Job Description

This position is accountable to the Supervisor, Comprehensive Care and Integration Specialist Team at WoodGreen Community Services and offers social work/case management support to clients who are part of the MGH2Home program, which is a partnership between WoodGreen, Michael Garron Hospital, Spectrum and VHA Home Healthcare. This is a unique position supporting East Toronto Health Partners\xe2\x80\x99 (ETHP) strategy to improve client transitions. This short-term transitional program (up to 90 days) involves supporting earlier discharges of adults with higher needs to reintegrate into their home and community. This multi-disciplinary team works as \xe2\x80\x9cone team\xe2\x80\x9d along with the client and designated family to address their complex health and social needs.What You Will Do

• Perform psychosocial assessments.
• Develop goals with clients/patients/family members and implement service plans to address their priority and emerging needs.
• Provide service/care co-ordination, navigation, short-term and mid-term planning and follow-up support within a maximum of a 90-day service period.
• Work closely with the supervisor and team members to ensure supports are coordinated.
• Provide clinical and/or supportive counseling to clients utilizing a wide range of therapeutic approaches that best meet the clients\xe2\x80\x99 needs and circumstances.
• Provide preliminary assessment of risk in crisis situations, consult, and devise an intervention and action plan, and provide crisis intervention.
• Provide crisis intervention and practical assistance to clients and/or family or caregivers as required in homes and community settings.
• Participate in case conferences and clinical meetings in order to ensure the coordination of services and a continuum of care for a smooth transition from hospital to community.
• Provide advocacy support and advocate with clients and/or their family or caregivers.
• Maintain flow through of clients in MGH2Home and prepare clients for discharge/transition
• Provide service that is responsive, culturally and linguistically sensitive to the individual and caregivers needs, ensuring diversity, inclusion, belonging and equity values are achieved.
• Keep current about the range of services available in other agencies.

What You Bring to the Team

• Master of Social Work (M.S.W.) or post-graduate degree in relevant field.
• Registration and in good standing with the College of Social Workers and Social Service Workers or another relevant regulatory body (i.e., CPRO)
• 3+ years of related experience in mental health, addictions, geriatrics and/or social work.
• Demonstrated experience working with older adults and seniors with mental health (including dementia) and/or substance use issues, chronic health issues, cognitive impairment, and responsive behaviours is required

What Will Set You Apart

• Ability to support complex adults and senior populations including individuals who have considerable health challenges
• Demonstrated ability in system navigation, service planning, implementation, and coordination, therapeutic or supportive counselling.
• Demonstrated ability in working effectively in a multi-disciplinary team
• Proven working knowledge of theories of addiction and evidence-based treatment models
• Knowledge of and experience with a brief therapy modality, such as Narrative, Solution-Focused, Cognitive-Behavioural Therapy, Motivational Interviewing and Trauma-Informed approaches,
• Comprehensive understanding of mental health, addictions, health and community sectors.
• Strong assessment, clinical and intervention skills.
• Effective oral, written communication skills and documentation skills.
• Effective interpersonal, time management and organizational skills.
• Proven ability to apply and practice anti-oppression, anti-racism, trauma-informed and harm reduction principles, and strategies.
• Ability to be self-directed, independent, flexible and exercise good judgment.
• Ability to work from a client-centered approach.
• Applied computer skills (MS word, excel, Internet) and ability to use client information systems.
• Ability to communicate in a second language (Greek, Spanish, Bengali, Urdu, Tamil, Persian, Tagalog, Arabic, Mandarin, or Cantonese) is a strong asset.
• Capable of fulfilling the physical and psychological demands of the job. Accommodation for disabilities provided upon request.
• Demonstrated skill in using computers including using technology-based solutions for service delivery, documentation, and viewing screening and assessment data.

WoodGreen is an equal opportunity employer. We are committed to providing an inclusive and barrier-free selection process and work environment. If contacted in relation to an employment opportunity, please advise our People & Culture representatives at of the accommodation measures required. Information received relating to accommodation will be addressed confidentially.Apply

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