The clinical social worker is a key member of the psychiatric outpatient team who provides and oversees the provision of psychosocial and mental health care for selected patients and families. Conducts bio-psychosocial assessment, triage, short term treatment and referral, as indicated. Identifies high-risk psychosocial factors of patients/families that impact health status and helps hospital staff understand the influence of those factors upon the course of medical care. Assumes clinical evaluation, intervention and planning for patients with complex psychosocial risk. Works effectively as part of interdisciplinary health care teams. Provides clinical services to patients/families that address psychosocial, environmental, age specific and cultural issues in order to maximize emotional, social and physical well being and the effective use of health care and community resources. Collaborates with and provides social work consultation to other disciplines within the setting and community. Participates on Departmental, Hospital, Satellite, community task forces and committees.
PRINCIPAL DUTIES AND RESPONSIBILITIES
• Behavioral Health
o Provide comprehensive psychiatric evaluations in cooperation with patient/family, psychiatrist and interdisciplinary team, and develop treatment plans based on patient needs/goals.
o Continually assess patient's behavioral health status, and provide evidence based interventions and strategies to improve patient/family functioning and/or medical adherence.
o Provide recommendation and coordination of external and/or urgent psychiatric/social resources based on assessment and collaboration with patient/family.
o Provide risk assessment and intervention as part of the interdisciplinary team, with emphasis on harm reduction. When necessary, refer to and coordinate with appropriate emergency services.
o Provide a care management approach around psychosocial/behavioral health needs using an evidence-based collaborative care management approach.
o Act as the lead liaison between patient and psychiatrist and other key treatment providers
o Provide group therapy, with content determined by patient/departmental need.
• Health Behavior
o Provide clinical assessment with patients around chronic disease and health behavior self management obstacles.
o Provide health behavior interventions to support and increase patient/family self efficacy that include, but are not limited to, health action plans, change interventions, and motivational and problem solving techniques that address obstacles to goals.
• Care Management
o Identify psychiatric patients who are at high risk and/or have multiple or complex psychosocial needs.
o Provide comprehensive psychiatric evaluations, in conjunction with the psychiatrist, and develop treatment plans for patients receiving care management.
o Provide resources as needed to encourage patient's progress, and provide evidence based psychotherapeutic interventions to assist patient in accomplishing treatment goals.
o Meet with patients/families in person and/or provide evidence based interventions over the phone.
o Conduct family meetings as needed to support patient progress, collaborate with various medical providers and/or additional service providers to coordinate care.
o Measure patients progress by routinely administering mood symptom assessment scales.
o Act as primary coordinator/manager of patient care, ensuring communication among providers and with patient.
o Provide psychoeducation to patient/family regarding mental illness recovery and relapse. Work with patient/family to develop relapse prevention strategies.
o Work as part of a generalist team of clinicians, and/or participate in a sub-specialty clinic specializing in the treatment of depression, anxiety disorders, neuropsychiatry, women's mental health, geriatrics, and others.