HOME & COMMUNITY BASED WAIVER SERVICES
POSITION: Behavior Support and Community Support Team Services
REPORTS TO: Clinical Director
WORK SCHEDULE: As needed- Schedule varies
STATUS: Full-time Part-time X Consultant/Contract
X Exempt Non-exempt
SCOPE OF POSITION:
Behavior Support Services and Community Support Team Services are designed to support and encourage the Individual in his or her decision to reside within the community; decrease the impact of a behavioral event; assist the Individual in developing alternative and more effective communication, adaptive and coping mechanisms; and enable the Individual to achieve positive personal outcomes. These services are being made available to all Waiver-eligible Individuals to prevent any unnecessary change in placement; placement in a more restrictive environment; prevent a psychiatric hospitalization; enhance the Individual’s ability to lead a more typical life; and support the positive development of community living skills and social relationships.
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITES:
Behavior Support Services could possibly include the provision of the following based on the case assignment and the needs of the Individual:
• Develop of a diagnostic assessment which includes interviews with the Individual and his/her support staff as well as others as appropriate; observations of the Individual at his/her residence and in the community; conversations with family members, friends and other professionals; review of all available and pertinent data; interpreting results of laboratory or other medical diagnostic studies; and medical and psychiatric history
• The consultant shall develop a written plan for Crisis Intervention & Stabilization which shall include all the following steps:
The names of the Individuals to be contacted in the event of a crisis;
The process of responding to a crisis or emergency;
A list of appropriate referrals,
Conflict resolution counseling, problem solving or implementation of previously devised ISP;
Informal training of caregivers for emergency and crisis stabilization;
A written assessment, including diagnosis and proposed treatment; and
Goals of the proposed treatment.
• Development of a Behavior Support Plan that should identify techniques and strategies that will build on an Individual’s skills, abilities, and motivations to help him or her develop positive alternatives to identify challenging behaviors
• Ongoing behavior support services includes the following: training to create positive environments and coping mechanisms, as well as developing interventions, teamwork, and evaluation strategies to assess the effectiveness of interventions; consultative services to assist in the development of person-specific strategies; and follow-up services, including personal progress assessment.
• Community Support Team Services could possibly include the provision of the following based on the case assignment and the needs of the Individual:
An on-site assessment of the crisis situation (the Individual’s strength and resources);
The development of intervention strategies, including person-specific intervention strategies, which address environmental and emotional issues that may affect the Individual’s behavior;
Training on proactive strategies and behavioral interventions by guiding the Individual through exploration and identification of the problem and interpretation and resolution thereof;
Crisis supervision or expanded supervision and monitoring to stabilize the Individual;
Development of an effective strategy for crisis prevention;
Formulate a constructive plan and mobilize the Individual’s resources
Follow-up service, which include a review of the Individual’s progress.
• Perform other duties as required and assigned.
Services must be provided consistent with those outlined in the individual waiver customer Plan of Care (POC), Individual Support Plan (ISP) and Diagnostic Assessment.
CONSULTANT AGREES TO:
• Meet with the Clinical Director on an as needed basis;
• Upon the completion of the following:
Diagnostic Assessment/Crisis Intervention Plan
Behavior Support Plan, if applicable
Visit Progress Notes
• Quarterly Progress Reports, if applicable the consultant will submit the reports, error free and with signature, along with the payment invoice by the 6th of month following service provision.
• Ensure that the service provided is consistent with the individual’s POC, ISP, and Diagnostic Assessment.
• Community Support Team Services shall be made available twenty-four hours a day, seven days a week. Services may be accessed during regular work hours through the individual’s DDS Service Coordinator. In the event of an after hour crisis/emergency, authorization for services may be obtained by contacting the Department on Disability Services;
• Face to face contact with an Individual in crisis should occur within 24 hours,
• Contact Total Care Services, Inc. office (leave voice mail if closed).
• Follow DDS’s Policy on Incident Management,
• Provide a written synopsis of situation within 48 hours,
• Make contact with all involved entities (parents, day program, etc) if additional information is required to complete assessments;
• Conduct all assessments in the Individual’s place of residence unless residential provider or Individual request alternative venue;
• Must submit comprehensive monthly invoice(s) services rendered by the 6th of each month;
• Ability to effectively communicate orally and in writing with internal and external business professionals.
• Communicate with the Individuals appropriately.
• Make safe and sound decisions
• Must be responsible, reliable, and able to carry out job functions
• Must be actively licensed in the District of Columbia.(Psychiatrist, Psychologist, Graduate Social Worker, Independent Clinical Social Worker, Licensed Professional Counselor, Registered Nurse, or Behavioral Specialist) in accordance with local and national standards;
• Paraprofessionals can only work under supervision of Psychologist, Graduate Social Worker, Independent Clinical Social Worker or Registered Nurse;
• Have a minimum of one year experience working with persons with mental disabilities and developmental disabilities;
• Must be a US citizen or alien who is lawfully authorized to work in the US;
• Be free of TB as confirmed by an annual PPD skin test and/or Chest X-ray;
• Have a minimum of one-year experience developing, implementing, and monitoring behavior intervention strategies and developing effective intervention in response to crisis situations;
• Having completed training in crisis intervention and positive behavioral interventions;
• Have the ability to provide preventive, consultative and crisis support services consistent with the individual’s POC/ISP;
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