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The psychologist provides a variety of general and specialized psychological and assessment services through the Home Based Primary Care (HBPC) program and the Behavioral Health Service of the VA Medical Center. This work may include providing professional clinical services, conducting research, carrying out education and training activities, clinical consultation, supervision, and administration.
The incumbent serves as an active member of a multidisciplinary treatment team in Behavioral Health Services which develops, implements, evaluates and updates client specific individualized diagnosis, treatment, and discharge plans for all Veterans seeking care through various BHS outpatient services. This individual will provide a full range of psychological services to HBPC patients, including screening; psychological, cognitive and capacity assessments; psychotherapy; and prevention- oriented services. The psychologist will function as a member of the HBPC team and provide ongoing team consultation services to other HBPC and primary care team members. The incumbent is required to exercise judgment in the selection of or adaptation of standard and accepted psychological theories, techniques, and practices in treating patients or developing new techniques and programs for the treatment of specialized problems or clinical populations.
Functions, roles, and responsibilities include:
- Identify gaps in service and work to resolve those gaps.
- Function as the primary mental health provider of the HBPC team, providing mental health prevention, assessment, treatment, management, and professional consultation services.
- Provide coverage in other areas such as geriatrics and extended care, and behavioral health settings as assigned.
- Provide screening, assessment, diagnosis, and treatment of depressive and anxiety-related disorders as well as other Axis 1 conditions, with an emphasis on the application of time-limited, evident-based approaches.
- Assess and provide treatments for subclinical symptoms of dysphoria and anxiety, adjustment difficulties and excessive use or misuse of alcohol or other drugs (for which the patient may have a lower than normal tolerance due to their medical conditions and the potential for negative interactions with prescribed medication).
- Provide psychological prevention services to patients at significant risk for psychological problems.
- Provide services to the families of Veterans with dementia being served by HBPC, when such care is directly related to the overall treatment plan and will allow better care for the Veteran and allow the family to sustain the Veteran in the home environment (family members may be trained to better manage behavioral problems associated with dementia; such training may allow the HBPC team to reduce use of psychoactive medication as a means of controlling behavioral problems).
- Provide clinical services using tele-mental health and tele-home technology.
- Provide 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.
- Perform capacity/competency assessments when there are questions about a patient's ability to make medical decisions, perform other specific functions, or live independently with limited direction.
- Assess patient understanding of advanced directives and other forms of consent and assist staff in determining how to present treatment options and other such material to patients in a format they can understand.
- Provide individual and group interventions to support patients that are coping with feelings of grief and loss associated with disability and other life transitions.
- Provide psychoeducational and supportive interventions, in conjunction with the Veteran for spouses, family members/caregivers and others that are crucial to keeping the Veteran at home.
- Provide effective interventions with couples or families, when appropriate, to relieve relationship difficulties, provide support to caregivers or Veterans with dementia or other significant frailty and/or promote collaboration with the HBPC team, for the benefit of the Veteran. At all times, the necessity for and benefit of the intervention for the Veteran should be documented and included as part of the Veteran's treatment plan.
- Facilitate transition and adjustment to new living situations (e.g., nursing home, assisted living facility), and provide seamless intervention services as appropriate.
- Provide behavioral medicine interventions to manage pain, disability, address sleep problems, facilitate weight loss, promote smoking cessation, and enhance medical compliance and be able to incorporate new clinical procedures.
- Promote communication/interactions between medical team members, patients, and their families to facilitate medical treatment.
- Provide clinical supervision to students, interns, fellows, and residents.
Financial Disclosure Report: Not required.
50% or less - You may be expected to travel for this position.
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This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/588192700. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.