GENERAL SUMMARY/ OVERVIEW STATEMENT: The clinical social worker is a key member of the psychiatric addiction team who provides and oversees the provision of psychosocial and mental health care for selected patients and families. Conducts biopsychosocial assessment triage short term treatment and referral as indicated. Identifies highrisk 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.Supports the academic teaching and research missions of the BWH Departments of Psychiatry and Social Work. PRINCIPAL DUTIES AND RESPONSIBILITIES:Clinical Practice: Provides psychosocial assessment and diagnosis of patients referred by the BWH inpatient medical surgical neurologic or obstetrical services. To evaluate mental health/psychiatric history/emotional issues/coping style understanding of illness/adjustment/compliance barriers to care cultural issues abuse/neglect and domestic violence.Provides psychosocial assessment of families to determine: family relationships/systems as they relate to care of the patient. Identifies family decision makers and caregivers; family understanding of illness and trajectory of care. Identifies family coping style family resources and cultural issues.Employs a range of clinical interventions such as individual group or family counseling. Provides caregiver/family counseling/support to promote family cohesiveness to provide care to patient and prepare families for end of life. Advocates on behalf of patients and families to gain access to services and resources. Refers patients to other providers as necessary.Develops comprehensive biopsychosocial assessments responsive to age appropriate and cultural needs and concerns. Employs a range of clinical interventions such as psychotherapy (individual couples families and group) psychosocial counseling crisis intervention care coordination complementary therapies information and referral and safety planning. Advocates on behalf of patients and families to gain access to services and resources.Provides mandated assessments when abuse is suspected (child disabled adult elder) and safety assessment when domestic violence is reported. Files reports as indicated.Identifies patients psychosocial financial legal psychiatric or substance use that effect patient care management and collaborates with the team to facilitate patient care process.Works effectively as part of the interdisciplinary health care team communicating regularly with the team and other members on cases and as issues arise. Documents timely and relevant information.Coordinates family/team meetings as needed and when appropriate. Provides psychosocial consultation on patient care planning and patient/family management and community resources. Implements psychosocial programs based on patient/family identified needs.Facilitates the appropriate and efficient use of hospital and community resources.Participates in formal and informal clinical case reviews clinical supervision educational seminars and research projects.Make arrangements for direct referral to appropriate drug and alcohol treatment facilities as needed; as well as mobilizing personal hospital and community resources for these identified patients. Assist Medical Psychiatry staff in placement of dual diagnosis patients.Work actively to engage patients in entering treatment. When appropriate provide brief treatment such as motivational interviewing.Obtain supervision from the Medical Director of Addictions and meet regularly to review and problemsolve complicated cases as needed.Initiate participate in and/or chair multidisciplinary case conferences team and family meetings. Convene conferences of a problem solving nature to promote effective patient care.Act as a liaison with a wide range of collateral systems for effective patient care. This includes specific liaisons with the Faulkner Hospital Addiction Recovery Program (ARP) Partners Substance Abuse Programs and affiliated health centers and outside community agencies.As deemed necessary by the Director of Medical Psychiatry and/or the Medical Director of Addictions conducts assessments and provide timelimited individual or group psychotherapy for BWH outpatients with known or suspected substance use disorders.Educate health care teams in understanding and integrating the significance of substance abuse and other psychosocial factors in relation to the patients illness treatment and recovery.Oversee screening and brief intervention initiatives related to substance misuse.Oversee the update of resource information. Provide substance abuse treatment resources to the clinicians in Medicine Surgery Care Coordination Primary Care Psychiatry Emergency Department and other services upon request.Participate in screening and interviewing of social work trainee or other applicants as requiredParticipate in research. Data collection quality initiatives and special projects as requested.Works in collaborative team with the medical psychiatry social worker during high volume periods and provide coverage of the primary psychiatry service during vacation sickness or other absence. Teaching and Education:Assesses patient/family learning needs styles and readiness. Educates patients/families based on treatment plan identifies barriers to care diversity issues and learning styles.Educate and consult on a formal and informal basis (i.e. seminars medical rounds summit meetings workshops) with departments hospital and community as required.Mentors and may supervise and assist with training of addiction psychiatry fellows medical psychiatry residents clinicians social work interns medical students and other trainees as requested. Train and supervise other hospitalbased social workers as requested.Collaboration:Collaborates and consults with patient families and providers within the Practice Setting and community to develop and implement patient care plans. Refers to and collaborates with Departmental programs outside agencies facilities payers and other relevant community resources.Organizational/Administrative Skills:Takes responsibility for own administrative duties including timely and appropriate documentation in patient medical records timely and accurate daily reporting of activities and Hospitals scheduling systems and accurate reporting of time worked.Attends and participates in Staff Meetings and interdisciplinary meetings/rounds.Participates in Departmental and Hospital committees.Professional Conduct:Adheres to the professions clinical standards and NASW Code of Ethics.Adheres to the Department and Hospital standards policies and procedures.Adheres to Departmental and Hospital quality/safety standards.Professional Development:Is responsible for own professional development. Attends pertinent continuing education and professional activities related to job responsibilities and career goals. Keeps current with social work and health care developments pertinent to job and profession. . Complies with licensure requirements.Performs other duties as indicated. Staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned areas. Rotating Shift QUALIFICATIONS: MSW/LICSW Experience in the field of Psychiatric substance abuse and/or community mental health services preferred. Clinical experience understanding of and comfort working with patients of all ages who suffer complex medical and psychiatric problems; ability to work with the families of such patients and ability to help patients and families understand and access the resources required to support care. Strong understanding of psychiatric and family system problems and ability to use this understanding to formulate succinct case summaries. Strong assessment and treatment skills Good organizational skills and ability to set priorities Demonstrated ability to communicate effective orally and in writing Strong interpersonal skills enabling effective team collaboration Demonstrated ability to understand the role of social worker in a complex fastpaced medical environment SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Knowledge of specific medical/psychiatric illnesses procedures and treatments Excellent interpersonal skills including negotiation skills necessary to work within a team Ability to provide rapid clinical psychosocial assessments and brief short or long term treatment/management with individuals families couples and/or groups Advanced crisis intervention/treatment/management skills Cultural sensitivity and demonstrated competency in age specific behaviors Strong organizational skills Knowledge of end of life care issues Ability to work effectively as a member of a multidisciplinary team. Demonstrated ability to consult/teach. Knowledge of community agencies/resources. Ability to advocate/negotiate systems for/with patients. Tolerance for ambiguity; analytical skills and computer literacy A sense of humor SUPERVISORY RESPONSIBILITY: May supervise graduate social work interns or LCSW staff OTHER DUTIES AND RESPONSIBILITIES 1 Works within legal regulatory accreditation and ethical practice standards relevant to the position and as established by BWH/Partners. 2 Follows safe practices required for the position. 3 Complies with appropriate BWH and Partners policies and procedures. 4 Fulfills any training required by BWH and/or Partners as appropriate. 5 Brings potential matters of noncompliance to the attention of the supervisor or other appropriate hospital staff. Other Duties and Responsibilities:The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties responsibilities or skills of personnel so classified.Works within legal regulatory accreditation and ethical practice standards relevant to the position and as established by BWH/Partners; follows safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners as appropriate; brings potential matters of noncompliance to the attention of the supervisor or other appropriate hospital staff. Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race sex color religion national origin sexual orientation protected veteran status or on the basis of disability.
Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race sex color religion national origin sexual orientation protected veteran status or on the basis of disability.