HUB – Flexible ACT - ACT

Shared Health is implementing wrap- around multi-disciplinary community mental health teams for individuals who have severe mental illness. These teams will be composed of the HUB, FACTT and ACT teams. The teams will work with individuals who have a severe mental illness and may have been in hospital for extended periods of time, in a special contract, use a number of services and require regular supports to assist in community living. Individuals do not require a diagnosis of primary psychosis but may have a mental illness diagnosis, behavioral complexity, co-existing medical conditions, cognitive impairment, addictions, be involved with the criminal justice system and do not meet the criteria for other mental health programs or services.

The model is a dual intensity level approach and allows for a coordinated approach of care, less intensive FACTT (with ability to scale up to ACT for a temporary duration of time), and continuously intensive ACT.

The HUB will be responsible for:

• the assessment, intake and navigation of individuals that are referred for services.
• the development and oversight of the standardization for FACTT and ACT teams.
• the development of eligibility criteria and referral pathways to and from the services, and identifying gaps in services and develop solutions.
• data collection, oversight, and analytics.
• consultation and assessment for service strategy planning for client and families.
• the assessment and reassessment of clients for appropriateness for FACTT and ACT.

The Flexible ACT team (FACTT) will service a broader mental health client population.

FACTT will be responsible for:

• case management services in the community.
• has the ability to provide more intensive treatment services for a short period of time when needed by the individual.

The ACT team would allow for intensive service for individuals with severe mental illness and have a number of functional and adaptive needs. The ACT team will provide 24-hour wrap around services provided by a multi-disciplinary team.

Main Function:

Under the general supervision of the Team Leader, the Service Coordinator - ACT is responsible for providing case management services and supports to participants involved with the Flexible ACT team.

Experience

• Minimum four years related community experience working with people with severe and enduring mental illness; combination of institution and community experience will be considered.

Education (Degree/Diploma/Certificate)

• BSW, OT, PT, BSc PN, RPN, BN, RN, SLP, RD, or related health/human service degree required.
• Specific discipline required will be based on the operational needs of the inter-disciplinary team.

Certification/Licensure/Registration

• Responsible for maintaining and providing proof of registration with relevant regulatory body.

Qualifications and Skills

• Working knowledge of the principles of psychosocial rehabilitation and recovery.
• Skills in assessing, planning, development and coordination of services.
• Working knowledge and experience in working with people experiencing addictions an asset.
• Effective networking and agency relation skills.
• Excellent organizational, communication and interpersonal skills.

Physical Requirements

• Vehicle and driver’s license required.