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Provide service coordination (case management for an assigned group of participants) including coordinating and monitoring the activities of the individual treatment team; assume responsibility for developing, writing, implementing, evaluating and revising overall treatment goals and plans in collaboration with the participant and the ITT; provide individual supportive therapy, psychotherapy, and symptom management, ensuring immediate changes are made in the treatment plans as participants' needs change.
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Educate and support participants' families, and advocate for participants' rights and preferences.
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Perform shift management in coordination with other ACT shift managers according to established policies and procedures.
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Submit accurate and timely documentation and related information in accordance to TCMU/CBH/HH standards. Document all contacts, movement, growth, transfers and overall progression through the system, in accordance with funding source regulations.
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Consistently meet daily productivity standards as required by the funder and department.
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Conduct comprehensive assessment of psychiatric history (e.g. onset, course and effect of illness, past treatment and responses, and risk behaviors), mental status, and diagnosis; physical health and dental health; use of drugs or alcohol; education and employment, social development and functioning; activities of daily living (e.g., self-care, living situation, nutrition, money management); and family structure and relationships.
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Provide individual supportive therapy (e.g., problem solving, role-playing, modeling and support), social skill development, and assertiveness training to increase participants' social and interpersonal activities in community settings.
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Assist clients in the housing process, including procurement of necessary documentation, completion of housing applications, preparation for move-in, and support after move-in.
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Provide ongoing assessment of participants' mental symptoms and participants' response to treatment. Make appropriate changes in treatment plans to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior that put participants at risk (e.g., suicidality).