Community Support Program

Position Summary and Job Duties

Under the direction of the program supervisor, work involves providing comprehensive, person-centered, team based, assertive community treatment to persons living with severe and persistent mental illness receiving services through the Community Support Program. Work includes the provision of: case management, symptom management, supportive psychotherapy, psychosocial rehab, vocational related supports and assisting clients with activities of daily living according to individualized treatment plans. Provides a variety of therapeutic interventions for persons with mental illness and/or co-occurring disorders based on clinical assessments. In conjunction with service provision, responsibilities include the development and maintenance of client case records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements. Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.

55% Provide comprehensive, person-centered, team based, assertive community treatment services in accordance with DHS 63.

• Manage a case load and provide or arrange for provision of all needed services for each person on that case load. Develop and implement clinically relevant treatment plans ensuring that services are culturally competent, recovery oriented and involve consumer participation.
• Provide interventions including; symptom management, supportive psychotherapy, psychosocial rehabilitation, vocational related supports, and assistance with activities of daily living. Provide services on an individual and group level including possible supportive services and education to families. Provide a variety of therapeutic interventions and work with clients whom have more intensive clinical needs.
• Advocate for and arrange transition to the least restrictive living situation for all CSP consumers. Attend and testify at court proceedings as needed.
• Act as a team member on a multidisciplinary team contributing to the functioning of the treatment team, supporting and covering for other team members as necessary.
• Regularly assess consumer mental status, areas of functioning, and symptom patterns and communicate this assessment to the team.

25% Develop and maintain consumer records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements.

• Maintain needed documentation and benefits including; Medicaid and Medicare, Social Security reviews, FoodShare, and assistance received through other community programs. Arrange other community resources as deemed needed offering consumers choice when available.
• Act as a representative payee for consumers as assigned completing monthly budgets with those consumers and providing psychosocial rehab with a goal of increasing independence.
• Writes clinically relevant individualized treatment plans on a six month and annual basis including the completion of an annual Functional Screen. Completes written discharge plans.
• Regularly document assessed consumer mental status, progress and problems and share with the treatment team.
• Enters in PPS client data information at admission, every six months and at client discharge into the Avatar documentation system.

15% Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.

• Actively participate in treatment team meetings, individual and group supervision meetings, and treatment plan meetings for consumers on your case load and team.
• Provide team and individual direction on clinical strategy and intervention for consumers with more complex needs.
• Attend in-services, trainings, division/department meetings, committee meetings and trainings as requested or approved by your supervisor.
• Maintain prompt communication with family members, team members, Rock County Crisis Intervention, and collateral agencies requesting information.

5% Perform other duties as assigned.

Success Factors (KSA's)

• Knowledge of assessment and treatment of persons whom have serious and persistent mental illness including co-occurring disorders.
• Knowledge of the principals and practices of social work. The knowledge of best practices and the ability to implement them.
• Ability to embrace and nurture a person centered, trauma informed, recovery oriented framework and culture for service delivery.
• Extensive knowledge of therapeutic and psychosocial interventions for persons with complex needs.
• Knowledge of the laws, regulations and practices pertaining to DHS 63.
• Knowledge of psychotropic medications, their effect, side effects and abuse potential.
• Knowledge of community resources and how to effectively utilize them.
• Ability to plan and organize work effectively.
• Ability to maintain accurate current records and prepare clear and concise reports.
• Ability to establish and maintain effective working relationships with agency staff, community members, families, and collateral agencies.
• Knowledge of various cultures and diverse populations and ways in which cultural values impact individuals, families, and the community.
• Ability to make assessments and provide or refer for appropriate treatment.

Job Requirements, Education, Training & Experience

• Masters Degree in Social Work or a related field from an accredited college or university. 1,500 hours in a CSP or 3,000 hours working with persons with severe and persistent mental illness. Must possess a current and valid driver's license and auto insurance.
• Must possess and maintain a current unrestricted (not due ot corrective lenses) driver's license and auto insurance pursuant to the Rock County Administrative Policy and Procedure 5.02 and 5.27.

Essential Job Functions (physical elements, equipment and working conditions)

Physical Elements

• Ability to stand, walk and sit. Physical movement occurs a majority of the day.
• Ability to enter client homes without assistance, including the ability to navigate stairs.
• Inside and outside work with exposure to weather conditions.
• Potential for contact with unpredictable and aggressive persons.
• Must be willing to transport consumers in your personal vehicle and be exposed to challenging and unpredictable environments.
• Participate in disaster evacuations and fire drills when circumstances warrant. Maintain safety procedures.
• Lifting and carrying up to 25lbs on occasion.

Equipment Use

• Ability to use a computer and keyboard.
• Must become efficient at using a computerized documentation system within 2 months of hire including the use of Microsoft Word.
• Ability to use a copy and fax machine as well as a telephone.

Working Conditions

• Able to work in multiple locations including the office, client's home, and a variety of community locations.
• Available to work a flexible schedule including working evenings when needed to meet client needs.
• Ability to flex time when needed to coordinate consumer emergencies, care and recovery plan services.
• Potential exposure to physically or verbally abusive persons.
• Potential exposure to unsanitary homes and high stress environments.

---