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Title

DMHP/DCR (Designated Crisis Responder) 

About the Organization KMHS is Kitsap's nonprofit, designated community mental health provider for adults with acute and/or chronic serious mental illnesses, and children with serious emotional disturbances and their families. During 2016, KMHS provided services to more than 6,800 children and adults.

On WA's beautiful Kitsap Peninsula, offers easy access to both the pristine wilderness of the Olympic Peninsula and the big-city lights and culture of Seattle. We offer competitive salary, benefits & a positive work environment.

Inpatient, residential, and outpatient treatment services offer evidence-based treatment, using trauma informed care to help people reach their recovery goals. We offer whole person care through mental health and substance use treatment and care management, close care coordination with on-campus and community-based primary care providers, and with partner PCHS, now offer dental care to KMHS clients and the community. Many community partners assure people receive behavioral health care in the right place, in the right way, at the right time. Together we are weaving a web that connects emergency room and hospitals, substance abuse treatment, and primary care providers; creates partnerships for early intervention at home and school, supports multiple law enforcement, jail, and justice endeavors, and works to ensure housing, food, and other social supports together with social service agencies and community collaborations.

The Kitsap Mental Health Services community fosters a culture of hope and empowerment through a safe, welcoming environment, compassionate relationships, and a commitment to respecting life experiences.

KMHS is a tobacco/smoke-free and scent-free facility  
Category Social Services  
Open Date 3/15/2018  
Full-Time/Part-Time Full-Time  
Shift Various Shifts  
Location Kitsap Mental Health Services (Main Campus)  
Description

PURPOSE:
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 resolutions with emphasis on goal of stabilizing the crisis in the least restrictive way, facilitating access to mental health and substance use disorder services, performing clinical assessments and legal investigations and evaluations for involuntary detention to psychiatric and substance use disorder 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.

RESPONSIBILITIES AND DUTIES:
General

  • Provide crisis outreach services throughout Kitsap County working within a collaborative and supportive team environment with assignments requiring solo outreaches for hospital/jail assessments and outreaches for community crisis interventions and assessments.
  • Maintain the respect and dignity of each client, the client's personal supports, and community professionals, emphasizing special population concerns.
  • Represent the agency and the profession in a manner that is courteous, helpful, ethical, thorough, highly skilled collaboration with individuals, community, intra- and interagency contacts.
  • 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.
  • 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.
  • Function as a DCR consistent with the Involuntary Treatment Act of Washington State (RCW 71.05 and 71.34) and the DCR Protocols.
  • Proven capacity to manage multiple simultaneous investigations, consults, and responsibilities with ability to triage priorities in a high stress environment.

Investigation

  • 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 or 71.34) or that they meet crisis resolution by a least restrictive alternative.
  • Assess and ensure the safety of clients, the community and one's self during the investigation process, which includes coordinating and working with medical, law enforcement, state and local agency representatives, community and family members.
  • Effectively and efficiently conduct investigations that utilize all reasonably available and appropriate sources of information relevant to the known facts about an individual case.
  • 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.
  • Routinely assess the credibility of witnesses and information found in the course of an investigation.

Assessment

  • Maintain and demonstrate an expert level working knowledge of WA State ITA RCW 71.05, 71.34 and DCR protocols.
  • 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.
  • 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.
  • Maintain and uphold clinical objectivity, in a highly emotive atmosphere, taking on the role as leader in organizing and responding to the identified crisis.
  • Maintain and effectively utilize a thorough knowledge of crisis theory, mental status field examinations and risk assessment techniques.
  • Maintain an up to date, working knowledge of psychiatric medications, street drugs and their side-effects.

Intervention

  • 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.
  • 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.
  • Establish quick and productive rapport with clients, their families and other collaterals. Maintain clinically appropriate professional boundaries.
  • 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.

Disposition

  • 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.
  • Identify and utilize available community resources effectively.
  • 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.
  • 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.

Documentation

  • 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.
  • Provide timely and well executed court paperwork that is legible, concise and organized with a clear description of facts and decision-making addressing:
    • Evidence of likelihood of serious physical harm or grave disability (as a result of);
    • A mental health disorder and/or substance use disorder;
    • And no lesser restrictive alternative to detention is available or appropriate.
  • Provide prepared, clear and decisive court testimony when called as a witness.

Consultation

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

Team Work

  • 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.
  • Participate as a contributing member of KMHS, identifying areas of operation that could enhance our efficiency and effectiveness within and beyond the CRT.
  • 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

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

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.

 
Salary DOE  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, creed, marital status, age, Vietnam era or disabled veteran status, or the presence of any sensory, mental, or physical disability.
 

This position is currently accepting applications.

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