Psychiatric medications: identifies medications used in the treatment of childhood disorders, their side effects and counter indications
Developmental Imperatives:
Developmental tasks: describes developmental tasks involved in the social and emotional development of children and teenagers associated with specific ages
Barriers: recognizes barriers to normal development
Strategies: identifies strategies for supporting growth and resiliency
Systems/Resources:
HCBS Waiver: describes elements, philosophy, goals and guidelines
Systems: describes interfacing of child serving systems such as OCFS, juvenile justice, mental health, etc.
Treatment providers: understands importance of initial and on-going collaboration in service planning to support treatment goals and strategies
Entitlements: describes protocols and procedures for accessing child and family entitlements
Community resources: identifies local community resources
Medicaid and HCBS Waiver enrollment procedures
Cultural Competence
The ICC 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
Values intergenerational relationships and extended family relationships in child rearing roles and support
Acknowledges and addresses culturally driven barriers to engagement
Links children and families to culturally relevant community resources
Assists children and families in addressing stigmatization and/or discrimination.
Tasks And Skills
The ICC demonstrates competency in performing the following tasks:
Safety
Identifies predictors of violence in the home and community
Evaluates family stressors and coping strategies
Recognizes signs of escalation
Develops Safety Alerts Plans (SAP) with the child and family including all OMH required elements (i.e., identifying triggers, warning signs, interventions of choice, contacts)
Shares the SAP with Waiver service workers and treatment providers
Engagement of Child and Family
Empowerment and Partnership with Child and Family:
Identifies child and family strengths, needs and priorities in all life domains in partnership with the child and family
Develops Safety Alerts Plan with the child and family
Involves child and family in the development and on-going review of individualized service plans
Maximizes child and family strengths to move towards wellness and independence
Partners with child and family in evaluating discharge readiness
Offers choice of available services and providers
Building relationships with children and families that facilitate trust and communication:
Employs active listening skills
Provides feedback to child and family
Maintains professional boundaries
Respects confidentiality
Encourages hope
Supports informed shared decision making in all phases of Waiver enrollment
Mediates conflicts and address satisfaction/concerns with services provided.
Collaboration
Collaborates, throughout Waiver enrollment, with treatment provider(s) in service planning and implementation to assure a unified approach to the child’s wellness
Applies principles of team work
Ensures, with psychiatric treatment provider, reciprocal reviews and sign off’s on treatment plans and Waiver service plans
Plans Waiver utilization with treatment provider to coincide with treatment goals
Participates with the treatment provider in reciprocal sharing of information regarding the child and family on a regular basis
Communicates regularly with Waiver service workers both to provide and receive information
Service Planning
Gathers and organizes information
Assesses strengths and needs in all life domains, mental status, progress towards achieving goals, risk factors, viability of services, developmental stages, resiliency
Educates the child and family about the HCBS Waiver and community resources
Completes the Child and Adolescent Needs Strengths (CANS) assessment instrument and integrates in the service plans
Interviews the child and family using CANS Interview elements
Develops with the child and family, service plans that address identified priorities, developmental imperatives and that support treatment strategies
Writes service plans, measurable goals and objectives, case budgets and progress notes in accord with Waiver and Medicaid guidelines
Coordination and Service Delivery
Meets with the child, family members and other collateral contacts regularly
Assists the child and family in advocating for themselves and advocates for them when necessary
Assures Medicaid enrollment
Submits required transmittals pertaining to Waiver enrollment and disenrollment to OMH Operations Support Unit
Works to establish a comprehensive, individualized set of formal and informal supports, services, and strategies for each family
Coordinates and monitors Waiver services to ensure relatedness to goals/objectives and the projected budget
Maintains family/child involvement in the service plans’ goals and objectives
Plans for services upon disenrollment from Waiver
Makes referrals
Coordinates Service Planning meetings and other interdisciplinary team meetings, including with treatment providers, as indicated
Oversight and Documentation
Ensures case compliance with Waiver program and fiscal guidelines
Ensures that individual child expenditures are within the approved cap
Supervises service delivery
Oversees the case record, including all Waiver service workers’ notes
Oversees the documentation and use of consumer dollars for individual families
Completes documentation in the case record according to Waiver guidelines
Enters data in CAIRS
Fulfillment of Requirements
Adheres to NYS and agency requirements including: HIPPA, ethical guidelines, child abuse identification and reporting, incident reporting, worker safety protocols