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Director Intensive Mobile Treatment Team – LCSW, PsyD, PhD, or PNP



Reports to: Director Community Programs

Overview: CASES is a New York City leader at the intersection of behavioral health and the criminal justice system. We run effective and respected programs that provide solutions and services for some of the city’s most difficult public safety and public health challenges. CASES is looking for a director with clinical savviness and astute leadership skills to run a new innovative program launched by the City under NYC Safe, an evidence-driven Public Safety and Public Health Program to help prevent violence. CASES’ Brooklyn Intensive Mobile Treatment (IMT) team supports the narrow population of New Yorkers with untreated serious mental illness that poses a concern for violent behavior. IMT serves only 25 consumers providing immediate and ongoing care for individuals who struggle to get treatment and also face housing instability. IMT has the resources to provide the range of services clients need without the burdens of Medicaid billing and complicated regulations. The multidisciplinary team of eight includes a part-time psychiatrist, RN, three behavioral health specialists (social workers and substance use specialist), and two peer specialists. Engaging and retaining consumers in IMT is the highest priority of the service.

This is a great opportunity for an experienced director looking for the next challenge. IMT offers a unique opportunity to lead a new initiative and shape the evidence-based solutions for the engagement of individuals that have fallen through the cracks in our fragmented mental health system. The Director ensures the full range of community-based clinical treatment, psychosocial rehabilitation, and peer support services are available when needed, including early morning, evening, and Saturdays. Candidates must be interested in community-based work with challenging populations and have the skills and creativity to adapt and deliver clinical services to the identified needs of the consumers.


· Direct and supervise the multidisciplinary team utilizing the clinical leadership of the program psychiatrist;

· Provide clinical direction to staff;

· Conduct services with staff and also individually in the community;

· Lead staff daily organizational and weekly clinical engagement/outreach and service planning meetings;

· Provide regular clinical supervision and training for team members;

· Develop and implement engagement strategies that successfully engage consumers with significant histories of poor engagement in services;

· Establish a program model and services that are easily accessible and available when needed through the resources of the mobile team;

· Proactively identify what and when services are needed and offer as many contacts as needed at a frequency that supports engagement and program retention;

· Have a “whatever it takes” approach to the engagement and retention of IMT consumers;

· Believe in the ability of IMT participants to recover and have positive outcomes in the face of significant challenges;

· Balance the need for services that are strengths-based, trauma-informed, recovery-oriented and inspire hope with the need for risk assessment and risk management;

· Oversee the inclusion of structured violence assessment and violence risk management interventions/strategies in the routine work of the team;

· Integrate evidence-based risk for general offending assessment and risk management interventions into the routine and daily practice of the team;

· Motivate the team to be proactive and assertive in the face of repeated rejections by consumers assigned to the IMT;

· Guide and manage the team’s effective use of service dollars to support consumer engagement, retention, goals and needs;

· Provide meaningful and hands-on clinical and administrative oversight of IMT services focused on identifying lessons learned, celebrating successes, and real-time corrective action planning and continuous quality improvement;

· Provide culturally-competent clinical oversight, supervision, and management in accordance with CASES policies and the delivery of excellent services to address disparities in access to treatment and behavioral health outcomes for individuals with criminal justice involvement, histories of high-risk and violent behaviors, chronic homelessness, and poor engagement;

· Lead the development of an integrated model that aligns the best of engagement, mental health treatment, integrated treatment for co-occurring disorders, primary care integrated practice, cultural competency, evidence-based risk assessment and peer supports into standard program services;

· Ensure peer specialists deliver intentional peer supports and peer-driven services and are valued, understood, and effectively utilized by the IMT team;

· Ensure health care is prioritized and medications accessible, with treatment evidence-based and offered in ways that are stage-wise to creatively address resistance and histories of poor adherence;

· Collaborate closely with key staff in the NYC Department of Health and Mental Hygiene (DOHMH) and NYC Safe partners including but not limited to Department of Homeless Services (DHS), NY Police Department (NYPD), other city agencies and the other non-profits implementing an IMT team;

· Coordinate required reporting with DOHMH;

· Lead the dissemination of qualitative and quantitative information/data about the performance of the IMT team with CASES’ Director of Planning, Research, and Evaluation to define the activities, outputs, and outcomes of the team and measure performance against quality indicators;

· Utilize and value consumer, family member/significant other and collaterals input to inform, revise, and shape IMT services;

· Collaborate with quality assurance staff to ensure annual quality assurance plans are implemented and program outcomes are achieved;

· Coordinate and develop strategic alliances with community providers (shelters, supported housing, Health Homes, care management, PROS, clinics, Home and Community Based 1915i, peer-run, self-help, clubhouses, faith-based and community, leisure, advocacy, education, vocational training and employment, criminal and civil legal, medical care and family);

· Supervise electronic charting in accordance with confidentiality regulations;

· Identify and implement appropriate individual and group-based cognitive behavioral interventions designed to target poor impulse control, criminal thinking and criminal behaviors to improve the development of prosocial thinking and skills that regulate high-risk behaviors;

· Integrate the use of Wellness Recovery Action Plans and/or other evidence-based engagement strategies;

· Implement and oversee team incident reporting procedures and ensure team adheres to Incident Reporting Committee (IRC) policy and procedures;

· Create and facilitate a genuine, welcoming, safe, and professional treatment and service environment that supports consumers and their family members/significant others to engage and make progress in the community;

· Establish and maintain a creative, problem-solving, and supportive work environment that attracts and retains the best staff and supports the formation of an effective team;

· Encourage staff professional development and growth through training, case conferencing, individual and group supervision, and continuing education;

· Set clear expectations, provide staff with feedback and guidance in “real time” and promote staff growth through in-vivo coaching and support;

· Be prepared to do everything you expect IMT team staff to do;

· Complete annual staff evaluations, outcome measurement and professional development plans consistent with CASES policies;

· Participate in collaborative learning opportunities overseen by DOHMH with other IMT team directors to support the development of an effective treatment model;

· Oversee, coordinate and provide on-call, 24-hour crisis consultation; and

· Other duties as required by the Director of Community Programs and CASES’ senior executive staff.


· LCSW, PsyD, PhD, PNP, or equivalent in licensure and experience;

· 3+ years of supervisory experience in services for individuals with complex mental health and behavioral health needs;

· Strong interpersonal skills, emotional intelligence, flexibility and humor;

· Highly-developed clinical, engagement, and motivational skills;

· Experience with risk assessment and risk management;

· Track record of delivering quality treatment services to individuals experiencing chronic homelessness;

· Experience delivering treatment, rehabilitation and support services in-vivo in the community;

· Proficient in computers and Electronic Health Record (EHR), preferably AWARDS Foothold Technology; and

· Fluency in Spanish preferred.

Benefits: Here at CASES we offer benefits that will assist you in making the most of your career and your life. Our programs include health and wellness insurance which is offered through Aetna. A retirement 403(b) plan is held with Principal, education, and training. Additionally, our portable ancillary benefits are offered through Aflac, Legal Shield, and ADP Flexible spending account; which is then deducted through payroll along with commuter benefits, additional short-term disability, cancer, additional income protection, hospitalization coverage, and identity theft protection.


Please apply through:

Posted on 04/25/17; CVMHA ID #10954