Crisis Counselor/Clinician

General Definition:

In general, under direct supervision of the immediate supervisor or clinical manger the individual is responsible for providing community/facility based Crisis services that are aimed at the prevention, intervention, and immediate stabilization of Crisis events experienced by MH/DD/SA consumers or consumers experiencing emotional distress in response to a Crisis . Examples of Crisis services shall include in community Crisis response and Crisis prevention/intervention.

Performance Expectations (Quality and Quantity):

Each Clinician will be assigned primary and secondary responsibilities, these assignments may changes at any time depending on the need of the agency/department and at the direction of the supervisor.

• Perform screening and evaluation for consumers who are requesting admission/being referred for admission to one of the PCC inpatient services (Facility Based Crisis , Detoxification, SA Residential Treatment, and 23 Hour Observation). Completing the appropriate steps to process a possible admission (i.e. staffing with other clinical staff, staffing with medical staff, and contacting MD/NP). Screenings for admission to one of the inpatient services must be completed using the Mobile Crisis assessment packet, once the consumer has been approved for admission then the screening can be entered under the 24/7 service that the consumer will be engaging in.
  • Admission documentation must clearly identify the criteria that the consumer meets as well as the medical necessity for the consumer to receive the requested service.

• Once a consumer has been admitted to one of the inpatient programs the clinical staff will continue to work with the consumer in the development of the Person Centered Plan and document progress/lack of progress towards meeting goals/objectives specified in the PCP.
  • The following treatment plans, evaluations, and authorizations must be completed for consumers being admitted to the inpatient unit. Ensuring that appropriate and timely documentation is completed on all consumers is essential to this position:
    • Detoxification (IPRS): Complete enrollment, target population, and diagnosis within the ALPHA MCO system. Complete PCP and SAR (service authorization request).
    • Detoxification (Medicaid): Complete PCP and ITR (within the Value Options system).
    • Facility Based Crisis (IPRS): Complete enrollment, target population, and diagnosis within the ALPHA MCO system. Complete PCP and SAR (service authorization request)
    • Facility Based Crisis (Medicaid): Complete PCP only.
    • SA Residential Tx (Medicaid): Complete enrollment, target population, and diagnosis within the ALPHA MCO system. Complete PCP, ITR, Comprehensive Evaluation, and NCTOPPS.
    • 23 Hour Observation (IPRS/Medicaid): Complete enrollment, target population, and diagnosis within the ALPHA MCO system. Complete SAR (service authorization request) in ALPHA MCO system.

• Clinician will ensure that consumers engaging in the inpatient services are receiving adequate therapeutic interventions
  • Clinicians will facilitate and/or engage in the following therapeutic interventions:
    • Individual Counseling
    • Family and Peer Group Counseling
    • Process and psycho-educational groups that promote the development of knowledge and skills related to recovery from substance abuse and mental health disorders.
    • Multidisciplinary Treatment Team Meetings
    • AA/NA Meetings, H&I Meetings, WRAP Groups

• Clinician will meet with consumer on a regular basis while the consumer is admitted to the service rendered to create a discharge plan. Discharge plan will include: referrals to community services/resources, self help groups, outpatient medication management, counseling, and case management services. Discharge plan may also include referrals to other residential treatment and/or housing options. Primary medical needs and referrals may be addressed as well. Discharge plans should include efforts to prevent relapse and future Crisis.

• Accurate service and billing record documentation that clearly communicates the service(s) provided and consumer progress. Documentation shall maintain compliance with PCC policy/procedure, purchaser of service requirements (NC Division of MH/DD/SA, DMA/Medicaid, CCMH/LME); and, accrediting/regulatory bodies (CARF and NC Statute/APSM rules). All Crisis Clinicians shall maintain consumer Record Documentation to include (as applicable to the service rendered):
  • Screenings
  • Crisis Plans
  • Authorizations
  • Person Centered Plans (PCPs)
  • Service Notes
  • Discharge Plans
  • Other Clinical Documentation (i.e. evaluations, financial forms, other forms as indicated by PCC guidelines or by immediate supervisor).

• Use of a community based team approach that utilizes the resources of the community, consumer, and treatment team, to achieve positive consumer outcome, stabilize the crisis and assist with arranging appropriate transitions for the consumer to needed services and supports.

• The ability to effectively utilize clinical supervision to enhance professional growth and promote the recovery of persons served.

• Must meet productivity standards as specified by administrative and/or clinical supervisor.