1. Provides screening, assessment, diagnosis, and treatment of depressive and anxiety-related disorders, including PTSD as well as other Axis I conditions, to Veterans approved for Home-Based Primary Care (HBPC) Services, with an emphasis on the application of time-limited, evidence-based approaches.
2. Assesses and provides treatments for subclinical symptoms of dysphoria and anxiety, adjustment difficulties, and excessive use or misuse of alcohol or other drugs, for which the Veteran may have a lower than normal tolerance due to their medical conditions and/or the potential for negative interactions with prescribed medication(s).
3. Provides psychological preventive services to Veterans at significant risk for psychological problems.
4. Provides services to the families of Veterans with dementia being served by HBPC, when such care is directly related to the overall treatment plan for the Veteran and will allow better care for the Veteran and allow the family to sustain the Veteran in the home environment.
5. Provides clinical services through the use of Telemental health/telehome technology.
6. Provides screening for cognitive deficits to address specific functional questions or to determine if a referral for a complete neuropsychological evaluation or dementia assessment is needed.
7. Performs capacity/competency assessments in cases in which there are questions about a Veterans ability to make independent decisions about medical care and treatment, perform other specific functions, or live independently.
8. Assesses Veterans understanding of advanced directives and other forms of consent and assisting staff in determining how to present treatment options and other such material to patients in a format they can understand.
9. Provides individual and group interventions to support Veterans that are coping with feelings of grief and loss associated with disability and other life transitions.
10. Provides psycho educational and supportive interventions, in conjunction with the Veteran, for spouses, family members/caregivers, and others who are crucial to keeping the Veteran at home.
11. Provides effective interventions with couples or families, when appropriate, to relieve relationship difficulties, provide support to caregivers of Veterans with dementia or other significant frailty, and/or promote collaboration with the HBPC team, for the benefit of the Veteran.
12. Documents the necessity and benefits of interventions for the Veteran and/or family and caregivers as part of the Veterans treatment plan.
13. Provides behavioral medicine interventions to manage pain, disability, sleep problems, weight management, smoking/nicotine cessation, and enhance medical compliance.
14. Functions as a part of a multidisciplinary HBPC team, promoting communication and interactions with medical team members, patients and their families to facilitate medical treatment.
15. Becomes certified to conduct Compensation and Pension psychological examinations, as needed. These exams are completed at the request of the Regional Office and include review of CPRS records and C-file, clinical interview, psychological testing as needed, and the report.
16. Functions independently as a member of the Mental Health Service staff, with full clinical privileges. Assumes complete professional responsibility for his/her clinical assessment findings, patient care decisions, and documentation.
Administrative responsibilities (10 % time)
1. Adheres to operational policies and procedures for the treatment team, established the HBPC Chief and the Mental Health Service Chief.
2. Facilitates liaisons with other health care programs in order to effectively coordinate services.
3. Complies with national and local performance measures, including timely health care screening and completion of clinical reminders for all patients.
4. Complies with all CPRS documentation procedures, including timeliness standards for documentation and proper patient check out procedures (e.g. entering diagnostic and procedure codes).
5. Attends regular staff meetings, Medical Staff meetings, and complies with Mental Health peer review procedures.