Clinical Supervisor - SCRT

Job Overview

The Clinical Supervisor position with the Street Crisis Response Team (SCRT) is part of a co-responder model responding to triaged 911 calls for non-violent, behavioral health issues on the streets of San Francisco, as an alternative to police response. This crucial role supervises behavioral health clinicians performing assessment and crisis response for those in psychiatric and substance-induced distress outdoors in San Francisco. The SCRT aims to avoid harm to the individual in crisis by intervening in person-centered and trauma-informed ways and attend to the immediate needs of the person in crisis. This will be done by treating each person in crisis with the utmost dignity and respect, as well as an active participant in their own de-escalation process and reestablishment of personal safety.

The Clinical Supervisor role will work in a 12-hour shift, three to four days per week with usually four days off in between. Clinical Supervisors will work as a team to ensure at least one is available remotely by phone throughout all shifts worked by the Behavioral Health Clinicians. Occasional shifts will require in-field work to shadow and observe clinical work, or work in place of a clinician who is unable to report for their shift.

Key Responsibilities

Work in 12 hour shifts to share responsibility with other clinical supervisors to maintain immediate availability to consult, problem solve, and answer questions by phone to provide clinical supervision to the clinicians providing direct crisis response in real time. Provide weekly group and individual supervision to SCRT Behavioral Health Clinicians (BBS or BOP registered and licensed). Assist and guide clinicians to increase their skills within their scope of practice, improve quality of services to individuals, and promote cultural inclusion and anti-racism into work. Periodically shadow supervisees on the job and will work with them directly, providing feedback on their service approach and performance. Provide supervision and direction on culturally responsive, trauma-informed, gender-responsive, and person-centered mental health and substance use crisis assessment, intervention, de-escalation, and appropriate follow up. Instruct and supervise clinicians to assess for suicidality, homicidal intent, violence risk, grave disability, and substance use using appropriate measurements, including C-SRRS, SBI, Mini Mental Status Exam, and others. Instruct, demonstrate, and supervise clinicians on how to utilize Harm Reduction, Trauma-Informed Care, Person-Centered, and Motivational Interviewing interventions in supervision. Maintain strong working knowledge of DSM V diagnostic criteria, particularly for substance use, PTSD/Acute Stress, psychotic, panic, bipolar, mood, and personality disorders. Obtain SFDPH 5150 Certification so that in situations that warrant it, supervisor can advise clinicians to initiate a 5150 psychiatric hold by properly assessing and documenting per SFDPH protocol. Clinical Supervisors will also substitute for clinicians in the event of illness, vacation, or staff turnover, and must be able to perform all their clinical job duties as well.

Team Member Responsibilities: Work with other supervisor and clinician team members to create a response plan in collaboration with the other SCRT members and person in crisis. Practice self-awareness and cultural humility as member of diverse team; be conscientious and sensitive to power and other interpersonal dynamics with other team members. Maintain appropriate/ethical boundaries with all supervisees, persons, groups, and families served. Demonstrate strong ability to remain calm and attentive during crisis consultation, as well as to deftly advise on several separate crises during a single shift. Demonstrate a high level of resilience and self-care as part of maintaining wellness in a high crisis-consulting position. Work in coordination with DPH Street Medicine teams, primary care clinics, psychiatric care services and shelters across the city to provide linkage and care as follow up for the individuals in crisis. Maintain proper COVID-19 prevention protocols at all times while working in the field, including social distancing when possible, donning, wearing and doffing appropriate PPE, including N-95 mask, gloves, and face shields.

Administrative Responsibilities: Maintain timely and thorough administrative and service documentation and records related to supervision, client care, and program-related monitoring, in accordance with standards specified by HR360 policies and oversight agencies (e.g., DPH, etc.). Complete all live and online trainings in timely and through manner to form strong foundation for clinical supervision. Trainings will include street crisis de-escalation, trauma informed care, Motivational Interviewing, ethical boundaries, confidentiality, first aid, CPR, COVID-19 precautions, and others. Maintain accurate knowledge of HR360 programs and services in San Francisco, as well as other resources in public health system of care. Actively participate in weekly group and individual supervision with SCRT members to fortify and grow clinical work, as well as problem solve clinical issues that have arisen. Develop and maintain clear, open, timely, cooperative, and diplomatic communications and working relations with all staff, participants, and partner agencies. Lead and participate in clinical case conferences, staff meetings, in-service training, and other staff development activities. Provide accurate and collaborative feedback to HR360 and SFDPH to help evaluate the program pilot.

And perform other duties as assigned.

Education and Knowledge, Skills and Abilities

Education, Certification, and Experience Required:

• Licensed (for at least two years) with the California Board of Behavioral Sciences (LCSW, MFT, PCC) and have completed BBS-required trainings to be an approved supervisor. Or Licensed with the California Board of Psychology and eligible to provide supervision without additional training.
• First Aid Certified within 30 days of employment.
• CPR Certified within 30 days of employment.
• At least 4 years’ experience providing behavioral health services in a public health, community mental health, crisis services, or other setting serving people who are unhoused.
• Experience with DSM V diagnostic criteria and risk assessment.
• Experience establishing supportive relationships and working with clients from culturally and linguistically diverse backgrounds.
• Experience working successfully with diverse populations specifically with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self-sufficiency.
• Background Clearance Must not be on active parole or probation, clear with OIG database.
• Ability to obtain and maintain satisfactory background check.

Knowledge Required:

• Demonstrated knowledge of Trauma Informed Care, Motivational Interviewing, Harm Reduction, and other evidenced based practices such as crisis intervention and de-escalation.

Skills and Abilities Required:

• Ability to work within a frequent changing project scope while maintaining overall direction and structured priorities.
• Self-motivated, dependable, creative, and proactive approach to work; understands importance of working independently and within a team environment.
• Ability to communicate well at all levels of the organization.
• Excellent organizational skills and ability to multitask and juggle multiple priorities.
• Outstanding ability to follow-through with tasks.
• Action-oriented.
• Ability to enter data into various electronic systems while maintaining integrity and accuracy of data.
• Excellent verbal and written communication skills and interpersonal skills.
• Ability to handle sensitive information in a confidential manner.
• Ability to work with and honor a highly diverse community served, as well as SCRT team members, while showing humility and openness.
• Willingness and openness to learn and understand different perspectives, as well us show self-awareness around race, gender, class, sexual orientation, lived experience, and other important attributes.
• Ability to travel to and from worksite and other locations within San Francisco.
• Ability to work outside occasionally for field shifts, travel in van with others between crisis, and physical move during some shift.

Desired: Bilingual in SF threshold languages.

In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.

We will consider for employment qualified applicants with arrest and conviction records.