open manner. This employee must be able to establish appropriate professional boundaries and relationships with staff and consumers consistent with professional practice and professional ethics. This person must have the ability to coordinate tasks with other staff and effectively resolve conflicts with other staff. This individual should possess good interpersonal skills, including telephone, and conversational skills. The ability to type with accuracy and speed is essential to this job.

Required Minimum Education and Experience

The Psychiatric Care Provider must be board eligible or certified by the American Board of Psychiatry and Neurology and Licensed to practice in North Carolina. Clinical supervisor experience is desirable.

This position is supported and encouraged to utilize continuing education to sharpen and improve skills, as well as, incorporate new learning experiences. A valid North Carolina drivers license is required.

License or Certification Required

Board eligible or certified by the American Board of Psychiatry and Neurology and Licensed to practice in North Carolina.

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