Provide mental health and psychosocial services to AHS patients, and coordinate special projects or programs, such as the Alameda County HealthPac and Asian Impact on Mental Health (AIMH)/IMPACT depression screening efforts and community education/outreach presentations, as required. This position’s responsibilities include, but not limited to: educating patients about depression, administer depression screening over the phone, as needed, support the behavioral health LCSW, primary care team and patient in their efforts toward treatment compliance, conduct community education outreach workshops that engage API older adults to learn about healthy aging, behavioral and physical health issues among older adults, and how to access behavioral health and primary care services if needed. Provision of services at multiple sites. This is a grant funded position.
ESSENTIAL JOB FUNCTIONS:
1. Provide comprehensive mental health services including diagnostic evaluation, crisis intervention, ongoing psychotherapy to the individual, group, and family of AHS pts directly or through an interpreter as appropriate and in consultation with the supervisor.
2. Provide psychosocial services including counseling, referral, and follow-up for AHS patients.
3. Consult and collaborate closely with behavioral health LCSWs, medical providers (physicians, physician assistants, and nurses) at AHS or external agencies regarding patient cases.
4. Conduct depression screening using the PHQ 2 or PHQ9 questionnaire.
5. Support the patient in scheduling and attending behavioral health appointments, as needed.
6. Support the patient in accomplishing identified goals in collaboration with the Behavioral Health LCSW and primary care team as well as support efforts related to IMPACT model of care.
7. Consult with medical providers (physicians, physician assistants, and nurses) at AHS or external agencies regarding patient cases.
8. Provide counseling, information referral, and follow-up services for AHS patients in family violence/elder abuse situations.
9. Maintain patient records and document services provided via encounter forms and logs.
10. Maintain/Update mental health database; database management, including but not limited to data entry, reporting, data analysis.
11. Participate in behavioral health services meetings and other committees as requested by the Supervisor.
12. Provide education and support to patients navigating the aging services and behavioral health systems.
13. Advocate for and provide referrals and follow-up for patients regarding other community services when needed.
14. Provide follow-up with patients who cancel or do not show up for their appointments with behavioral health staff.
15. Conduct phone call follow-up for patients prescribed medication for their mental illness.
16. Conduct screening/assessments as appropriate, such as on patient’s activities of daily living and for conditions such as dementia.
17. Available as needed to facilitate warm handoff from medical providers for patients in need of behavioral health services/referrals.
18. Track patients who are lost to care and have mental health issues.
19. Research and identify appropriate venues in the target area to conduct educational workshops regarding healthy aging, behavioral, and physical health issues among older adults, and how to access behavioral health and primary care services if needed.
20. Schedule and conduct educational workshops and attend training as appropriate to implement the SAMHSA Older Adult Toolkit to address mental health issues for patients.
21. Track and document outreach efforts for reporting purposes as requested by Supervisor.
22. Serve as liaison with Asian Community Mental Health Services, Community Health for Asian Americans, or other psychiatric/counseling institutions to coordinate patient care for AHS patients.
23. Update and maintain referral resources and strengthen linkages with other agencies and community organizations to provide a full spectrum of referral services to AHS patients.
24. Maintain a list of community resources that meet the needs of older adults, particularly of those living in Central Alameda County.
25. Serve as a liaison with external agencies as appropriate.
26. Advocate for AHS patients and their families to assure the availability and utilization of appropriate community services.
27. Serve as a liaison with external agencies as appropriate.