PFT - Community Support Worker, Geriatric Mental Health Outreach

Under the direction of the Manager, Clinical Services provides comprehensive community treatment, rehabilitation and support to referred seriously mentally ill individuals in the Windsor-Essex County area who are referred to CMHA from the HDGH GMHOT program, or other prescribed entry points for follow-up support or who are older adults needing Intensive Case Management services.

Provides professional case management services within the framework of a client directed clinical/rehabilitation case management model. Provides a continuum of functions, including: assertive outreach, building therapeutic relationships, developing care plans with clients, client and systems advocacy, symptom management, life skills teaching, supportive counseling, family support, and crisis intervention. This position works in close partnership with a multidisciplinary team of geriatric specialists from the HDGH GMHOT program, attending case conferences, participating in rounds, and providing follow-up consultation. Services are generally delivered one to one, although support may also be provided to family members as well as to the client.

RESPONSIBILITIES & DUTIES:

The position is responsible for the following:

1. Client orientation. Ensuring clients have an understanding of the services being offered as well as an understanding of processes, rights and expectations for participation in the program as well as limits to confidentiality.
2. Identification of client needs and risk through ongoing assessment of the individual through evidence-based tools such as the LOCUS and Columbia Suicide Severity Rating Scale as required by each program. and treatment/care planning.
3. Providing education about mental illness, symptom management, and coping skills.
4. Developing, delivering and evaluating group educational programs relevant to clients as directed by the manager.
5. Working collaboratively with clients to implement treatment/care plans that focus on strengths, wellness and empowerment to support recovery and goal achievement.
6. Working collaboratively with clients, family members, psychiatrists, primary care physicians and other healthcare, and community partners, to implement treatment/care plans that focus on strengths, wellness and empowerment to support recovery and goal achievement.
7. Facilitate case conferences to ensure that service providers are cognizant of client’s needs as well as the requirements for service provision.
8. Developing relapse prevention/wellness plans as well as providing crisis intervention.
9. Client and Systems advocacy and linkage to resources: Assists clients to access information as well as internal/external resources, services or supports which are deemed necessary. Where resources do not exist or they are inadequate, advocates within system to develop or improve essential services and resources for clients.
10. Supporting integration into community and other social activities as well as the building of a healthy informal support system.
11. Providing life skill coaching to support activities of daily living and independence.
12. Assisting clients in accessing financial assistance and benefits.
13. Assisting clients in accessing emergency and/or stable safe affordable housing.
14. Engaging, educating and supporting families through the treatment and recovery process and encouraging clients to identify and include a care partner.
15. Liaising, when appropriate, with family and other service or health care providers involved with the client to ensure continuity of care using a ‘least intrusive’ approach.
16. Ensures all file management and reporting functions are maintained in a comprehensive and timely manner.
17. Participates in program evaluation and makes recommendations for changes/improvement.
18. Acts as an Agency Ambassador, representing CMHA-WECB in a professional manner in the community and serves on committees, work groups or boards as requested and approved by the agency.
19. Provides support to volunteers, students and other staff assigned to the program area and substitutes for and assists other agency staff where skills are applicable.
20. Ensure up-to-date knowledge of mental health legislation.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities and activities required of this position.

EDUCATION & SKILLS:

• Knowledge and skill acquired through the completion of Bachelor of Social Work degree (B.S.W.) or Nursing (BScN) from an accredited university is preferred or a minimum of a three (3) year University degree in a field deemed relevant by the employer (for example: Mental health and human services, Gerontology, Disability studies) combined with significant case management experience. Specialized knowledge of geriatric mental health is considered an asset.
• Registered member in good standing of a professional college deemed relevant by the employer such as the College of Nurses (preferably with Canadian Certification in Psychiatric/Mental Health Nursing) or the College of Social Workers or the College of Psychotherapy in good standing is considered an asset.
• Two (2) years recent, relevant experience working with vulnerable geriatric populations in the judgement of the employer.
• Comprehensive knowledge of mental illness and treatments; comprehensive knowledge and skill in the functions and principles of case management; up to date knowledge of relevant mental health policy and legislation including the Mental Health Act; knowledge of community resources; effective oral and written communication skills.
• Computer literacy skills and working knowledge or various Microsoft Windows application is required.
• Bilingualism in both official languages at the advanced level is considered an asset.
• A valid Ontario Driver’s License with access to a reliable vehicle and proof of current insurance and licensing are required for this position.

Hours of Work: Thirty-Five (35) hour work week. The agency’s regular hours of operation are Monday to Friday, 8:30 AM to 4:30 PM. Flexible hours are required to meet client and service needs.

Salary range: Grade 8, $36.96 – $43.73 per hour

Per 2022 - 2026 Collective Agreement

Applicable shift premiums are paid in accordance with the Collective Agreement, Article 17.11.

Please submit your cover letter and resume clearly stating how your skills and experience meet the position requirements prior to the posting closing date.

Posting Date: Thursday, November 5, 2026

Posting Deadline: Friday, November 13, 2026 @ 4:30pm

We thank all applicants for their interest in employment at CMHA-WECB. We are however, unable to respond to individual calls. Only those individuals selected for consideration will be contacted for next steps. Thank you for your understanding.

This position is posted per Article 15 of the Collective Agreement. Internal candidates will be considered in priority as established by the Article, as such external candidates may not be considered if there is a qualified internal applicant.

We are dedicated to creating a workplace that reflects the diversity of the communities we serve. We welcome applications from individuals of all identities and experiences, as we believe that diverse perspectives strengthen CMHA. If you require accommodations during the application process, please contact us at [email protected].

Please note that candidacy for positions will require you to be authorized to work in Canada.

Please note that a satisfactory police vulnerable sector check is required as a condition of employment for all roles with CMHA-WECB.