Nurse 3 (N3) - ACT - Mental Health and Addictions

Position Overview

HUB – Flexible ACT - ACT
Shared Health is implementing wrap- around multi-disciplinary community mental health teams for individuals who have severe mental illness. These teams will be composed of the HUB, FACTT and ACT teams. The teams will work with individuals who have a severe mental illness and may have been in hospital for extended periods of time, in a special contract, use a number of services and require regular supports to assist in community living. Individuals do not require a diagnosis of primary psychosis but may have a mental illness diagnosis, behavioral complexity, co-existing medical conditions, cognitive impairment, addictions, be involved with the criminal justice system and do not meet the criteria for other mental health programs or services.

The model is a dual intensity level approach and allows for a coordinated approach of care, less intensive FACTT (with ability to scale up to ACT for a temporary duration of time), and continuously intensive ACT.

The HUB will be responsible for

• the assessment, intake and navigation of individuals that are referred for services.
• the development and oversight of the standardization for FACTT and ACT teams.
• the development eligibility criteria and referral pathways to and from the services, identifying gaps in services and develop solutions.
• data collection, oversight, and analytics.
• consultation and assessment for service strategy planning for client and families
• the assessment and reassessment clients for appropriateness for FACTT and ACT.

The Flexible ACT team (FACTT) will service a broader mental health client population.

FACTT will be responsible for:

• case management services in the community.
• has the ability to provide more intensive treatment services for a short period of time when needed by the individual.

The ACT team would allow for intensive service for individuals with severe mental illness and have a number of functional and adaptive needs. The ACT team will provide 24-hour wrap around services provided by a multi-disciplinary team.

Main Function:
Under the general supervision of the Team Leader the nursing service coordinator is responsible for providing case management services and supports to participants involved with the Flexible ACT team. They are also responsible for coordinating medical services and medication management for participants.

The nurse is responsible for assessing, planning, development and coordination of treatment, rehabilitation and support services provided to ACT program participants under the clinical supervision of the team leader, psychologist and psychiatrist. The nurse will provide services to individuals using the principles of psychosocial rehabilitation and recovery to guide their practice and function as a clinical member of the multidisciplinary team. The nurse will be responsible for recording, liaise with pharmacy, medication education to clients and family, administer oral medications and long acting. injections in the home or the community that are prescribed by the ACT psychiatrist. The nurse will also provide crisis on call services.

Experience

• Minimum four years related community experience working with people with serious and persistent psychiatric disabilities; combination of institution and community experience will be considered.

Education (Degree/Diploma/Certificate)

• Nursing degree required.
• BScMH, Bsc.PN, BN, RPN, RN.

Certification/Licensure/Registration

• Registered with the College of Nurses of Manitoba.
• College of Registered Psychiatric Nurses of Manitoba.

Qualifications and Skills

• Knowledge of: Relevant legislated acts including but not limited to Personal Health Information Act, Protection of Persons in Care Act, Mental Health Act, Workplace Hazardous Material Information System (WHMIS), Principles of Routine Practices (Universal Precautions). Regional/site/unit policies, procedures, protocols, and guidelines relating to clinical care. Working with individuals from diverse cultural, social, and ethnic backgrounds. Working knowledge of treatment, rehabilitation and support in mental health.
• Skills in assessing, planning, development and coordination of support services.
• Working knowledge and experience in working with people experiencing addictions.
• Subject to a criminal record check.

Physical Requirements

• Valid driver’s license and vehicle required.