STATE OF OREGON — Oregon Health Authority POSITION DESCRIPTION	Position Revised Date: This position is:
Agency: Oregon Health Authority Division: Oregon State Hospital New Revised	Classified Unclassified Executive Service Mgmt Svc – Supervisory Mgmt Svc – Managerial Mgmt Svc - Confidential
SECTION 1. POSITION INFORMATION
a. Classification Title:	Behavioral Health Specialist 2	b. Classification No:	6534
c. Effective Date:	d. Position No:
e. Working Title:	Art Therapist 2 Music Therapist 2 Recreation Therapist 2	f. Agency No:	44300
g. Section Title:	Treatment Services: Creative Arts & Recreation Therapies
h. Employee Name:
i. Work Location (City – County):	Junction City-Lane
j. Supervisor Name:	Associate Director of Treatment Services
k. Position:	Permanent Seasonal Limited Duration Academic Year Full-Time Part-Time Intermittent Job Share
l. FLSA:	Exempt Non-Exempt	If Exempt:	Executive Professional Administrative	m. Eligible for Overtime:	Yes No

SECTION 2. PROGRAM AND POSITION INFORMATION

Describe the program in which this position exists. Include program purpose, who's affected, size, and scope. Include relationship to agency mission.

The Oregon Health Authority (OHA) is responsible for most state health services and for implementing health care reforms, and is comprised of a Director’s Office (DO) which includes Tribal Affairs in addition to nine divisions: (1) Agency Operations, (2) Fiscal (3) External Relations, (4) Equity and Inclusion, (5) Health Policy and Analytics, (6) Health Systems, (7) Public Health, (8) the Oregon State Hospital, and (9) the COVID Recovery and Response Unit (CRRU).

OHA Vision: A healthy Oregon.

OHA Mission: Ensuring all people and communities can achieve optimum physical, mental, and social well-being through partnerships, prevention, and access to quality, affordable health care.

OHA’s strategic plan goal is to eliminate health inequities in Oregon by 2030.

OHA Core Values: Health Equity, Service Excellence, Integrity, Leadership, Partnership, Innovation, and Transparency.

OHA Health Equity definition:

Oregon will have established a health system that creates health equity when all people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances.

Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address:

The equitable distribution or redistributing of resources and power; and

Recognizing, reconciling and rectifying historical and contemporary injustices.

Oregon State Hospital (OSH) is part of the Oregon Health Authority (OHA). The hospital provides direct psychiatric hospital care to adults from throughout Oregon who are unable to be served in a community setting.

At OSH, we put the patient first, and employees play an essential role in achieving the hospital’s vision to be a psychiatric hospital that inspires hope, promotes safety and supports recovery for all. Services include mental health evaluation, diagnosis, and treatment, as well as court-ordered evaluations, community outreach and peer support.

OSH is a Joint Commission-Accredited and CMS-certified public psychiatric hospital providing psychiatric and residential treatment services to persons committed by the Oregon courts as part of the state mental health service system.

OSH uses the Collaborative Problem Solving® model as its foundation of care across all disciplines, including nursing and direct-care unit staff.

OSH Vision: We are a psychiatric hospital that inspires hope, promotes safety, and supports recovery for all.

OSH Mission: to provide therapeutic, evidence-based, patient-centered treatment focusing on recovery and community reintegration, all in a safe environment.

The Treatment Services Department at the Oregon State Hospital utilizes a treatment mall model to deliver individualized treatment to every patient at Oregon State Hospital. Clinicians are available from the following specialist disciplines: Art, Music and Recreation Therapies, Native Services, Nursing, Occupational Therapy, Physical Therapy, Spiritual Care, Supported Education and Vocational Rehabilitation.

Treatment Services is the facilitator and coordinator of active treatment and structured activities in the environment that meets the patient’s needs.

Guiding Principles and Values:

We focus on what is in it for the patient, not ourselves or our department

We partner with others and ask, “how can we help?”

We listen to understand

We walk with our staff

We celebrate challenges and constructive criticism

We give directives with care and intent

We focus on being real not right

We are skeptical of our successes and failures

We create environments for people to be their best selves and do their best work

We understand we can always be greater than we are today

Describe the primary purpose of this position, and how it functions within this program. Complete this statement. The primary purpose of this position is to:

Develop and provide specialized treatment services that focus on leading evidence-based and discipline-specific psychotherapeutic and psychoeducational treatment for both groups and individuals. This position will participate and collaborate in Interdisciplinary Treatment (IDT) meetings and treatment care planning, which includes the clinical formulation and assessments leading to the mental health diagnoses of patients. Observe and document patient response to interventions and modify interventions as needed. Conduct assessments to help develop individualized and discipline specific psychotherapeutic and behavioral interventions for patients. Therapists may supervise students and interns as approved within their discipline’s professional guidelines. If licensed by the State of Oregon, this position may also provide supervision to BHS 1s working toward their required hours for full credentialing. This level may require Oregon QMHP credential.

Apply specialized discipline specific knowledge to complete a comprehensive assessment, collaborate with the IDT in clinical formulation and develop patient plans and behavioral health interventions to shape behavior. Provide specialized discipline specific therapy. Develops evidence-based programming in consideration of unit needs. Provide guidance to staff individually and/or in multi-disciplinary teams.

This level is distinguished from the BHS- Art Music or Recreation Therapist 1 by the requirement to apply experiential knowledge and judgment to plan and accomplish goals. Situations differ and require research to find available answers. Work is conducted independently but regularly reviewed to ensure treatments are done in accordance with regulations and evidence-based practices.

While some aspects of this position may be approved for remote work, all patient contact is required to occur on-site and in person. Direct collaboration with colleagues and stakeholders may be required to occur on site, if collaboration can't be sufficiently supported through remote technology. On-site presence is required for staff trainings. On-site presence is needed to provide service coverage and to respond to emergent patient needs. On-site presence is required to access materials and specialized equipment. Work duties will generally be required to occur during standard office hours of 7 a.m. and 6 p.m. unless approved by the Director of Creative Arts and Recreation Therapies to meet a specific clinical need.

SECTION 3. DESCRIPTION OF DUTIES
List the major duties of the position. State the percentage of time for each duty. Mark “N” for new duties, “R” for revised duties or “NC” for no change in duties. Indicate whether the duty is an “Essential” (E) or “Non-Essential” (NE) function.

% of Time	N/R/NC	E/NE	DUTIES
10%	N	E	ASSESS CLINICAL NEEDS OF PATIENTS: Respond to Discipline referrals by completing standardized assessments in compliance with national association standards, and OSH policies and protocols. Interview patients to obtain pertinent historical and culturally relevant information related to current behavioral and psychological functioning Conduct ongoing assessment for both individuals and within group settings and in compliance with OSH policies and protocols. Administer assessments/questionnaires/patient surveys to help identifying treatment needs and progress to better inform patient care. Develop treatment recommendations for providing specialized services which are individualized to each person’s assessment outcomes, communicate to Interdisciplinary Treatment Team (IDT) through established communication channels. Document clinical assessments through established documentation methods in Electronic Medical Records in accordance with OSH policies and protocols.
10%	N	E	PLAN CLINICAL INTERVENTIONS AND PROGRAMING: Develop high quality program plans/curriculums/ interventions that: Follow Discipline specific standards of practice in the development of evidence-based program plans and clinical interventions, as outlined by Discipline’s Professional and Credentialing Boards. Development of evidence-based psycho-educational and psycho-therapeutic groups and individual therapy program plans. Reflect emerging best practices Utilize the process and format of planning provided by Treatment Services Department leadership. Fall within scope of service and clinical competency. Follow Policies related to Risk Management and treatment services being provided. Utilize the State of Oregon Library resources provided as a state employee, and other approved resources in planning development. Utilize additional professional resources to maintain knowledge of current discipline specific Evidence Based Practice (EBP) interventions, advanced techniques Collaborate as needed with other disciplines to develop curriculums or program planning to facilitate a broader scope of services to help meet a variety of patient needs. Consult with Interdisciplinary Treatment Teams to identify and develop specialized evidence-based interventions to address specific treatment care plan needs and tracks progress through documentation Assist IDT members in development and implementation of behavioral support plans utilizing discipline specific interventions to shape more effective behaviors.
35%	N	E	IMPLEMENT CLINICAL INTERVENTIONS AND PROGRAMS: Provide Discipline specific (Art, Music or Recreation Therapy) evidence-based group and individual therapy to patients with consideration for a patient’s cultural identity and past trauma through on-unit and/or on the treatment mall. Provide coverage for Treatment Services peers as needed and respond to emergent patient needs. Develop, review, and implement discipline specific individualized treatment care for individuals within assigned program area. Provide consultations as assigned, including outside of primary program area and/or in response to IDT requests. Attend program mall huddles, Unit Leadership meetings, Treatment Care Plan reviews and other meetings to assure good communication and effective treatment service. Communicate and Coordinate with the Treatment Mall and assigned clinical team regarding services being offered.
20%	N	E	DOCUMENT CLINICAL INTERVENTIONS AND CLIENT RESPONSE. Document using the established OSH and Treatment Services protocols for the clients served using EMR. Indicate progress towards TCP goals Collect outcome data and share through documentation in the EMR. Recommendations for treatment. Follow JC/CMS requirements. Discipline Conduit Role-Provide written and/or oral reports on caseload to the IDT during TCP Reviews and/or Leadership Meetings. Recommend modifications and/or reassessment of Treatment Services goals/interventions.
10%	N	E	E.CLINICAL SUPERVISION, EDUCATION, AND TRAINING Participates in regular clinical supervision meetings with assigned clinical supervisor. Participates in continuing education to maintain professional competence and in accordance with Discipline Specific credentialing and licensing requirements. Assume personal responsibility for ongoing continuing education and professional development. Maintain all job-related credentials, licenses, and certifications, reporting change if necessary. Actively participate in individual and group clinical supervisions with Creative Arts and Recreation Therapies Director or designee. Complete annual education e-learnings, Safe Together and CPR updates within due date. Provide guidance or education as needed with IDT to improve persons served care within scope of Discipline (Art, Music or Recreation) Therapy. Provide in-service training to unit and program staff in strengthening skills for provision of culturally responsive, trauma-informed and evidence-based services within scope of discipline (Art, Music or Recreation Therapy). Develop and demonstrate competencies and practice of the Collaborative Problem Solving® model through formal coaching, training, and development opportunities. Applies the Collaborative Problem Solving® model with clients and staff at all levels of the organization.
10%	N	E	F. EVALUATE SERVICES, QUALITY ASSURANCE AND PROCESS IMPROVEMENT ACTIVITIES: Develops, implements, and evaluates efficacy of Discipline specific program plans and curriculum. Utilize standardized measuring tools when available. Demonstrate creativity, adaptability, and professional skills when revising program plans or curriculums based on most current research or evidence-based practice. Lead regular curriculum development planning discussions, development of programming, outcome measures, etc. Track metrics as assigned. Engage in OSH Process Improvement activities. Represent Discipline as a subject matter expert in Rapid Process Improvement (RPI) or Work Task Initiatives (WTI). Utilize Lean Management techniques and systems. Participates in Treatment Services Department committees and projects, follows Discipline specific professional organizations ethical standards and standards of practice and procedures in OSH Treatment Services Protocols. Participates in continuing education to maintain professional competence and provides in-service training Attends mandatory department meetings, hospital trainings and review of policies per designated timelines and serves on departmental committees as assigned by Director of Creative Arts and Recreation Therapies. Assist in the development and implementation of OSH Mission and programs and other duties as assigned by supervisor.
5%	N	E	G.TEAM INTERACTIONS: Comply with all organizational levels’ policies and procedures, OHA and OSH. Participate as an active member of the Treatment Services Department. Participate as an active member of the Interdisciplinary Treatment Team(s) as assigned. Participate as an active member of assigned Treatment Service Delivery Model team. Establish and maintain a professional relationship with co-workers. Facilitate constructive resolutions that utilize Collaborative Problem-Solving techniques when interacting in conflicting or stressful situations. Communicate regularly with Director/ Associate Director of Creative Arts & Recreation Therapies and other Treatment Services managers, informing them of actions taken in unusual situations, limitations in skill, scheduling issues, absences, leave, supplies, etc. Represent the Treatment Services’ clinical perspective in a professional manner. Demonstrate responsibility to the success of the department and team by assisting co-workers, participating in program-wide activities, attending meetings, et cetera. Prioritize and coordinate daily schedule to achieve maximum productivity and efficiency. Keep a current electronic calendar in Outlook, granting clinical supervisor (and co-workers as needed) read access.
ongoing	N	E	ADAPT TO CHANGING ENVIRONMENT OF CARE NEEDS
Ongoing	N	E	CULTURAL RESPONSIVENESS: Consistently treats patients, colleagues, staff, and community partners with dignity and respect. Demonstrates recognition of the value of individual and cultural difference; creates a work environment that is respectful and accepting of diversity where talents, abilities and experiences are valued and leveraged. Assures that service delivery is provided in a culturally and linguistically responsive manner; assures that printed materials are available in different languages as needed and/or in alternate format; bilingual services are available; and facilities are accessible for all patients, their families and community members. Proactively creates and maintains an inclusive environment for all staff and patients. Demonstrates understanding, applying principles related to eliminating health inequity. Demonstration of effective delivery of culturally responsive, anti-racist, inclusive and trauma-informed services policies and practices, including evidence of ongoing development of personal cultural awareness and humility. Pursues personal and professional growth through education and training and participation in relevant professional organizations; pursues education and training related to the impact of systemic racism, anti-racism, elimination of health inequities, trauma-informed practices, social determinants of health and equity, universal accessibility, and development of diverse and inclusive work environments.
Ongoing	N	E	COLLABORATIVE PROBLEM SOLVING: Develops and demonstrates competencies and practice of the Collaborative Problem Solving model through formal coaching, training and development opportunities. Applies the Collaborative Problem Solving model with patients and staff at all levels of the organization.
Ongoing	N	E	IMPROVING ORGANIZATION PERFORMANCE: Tracks and complies with documentation and other metric requirements as determined by Oregon State Hospital and Treatment Services department administration. Actively makes suggestions to organizational continuous improvement through current LEAN methodology.
Ongoing	N	E	CORE VALUES: As an employee of Oregon State Hospital and the Treatment Services Department, demonstrates awareness, Understanding and alignment in service delivery with the OHA Core Values of Service Excellence, Leadership, Integrity, Partnership, Innovation and Health Equity.

SECTION 4. WORKING CONDITIONS

Describe any on-going working conditions. Include any physical, sensory, and environmental demands. State the frequency of exposure to these conditions.

This is a contracted position under SEIU. The position involves working with psychiatric inpatient populations with serious mental illness on a regular, usually daily, basis. Safety considerations include contact with individuals experiencing altered mental states and extreme emotional dysregulation that may manifest as verbal or physical aggression toward staff and other patients.

Work in this setting may involve exposure to loud noises and infectious diseases. You may be required to travel throughout the state on an occasional basis. You may be required to work additional hours upon an emergent basis to meet business needs in accordance with the SEIU collective bargaining agreement. You are expected to complete work within a 40-hour week, and adhere to the current Treatment Services Work Schedules and Timekeeping Protocols. Work for this position is required to occur between 7 a.m. and 6 p.m. on-site unless preapproved by the Director of Creative Arts & Recreation Therapies (or designee) to meet a specific clinical need.

SECTION 5. GUIDELINES

a.	List any established guidelines used in this position, such as state or federal laws or regulations, policies, manuals, or desk procedures.

1. Oregon State Hospital Policies and Protocols

2. Oregon State Hospital Treatment Services Dept Protocols

3. Guidelines of accrediting agencies; Joint Commission and CMS Standards

4. Oregon Administration Rules (OAR) and Oregon Revised Statutes (ORS) describing standards of care Oregon Revised Statute Standards

5. DAS and OHA Policies and Procedures

6. Art Therapists: Art Therapy Credentialing Board & Oregon Health Authority Health Licensing Office Standards of Practice and Code of Ethics

7. Music Therapists: Certification Board for Music Therapists & Oregon Health Authority Health Licensing Office Standards of Practice and Code of Ethics

8. Recreation Therapists: National Council for Therapeutic Recreation Certification Standards of Practice and Code of Ethics

b.	How are these guidelines used?

These guidelines are used to identify professional Art Therapy, Music Therapy and Recreation Therapy service delivery in the Oregon State Hospital.

SECTION 6. WORK CONTACTS
With whom, outside of co-workers in this work unit, must the employee in this position regularly come in contact?

Who Contacted	How	Purpose	How Often?
Persons with severe mental illness admitted to OSH	In person	Daily
Treatment Services Department Staff	In Person Phone Email Team Meetings	Coordinate services Provide clinical assessment and documentations for persons on caseload; assigned to clinical treatment group or Discipline specific specialized services referral (for Art ,Music or Recreation Therapy) Coordinate Treatment Plan interventions for Individual persons served.	Ongoing
Director of Creative Arts and Recreation Therapies	In Person Phone Email Individual Clinical Supervision Group Clinical Supervision Department Meetings	Clinical Supervision Discipline coordination Discipline Specific Education Discipline Specific Program Development Quality Insurance of Clinical Services Review Work	Ongoing
Volunteers/Student Interns	In Person Phone Email Team Meetings	Program Development Professional Development	As needed
Associate Director of Treatment Services	In Person Email Department Meetings	Implementation Hospital Initiatives and Mission Departmental Level Mission Departmental Level Goals QI and PI projects	Ongoing

SECTION 7. POSITION-RELATED DECISION MAKING

Describe the typical decisions of this position. Explain the direct effect of these decisions.

Work collaboratively with IDT and other Treatment Services staff on decisions related to patients’ treatment interventions and care planning. These decisions affect patient care and treatment in meeting the mission/goals of the Oregon State Hospital.

SECTION 8. REVIEW OF WORK
Who reviews the work of the position?
Classification Title Position Number How How Often Purpose of Review
Associate Director of Treatment Services-Junction City	Clinical Manager 1	Direct Observation Documentation Review Peer and Management Feedback Treatment Outcome Measurements Employee Development Plan Quarterly PAF Meeting	On going. Monthly Group Clinical Supervision 1:1 Clinical Supervision Monthly	To ensure quality of clinical services
Treatment Mall Manager	Direct Observation Group assignments Persons served Satisfaction Treatment Outcome Measurements	As needed Regularly scheduled team huddles	To ensure quality of treatment mall and persons being served in program
Director of Creative Arts and Recreation Therapy	Rehab Therapy Manager	Direct Observation Documentation Review Peer and Management Feedback Clinical Supervision Treatment Outcome Measurements	At least 1x monthly, and ss needed per AD of Treatment Services feedback and support	To ensure quality of clinical services
Director of Treatment Services	As Reported through Reviewers above	As needed per reviewers feedback and support	Review of Adherence of professional standards, clinical supervision, and program development effectiveness

SECTION 9. OVERSIGHT FUNCTIONS
a.	How many employees are directly supervised by this position?	0
How many employees are supervised through a subordinate supervisor?	0
b.	Which of the following activities does this position do?
Plan work Coordinates schedules Assigns work Hires and discharges Approves work Recommends hiring Responds to grievances Gives input for performance evaluations Disciplines and rewards Prepares & signs performance evaluations
SECTION 10. ADDITIONAL POSITION-RELATED INFORMATION

ADDITIONAL REQUIREMENTS: List any knowledge and skills needed at time of hire that are not already required in the classification specification.

All positions in OHA require a criminal records check.

Experience developing and implementing evidence based psychotherapeutic and psychoeducation treatment interventions; groups and individual interventions.

Experience in providing training to unit and program staff.

Participate in continuing education to maintain professional competence as required by current standards

Art Therapy – Master’s Degree in Art Therapy, Fully credentialed as an Art Therapist Registered (ATR) or Art Therapist Registered-Board Certified (AT-BC) and State of Oregon Art Therapy Licensure and 2 years of experience related to the series concept.

Music Therapy - Master’s Degree in Music Therapy, Fully credentialed as a Music Therapist-Board Certified (MT-BC) and State of Oregon Music Therapy Licensure and 2 years of experience related to the series concept.

Recreation Therapist – Master’s Degree in Recreation Therapy, Fully credentialed as a Certified Therapeutic Recreation Specialist (CTRS) and state of Oregon QMHP credential, and 2 years of experience related to the series concept.

BUDGET AUTHORITY: If this position has authority to commit agency operating money, indicate the following:

Note: If additional rows of the below table are needed, place curser at end of a row (outside table) and hit “Enter”.

Operating Area	Biennial Amount ($00000.00)	Fund Type

SECTION 11. ORGANIZATIONAL CHART
Attach a current organizational chart. Be sure the following information is shown on the chart for each position: classification title, classification number, salary range, employee name and position number.
SECTION 12. SIGNATURES
VACANT	12/14/22
Employee Signature	Date	Supervisor Signature	Date
Appointing Authority Signature	Date