The principal role of the Licensed Clinical Social Worker (LICSW) is to provide integrated mental health and substance abuse evaluation and treatment for Veterans with comorbid disorders who receive care in the Substance Use Disorder Treatment Program (STP) and other programs within the Behavioral Health Service (BHS) or Mann-Grandstaff Veterans Administration Medical Center (MGMC). This position is based in the Substance Use Disorder Treatment Program (STP) primarily at Mann-Grandstaff VAMC, Spokane, WA. The incumbent follows Veterans Affairs Central Office (VACO) guidelines and community best-practice standards of care in providing integrated addictions and mental health treatment to Veteran patients. Functional areas include: Psychosocial Evaluation and Treatment: Provides comprehensive, coordinated, integrated care for Veterans with co-occurring substance-related and mental health disorders, with a goal of maximizing health outcomes and decreasing morbidity due to substance-related and mental health conditions. Incumbent's role has a direct and significant effect on the effectiveness of health care delivery to the patient population. Continuously improve individual and organizational health care provision, with focus on dually diagnosed Veterans, in accordance with Agency and Veterans' goals. Specific services include, but are not limited to: Provides comprehensive, integrated substance abuse & mental health intake evaluations for new substance abuse patients. Provides comprehensive, multi-disciplinary treatment planning, with focus on integrative treatment for Veterans with co-occurring addictions and mental health disorders. Provides individual and group psychotherapy to new and established patients, for a full range of Veteran patients with diverse clinical needs. Provides Evidence-Based Psychotherapies appropriate to patients' needs. Provides supportive interventions for individuals receiving office-based buprenorphine or other medication assisted treatments for substance use. Interventions include, but are not limited to: Pre-induction assessments for individuals beginning buprenorphine Group interventions specific to supporting continued involvement in office-based buprenorphine program Case management of patients prescribed buprenorphine Provides evaluation and treatment through tele-health technologies, as clinically and administratively indicated. Assists Veterans in crisis, in collaboration with the Suicide Prevention Team, Mental Health Clinic, Emergency Department, and others. Facilitates referrals for patients in crisis, when indicated. As a Mental Health Treatment Coordinator (MHTC), monitors assigned Veterans. Assures all assigned high risk patients complete a collaborative Safety Plan documenting crisis prevention strategies, in keeping with facility policies and processes. Care Collaboration, Coordination, and Consultation: Actively coordinates evaluation and treatment activities with other members of Veterans' medical and mental health treatment teams as well as family members and others invited by Veterans to participate in their care. Develops, implements, monitors, and revises plans of treatment that are based on best practices for Veterans with co-occurring disorders, Veteran's assessed needs and preferences, and the input of other Veterans' current and projected holistic (biopsycho-socio-spiritual) needs and projected course. Takes lead to coordinate and conduct team conferences for Veterans with dual diagnoses. Maintains and help others maintain conscientious focus on needs of Veterans with co-occurring substance-related and mental health disorders. Provides direction and consultation to SATP providers, BHS Home Team providers, and other treatment team members regarding best practices for integrated care. Maintains awareness of developments in the field and provide consultation and training to others when new treatment options become available. Actively coordinates and communicates with primary care teams and medical specialists (e.g. nutrition, palliative care, hospice) regarding the Veterans care plans and needs. Establishes and maintains networks, both within the VAMC, local CBOC's, other VISN20 sites and agencies within the Spokane catchment area. Actively collaborate with these agencies to support expeditious provision of high-quality, integrated care for Veterans with complex needs. Administrative Duties: Maintains lists of community, state, and national resources, organizations, and support groups that support patient care, with special focus on programs for dually diagnosed patients. Keep staff appraised of ways these can be integrated into care plans to help patients meet their physical, social, spiritual, or financial needs. Contributes to administrative oversight and further development of buprenorphine program based on best practices and patient needs. Contributes to regional and national work groups that focus on provision of care to dually diagnosed Veterans, and report on these to service and facility leadership. Maintains tracking systems for special projects and ongoing data collection requirements. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.