Intensive Care Facilitator

Aviva Family and Children’s Services Mission Statement

Aviva believes every child and every family in our Los Angeles community deserves the chance for a brighter future. We provide compassionate support, therapeutic services, and guidance to at risk children and families.

Job Summary

Under the supervision of the Program Lead, the Intensive Care Facilitator is responsible for the coordination, scheduling and facilitation of Child and Family Team (CFT) meetings. The Intensive Care Facilitator will conduct regular CFT meetings for each client on their caseload within the timeframe identified by the program and/or needs of the client/family. They will complete associated documentation including the CFT Matrix and progress note. This position will collaborate with inter and intra-agency providers to coordinate care, monitor and ensure resources and linkages are accessible and appropriate for the youth and family. They are well versed in and are able to communicate to others the program philosophy, principles, and process. Services are provided primarily in the field including at clients’ residence, school, other community location, or in the office. The Intensive Care Facilitator is responsible for completing all required documentation in accordance with Agency, County, and COA standards.

Essential Functions

• Coordinate CFT Meetings to develop, guide, and plan service delivery to meet the needs of the client and family
• Utilizes the Integrated Core Practice Model (ICPM) principles and components to engage with participants, identify strengths and underlying needs, and strengthen teaming across systems
• Coordinate comprehensive care including facilitating cross-system communication, planning and linking participants to resources and other child-serving systems
• Collaboration with community partners, formal and informal supports including, but not limited to, DMH, DCFS, Department of Probation, Regional Center, DPSS, etc.
• Ensure plans from all involved child services systems are integrated and identified goals and objectives are supported to support successful change
• Ensures the CFT includes the client, family members, clinical team members, County representatives, and natural supports identified by the client and family
• Works to ensure active participation in the CFT process by all members
• Works with family and team to identify strategies for achieving treatment goals
• Develops CFT meeting agenda reflective of the voice of the client and family, Matrix, progress note and other supporting documentation
• Responsible for scheduling and managing the logistics of the CFT Meeting Process including location, time, materials, etc.
• Routinely monitor, review progress and the effectiveness of treatment plans and services, working with the team to modify interventions that are not working
• Identify and provide needed resources and linkages
• Follow up on referrals, linkages, activities and outcomes to ensure client needs are met
• With the team, develop transition plan that supports long-term stability
• Complete and collect signatures of all attendees of CFT meetings, provide copies of Matrix
• Ensure CFT meeting maintains fidelity to the ICPM
• Build consensus within the team around collaborative plans
• Ensure the family voice and choice is heard throughout the entire teaming process
• Ensure all identified services are accessed, coordinated and delivered in a strength-based, individualized, family/youth driven, culturally and linguistically competent manner
• Actively participate in scheduled staff meetings, agency wide meetings, and other meetings as assigned
• Sensitive and responsive to the cultural differences among the agency’s client population
• Actively participate in quality improvement projects
• Adheres to all applicable Federal and State regulations for confidentiality, HIPAA, mandated reporting of suspected child or elder abuse
  
  

The Intensive Care Facilitator will take on special projects or additional duties as assigned by the Program Lead.