Crisis Response Clinical Supervisor

Job Overview

We are looking for motivated and passionate clinical supervisors looking to make an impact in their community to join a new Street Crisis Response Team in San Francisco! The Street Crisis Response Team (SCRT) is an innovative co-responder model responding to triaged 911 calls for non-violent, behavioral health issues on the streets of San Francisco, as an alternative to police response. Since November, two teams have been launched, with a further four teams set to launch Spring 2021 to respond to calls citywide.

https://www.cnn.com/videos/us/2021/04/02/go-there-mental-health-911-chris-james-dpweekend.cnn

https://www.nbcnews.com/now/video/inside-look-at-street-crisis-team-in-san-francisco-making-strides-toward-police-reform-102061125886

https://sfmayor.org/article/san-franciscos-new-street-crisis-response-team-launches-today

The Clinical Supervisor will play a crucial role in supervising behavioral health clinicians performing assessment and crisis response for those in psychiatric and substance-induced distress outdoors in San Francisco. The SCRT aims to avoid harm to the individual in crisis by intervening in person-centered and trauma-informed ways and attend to the immediate needs of the person in crisis. This will be done by treating each person in crisis with the utmost dignity and respect, as well as an active participant in their own de-escalation process and reestablishment of personal safety. The Clinical Supervisor role will work in a 12-hour shift, three to four days per week with usually four days off in between. Clinical Supervisors will work as a team to ensure at least one is available remotely by phone throughout all shifts worked by the Behavioral Health Clinicians. Occasional shifts will require in-field work to shadow and observe clinical work, or work in place of a clinician who is unable to report for their shift.

The first of its kind in San Francisco, the SCRT which is comprised of a SFFD Paramedic, a Behavioral Health Clinician and a Peer Counselor will respond to calls of suicide and self-harm in public settings including assisting individuals who present as disoriented, delusional and/or exhibiting symptoms of intoxication. The team will be mobile throughout the shift, in an ADA-accessible van available to transport the team and people to other resources after de-escalation has occurred. In addition to behavioral health assessment and de-escalation, the SCRT is qualified to provide basic medical treatment (such as wound care, prevention of infection) to reduce the need for hospitalization care and decrease the chances of furthering mental health decompensation. Depending on the level of care needed, individuals may be escorted to a hospital, shelter or to a safer location as applicable to their health needs.

**Please note this position requires licensure with the California Board of Behavioral Sciences or Board of Psychology.**

This role is a full-time position with benefits, and will be mostly remote with some on-site work (2-4 times/month) as needed. Clinical Supervisors will have access to the COVID-19 vaccine upon hire.

Key Responsibilities

Clinical Supervision and Direct Service Responsibilities:

  • Work in 12 hour shifts to share responsibility with other clinical supervisors to maintain immediate availability to consult, problem solve, and answer questions by phone to provide clinical supervision to the clinicians providing direct crisis response in real time.
  • Provide weekly group and individual supervision to SCRT Behavioral Health Clinicians (BBS or BOP registered and licensed,) on culturally responsive, trauma-informed, gender-responsive, and person-centered mental health and substance use crisis assessment, intervention, de-escalation, and appropriate follow up.
  • Learn and utilize the Trauma Stewardship model for coping with burnout and compassion fatigue among members of the SCRT.
  • Periodically shadow supervisees on the job and will work with them directly, providing feedback on their service approach and performance.
  • Instruct and supervise clinicians to assess for suicidality, homicidal intent, violence risk, grave disability, and substance use using appropriate measurements, including C-SRRS, Mini Mental Status Exam, and others.
  • Obtain SFDPH 5150 Certification so that in situations that warrant it, supervisor can advise clinicians to initiate a 5150 psychiatric hold by properly assessing and documenting per SFDPH protocol.
  • Clinical Supervisors will also substitute for clinicians in the event of illness, vacation, or staff turnover, and must be able to perform all of their clinical job duties as well.

Team Member Responsibilities:

  • Work with other supervisor and clinician team members to create a response plan in collaboration with the other SCRT members and person in crisis.
  • Practice self-awareness and cultural humility as member of diverse team; be conscientious and sensitive to power and other interpersonal dynamics with other team members.
  • Maintain appropriate/ethical boundaries with all supervisees, persons, groups, and families served.
  • Demonstrate strong ability to remain calm and attentive during crisis consultation, as well as to deftly advise on several separate crises during a single shift.

Administrative, Training, and Documentation Responsibilities:

  • Maintain timely and thorough administrative and service documentation and records related to supervision, client care, and program-related monitoring, in accordance to standards specified by HR360 policies and oversight agencies (e.g. DPH, etc.).
  • Complete all live and online trainings in timely and through manner to form strong foundation for clinical supervision. Trainings will include street crisis de-escalation, trauma informed care, Motivational Interviewing, ethical boundaries, confidentiality, first aid, CPR, COVID-19 precautions, and others.   

Education and Knowledge, Skills and Abilities

Education and Experience Required:

  • Licensed (for at least two years) with the California Board of Behavioral Sciences (LCSW, LMFT, LPCC) and have completed BBS-required trainings to be an approved supervisor; OR - Licensed with the California Board of Psychology and eligible to provide supervision without additional training. 
  • At least 4 years providing behavioral health services in a public health, community mental health, crisis services, or other setting serving people who are unhoused.
  • First Aid certified within 30 days of employment.
  • CPR certified within 30 days of employment.
  • Must be able/willing to work outside when needed for field shifts, travel in van with others between crises, and physically move during some shifts.
  • Must be able to travel to and from worksite and other locations with San Francisco.
  • Ability to work with and honor a highly diverse community served, as well as SCRT team members, while showing humility and openness.
  • Willingly open to learn and understand different perspectives, as well us show self-awareness around race, gender, class, sexual orientation, lived experience, and other important attributes.

Desired:

  • Bilingual in San Francisco threshold language.

Background Clearance Required:

  • Ability to obtain and maintain background clearance with successful discharge from probation or parole Please attach scan or photo of BBS/BOP credentials to application and list three professional references on resume or cover letter.  
  • Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

 

Compensation: $100,000.00
Type: Hourly/ Non-exempt
Benefits: HealthRIGHT 360 offers a competitive benefits package.
City: San Francisco, CA
Hours/wk: 40

Job Location