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Office of Mental Health

Home and Community Based Services Waiver
Guidance Document
Crisis Response Services Worker Competencies

  1. Information
    The Crisis Response Service (CRS) workers demonstrate knowledge in the following areas:
    1. Psychiatric
      • Childhood psychiatric disorders and trauma: recognizes signs, symptoms, etiology, co-morbidity, course
      • Suicidality: recognizes signs and symptoms of suicide ideation
      • Substance Abuse: recognizes signs of active use/abuse of substances
      • Treatment modalities: describes treatment models used for childhood psychiatric disorders, particularly evidence based treatments
      • Adult psychiatric disorders: recognizes signs, symptoms, course, decompensation
      • Psychiatric medications: identifies medications used in the treatment of childhood disorders, their side effects and counter indications
      • Interventions: describes crisis interventions such as de-escalation methods, suicide prevention; application of the child’s Safety Alerts Plan
    2. Developmental Imperatives:
      • Developmental tasks: describes developmental tasks involved in the social and emotional development of children and adolescents associated with specific ages
      • Barriers: recognizes barriers to normal development
      • Interventions: describes how to adapt interventions to child’s developmental level
    3. Systems/Resources:
      • HCBS Waiver: describes elements, philosophy, goals and guidelines
      • Understands importance of communication with ICC
      • Identifies resources and referral processes
  2. Cultural Competence
    The CRS worker practices cultural competency as described in the following:
    • Demonstrates sensitivity to cultural and ethnic norms
    • Recognizes strengths in culturally driven parenting patterns and approaches to discipline
    • Acknowledges and addresses culturally driven barriers to engagement
  3. Tasks And Skills
    The CRS worker demonstrates competency in performing the following tasks:
    1. Safety
      • Evaluates predictors of violence in the home and community
      • Follows ICC agency’s Worker Safety protocols
      • Recognizes and addresses stages of escalation with corresponding interventions
      • Utilizes the Safety Alerts Plans (SAP) with the child and family
      • Protects the safety of both the child and family members
    2. Engagement of Child and Family
      • Partners with child and family in supporting the Safety Alerts Plan
      • Employs active listening skills
      • Provides feedback to child and family
      • Maintains professional boundaries
      • Communicates clearly and respectfully
    3. Applies Interventions and Supports Treatment Strategies
      • Maintains close communication with the Individualized Care Coordinator to provide and receive information
      • Models positive, calming behaviors
      • Uses crisis interventions per OMH and ICC agency policies
      • Intervenes to prevent violence, including suicide
      • Employs calming techniques to help child and family to regain control
      • Encourages interventions outlined in the child’s Safety Alerts Plan
    4. Documentation and Reporting
      • Completes and submits CRS Progress Notes for every contact in a timely manner according to Waiver and ICC agency policy
      • Documents flex fund expenditures
      • May make recommendations to ICC for referrals and changes to the Service Plans
    5. Fulfillment of Requirements
      • Adheres to NYS and agency requirements including: HIPPA, ethical guidelines, confidentiality, child abuse identification and reporting, incident reporting, worker safety protocols
      • Completes all required training (see 300.4 of Waiver Guidance Document)
      • Attends agency and interdisciplinary team meetings as required