Description du poste
Provide Primary Care Mental Health Integration (PCMHI) services via telehealth to Veterans at multiple Veterans Integrated Service Network (VISN) 5 facilities as part of an interprofessional primary care team. Deliver brief, evidence-based interventions (20-30 minutes, 1-6 visits) for depression, anxiety, stress, sleep, and other behavioral health concerns, support primary care providers, and refer to specialty mental health care when needed.
PRINCIPALES MISSIONS :
Duties and responsibilities include, but are not limited to: Integrated Care Model and Team Structure Provides integrated mental health (IMH) services using the Primary Care Mental Health Integration (PCMHI) model, via telehealth, to multiple Veterans Integrated Service Network (VISN) 5 facilities within an interprofessional primary care team. Collaborate with the IMH team (psychology, social work, psychiatry, nursing, pharmacy), the telehealth primary care team (clerical associate, provider, pharmacist), and patient-site team members (clerical associate, clinical associate, Registered Nurse (RN) care manager). Delivers brief (20-30 minutes), limited (1-6) behavioral health visits in primary care, supporting medical providers across a broad scope of concerns so Veterans view visits as routine primary care. Participates on the PCMHI treatment team, collaborating with Veterans, families, Patient Aligned Care Team (PACT) members, and interdisciplinary staff (Primary Care Providers, Nurse Practitioners, Clinical Pharmacists, Psychiatrists, Psychologists, Social Workers, Licensed Professional Mental Health Counselors, RNs, Peer Support Specialists, administrative support staff) to develop and implement treatment plans. Clinical Assessment and Treatment Establishes effective therapeutic relationships and work independently with Veterans and families experiencing complicated medical, psychiatric, emotional, behavioral, and psychosocial problems. Completes functional assessments of psychosocial needs to help Veterans maximize treatment use and reach the highest practicable independence. Applies working knowledge of mental health and substance abuse diagnoses and treatments, including acute, chronic, and traumatic illnesses. Independently provides clinically appropriate brief interventions, individual or group psychotherapy, evidence-based therapy, counseling, and supportive groups for depression, anxiety, stress, sleep hygiene, and other concerns. Uses symptom monitoring, decision support, and patient education and activation, and treat emergent problems such as non-adherence or medication side effects. Provides crisis intervention to outpatients in acute psychological crises, stabilize them, arrange inpatient psychiatric transfer if necessary, and follow up. Care Coordination, Case Management, and Consultation Facilitates timely discharge planning with Veterans, families, and the team, including triage to higher-level mental health care or return to Primary Care. Assists with referral to specialty mental health care programs when needed. Serves as liaison between Veterans, families, and Department of Veterans Affairs (VA) and community resources. Educates Veterans and families on community resources, VA benefits, specialty programs, and advance directives, including accessing community-based services and referring to other VA, government, and community programs. Consults with PACT and treatment team members on psychosocial needs and their impact on health care planning, treatment compliance, and discharge planning. Provides case management across the continuum of care, applying human growth and development principles and assisting Veterans coping with loss and grief from disability and terminal illness. Communication, Documentation, and Technology Documents in the Veteran's electronic medical record (Computerized Patient Record System (CPRS) and Electronic Health Record Modernization (EHRM)). Uses software applications and VHA computer systems for documents and data manag