The Domiciliary Social Worker provides services to Veterans in the Domiciliary Residential Rehabilitation Treatment Program at the Bonham Domiciliary and is involved in screenings, psychosocial assessments, treatment plan development and maintenance, discharge planning, case management/treatment coordination, advocacy, education and coordination linkages with the appropriate VA and community service providers and agencies as needed by current residents participating in the Domiciliary Programs. Screening/Assessment -Complete structured psychosocial assessments for Veterans in the Domiciliary for Veterans within identified timelines; typically within twenty-four to forty eight hours of admission. -Review medical records and assessments completed by others, obtain missing information and determine the appropriate interventions in conjunction with the Veteran. -Work collaboratively with the Veteran, taking into consideration the Veteran's self-determination, when presenting options for the Veteran's presented needs, when the incumbent presents VA and community-based referral options. Treatment/Care Planning -Responsible for the development of an appropriate treatment - plan for Veterans written in behavioral terms with measurable objectives and concrete interventions. -Update the treatment plan in accordance with timelines identified by VA policy. -Attend interdisciplinary care planning meetings. -Demonstrate the ability to evaluate multiple expressions of symptoms to determine diagnosis and appropriate treatment modality for the Veteran, the Veteran's family, caregiver and/or significant other. -Provide supportive counseling to include conflict resolution, anger management and effective/healthy coping skills. Referral to Service Providers -Collaborate with other service providers in reassessing the Veteran's needs for VA services, programs and benefits, as well as community services, programs and benefits. -Meet with Veterans, individually to educate the Veteran and as appropriate Veteran's family, caregiver, and/or significant other about available services, as well as assisting with obtaining needed services and establishing appropriate referrals based on the Veteran's preference. Resource Development -Responsible for development of a resource file of VA and community-based social service programs. -Maintain knowledge about Veteran VA entitlements, benefits and services, especially those-relating to special programs, service connected compensation and non-service connected pension. Advocacy -Act as an advocate for the Veteran and as appropriate the Veteran's family, caregiver and/or significant other. -Advocate for resources to assist the Veterans in meeting his/her needs. Crisis Intervention -Knowledge and experience in use of medical and mental health terminology, diagnoses, disabilities, and treatment procedures. -Cognizant of acute, chronic and traumatic illnesses and injuries; common medications and their effects and side effects; and medical terminology. Patient Education/Health Promotion and Prevention -Provide education related to the Veteran's VA entitlements, eligibility, services and programs, as well as community resources for medical- and mental health needs. -Refer the Veteran and as appropriate Veteran's family, caregiver and significant other to the appropriate program interdisciplinary team members, VA services or programs, or external programs for identified education needs. Coordination of Non-Institutional and Institutional Services -Responsible for the coordination of referrals and consults for VA services and community-based services in collaboration with the interdisciplinary team. Supportive Counseling/Education -While under supervision, provide psychotherapy to individual Veterans, Veterans attending group therapy or Veterans requesting marital/family therapy using only evidence based modalities. Administrative Responsibilities -Document in the Veteran's medical record effectively, timely, and in accordance with DRRTP Service standards, medical center policies, the requirements of accreditation agencies, and Supervisory Social Worker. -Complete appropriate clinical reminders and capture all caseload-activity. -Maintain templates, surveys, instruments, and materials for proper coordination of the different services available via the Domiciliary. Work Schedule: Mon - Fri : 7:30 am to 4:00 pm OR 8:00 am - 4:30 pm Compressed/Flexible:(Compressed tour MAY be available depending on the needs of the Service.) Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker (Domiciliary)/PD000000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.