Facilitator - HFW - Lancaster

The Full Service Partnership - High Fidelity Wraparound (FSP-HFW) Facilitator coordinates
individualized, family-driven, youth-guided, culturally responsive, and strengths-based services for children
and youth with complex behavioral health needs and their families/caregivers.

The Facilitator works with the child/youth and family/caregiver to identify Child and Family Team (CFT)
members and leads the CFT in developing, implementing, monitoring, and updating the Plan of Care. The
Facilitator ensures the child/youth's and family/caregiver's strengths, needs, culture, values, preferences,
and naturally supports all planning and decision-making.

Essential Duties and Responsibilities:

1. CHILD AND FAMILY TEAM FACILITATION: Works with the child/youth and family/caregiver to identify
and engage CFT members, including natural supports, service providers, school representatives,
healthcare providers, community partners, and others selected by the family. Schedules, prepares for, and
facilitates CFT meetings that are organized, inclusive, strengths-based, and guided by youth and family
voice and choice. Identifies strengths, underlying needs, culture, values, preferences, community
connections, and available formal and natural supports. Communicates with the Child and Family Team
(CFT) including accessing the family's IP-CANS ratings to incorporate into planning and to provide ongoing
updates as well as receive vital information from the CFT.
2. ENGAGEMENT: Leads the CFT in developing and implementing an individualized Plan of Care. Ensures
that the plan includes clearly defined goals, strategies, assigned responsibilities, timelines, and expected
outcomes. Promotes the meaningful participation of the child/youth and family/caregiver in all phases of
planning and decision-making. Helps them develop the knowledge, confidence, skills, and ownership
necessary to direct and eventually manage their own plan.
3. FIELD BASED AND CULTURALLY RESPONSIVE SERVICES: Collaborates with schools, healthcare
providers, child welfare, probation, regional centers, community organizations, and other involved systems
to promote continuity of care and reduce fragmented or duplicative services. Identifies barriers to
engagement or progress and works with the CFT to develop practical, individualized solutions.
4. PLAN OF CARE: Regularly monitors the implementation and effectiveness of the Plan of Care.
Reconvenes the CFT and modifies goals, strategies, services, or supports when circumstances change,
barriers arise, or the plan is not producing the intended outcomes. Assists the child/youth and
family/caregiver in identifying, developing, and strengthening natural and community-based supports that
can continue after formal services end.
5. CRISIS RESPONSE: Collaborates with the child/youth, family/caregiver, CFT, clinical staff, and other
designated responders to develop and update individualized crisis and safety plans. Participates in crisis- response coordination within the scope of the position and follows Agency procedures when urgent safety or behavioral health concerns arise. Maintains awareness of client, family, staff, and environmental safety during all services and follows established treatment, crisis, safety, and agency procedures. Provides crisis
prevention, de-escalation, stabilization, and post-crisis follow-up within training and scope; promptly
communicates changes in risk to the appropriate clinician or supervisor and seeks immediate clinical or
emergency assistance when circumstances exceed the employee's scope or available resources. Follows
mandated reporting requirements and completes required incident and safety reporting within established
timeframes. During office hours, supports assessment and crisis management services, including coordination of an in-
person crisis response and facilitation of an involuntary psychiatric hold when determined to be clinically indicated by an appropriately qualified professional.
6. AFTER-HOURS CRISIS ACCESS AND ON-CALL RESPONSIBILITIES: Supports the program's
responsibility to ensure that clients experiencing a crisis after regular business hours are connected to an
appropriate team member. Must serve as a direct connection to the FSP-HFW on-call team which may not
be replaced by directing clients exclusively to the LACDMH ACCESS Line, 911, or a suicide and crisis
hotline.
7. CO-OCCURRING SERVICES: Supports children and youth living with co-occurring mental health and substance use conditions through integrated, developmentally appropriate, trauma-informed, and family-centered care. Within the employee's qualifications and scope, identifies observable substance use concerns, overdose risks, and changes in functioning; communicates concerns to the appropriate clinician
or supervisor; and assists with referrals and coordination of clinically necessary services.
Supports the team in the following activities:
a. Providing or linking clients to individual or group-based interventions that may include motivational
interviewing, 12-step approaches, Acceptance and Commitment Therapy, or other approved
approaches intended to increase understanding of problematic substance use behaviors.
b. Applying harm-reduction principles throughout the recovery process to help children, youth, and
families reduce the risks and adverse effects associated with substance use and its impact on
mental health.
c. Providing referrals and linkages to community substance use disorder resources and supports,
including age-appropriate self-help groups, outpatient and residential programs, detoxification
providers, and recovery-support services.
d. Supporting identification of and appropriate response to suspected opioid overdose, consistent with Agency procedures and the employee's training, and providing or facilitating linkage to medication- assisted treatment and other clinically necessary services for children and youth at highest risk of overdose.
8. EMPLOYMENT, VOLUNTEERING, COMMUNITY INVOLVEMENT, AND EDUCATION: Supports
children and youth in identifying and pursuing productive and meaningful roles based on their age,
developmental needs, abilities, interests, and preferences. Assists clients, as appropriate, with identifying
educational, vocational, competitive employment, volunteer, and community-involvement opportunities and
coordinates linkages to programs and resources that support progress toward their individualized goals.
9. SAFETY RESPONSIBILITIES: Supports and maintains a safe, hazard-free workplace and complies with
agency safety policies, OSHA requirements, established safety procedures, and applicable workplace
health and safety regulations. Promptly reports injuries, illnesses, hazards, unsafe conditions, or safety
incidents. Employee-related injuries or illnesses must be reported immediately to Human Resources, and
Nurse First Response (NFR) should be notified for assessment in accordance with agency procedures.
NFR is available 24/7/365 at (877) 246-8608.
10. TRANSITION PLANNING: Begins transition planning early and works with the CFT to identify readiness
indicators, sustainable resources, natural supports, and follow-up strategies. Prepares the child/youth and
parent/caregiver to manage their Plan of Care and support network following transition from services.

11. DOCUMENTATION, TECHNOLOGY, AND TIMELINESS: Completes accurate, timely, complete, and
clinically relevant documentation of services, interventions, client response, progress, care coordination,
risk and safety concerns, referrals, linkages, and follow-up in accordance with LACDMH, Medi-Cal,
contractual, FSP-HFW, and Agency standards. Demonstrates proficiency in the electronic health record
and Agency-approved platforms, including Greenspace, Eleos, iDashboards, and designated assessment,
certification, fidelity, or outcome systems, as applicable.
12. PRODUCTIVITY AND SERVICE EXPECTATIONS: Maintains assigned productivity, service,
scheduling, outreach, and documentation expectations while prioritizing client safety, timely access,
engagement, continuity, quality of care, and compliance with service requirements.
13. FIDELITY, QUALITY, AND COMPLIANCE: Provides services consistent with guidelines, California
High Fidelity Wraparound standards, Specialty Mental Health Services requirements, contractual
obligations, and Agency policies. Participates in fidelity reviews, case consultations, chart reviews, audits,
outcome monitoring, and quality-improvement activities.
14. SUPERVISION, TRAINING, AND TEAM PARTICIPATION: Participates actively and punctually in
required supervision, team meetings, case consultation, training, quality improvement, and program fidelity
activities. Seeks appropriate supervisory or clinical consultation for complex presentations, risk and safety
concerns, mandated reporting, ethical issues, service recommendations, and other matters outside the
employee's scope. Completes required agency, regulatory, and evidence-based practice training within
established timeframes.
15. OTHER DUTIES: Performs other duties consistent with the scope and responsibilities of the position
as assigned.

Position Requirements:
The Facilitator may qualify through a combination of education, relevant experience, knowledge, and
demonstrated competencies that prepare the individual to perform the role successfully.
● High school diploma or equivalent, Associate degree, bachelor's degree, master's degree, or a
combination of education and relevant experience that prepares the individual to perform the
responsibilities of the position.
● Must qualify as a Medi-Cal Specialty Mental Health Services (SMHS) provider.
● Completion of the Statewide Child and Family Team (CFT) Facilitation Training, accessible through
the Regional Training Academies, the UC Davis Resource Center for Family-Focused Practice
(RCFFP) or the California Child Welfare Training (CACWT).
● Valid California Driver's License, proof of automobile insurance, good driving record. Driving is an
essential function for the position.
● Relevant experience may include behavioral health, Wraparound, care coordination, case
management, family support, youth services, social services, education, child welfare, probation,
or community-based services.
● Demonstrated ability to provide care coordination and lead collaborative Child and Family Team
meetings.
● Ability to engage children/youth, families/caregivers, natural supports, service providers, and
representatives from multiple systems in a family-driven and youth-guided planning process.
● Knowledge of or ability to learn High Fidelity Wraparound principles, Full Service Partnership
services, trauma-informed care, Specialty Mental Health Services, and applicable documentation
requirements.
● Effective verbal, written, organizational, facilitation, conflict-resolution, problem-solving, and
interpersonal communication skills.
● Ability to work independently, manage multiple priorities, maintain accurate records, meet required
timelines, and respond appropriately to changing or urgent circumstances.
● Ability to provide culturally responsive services and work respectfully with children/youth and
families/caregivers from diverse backgrounds.
● Willingness and ability to complete required training, certification, coaching, and fidelity-monitoring
activities.
● Ability to provide services in office, home, school, and community-based settings and work a
flexible schedule based on program and family needs.

● Ability to successfully complete all Agency-required background checks, clearances, health
screenings, and employment requirements.
● If driving is an essential function, possession of a valid California driver's license, an acceptable
driving record, and automobile insurance that meets Agency requirements.

PREFERRED QUALIFICATIONS
● Experience providing Wraparound, intensive care coordination, behavioral health, case
management, or family-support services.
● Experience facilitating CFT or multidisciplinary team meetings.
● Experience supporting children/youth and families involved with multiple service systems.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodation may be made to
enable individuals with disabilities to perform the essential functions.
When performing the duties of this job, the employee must be able to:
● Remain in a stationary position for extended periods while completing documentation, participating
in meetings, or working at a computer.
● Move throughout agency offices, clinic locations, homes, schools, and community settings to
provide services and participate in meetings.
● Operate a computer and standard office equipment and communicate frequently in person, by
telephone, email, and virtual platforms.
● Occasionally move routine work materials and equipment weighing up to 20 pounds.
● Travel to client homes, schools, agency sites, community locations, trainings, and meetings as
required.

Work Environment:
The work environment is primarily an office, clinical, and remote or hybrid setting and may include
community-based locations when required by operational needs. The position may involve contact with
individuals experiencing significant behavioral health symptoms, psychiatric crises, or acute emotional
distress. Work schedules and in-office attendance are based on agency policy, department requirements,
and operational needs.