Senior Licensed Professional Mental Health Counselor-Crisis Response Team
Veterans Affairs, Veterans Health Administration
Location: Grand Junction, Colorado
Mental Health/Social Services
Internal Number: 669823800
The Crisis Response Team (CRT) Licensed Professional Mental Health Counselor (LPMHC) is a member of a 24/7 interdisciplinary treatment team which provides crisis/mental health services to the Emergency Department (ED), and consultation to Substance Abuse Residential Rehabilitation Treatment Program (SARRTP), Acute Inpatient Psychiatric Unit, Acute Medicine, and Community Living Center (CLC), as needed during weekend, holiday, evening and night (WHEN) hours at the VA WCHCS. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Hold a master's or doctoral degree in: Clinical Mental Health Counseling; Clinical Rehabilitation Counseling; Clinical Mental Health Counseling and Clinical Rehabilitation Counseling; or a related field, from a program accredited by the Council on Accreditation of Counseling and Related Educational Programs (CACREP). NOTE: Traditional Rehabilitation counseling programs that are accredited by CACREP do not meet the LPMHC qualification standards as Traditional Rehabilitation counseling differs from Clinical Rehabilitation counseling. Licensure: Persons hired or reassigned to LPMHC positions in the GS-0101 series in VHA must hold a full, current, and unrestricted license to independently practice as a Licensed Professional Mental Health Counselor, which includes diagnosis and treatment. English Language Proficiency. LPMHC must be proficient in spoken and written English. Grade Determinations: Senior Licensed Professional Mental Health Counselor, GS-12: (a) Experience, Education, and Licensure. In addition to the basic requirements, candidates must have at least one year of progressively complex LPMHC experience equivalent to the GS-11 grade level. Senior LPMHCs must have five years of post-licensed experience that demonstrates possession of advanced practice skills and judgment, demonstrating progressive professional competency and expertise and be licensed to provide clinical supervision to trainees or unlicensed LPMHCs. (b) Assignments. Senior LPMHCs provide treatment to patients with complex needs including multiple mental health diagnoses, and numerous psychosocial issues, using independent judgment. LPMHCs at this level provide clinical consultation to less experienced staff which may include coordinating crisis situations. Senior LPMHCs will provide clinical supervision to LPMHC staff and/or LPMHC trainees, and may serve as the subject matter expert for the discipline. Senior LPMHCs develop behavioral health related training curriculum and often conduct trainings for clinical staff. LPMHCs model ethical and professional behaviors and standards to include multicultural awareness. Senior LPMHCs meet routinely with inter- professional team members and leadership to communicate about program and patient issues for in depth problem solving. Senior LPMHCs collaborate with internal and external stakeholders and frequently serve as a liaison. This assignment is to be relatively few in number based on the size of the facility/service and applying sound position management. This assignment must represent substantial additional responsibility over and above that required at the full performance grade level and cannot be used as the full performance level of this occupation. (c) Demonstrated Knowledge, Skills, and Abilities. In addition to meeting the KSAs for the GS-11 grade level, the candidate must demonstrate all of the KSAs below: Advanced knowledge of and mastery of theories and modalities used in the specialized treatment of complex mental illness. Ability to incorporate complex multiple causation in differential diagnosis and treatment of veteran patients, including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice. Ability to determine priority of services needed and provide specialized treatment. Advanced and expert skill in a range of specialized interventions and treatment modalities for Veterans with complex needs. This includes individual, group, and/or family counseling, or psychotherapy and advanced level psychosocial, and/or case management interventions used in the treatment of Veterans. Ability to coordinate the delivery of specialized psychosocial services and programs. Ability to design system changes based on data. Ability to provide subject matter consultation to colleagues and trainees on the psychosocial treatment of patients, rendering professional opinions based on experience, expertise and role modeling effective clinical skills. Ability to teach, mentor staff and trainees, and provide supervision for licensure or for specialty certifications. Ability to engage in written and oral communication with leadership/staff and community stakeholders regarding policies, procedures, practice guidelines, and issues pertaining to the practice of the profession. Preferred Experience: Has specialized and advanced knowledge and skill in conducting psychiatric emergency assessments, diagnoses, and treatment Experience working with patients who have complex physical and psychiatric comorbidities and are in acute crisis Due to the nature of the CRT Senior LPMHC responsibilities, the LPMHC license must permit independent psychotherapy and diagnosis of mental health conditions and illnesses References: VA Handbook 5005, Appendix G43. LICENSED PROFESSIONAL MENTAL HEALTH COUNSELOR QUALIFICATION STANDARD GS-0101 Physical Requirements: Must be in overall good health, able to sit at a desk working at a computer, engage in light to moderate physical activity including sitting, walking, bending, and carrying supplies. Social Worker must be able to perform primarily light and sedentary duties with occasionally moderate physical demands, exercise patience, and control emotions, with reasonable accommodation, if necessary, without endangering the health and safety of the Social Worker or others. Position requires walking throughout the clinic and/or Medical Center, standing for extended periods of time, and involves sitting at a computer and in counsel and consultation with Veterans and interdisciplinary teams. Position may require minimal travel, through use of a government vehicle or other individual arrangements, to meet with representatives/stakeholders who aid and support to Veterans in clinics, medical centers, Community Clinics, Vet Centers, etc. This position also requires close visual acuity to perform an activity such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; and repetitive motions of the wrists, hands, and/or fingers. ["Applies advanced professional clinical knowledge and evidence-based intervention strategies to a full range of complex psychosocial needs in the ED, including psychiatric emergencies, substance abuse treatment, homelessness, abuse, and geriatric psychiatric emergencies. Provides a full range of psycho-diagnostic services including assessment and uses the most appropriate psychotherapeutic techniques in providing quality care. Performs evaluations for wide array of Veterans representing diverse diagnostic entities. Evaluates Veterans in the ED for involuntary psychiatric holds (M-1 only) & completes appropriate paperwork. Serves as a resource for VA WCHCS staff regarding the local laws and regulations regarding involuntary psychiatric holds. Facilitates admissions (both voluntary & involuntary) to the Acute Inpatient Psychiatric Unit &/or collaborates with community facilities for psychiatric resources, to include admission. Determines suicide & homicide risk utilizing current evidence-based research tools. Assess suicide/homicide risk and protective factors to determine safety of the Veterans. Completes comprehensive suicide risk evaluations (CSRE), safety planning, & suicide behavior reports, as needed. Ensures adherence to facility & national risk management policies for assessment, management, consultation & documentation related to suicide/homicide risk. Provides clinical recommendations to ED physicians regarding appropriateness of psychiatric admissions &/or ED discharge with referral(s) to outpatient services, prioritizing Veteran safety, and balancing emergent situations arising simultaneously. Ensures continuity of care for all Veterans presenting to the ED in mental health crisis by providing intervention &/or facilitating services with another provider(s). When Veterans call the medical center in crisis, they assess Veterans by phone & provides crisis counseling/intervention, including instructing the Veteran to present to the ED or follow-up with established providers. Contacts local law enforcement for wellness check as deemed necessary. Provides assessment, brief psychotherapeutic interventions, & treatment referrals for veterans presenting with substance use disorders. Evaluates options to mitigate potential safety concerns which may include calling police for assistance, providing crisis intervention, mediating conflicts, &/or making referrals to ensure a safe outcome. Facilitates transfer &/or discharge from ED with appropriate continuity of care. Provides education & referrals to Veterans for community services, & coordinates these services, as necessary. Acts as a liaison between community & VA programs as needed. Makes appropriate referrals, as indicated, to reporting agencies such as Department of Family Services, Adult Protective Services, police, etc. Provides a full range of therapeutic interventions to veterans on the Acute Inpatient Psychiatric Unit and SARRTP as part of after-hour behavioral health services, including individual, couples/family & group psychotherapy using empirically supported approaches (e.g., Motivational Interviewing, Behavioral Activation, CBT, DBT, ACT, Interpersonal Psychotherapy, Problem Solving Therapy, Integrative Behavioral Couples Therapy). Conducts daily treatment rounds on the inpatient unit during non-business hours (weekends and holidays). Documents psychological interventions & consultation activities in the Veteran's clinical record utilizing the electronic health record (EHR) & ensures an appropriate hand-off and documentation when transferring Veteran care. Accountable for practice, including entering Veteran visits, appropriate clinical documentation, entering consults, & meeting productivity standards. Provides education to both Veterans & family members regarding relevant mental health concerns. Provides case management to high utilizers of the ED &Acute Inpatient Psychiatric Unit, Acute Medicine to ensure the right care at the right time. Complies with all Facility/Service Line documentation requirements, including timely completion of prescribed templates for documenting results of assessment, treatment, & risk evaluation contacts. Adheres to all Facility/Service Line policies & practices for delivering clinical care, including suicide risk reduction practices, timeliness of care & access standards, professional conduct requirements, & EHR documentation conventions. May be assigned additional administrative duties to be completed during non-Veteran times to assist with data collection, reports, performance improvement projects, etc. Work Schedule: Variable shifts; Part time (approx 20 hrs/weekly-may be negotiable) or Full Time\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 55575-O\nFinancial 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.