Dual Diagnosis Therapist, On Call
LifeWorks NW - Oregon

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PURPOSE : Provide substance abuse and mental health treatment services for adults. Responsible for assessment, treatment planning, provision of counseling (individual, family, and group) services, consultation with care providers and coordination of multiple service providers for his/her assigned client caseload.

POSITION SPECIFIC : This position will also work specifically with women who are engaged in domestic violence services, including screening, assessment and referral, along with group counseling (Seeking Safety) and some individual work. Strong domestic violence counseling experience required.

ESSENTIAL RESPONSIBILITIES :
  • Responsible for client evaluation including initial intake interviews, formulating mental health and substance abuse diagnoses, identifying appropriate treatment services to meet the needs of clients with co-occurring disorders. Notify client, significant other(s), care givers and care providers of diagnoses and initial treatment recommendations in a timely manner, complete written narrative of evaluation, obtain necessary authorizations for disclosure.
  • Collect information about individuals or clients, using interviews, case histories, observational techniques, urinalysis, and other assessment methods. Observe and evaluate client's performance, behavior, social development, and physical health.
  • Analyze data such as interview notes, test results, and reference manuals to identify symptoms and to diagnose the nature of clients' co-occurring mental health and substance abuse problems.
  • Identify and diagnose mental health and substance abuse disorders, using information obtained from interviews, tests, records, and reference materials. Address legal issues, such as child abuse and discipline, assisting with hearings and providing testimony to inform custody arrangements. Provide accurate screenings for health, gambling, trauma, and domestic violence issues, and make referrals to appropriate services providers as necessary.
  • Provide referral services to clients and their families.
  • Develop therapeutic Individual Service and Support Plans (ISSP), based on clients' interests, abilities, strengths and integrated mental health and substance abuse needs. ISSP’s will be evidence-based using clinical experience and knowledge, and will have measurable goals and objectives based on the diagnosis and will specify type, frequency, intensity, and duration of services. ISSPs will client-driven and follow-ups will be completed on time, assessing the quantity and quality of services provided.
  • Confer with clients, significant others and treatment team to develop plans for post treatment activities to maintain recovery.
  • Counsel individuals or families, using evidence-based practices, to help them understand problems, define goals, and develop realistic action plans. Guide clients in the development of skills and strategies for resolving substance abuse problems.
  • Facilitate or co-facilitate group treatment services, using evidence-based/manualized treatment models with demonstrated effectiveness for the population served. Demonstrate proficiency in using evidence-based practices, as evidenced by observation, fidelity rating scales, client report, and client outcomes.
  • May be responsible for service coordination.
  • Evaluate the effectiveness of counseling or treatments and the accuracy and completeness of diagnoses, modifying plans and diagnoses as necessary. ISSP’s must be updated at least every three months. Behavioral Health Assessments must be updated at least annually.
  • Document and maintain client records in electronic healthcare system within 24 hours of meeting with client to ensure compliance with agency and contract guidelines and confidentiality.
  • Provide crisis intervention, including appropriate consultation and safety planning for clients at risk for dangerousness.
  • Administer and submit urinalyses with minimal errors. Evaluate and communicate results within agency guidelines.
  • Continually increase level of cultural sensitivity, awareness and competency providing culturally appropriate evaluation, treatment, resources and support linkage and to clients.
  • May need to work evenings and/or weekends.
  • Meets performance standards for direct service, documentation (including progress notes, assessments, ISSP’s, status reports, and authorization requests) proficiency in clinical model and evidence based practices, quality of care (including engagement and retention) and teamwork.
  • Participate in regular individual and team meetings.
  • Transport clients in a personal vehicle.

REQUIREMENTS :
  • Master’s degree in Psychology, Social Work, Mental Health or related field; or a bachelor’s degree in nursing or occupational therapy and licensure through the State of Oregon or QMHP.
  • If recovering from a substance abuse related disorder, must be able to demonstrate continuous sobriety under nonresidential, independent living conditions for the immediate past two years.
  • Have knowledge, skills, and abilities demonstrating competence in: treatment of mental health and substance-related disorders including client evaluation and individual, group, family, and other counseling techniques; program policies and procedures for client case management and record keeping; and accountability for recording information in the client files assigned to them consistent with those policies and procedures. Should be familiar with theory or concepts of prevention.
  • Requires a current CADC or equivalent national certification or a submitted application for CADC upon hire, with a formal plan to obtain certification within two years of hire.
  • More than 1 year experience in broad range of clinical interventions and mental health assessment specific to the client population.
  • Demonstrated knowledge of treatment methods for individual, family and group therapy to address chemical dependency and mental health problems
  • Demonstrated ability to maintain case management in accordance with federal, state and/or funding source requirements as well as LifeWorks NW policies and procedures.
  • Knowledge of community resources and treatment agencies enabling appropriate referrals for specific client needs.
  • Knowledge of medications commonly used by client population.
  • Demonstrate effective communication skills and ability to provide culturally-competent treatment services to diverse client populations.
  • Must have a demonstrated understanding of cultural values and norms, knowledge of acculturation and generational issues within a culture, extensive knowledge and understanding of resources and appropriate support linkage available within the community, a sensitivity and understanding of specific barriers which may lead to lack of access and engagement, effective inner-cultural communication skills in order to advocate for culturally diverse clients.
  • Good computer skills including a functional knowledge of Microsoft Outlook and Word. Ability to master proprietary software including electronic health record system.
  • Must have a valid driver’s license, access to a personal vehicle, and ability to meet LifeWorks NW driving requirements.

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