Crisis Counselor

Job Summary

The Crisis Counselor provides clinical assessment, de-escalation, and crisis intervention services during mobile crisis encounters. This role holds primary responsibility for clinical decision-making on scene, including safety assessment, level of care determination, and clinical disposition. The Crisis Counselor partners with the Peer Support Specialist to deliver a comprehensive, recovery-oriented response that reduces psychiatric emergency department utilization and supports the individual's connection to appropriate community-based care.

Primary Role During a Crisis Response

• Leads the clinical component of the mobile crisis response.
• Conducts safety and mental status assessments.
• Determines the appropriate level of care and clinical disposition.
• Develops, reinforces, or updates safety plans and service plans collaboratively with the individual and involved supports.
• Applies evidence-based crisis intervention techniques to de-escalate acute psychiatric distress.
• Communicates clinical findings and disposition recommendations clearly to the individual, supports, and team members.
• Coordinates with emergency services, hospitals, law enforcement, and community providers as clinically indicated.

Core Responsibilities

• Clinical Assessment and Crisis Intervention:
  • Conduct comprehensive safety assessments, mental status evaluations, and risk assessments for individuals presenting in mental health or substance use crisis.
  • Determine the appropriate level of care and clinical disposition in accordance with program protocols and clinical standards.
  • Develop, reinforce, or update safety plans and service plans collaboratively with the individual and involved supports.
  • Apply evidence-based crisis intervention techniques to de-escalate acute psychiatric distress.
  • Communicate clinical findings and disposition recommendations clearly to the individual, supports, and team members.
  • Coordinate with emergency services, hospitals, law enforcement, and community providers as clinically indicated.
• Team Leadership on Scene:
  • Provide clinical direction to the Peer Support Specialist and other team members during the crisis encounter.
  • Delegate engagement, environmental stabilization, and linkage tasks to peer staff appropriately.
  • Ensure that the clinical integrity of the encounter is maintained throughout the response.
  • Debrief with team members following complex or high-acuity encounters.
  • Link individuals to appropriate behavioral health, substance use, medical, social service, housing, and community-based resources.
  • Facilitate warm handoffs to treatment providers, hospitals, and community partners.
  • Collaborate with Post-Crisis Care Specialists to ensure continuity of care following the acute encounter.
  • Coordinate with referral partners, law enforcement, schools, and community organizations as appropriate.
• Productivity and Direct Service:
  • Maintain assigned direct service expectations and productivity standards established by the organization.
  • Participate in all assigned shifts, crisis response deployments, and follow-up activities as scheduled.
• Documentation and Compliance:
  • Complete all required clinical documentation within established timelines and in accordance with agency, grant, regulatory, and accreditation requirements.
  • Maintain all required clinical credentials and licensure.
  • Adhere to all IDHS, HFS, CESSA, CARF, CCBHC, DBHR, organizational, and program-specific requirements.
• Training and Professional Development:
  • Complete required orientation activities.
  • Complete required agency training.
  • Complete crisis-specific training requirements.
  • Complete grant-required training activities.
  • Maintain required certifications and credentials.
  • Participate in ongoing professional development.
• Vehicle and Equipment Responsibilities:
  • Maintain agency vehicles, equipment, and supplies in accordance with organizational standards.
  • Report maintenance, safety, or equipment concerns promptly.
  • Ensure readiness for field response activities.
• Peer Services Integration:
  • Clinical staff are expected to work collaboratively with and support the integration of peer services throughout the crisis continuum.
  • This includes recognizing the value of lived experience, supporting peer staff in their roles, and fostering a team environment in which peer and clinical perspectives are equally respected.
• Culture and Professionalism:
  • Contribute to a culture of professionalism, accountability, collaboration, and respect.
  • Engage in constructive problem-solving.
  • Address conflict professionally and through appropriate channels.
  • Support a psychologically safe work environment.
  • Demonstrate teamwork and shared responsibility for program success.
• Community Representation:
  • All employees are expected to represent the Crisis Program and Trilogy Behavioral Healthcare professionally during community events, outreach activities, meetings, trainings, and all interactions with community partners.
• Quality Improvement:
  • All employees contribute to continuous quality improvement through participation in program development, data collection, performance improvement initiatives, audits, documentation standards, and service excellence activities appropriate to their role.

Accreditation, Certification, and Compliance

Trilogy Behavioral Healthcare operates within a CARF-accredited environment and maintains Certified Community Behavioral Health Clinic (CCBHC) standards. All employees are expected to support compliance with: CARF standards, CCBHC standards, DBHR requirements, HFS requirements, CESSA requirements, organizational policies and procedures, and applicable state and federal regulations.

Documentation Standards

All employees are responsible for completing documentation in accordance with agency, grant, regulatory, and accreditation requirements. Documentation must be completed within the assigned shift whenever possible and within 24 hours of service delivery unless otherwise approved by leadership.

Workflow Compliance

• Follow established intake procedures.
• Follow crisis response workflows.
• Follow documentation workflows.
• Follow communication protocols.
• Follow deployment and dispatch procedures.
• Follow organizational policies and operational procedures.

Training and Professional Development

• Complete required orientation activities.
• Complete required agency training.
• Complete crisis-specific training requirements.
• Complete grant-required training activities.
• Maintain required certifications and credentials.
• Participate in ongoing professional development.

Vehicle and Equipment Responsibilities

• Maintain agency vehicles, equipment, and supplies in accordance with organizational standards.
• Report maintenance, safety, or equipment concerns promptly.
• Ensure readiness for field response activities.

Peer Services Integration

• Clinical staff are expected to work collaboratively with and support the integration of peer services throughout the crisis continuum.
• This includes recognizing the value of lived experience, supporting peer staff in their roles, and fostering a team environment in which peer and clinical perspectives are equally respected.

Culture and Professionalism

• Contribute to a culture of professionalism, accountability, collaboration, and respect.
• Engage in constructive problem-solving.
• Address conflict professionally and through appropriate channels.
• Support a psychologically safe work environment.
• Demonstrate teamwork and shared responsibility for program success.

Community Representation

• All employees are expected to represent the Crisis Program and Trilogy Behavioral Healthcare professionally during community events, outreach activities, meetings, trainings, and all interactions with community partners.

Quality Improvement

• All employees contribute to continuous quality improvement through participation in program development, data collection, performance improvement initiatives, audits, documentation standards, and service excellence activities appropriate to their role.

Benefits

• FREE Virtual Primary Care, Urgent Care, and Mental Health Counseling for ALL Employees.
• PAID Maternity/Paternity leave.
• Medical Insurance (BCBS of IL).
• Dental Insurance.
• Vision Insurance.
• Life Insurance.
• Long-Term & Short-Term Disability.
• Pet Insurance.
• FSA (Health, Dependent Care, Transit).
• Telemedicine.
• EAP.
• 403(b) Retirement Plan with Employer Match.