Substance Abuse Counselor

The  U.S. Department of Labor oversees  the operation of the Philadelphia Job Corps Center – a 319 student residential training facility located at 2810 S. 20^th St. #12, Philadelphia, PA 1914

16 hours per week

Education and Experience:

• Qualified candidates must hold an active license to practice as a Certified Substance Abuse Counselor in the state of Philadelphia.
• Must possess at least one year of non-internship post graduation experience in a similar setting with license.
• At least one year of experience working with youth / adolescents.
  • CADAAC, CAADAC or CADAC Licensure/ CADC 

Essential Functions:

TEAP Specialist/Counselor SOP

The TEAP Specialist/Counselor services to be provided will include but will not be limited to the Job Corps Federal regulations (Title 20, Code of Federal Regulations (20 CRF), Parts 626, 636, 638, 684, et al.); Job Corps E policy and Requirements Handbook. Chapter 6 and appendices; DRG and other Job Corps Health Directives.

1. General

(Sub-Contractor/ Employee)

1. 1. TEAP services must be a current licensed/certified substance abuse counselor in the state where the center is located.
   2. (Sub-Contractor/ Employee) agrees to provide TEAP services for 319 students of the Philadelphia Job Corps Center for a period of up to 16 hours per week not inclusive of emergency on call services. Holidays are excluded/ included. The hours must adhere and be in compliance with the EPRH Chapter 6, Exhibit 6-5, and Center Health Services Staffing Requirements. 16 hours per week; Days and times to be agreed upon and coordinated with the Health Services/Wellness Manager for scheduling.
      1. It will be agreed that the TEAP Specialist/Counselor will work closely and collaborate routinely with the assigned Center Mental Health Consultant.
      2. It is agreed that if the attending TEAP services provider arrives late for the scheduled shift, that this provider will remain on center to complete the scheduled number of hours.
      3. It will be agreed upon that if the TEAP Services Provider is unable to complete a scheduled shift due to illness or inclement weather, every effort will be made to reschedule shift to comply with the requirement of the EPRH.
      4. Provision for twenty-four (24) hour emergency coverage via on call service with the understanding that information will be communicated to on call provider by a Registered Nurse after a full assessment of student medical need is completed.

Such services are to include, but not be limited to required by the Federal regulations listed above.

1. 1. Subcontractor will consider the center’s holiday and vacation schedules.
   2. TEAP services shall be available at the center, subcontractor’s office, or other location

(s) and may be directed by the Center Director and Subcontractor to meet the needs of the students.

1. 1. Subcontractor shall be responsible for ensuring the maintenance, security and confidentiality of all substance use records.
   2. The center shall be responsibility for ensuring that all Job Corps consent form authorizing medical procedures have been appropriately filled out, signed and filed. These forms include the Job Corps Health Questionnaire (ETA 6-53), the supplemental Medical Consent Form and for all residential students, the Supplemental Consent Form for HIV testing.
      1. Center TEAP Services Program

1. 1. 1. 1. Under the supervision of the Health Services/Wellness Manager, administers the TEAP services Program as outlined in the Exhibit 6-4 Job Corps Basic Health Care responsibilities.
         2. The center shall provide basic TEAP Services as follows:
            1. Prevention and Education
            2. Identification of Substance use problems
            3. Relapse Prevention
            4. Helping students overcome barriers to employability

Substance Use Prevention and education includes:

1. 1. Minimum of 1-hour presentation on substance use prevention for all new students during the Career Preparation Period (CPP) to include:
      1. TEAP prevention, education, and intervention services
      2. Job Corps drug and alcohol testing requirements and procedures
   2. Consequences of testing positive for drug and alcohol use while in Job Corps.
   3. Presentations on managing substance misuse, abuse, and dependency symptoms and issues in the workplace for students during the Career Development and Transitions Periods.
   4. At a minimum three annual center-wide substance use prevention and education activities.
   5. Clinical consultation with Center Director, management staff, Center Mental Health Consultant, and the Health services/Wellness Manager regarding substance use prevention and education efforts for students and staff.
   6. Coordination of other departments/ programs on center, to include, but not limited to, residential, recreation, student government association, and HEALS, to develop integrated prevention and education services.
   7. Assessment for identification of students at risk of substance use problems including:
      1. Review and signature on the Social Intake Form (SIF) or intake assessment of all students performed by counseling staff within 1 week of arrival.
      2. Formalized Assessment measures (e.g., SASSI, DAST-20, MAST, GAIN) and clinical judgement to determine students level of risk for substance use.
      3. Collaborate with the Center Mental Health Consultant to determine when a MSWR is appropriate and should be recommended for a student with substance use conditions.
   8. Intervention Services for students identified at an elevated risk for substance use includes:
      1. Individual and group intervention services with focus on behaviors that represent employability barriers.
      2. Collaboration with the CMHS for students with co-occurring conditions on mental health issues and substance use.
      3. Referral to off-center substance abuse professionals or agencies for ongoing treatment and or specialized services.

Drug and Alcohol Testing

1. 1. Drug Testing Procedures
   2. Students in the following categories shall be tested for drug use.
      1. New and readmitted students within 48 hours of arrival on center.
      2. Students who tested positive on entry shall be retested between the 37^th and 40^th day after arrival on center.
      3. Students suspected of using drugs at any point after arrival on center.
      4. Collection of urine shall be in accordance with the chain of custody principles.
      5. Alcohol testing procedures in accordance with EPRH 6.11 R1 (E,2)
   3. Documentation of TEAP services should be maintained in the student’s health record. Disclosure of testing results can only be shared with staff that has a need to know, such as counselors, Center Standards Incentive Officers, and the Center Director. Also, positive test results are shared confidentiality with students approximately 24 hours after the receipt of results from the lab. Students who show positive results shall receive mandatory intervention services and a follow-up drug test. Minor student’s parents/guardians shall be notified of positive results as per the state laws pertaining to releasing of minor records.
   4. The TEAP Specialist/Counselor may choose to refer students with previous alcohol and drug abuse problems, who test positive on a 45 day follow up test or under testing for suspicion, receive a zero-tolerance termination. students who showed positive results during initial drug testing but remain drug free after the follow-up test are assigned to support groups, educational sessions, among out activities based on need. Under the direction of the TEAP Specialist/Counselor, the support group ensures peer encouragement for staying drug free and provide alternative activities to discourage drug use.
   5. The TEAP programs, through a combination of prevention, education, and counseling (group and individual), helps the students develop healthy coping strategies to succeed. Critical to this success in a targeted prevention and intervention program. The TEAP Program also includes developing student interest I alcohol- and drug-free activities to provide pleasure and stimulation without drugs. This includes involvement of the students in special recreational and leisure time programs such as relaxation exercises, dance classes, competitive sprits, reading and discussion groups, arts and crafts, hobbies, volunteering in the community.

Case Management:

After an assessment of the student’s mental health needs and a determination that Job Corps can meet those needs, you should make a confidential entry in the SHR and prepare a case management plan. The management plan should:

1. 1. Be multidisciplinary and describe various modes of treatment, including groups, TEAP counseling, medication evaluation, and off-center referrals.
   2. Identify barriers to employment and interventions designed to minimize those barriers. For example, problems managing anger can be a barrier to employment. The intervention could be participation in an anger management group on center.
   3. Be tied to Job Corps program elements and specific staff members. For example, a student who has problems managing anger needs to find positive ways to release stress and anger. The management plan may include participation in recreation, which is a Job Corps program element. The specific staff member responsible for this part of the case management plan would be a member of the recreation staff.

This same case management plan may also include participation in the Career Success Standards (CSS), another Job Corps program element, requiring the student to successfully achieve the Interpersonal Skills Standard. This part of the case management plan would be implemented by the staff conducting CSS on center.

A Career Counselor is the ideal Case Manager for an individual with academic or social problems. The Case Manager is responsible for following up on the mental health management plan. You and the Case Manager work together to provide a bridge between the student's needs and staff skills. For example, if the plan calls for group recreational activities, the Career Counselor and you discuss this aspect of the management plan with the Recreation staff.

Case management plans require communication among staff, monitoring, and follow up. Information exchange shall occur through regular case conferences with you, Counseling staff, and other appropriate staff based on individual student needs. You will also be required to collaborate with the center physician and nursing staff regarding students on long- term medications.

Assessments are also required for students who may need to be medically separated from the program due to the center no longer able to meet their mental health needs. The CMHC would be responsible for providing the diagnostic code to be used for this separation as well as document the need for the medical separation with reinstatement (MSWR). The student has 180 days to receive treatment at home and provide documentation to return. The CMHC would be responsible for reviewing the documentation and clearing students to return to center to be reinstated.

Treatment:

Job Corps provides students with mental health treatment, to include:

1. Short-term counseling with mental health checks as needed. The focus of these sessions should be on retention and behaviors that represent employability barriers.

Job Corps is not staffed to provide extensive treatment for students with serious psychological and/or emotional problems. Clinical services are limited to those who are physically and emotionally able to participate in normal Job Corps duties without extensive medical and mental health treatment.

1. Crisis intervention, as needed. In the event of a mental health emergency, the CMHC or the Center Physician shall conduct a mental health evaluation as soon as possible, and when necessary, refer the student for psychiatric care. If the Center Physician or CMHC is not available, the student shall be referred immediately to the emergency

room of the nearest medical facility. If there is a life-threatening situation, 911 or the emergency response team should be called.

1. Referral to off-center mental health professionals or agencies for ongoing treatment and/or specialized services.

Community Linkages and Resources—Your position is one of prevention, assessment, and triage. The practice of referring out to the community is a large part of this position, and therefore community linkages are imperative to implementing an effective Mental Health and Wellness Program. The following are a few examples of community resources that may be appropriate linkages and referral sources:

1. 1. Community educational groups for stress and depression management
   2. Emergency psychiatric facilities
   3. Graduate school programs that could provide graduate psychology, counseling, and/or social work students to offer entry-level mental health services on center
   4. Specialized off-center referrals can help support students who may have special mental health or cultural needs ranging from lifestyle choices to language barriers
   5. Department of vocational rehabilitation referrals to assist with assessment of present ability level and planning an appropriate individual reasonable accommodation plan
   6. Psychiatry consults through a memorandum of understanding with a board-certified psychiatrist to have students evaluated and/or maintained on more complex psychotropic medications; the Center Physician is usually capable of prescribing the more common antidepressants and stimulant medications
2. A written referral/feedback system shall be established and documented in the SHR utilizing the Job Corps forms provided.

Collaboration and Consultation:

1. Collaboration with Substance Abuse Counselor (TEAP Specialist) for short-term counseling of students with co- occurring conditions of mental health and substance use.
2. Collaboration with Center Physician and Health and Wellness staff on psychotropic medication monitoring of stable students, with the advice of consulting psychiatrist, if appropriate.
3. You should work closely with the Center Physician and Nursing staff to help manage students on medications. Your role is to help evaluate any students already on medication and to identify any other students who may need to be referred to the Center Physician or consulting psychiatrist for a medication evaluation.
4. Collaboration with Counseling staff in developing and/or leading psycho-educational skill-building groups to promote wellness (e.g., relaxation training, anger management, mood regulation, assertiveness skills, handling relationships, sleep hygiene, etc.).
5. Information exchange through regular case conferences between the CMHC, Counselors, and other appropriate staff based on individual student needs.
   1. As CMHC, you support the Career Counseling staff by offering mental health training and participating in regular student case conferences. When Counselors identify students in need of more extensive mental health evaluation and therapy, they can refer these students to you for further evaluation. The Career Counselors, with your technical assistance, should also work closely with Residential Living staff to address students' problems. This requires communication among staff, monitoring, and follow up. A weekly documented meeting should occur for students with updates in the SHR.
6. Clinical consultation with Center Director, management staff, and HWM regarding mental health-related promotion and education efforts for students and staff.
   1. An important part of your role is to consult with staff to promote a positive center environment and provide training opportunities for staff and students. In addition, your meetings with the Center Director should be monthly and documented via written minutes.

1. Coordination with other departments/programs on center, to develop integrated promotion and education services.

Mental Health Promotion and Education

1. 1. Minimum of a 1-hour presentation on mental health promotion for all new students during the Career Preparation Period with an emphasis on employability.
      1. Presentation shall explain the Mental Health and Wellness Program, what services are available, and how to make a self-referral.
      2. Students will learn basic skills in identifying and responding to a mental health crisis.

1. 1. At least one annual center-wide mental health promotion and education activity.
      1. Center-wide Activities—There should be a center-wide emphasis on preventing mental health problems through providing students with education on how to deal with stress, recognizing signs of depression, and helping them learn when to ask for help. This can be accomplished through presentations to students during introduction to center life, handing out brochures, and supporting major mental health prevention initiatives on center like "Mental Health Awareness Month", “National Depression Screening Day” or “World Mental Health Day.”
      2. Centers are also required to provide center-wide education on bullying, sexual harassment, appropriate behavior, boundaries, and consequences. This includes providing new students with information on anti-bullying policies. CMHCs are strongly encouraged to help develop a center anti-bullying policy if one doesn’t already exist.

Staff Development:

1. Provide annual staff trainings on adolescent growth and development. The contractor agrees to adhere to the policies, procedures, and guidelines established by Job Corps.
2. The contractor, under the Center Director's guidance and approval, will have primary responsibility to implement the program outlined above and may be assisted by the Job Corps National Office and/or health providers.
3. The contractor, with the approval of the Center Director, may delegate by written and dated standing orders any of his/her responsibilities set forth in this contract to appropriate qualified staff.
4. The contractor may delegate provider responsibilities set forth in this contract to any other full or part-time provider only with the Center Director's prior written approval and a prior review of the secondary provider's qualifications by the Regional Director and Regional Mental Health Specialist.

The contractor will be assisted by the Job Corps National Health Staff (NHS) and lead regional health specialists. The latter will act under guidance and direction from the NHS.

Intervention and Treatment:

1. Short-term counseling based on an EAP model. The focus of these sessions should be on retention and behaviors that represent employability barriers.
2. Preparing case management plans that identify specific expectations of staff and the student, with the focus on employability skills.
3. In limited situations, performing or arranging psychological testing services as needed and authorized.
4. Collaboration with TEAP Specialist in the short term counseling of students with co-occurring conditions of mental health and substance use.
5. Collaboration with center physician and health and wellness staff on psychotropic medication monitoring of stable students, with the advice of consulting psychiatrist, if appropriate.
6. Develop a counseling component to the mental health and wellness program that focuses on students’ individual needs and progress in personal and social development, basic education, and vocational training. Collaborate with counseling staff to develop and/or lead psycho-educational skill building groups to promote mental health (e.g., relaxation training, anger management, mood regulation, assertiveness skills, handling relationships, sleep hygiene, etc.). These counseling services are to be provided by the career counselors, residential living staff, and other appropriate staff with the guidance and support of the CMHC.

1. Information exchange through regular, weekly, documented case conferences between the Center Mental Health Consultant, counselors, and other appropriate staff based on individual student needs.
2. In the event of a mental health emergency, the mental health consultant or the center physician will conduct a mental health evaluation as soon as possible and, when necessary; refer the student for psychiatric care. If neither the CMHC nor physician is available, the student will be referred immediately to the closest emergency facility. Students who are a danger to themselves or others must be supervised continuously until the disposition of their cases is resolved, which should be as soon as possible.
3. Students may be referred to off-center mental health professionals or agencies in instances where their mental health needs are beyond the basic care provided by Job Corps.

Ongoing Education, Support and Building Job Corps Community:

1. If schedule allows, make all efforts to attend the National Department of Labor/Humanitas conference calls and/or online trainings.
2. The contractor agrees to adhere to the policies, procedures, and guidelines established by Job Corps.
3. The contractor, under the Center Director's guidance and approval, will have primary responsibility to implement the program outlined above and may be assisted by the Job Corps National Office and/or health providers.
4. The contractor may delegate provider responsibilities set forth in this contract to any other full or part-time provider only with the Center Director's prior written approval and a prior review of the secondary provider's qualifications by the Regional Director and Regional Mental Health Specialist.