As a highly motivated member of the interprofessional primary care team of the Family Medicine/Urban Family Health Team, the Community Mental Health Worker provides comprehensive primary care services to individuals and their families across the lifespan. The successful candidate works collaboratively with physicians, nurse practitioner and members of our interprofessional team in the delivery of high quality mental health care to clients living within our community, including marginalized vulnerable populations.
The successful candidate is able to execute early problem and needs’ identification through professional assessments and skillful implementation of planned interventions in cooperation with the patient/client, his/her family, and the members of the interprofessional team (on-site or off-site). They also link to community resources/services and enable individuals to take responsibility for their own personal wellbeing, while supporting health promotion and wellness activities that are central to the delivery of primary care. As a member of our team, the successful candidate supports our academic teaching, learning and health education activities for patients/families, staff and diverse learners, including family medicine residents & medical clerks.
A) Direct patient Care
- In collaboration with the inter-professional team:
- Initiates assessment and screening of clients and their environments and coordinates client care needs for additional supports, such as health, financial, housing, legal
- Assists in the development of individualized care plans for clients/patients in consultation with other FHT members and community care providers
- Provides therapeutic interventions with clients, families and significant others, either on-site and/or off-site on a short term basis
- Demonstrates an understanding of the social determinants of health and knowledge of how to successfully access and link patients/clients to appropriate supports, community resources and services
- Provides case management, family and group work services, with referral to appropriate resources in the community, as necessary.
- Demonstrates excellent knowledge of recovery model and possess skills in crisis intervention and other evidence-based practices (CBT, DBT, solution focused interventions, mindfulness)
B) Coordination and Collaboration
- Participates in inter-professional teaching (including FamMed residents, clinical clerks, nursing, and other learners), education and research initiatives/programs, as appropriate
- Acts as a resource and provides information, guidance, support and consultation to other staff and community care providers in terms of strategies and community resources for their patients
- Participates and plays an active role on developing partnerships, and connecting with networks and coalitions dealing with similar patient population to promote integration of health care social services in benefit of our patient population.
- Advocates on behalf of the patient and families to influence practice, policy and outcomes.
- Participates in and shares skills/knowledge to inter-professional research initiatives
- Participates in the team development of an inter-professional model of practice
C) Program Development and Evaluation
- Maintains timely clinical documentation, statistical and administrative records in accordance with professional practice, program, service and Health Centre policies and procedures, including reporting to the Ministry or other funders.
- Maintains up to date knowledge of government acts and legislation affecting client care.
- Collaborates in the development, implementation and evaluation of educational initiatives by delivering to patients/families, students, family medicine residents based on identified needs.
- Contributes with the team in activities geared to promote our services (i.e. Outreach and health education) and linking to appropriate resources, including within and outside St Joe’s and Unity Health Toronto.
- Performs administrative tasks as required, as well as other duties assigned
- Bachelors’ Degree in Health or Social Sciences related field or equivalent combination of training and education and work experience.
- Minimum 3 years recent clinical experience working directly with patients/clients in a community health care or primary care setting.
- Demonstrated clinical skills working with/supporting a broad range of client groups and their families, particularly marginalized vulnerable populations who have significant trauma history, mental health, addictions and chronic issues and within the context of social determinants of health.
- Ability to execute early problem and needs’ identification through professional assessments and skillful implementation of planned interventions in cooperation with the patient/client, his/her family, the interprofessional team and appropriate community resources;
- Demonstrated ability in case management, system navigation, service planning, implementation and coordination
- Demonstrated ability to develop and implement educational initiatives directed towards patients/clients, community agencies and learners of a diversity of professions, includes presentation skills.
- Excellent interpersonal skills with the ability to function both as a team player and independently.
- Must be comfortable working with clients in diverse external locations.
- Thorough knowledge of community resources and proven referral practices.
- Must be flexible and able to adapt to changing environments.
- Excellent computer skills and experience with an Electronic Medical Records (EMR) Primary Care system or equivalent experience preferred.
- Maintains competence relative to current practice; teaching and leadership potential is an asset.
- Fluency in a second language an asset.
- Excellent attendance record.
Interested applicants can use the link :
or apply to SJHC Human Resources