Therapist, Adult Outpatient (Bay Minette)

Overview

Adult Outpatient Programs provide the least restrictive level of care where adults may receive clinical interventions aimed at decreasing existing signs and symptoms. Outpatient treatment focuses on recovery, problem resolution, symptom reduction, stabilization and/or prevention of movement to a higher level of care. Treatment varies widely and depends upon the consumer’s presenting symptoms.

Responsibilities

Clinical Responsibilities:

• Provides effective clinical assessment of the consumer at intake and continuously thereafter
• Utilizes assessment data to support a DSM – 5 diagnosis; updates diagnoses as needed
• Formulates a person centered, recover oriented, medically appropriate treatment plan along with consumer that proves medical necessity and obtains signatures each time the plan created, updated and/or revised
• Enters medications into the Pre Entry Medications for Infosribe form  upon intake and as needed
• Provides individual, group, and family therapy, utilizing evidenced based and research based models and theories according to consumer needs as stated in the treatment plan
• Provides referrals when needed to internal and external agencies
• Completes intakes for group home consumers and includes needed documentation required for consumers in residential
• Completes DLA-20 for consumers residing in residential at intake and then at 3 month intervals thereafter
• Completes DLA-20 for consumers in RDP at admission and then every 6 months thereafter
• Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
• Effectively collaborates with the treatment team members and outside sources in the delivery of clinical services
• Evaluates the consumer for discharge planning – provides appropriate referrals and/or linkage and closes chart appropriately
• Reviews API and signs off at the end of each time period according to standards
• Assists with assessing and providing therapy for children and adolescents if needed
• Effectively demonstrates the application of adult specific competencies
• Adheres to professional code of ethics

 

Supervision and Consultation:

• Seeks clinical supervision and consultation as needed
• Accepts and employs suggestions for improvement
• Actively works to enhance clinical skills

 

Clinical Record Keeping:

• Documents in a timely fashion per AltaPointe policy
• Documents appropriate, complete, and clinically comprehensive mental health assessments – including diagnostic impression and referrals
• Documents measurable and specific problem statements, goals and objectives in the treatment plan
• Documents in a clear and concise manner treatment goals and objectives addressed, interventions provided, techniques used, consumer progress and response in direct service record
• Documents case disposition, case closings, follow-up and referrals

Qualifications

Master's degree in a mental health discipline.