SUBFUNCTION DEFINITION: To coordinate the triage and referral of
infants, children and adolescents into appropriate psychiatric,
developmental disabilities or other services within a complex
medical center and related services/agencies dedicated to the care
of infants, adolescents and children.
- Milieu Management and Care Delivery
Functions as behavioral/milieu leader across waking hours to
ensure implementation of therapeutic milieu and group programming,
(development, facilitation coaching of staff implementing groups).
Oversees shift to shift application of individualized programming,
coaching/oversight of crisis events for staff and patients. Takes
lead of managing patient care across various settings; Adapts
milieu to manage disruptive behaviors; designs and evaluates
creative therapeutic programming based on evidence-based practice
interventions, Leads in educating/precepting new staff. Ensures
work area are safe and ready for next activity or shift; practices
according to CCHMC and Divisional polices with emphasis on managing
high risk patients. Has awareness of patients locations, by making
rounds; monitors risk levels, alerts nurse to mental status
changes. Leads in making shift assignments. Assigns daily tasks
including environmental rounds, patient observation checks, etc.
Ensures timely staff documentation. Participates in treatment
rounds and facilitates staff participation consistent with patient
assignment. Ensure materials/resources are available/prepared for
group as well as appropriate allocated time. Facilitate
ordering/management of resources and supports unit functions.
- Patient/Family Interaction
In addition to responsibilities of MHS III-Encourages patients
to make a plan for family meeting attendance and participation;
promptly addresses customer service concerns and questions,
attempts to meet customer needs before referring to others in the
treatment team. Seeks out parent interactions during visiting,
provides coaching to staff on engaging with patients and on
implementation of positive reinforcement system as well as
de-escalation and crisis management skills. During leisure
activities and discussions regarding family expectations; provides
parent coaching education regarding behavioral interventions and
safety plans; demonstrates leadership to staff in working with
diverse families by providing support to families and co-workers.
Consistently integrates age specific and culturally diverse
concepts into patient care, taking into consideration both the
patient's chronological age and developmental functioning.
Communicate regularly with interdisciplinary treatment team
regarding plan for treatment including communication with family,
expectations for treatment, and treatment progress. Oversees
implementation of positive reinforcement system/token economy
system by unit staff.
Develops group topics; educates new staff on group leadership
skills; utilizes knowledge of development levels and psychiatric
diagnosis to tailor groups to patient needs; able to adapt group to
address behavioral issues; recognizes when group process is
non-productive and demonstrates ability to adjust the group to make
the group more productive. Actively participates in quality
improvement initiatives with goal to improve patient outcomes;
Provides oversight and support with on assignment of more complex
patients; able to give constructive feedback to co-workers,
educates and coaches new staff on the therapeutic use of 1 on 1;
provides feedback to encourages ICMP completion. More leadership
responsibilities, clinical experts plus the ability to lead teams.
Generalized, working with compliance to achieve clinical outcomes.
Attending rounds, leadership, milieu lead. Prioritization,
independence, and detail orientation, May respond to referrals,
complete patient assessments, round on patients, respond to crisis,
and support bedside staff.
Works with the Code Violet Response Team in responding to and
managing crises effectively on unit. Participates, supports and
coaches in episodes of seclusion/restraint when necessary.
Supervise and coach staff in active implementation of treatment
plans/behavior plans and interventions. Facilitate implementation
of behavioral interventions in collaboration with the Behavior
Specialist. Ensure staff complete appropriate documentation related
to implementation of individualized behavioral
Communicates clearly parental attitudes and behaviors that may
affect treatment both verbally and in writing. Facilitate problem
solving of behavioral-medical treatment options. Participate in
team staffing of children and clinical case reviews as they occur.
Provide for the exchange of appropriate patient care and clinical
information when patients are admitted, referred, transferred or
discharged Function as a member of the inpatient units to provide
support and input regarding parental issues or child
characteristics that influence the treatment of the child.
- Bachelor's degree in a related field
- 2 - 5 years of work experience in a related job discipline