Job Openings

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Crisis Response Specialist I (DCR I or II)

Spokane County

Frontier Behavioral Health

711 East Third, Spokane, WA. 99202

Starting salary: DCR – I: $54,717 / DCR – II: $57,452

Eligible for a Signing Bonus!!

Please visit the Frontier Behavioral Health website or click on here http://209.119.198.225/Careers/  to apply or call 509-458-7461 with any questions.

At Frontier Behavioral Health (FBH) we believe each individual employee has a special and valuable role in helping our clients reach their greatest potential. If you are looking for meaningful work in an established, supportive environment we encourage you to apply. FBH values work life balance and offers a robust paid time off plan. Come join us in our mission to provide clinically and culturally appropriate behavioral healthcare and related services to individuals of all ages in collaboration with community partners.
At Frontier Behavioral Health our presence in the Spokane community is more than 100 years, allowing our non-profit organization to understand the varied needs of our clients and the larger community. Our programs are designed to provide evidence-based treatment to adults, youth and seniors who are dealing with a wide range of behavioral health issues. As a Trauma-Informed Care organization, we firmly believe in recovery and that our clients can lead fulfilling and meaningful lives, and we consider it an honor and a privilege to assist them in their journey.
Summary:
The Crisis Response Specialist I is a training position for the DCR I and II tracts. The track will be defined on the job posting. Under the supervision of a DCR the CRS I provide telephone and mobile outreach crisis intervention and evaluation services for youth, adults and families in a behavioral health crisis. The CRS I conducts telephone and face-to-face assessments with or on behalf of individuals whose health or safety is in danger because of a mental health or substance use condition, collaborates with individuals, family, and community partners to develop and implements "viable less restrictive alternatives to hospitalization" in situations where appropriate or assist with facilitation of inpatient treatment. In partnership, and under the supervision of a Designated Crisis Responder (DCR), perform responsibilities/functions required by the Involuntary Treatment Act (ITA).
** Crisis Response position on track for a Designated Crisis Responder I (DCR – I) duties are performed in an Office setting; Designated Crisis Responder II (DCR-II) for duties to be performed out in field. **
Requirements:

  • Masters degree in the behavioral sciences in any credible college or university
  • Two years’ experience in the direct treatment of mentally ill or emotionally disturbed persons preferred.
  • Must be Mental Health Professional (MHP).
  • Must be eligible for Washington State registration


Posted 15 November 2019

 

 

Crisis Response Specialist & Designated Crisis Responder (DCR)

Kitsap Mental Health Services, Bremerton, WA

JOB DESCRIPTION

 Apply online at https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=52818&clientkey=C496BF425205F70BE9CDC01F9B56DBAE

PURPOSE:

To provide prompt and focused expert response to persons in crisis in a compassionate and efficient manner in keeping with State and SBHO mandated crisis services, including DCR duties. Provide immediate crisis response with emphasis on stabilizing the crisis with the least invasive and least restrictive solution(s), including facilitating access to behavioral health services, conducting clinical assessments to identify least restrictive alternative and conducting legal investigations and evaluations for involuntary detention to voluntary and involuntary behavioral health facilities.

 The Crisis Response Team mission is to provide quality care and to protect the public safety while maintaining individual rights through least restrictive interventions and outcomes during crisis support and resolution interventions.

 To support and further the stated mission of Kitsap Mental Health Services. 

 Responsibilities and Duties:

Crisis Intervention (Crisis Response Specialist)

The core responsibility of the Crisis Response Team is intensive crisis resolution service provision following clinical assessment of the individual(s) in behavioral health crisis. With rare exception this can only be accomplished during direct (face-to-face) interaction and engagement with the individual(s) in crisis. For those exceptions, solid clinical evaluation is required that identifies why a face-to-face intervention was not warranted. The ideal candidate for this position must understand, be able to define and willingly promote the CRT policy: “We go out!”

  1. Provide crisis response and outreach services throughout Kitsap County by working within a collaborative and supportive team environment with assignments requiring community outreaches into the county community to deescalate adverse crisis scenarios and resolve crises through interventions and assessments.
  2. Ability to quickly deescalate, interview, assess, and mediate in hostile and volatile environments with potentially aggressive patients while maintain calmness, situational awareness, and clinical control of the situation.
  3. Maintain and uphold clinical objectivity, in extreme emotive atmospheres, taking on the role as leader in organizing and coordinating response to the crisis situation with ability to recognize, triage and resolve all levels of crises present, including those experienced by secondary participants to a client’s crisis presentation.
  4. Demonstrate ability to manage multiple simultaneous investigations, consults and responsibilities with ability to triage priorities in a high stress environment.
  5. Represent the agency and the profession in a manner that is courteous, helpful, and ethical through highly-skilled “expert” collaboration with lay and professional individuals, community, intra- and interagency contacts and partners. Demonstrate capacity to negotiate and collaborate with others and to engage in after crisis de-brief to ensure CRT decisions are understood within the context of role and client’s right to least restrictive resolution.
  6. Triage and coordinate with community care teams, law enforcement, hospital, families and responsible parties to identify most effective face-to-face intervention with emphasis on efficient and responsive client-focused resolution. This includes assessing to ensure the safety of clients, the community and one’s self during the investigative and intervention process.
  7. Demonstrate ability to provide community and professional psycho-education as a component of interacting with community partners to enhance their understanding of crisis options and CRT role in community intervention and support for partners and clients.
  8. Effective management of the client interview across all diagnostic categories and client individual differences in order to make sound and reasoned decisions about the ultimate disposition.
  9. Effective use of de-escalation techniques. Ability to mediate while maintaining calmness during volatile situations to elicit patient cooperation in and defusing hostile/volatile behavior. Work with community professionals in coordinated, safety focused, outreaches.
  10. Establish quick and productive rapport with clients, their families and other collaterals. Maintain clinically appropriate professional boundaries.

Involuntary Treatment Assessment (Designated Crisis Responder)

The Crisis Response Team also provides assessments as defined under the Involuntary Treatment Act statues contained in RCW 71.05, 71.34 and 10.77 conducted by mental health professions appointed and authorized as a Designated Crisis Responder. The authority of this position requires an in-depth knowledge of clinical and legal process and procedure in evaluation, assessment and coordination of inpatient placement, both voluntary and involuntary. In addition to the requirements of the Crisis Response Specialist, the DCR must also:

  1. Maintain and demonstrate an expert level working knowledge of WA State ITA RCW 71.05, 71.34, 10.77 and DCR protocols.
  2. Display effective skills in case investigation, evaluation of facts, witnesses and clients, management of the interview, crisis management, the integration of facts found and decisive decision making that leads to a safe and secure disposition.
  3. Remain available to professionals and the public to act as a consultant and trainer in the details of the ITA law and crisis management to the community as well as with intra and interagency contacts.
  4. Notify KMHS outpatient providers and/or, when appropriate, parent/guardians of dependent individuals with timely and relevant information of an ITA assessment and for out of the home placements.
  5. Demonstrate ability to identify and create least restrictive alternatives to involuntary detentions and develop safe, supportive and appropriate plans that carry through from the intervention.
  6. Conduct face to face (FTF) assessments of individuals to determine if they meet criteria for involuntary detention under criteria defined by the Involuntary Treatment Act (RCW 71.05, 71.34, or IAW 10.77) or that they meet crisis resolution by a least restrictive alternative.
  7. Effectively and efficiently conduct investigations that utilize all reasonably available and appropriate sources of information relevant to the known facts about an individual case.
  8. Coordination of interview of witnesses and provide information to witness on declaration statement criteria relevant to the case. This includes consulting with medical, law enforcement, state and local agency representatives, community and family members.
  9. Routinely assess the credibility of witnesses and information found in the course of an investigation.
  10. Provide education and support to family members or other collaterals when appropriate as defined by policy and, for ITA criteria, as defined by RCW 71.05 or 71.34.
  11.  

General

The following apply to foundational requirements as a mental health professional.

  1. Maintain the respect and dignity of each client, the client’s personal supports, and community professionals, emphasizing special population concerns.
  2. Maintain an in-depth knowledge of and demonstrate a high level of competency in the diagnosis and treatment of mental illness, substance use/abuse disorders, behavioral disorders, and situational crises.
  3. Maintain and effectively utilize a thorough knowledge of crisis theory and behavioral health field examinations and risk assessment techniques.
  4. Maintain an up to date, working knowledge of psychiatric medications, street drugs and their side-effects.
  5. Identify and utilize available community resources effectively.
  6. Maintain and demonstrate a thorough working knowledge of the services offered at KMHS and the local community in order to facilitate appropriate and relevant referrals.
  7. Maintain and demonstrate a thorough working knowledge of the services offered at KMHS and the local community in order to facilitate appropriate and relevant referrals.

Documentation

  1. Documentation is to be legible, concise and organized with clear description of the facts of the case and the legal and clinical rationale for decisions/dispositions.
  2. Provide timely and well executed court paperwork that is legible, concise and organized with a clear description of facts and decision-making addressing:
  3. Include evidence of likelihood of serious physical harm or grave disability (as a result of);
    1. A mental health disorder and/or substance use disorder;
    2. And no lesser restrictive alternative to detention is available or appropriate. 
    3. Provide prepared, clear and decisive court testimony when called as a witness.

Consultation

  1. Available and responsive to professional and community requests for information and support, especially when expectations are misplaced.
  2. Provide crisis consultation to the Crisis Clinic and KMHS providers when requested.

Team Work

  1. Participate as a contributing member of the CRT team by attending monthly clinical and administrative meetings and following the unit and agency’s policies and procedures.
  2. Participate as a contributing member of KMHS, identifying areas of operation that could enhance our efficiency and effectiveness within and beyond the CRT.
  3. Demonstrate openness to processing one’s work in a manner that is conducive to team work, professional and personal growth through the utilization of both clinical supervision and peer support.

Other                                           

  1. Disclose limited client information as necessary to the position as trained by the Records Dept. Supervisor. Disclosures must adhere to HIPAA/42 CFR privacy and security standards and be logged in detail according to agency policy and procedures. Complete all required training and annual refreshers.
  2. In addition to the above, any other responsibilities professionally and clinically appropriate to the position yet not specifically listed in the job description.

RESPONSIBLE TO:  Crisis Response Team Supervisor

 MINIMUM QUALIFICATIONS:

Master’s level degree in Social Work, Nursing, Behavioral Sciences or related field, or person who meets waiver criteria of RCW 71.24.260 is required. Must meet and maintain the definition of a Mental Health Professional as defined in WAC 388-877-0500. Must maintain a Washington State Department of Health license in good standing. Two years of postgraduate, documented, supervised clinical experience with the chronically mentally ill, co-occurring mental health and substance abuse, substance related disorders, and emotionally disturbed clients required. Substance abuse disorders treatment knowledge. Ability to deescalate potentially volatile situations with clients.  Excellent interpersonal and verbal skills. Must be able to effectively document using both handwriting and agency recognized computer word processing formats. 

Trained and meets qualifications as a Kitsap County Designated Crisis Responder. Possess and maintain valid driver’s license with an acceptable motor vehicle report.

 PHYSICAL CONSIDERATIONS: 

While performing the duties of the job, the employee is required to walk, sit, talk or listen.  A fair degree of flexibility and strength is required to assist in the infrequent, yet essential organized restraint of clients on KMHS campus.  This may require lifting more than 40 pounds.  This position requires the ability to react quickly and perceive environmental stimuli accurately, including the ability to physically flee a situation and/or defend oneself against assault.

PAY GRADE:  124

JOB CLASSIFICATION:  Non-Exempt

POSITION LOCATION:  5441 Almira Drive NE, Bremerton, WA

AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER


Posted 22 November 2019

 

On-Call DCR

Kitsap County

Shift: Various Shifts

Salary: $30/hr. plus shift differentials

Kitsap Mental Health Services is hiring on-call Designated Crisis Responders. Duties will include assuring the continuity of emergency mental health services to the residents and visitors of Kitsap County, as per the provision of state and BHO mandated crisis services, and DCR duties. This position requires a Master's level degree in counseling/social sciences and two years of postgraduate, documented, supervised clinical experience with the chronically mentally ill or emotionally disturbed consumers preferred. For more information or to apply, please click here.