MHSU Clinician Bachelors - Community Mental Health & Substance Use Services

Fraser Health is the second largest health system in Canada with over 45,000 staff, medical staff and volunteers, and is the largest of five regional health authorities in British Columbia, providing hospital and community-based health services to nearly 2 million people in Metro Vancouver and the Fraser Valley.

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All new hires to Fraser Health must have full COVID 19 vaccination (have received a full series of a World Health Organization 'WHO' approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).
Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.

In accordance with Fraser Health's Vision, Mission and Values, program mandates and clinical practice guidelines, with an emphasis on recovery and rehabilitation and reducing barriers to re-enter the system of care, supports individuals and families with and affected by acute/episodic mental illness and substance use disorders.
Focuses on provision of advocacy, supportive counselling, psycho-education, community resourcing, and care coordination support within the local service area across the care continuum, to ensure delivery of consistent, relevant and timely treatment, rapid re-engagement, and access to information where appropriate and feasible.
Contributes to the development of programs and provides education within the assigned program.
Services may be provided on an outreach basis when required in order to assess and/or engage with clients within their own environment and community.

As a clinician in a shared-team model, provides intake, screening, and assessment services, treatment recommendations and plans, determines referral needs, provides follow-up support, group education, liaison with community resources for specialized services, counsels clients, provides outreach as required, and is assigned as the most responsible clinician to specific clients dependent on the client's primary needs.
Provides client and family-centered care through a trauma-informed approach and evidence-informed practice.
Encourages knowledge exchange in day-to day activities, empowers clients and natural supports to engage and connect within their communities, and ensures they are supported in navigating the health care system.

1. Develops and implements recovery-oriented treatment options and plans in collaboration with clients and natural supports; provides comprehensive case consultation and follow-up support on treatment decisions in collaboration with other interdisciplinary team members; supports the development/maintenance of abilities related to activities of daily living, discharge and transition of care.
   Updates the Clinical Coordinator on the status of client treatment and progress, as well as significant and unusual issues, developments, and circumstances.
   
2. Provides individual, group, and family support, using a variety of interviewing, supportive counseling, and assessment methods.
   Shares responsibility amongst the team for distributed workload to manage cases, formulate recovery plans and goals, crisis intervention, assist with home visits, run groups, and outreach to clients as required.
   
3. Supports the intake process and assesses client needs by gathering client information/history via phone interviews or other methods; seeking additional background information to perform initial assessment of client mental health and substance use status and risk to themselves or others and to determine priority of care, client eligibility, availability of resources, service priorities and type of level of care required; collaborating with the interdisciplinary team to determine best approach to care, and assessing the need for emergent crisis intervention.
   
4. Facilitates client utilization of appropriate community services and rehabilitative programs through activities such as by researching and liaising with available services, and program providers, reviewing type and level of care required which may include assisting clients with their housing needs/arrangements, providing advice and consultation to clients and providing referrals to appropriate community treatment alternatives and services such as family therapy, marital and separation counseling, substance use treatment, victim assistance, employee assistance programs, clubhouses, transition homes, vocational programs, and others, and completes necessary referrals and forms.
   Utilizes available community resources such as volunteers, community groups, alternate care services and other service agencies in order to develop supportive and rehabilitative programs for adults and their families.
   
5. Advocates on behalf of clients, by providing clients with information about appeal processes, providing information about clients to relevant Ministries and assisting clients to complete forms; acts as a resource for clients and their families.
   
6. Makes necessary arrangements for clients to be admitted to hospital when required, including on an involuntary basis, by acquiring background information, making initial assessments, ensuring completion of appropriate forms, and making necessary phone calls to appropriate parties, including general practitioners, psychiatrists and the police; makes transportation arrangements, including providing clients transportation to the hospital as required.
   
7. Provides client care linkages between community mental health & substance use services and acute care facilities, to facilitate assessment and care planning for client discharge from hospital; liaises with forensic programs; exchanges relevant client information and receives information about the status and background of clients who will be discharged or referred, in order to make necessary preparations for provision of a smooth continuum of care between acute care and community mental health & substance use services.
   
8. Provides individual and group sessions, including psycho-education or skill development groups, to clients and families with complex needs.
   Facilitates family and lived experience involvement activities such as client and family information sessions in order to promote knowledge exchange.
   Provides education to staff, clients, and their families regarding the impact of illness and functional capabilities.
   
9. Maintains client records by recording information such as client assessments, charting client information via PARIS and/or other clinical information systems.