Basic Function and Score of Responsibilities
A Mental Health Worker at the Partial Hospitalization Program (PHP) shall be responsible, along with a Mental Health Professional, for the clinical treatment and clinical case management duties for the PHP clients assigned on his/her case load.
Principal Responsibilities
A. Direct supervision of clients while in the program:
- Supervise clients to and from the van at the beginning and end of the day
- Conduct morning inspection of student bags for items not permitted in treatment areas and store in office until the day is done; also conduct random inspection of bags, pockets, shoes, papers, etc. for these same items
- Supervise clients during lunch
- Monitor clients in the hallways
- Implement PHP behavior plans
- Enforce rules and expectations of the program
- Supervise clients as they take their medications
- Complete documentation of clients taking medications while at the program
B. Treatment Planning:
- Initial Treatment Plan within five treatment days of starting in the program
- Base goals on psychiatric and/or psychological evaluations as well as CANS (or equivalent scores)
- Involve client and family in creation of treatment plans
- Update CANS and treatment plan every 20 days of service during 20-day reviews
- Include change or other status on all sections of treatment plan
- Add or delete goals as applicable from assessments done in last 20 days or on the day of 20-day review
- Write initial crisis plan and any needed updates
- Barrage, facilitate, and invite treatment team members to any treatment meetings
- Implement individual treatment plans
- Enter into EMR as applicable
C. Documentation of client’s response to treatment:
- Tally point gain/loss throughout the day utilizing the point sheet
- Record client’s level and percentage points at end of each day on monthly calendar, as listed on the daily progress note
- Document client’s behavior towards his/her goals in therapeutic and educational activities
- Document staff interventions to support progress on goals
- Document communication with parents in non-billable note in Credible
- Complete Progress Note on each client daily:
- Complete at end of day between 2:30 pm and 3:30 pm in electronic record
- Must document progress, consistency or regression toward goals, target or problem behaviors, risk factors, incident reports, staff interventions, daily summary, and time in/out
- If a staff member is off, divide that staff’s daily progress notes between remaining MHW’s
- Complete Discharge Summary utilizing information from Mental Health Professional, Psychiatrist, Teacher, Aide, Psychologist, or other NDTC treatment team members as applicable
D. Provide Psycho-Educational and Therapeutic Group Treatment for clients
- Provide 3 hours of group therapeutic or psycho-educational activities per day
- Utilize multiple treatment modalities
- Create therapeutic group environment
- Create and follow lesson plans for
- Therapeutic client groups
- Family psycho-educational activities on days designated for family participation
E. Provide Crisis Intervention:
- Facilitate client de-escalation when client begins to get agitated
- Escort client to cool down room
- Perform physical intervention when aggressive behaviors occur, utilizing approved techniques from non-violent crisis intervention
- Complete Incident report form and turn into supervisor within 24 hours
F. Supervise Behavior in Educational Classroom:
- Observe and document clients’ behavior in the educational classroom
- Provide behavioral intervention, as needed, in the classroom
- Support teacher, as needed, in the classroom
- Assist clients in the classroom, as needed
G. Attend trainings in order to continually stay current with practices and guidelines:
- Annually attend 15 hours of training
- Attend Nonviolent Crisis Intervention training
- Attend Blood Borne Pathogens training
- Attend Fire Evacuation and Safety training
- Attend department-specific trainings as applicable
- Share information from non-NDTC trainings attended with PHP staff
H. Work as part of the team:
- Must work well in a team environment
- Provide information to the treatment team, including psychiatrist
- Coordinate client services with other mental health professionals inside and outside the agency
- Attend staff and treatment team meetings.