Clinical Counselor (Dual Diagnosis) - Health Care for the Homeless

• Provides behavioral health assessments and interventions to support the clients’ overall health.  Demonstrates positive regard and respect for the client, and uses a client-centered, non-judgmental, trauma informed approach.  Provides discharge planning for clients including referrals to for higher level of care.   
• Collaborates with other providers in an integrated, multidisciplinary care team, attending interdisciplinary meetings as required.  Engages other team members in problem solving regarding client care, and links clients to ongoing medical, case management and supportive services. 
• Involves the client in the development and implementation an integrated treatment plan using SMART goals.  
• Works closely with MAT prescribers and other medical staff to provide integrated care for clients receiving Suboxone. 
• Provides crisis intervention services to clients (including emergency petitions) in accordance with accepted protocols and in consultation with the Director of Behavioral Health and other providers 
• Facilitates psycho-educational groups as needed. 
• Completes documentation of services in a legible manner in accordance with established formats and required timeframes within the clients’ electronic health record.  Documentation includes but is not limited to: Behavioral Health Placement Assessment, Individual Psycho-Social Evaluation, Individualized Treatment Plan, individual therapy session notes and group therapy sessions notes. Completes required paperwork necessary for reimbursement for behavioral health services. 

• Models and reinforces the Health Care for the Homeless core values of dignity, authenticity, hope, justice, passion and balance.
• Actively participates in performance improvement and advocacy activities that support the mission of Health Care for the Homeless.
• Performs other duties on an as-needed basis.
• Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant Health Care related IT security regulations.

• Master’s Degree in Social Work or Counseling.
• Licensed as an LMSW, LCSW, LCSW-C, or LCPC.

• Minimum of two years of experience providing behavioral health services to individuals with dual-diagnoses, preferable in a community or public health setting individuals with substance use and/or mental health disorders.
• Knowledge of and commitment to harm reduction philosophy and practices.
• Experience working with underserved populations, including individuals experiencing homelessness preferred.

• Well-developed interpersonal skills necessary to work with disadvantaged and underserved populations, and to collaborate with other medical team members, other staff members, and personnel of other agencies.
• Excellent verbal and written communication skills.
• Able to cope with interruptions, be flexible and be a team player.
• Flexible and cooperative approach, open to working with cross-disciplinary teams in a collaborative style.
• Able to approach ill, disabled, emotionally upset, and sometimes hostile individuals in a comfortable, respectful and calm manner.

Locations: Baltimore City – Downtown - 421 Fallsway, Baltimore, MD 21202Baltimore City – West Baltimore - 2000 W. Baltimore St., Suite 3300 Baltimore, MD 21223Baltimore County - 9150 Franklin Square Dr., Suite 301 Baltimore, MD 21237 Our Vision Everyone is healthy and has a safe home in a just and respectful community. Our Mission We work to end homelessness through racially equitable health care, housing and advocacy in partnership with those of us who have experienced it. Our mission: "...to prevent and end homelessness for vulnerable individuals and families by providing quality, integrated health care and promoting access to affordable housing and sustainable incomes through direct service, advocacy and community engagement." Over 35+ years, we at Health Care for the Homeless have steadily grown and strengthened our approach to care to meet the needs of the vulnerable people we served. We are driven by a single and unwavering goal: to improve access to care for clients, and to provide them with the highest possible quality of care. Continuing in that spirit, we are now implementing a care model that takes quality and access to a new level. A health home delivers person-centered, whole-person care that is evidence-based, uses data and listens to clients to continuously improve the care we deliver. We have been person-centered and focused on the whole person since the first client walked through our clinic doors in 1985. We’ve also always applied evidenced-based standards to our work and used data to inform our care. What’s changed is how much we’ve grown over the years: We have more disciplines, staff members and sites. Coordinating all of our activity today requires a more powerful and standardized way of delivering care. We are a health home.Five areas of focusAs a health home, we apply five (5) clinical areas of focus to the care we deliver. ACCESS FOR THOSE WHO NEED USPeople should be able to reach us easily when they need help. So we ensure 24/7 access to clinical advice; make our appointment schedules and hours flexible and accommodating; and enable clients to access their health records electronically. We also are increasing our presence throughout the community. We have clinics in dowtown Baltimore, West Baltimore and Baltimore County. And we are continually expanding our street outreach and reaching more people with our mobile clinic.TEAM-BASED CAREWhole-person care requires the expertise of many different providers. Done well, it demands collaboration and constant communication among these providers. We are integrating our care providers into multidisciplinary care teams, each with a “panel” of clients, so they can develop care plans that span the range of treatment and services with clients.CARE MANAGEMENTNot only are we committed to providing clients with the best possible care; we are committed to positioning them to manage their own care. To that end, we make sure we know which client groups have the highest needs; we share clients' care plans with them and across their care teams; we provide clients with the tools to care for themselves and we make sure they are part of all decisions relating to their care; and we help them manage their medications. BETTER MANAGE AND COORDINATE CAREPeople experiencing homelessness often have complex conditions that require intensive care coordination. Our providers specialize in identifying these particularly vulnerable individuals. They provide them with the multi-disciplinary support that keeps them out of hospital emergency rooms, and they help them develop reasonable, healthy goals for themselves. This coordinated and comprehensive care includes helping individuals put a roof over their heads.IMPROVE THE HEALTH OF THE LARGER POPULATIONAs a population, people without homes have higher rates of chronic disease, such as diabetes, than their housed counterparts. We are using evidence-based guidelines to standardize and expand our assessments for these conditions. And we are continuously seeking ways to help our clients manage and treat their conditions.________________________________________Person-centered, whole-person careWe provide person-centered, whole-person care, combining health care services and supportive services with advocacy.We provide whole-person care in a safe, respectful environment with acute sensitivity to clients’ life experiences. All have endured trauma; many engage in behaviors that pose a risk to their health. Through a trauma-informed and harm reduction approach, we meet individuals where they are, engage them in care with dignity and work to engage them fully in their own overall wellness.TRAUMA-INFORMED CARETrauma is central to the homeless experience. People without homes often experience life trauma before they end up on the street, and living on the street is, in itself, traumatic. Trauma affects everything from our ability to trust others and build relationships to our brain development. For these reasons, we at Health Care for the Homeless are committed to providing trauma-informed care, a best practice that recognizes the impact of violence on an individual’s well-being, and that helps heal the social and psychological wounds violence leaves in its wake. HARM REDUCTIONTotal adherence or abstinence doesn’t work for all who engage in behaviors harmful to their health, like substance use. Harm reduction leverages the relationship between the care provider and the individual to lower the individual’s health risks. Our providers work with individuals to set goals that both reduce harm and are realistic to achieve.Our model of care is known in the health care industry as a patient-centered medical home. Because we provide comprehensive care that goes beyond medical care, we call ourselves a health home.________________________________________Health Care for the Homeless is Participating in the Maryland Primary Care Program (MDPCP)Our practice is participating in the MDPCP, a state-wide initiative to improve primary care. To help us provide you with the best care, Medicare will share some of your personal health information with HCH and the State Designated Health Information Exchange (CRISP), to share with other health professionals providing care to you. This will provide us with a more complete picture of your health and allow us to better coordinate your care.For further information and to opt out of data sharing, read more here. ________________________________________Health Care for the Homeless is accredited for quality: Health Care for the Homeless is an FTCA-deemed facility and is accredited by the Joint Commission for ambulatory care and behavioral health, and as a patient-centered medical home. We invite you to apply and join a welcoming team.