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Pacific Quest (PQ) is committed to providing the highest quality of therapeutic care and communication currently available in the wilderness treatment model. The Field Therapist (aka: Level I Therapist) serves in a clinical support role on the treatment team in this dynamic process to implement the Sustainable Growth model that integrates rites of passage, horticulture therapy, holistic wellness, experiential learning, and effective psychological and family support. Under the direct supervision of the Clinical Supervisor and in collaboration with program staff and the Primary Therapist (PT), the Field Therapist documents and monitors treatment goals and objectives, guides program staff in the intervention and monitoring process, and conducts clinical and psychoeducational activities. Activities are consistent with the PQ model and include psychosocial diagnostic assessment, individual, group and family therapy, horticultural therapy (HT), experiential education, crisis intervention and support, safety planning, professional documentation of activities, and care coordination involving the student, designated family members, collaborating professionals, and the PQ team.
Essential Duties and Responsibilities:
1. Know and respond to PQ philosophy, policies, procedures, and Sustainable Growth model.
2. Make face-to-face therapeutic contact for all students within 48 hours of arrival. Review All-in-One and relevant clinical information to prepare for contact. Contact shall involve welcoming student, orienting to clinical services, conducting mental status exam and assessing/helping with adjustment issues in coordination with PT. Provide follow-up as indicated for students as assigned. Document contacts.
3. Monitor arrivals, schedule and conduct (or assign and oversee) parent orientation calls soon after arrival and preferably before the first therapist call. Parent orientation calls shall cover overview of program and expectations as outlined in the parent manual.
4. Group therapy – Field Therapist plays a primary role in planning and conducting group therapy, conducting at least 2-4 group therapy sessions per week, and creating/maintaining lesson plans on Drive. Organize and oversee group therapy schedule at each clinical meeting to ensure group therapy is conducted for each group twice per week in accordance with PQ guidelines. Utilize verbal, experiential and HT methods consistent with program milestones and treatment goals. Conduct multi-family therapy sessions and other activity groups and clinical support activities during the family program.
5. Assist all students in Kuleana phase in meeting program and academic milestones and treatment objectives by coordinating with program staff and therapists to conduct curriculum-based experiential activities and therapies, special projects, and crisis support. Field Therapist also plays an active role in preparing students for Family Program and Huli Ka`e/Rites of Passage.
6. Take an active role in organizing Family Program (FP), monitoring FP schedule and student-parent activities, and conducting therapeutic groups as assigned.
7. Complete psychosocial diagnostic assessments and integrative summaries on assigned students in collaboration with PT, including self-report/interview, records review, mental status evaluation, DSM 5 diagnosis, and integrative summary within 10 days of arrival. Submit to Clinical Director for review.
8. Work closely with PT to develop comprehensive treatment plan and weekly treatment plan updates for assigned students in accordance with established PQ guidelines.
9. Develop working partnerships with program staff to achieve desired outcomes. This is accomplished through verbal check-ins when meeting with students, documentation of clinical concerns and intervention strategies on weekly treatment plans, email alerts/contacts, participation in case staffings, and conducting training with program guides.
10. Support NATSAP student and parent outcomes survey process at admission, designated time periods during treatment and upon discharge.
11. Maintain knowledge about the systems for academic tracking and pinnacle assignments, support students in completing curriculum, and conduct case coordination and training with clinical team related to clinical applications of the curriculum and pinnacle assignments.
12. When supporting the Primary Therapist (PT) on assigned case the Field Therapist shall:
13. Document all clinical activities in a timely and professional manner – therapy notes are due within 48 hours of the session.
14. Provide exceptional and responsive customer service to all referral sources, students, family members, and other stakeholders. Maintain boundaries and flexibility in interactions.
15. Participate in weekly clinical meetings that include group supervision, case staffings, team collaboration and other training as assigned.
16. Schedule and attend regular supervision meetings with the Clinical Supervisor. Utilize supervision and consultation on an ongoing basis to determine action plans and to enhance clinical effectiveness.
17. On-call as assigned. Respond promptly and professionally in accordance with PQ guidelines.
18. Respond to critical incidents immediately, provide clinical support, risk assessment and crisis intervention services as indicated, and ensure timely and accurate reporting of incidents in accordance with PQ policy.
19. Perform duties of a Primary Therapist under close supervision (e.g., vacation coverage for PT’s, small caseload when competent to perform said duties).
20. Additional duties as assigned.Additional Responsibilities:
With or without reasonable accommodation, the physical and mental requirements of this job may include the following: seeing, hearing, speaking, and writing clearly. Occasional reaching with hands and arms, stooping, kneeling, crouching, crawling, frequent sitting, standing and walking, may be required for long periods of time and may involve climbing stairs, walking up inclines and on uneven terrain. Additional physical requirements may include, frequent lifting and or moving up to 25 pounds.