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.