Occ. Code 8718200

SECURITY HOSPITAL TREATMENT ASSISTANT, GRADE 14

8718200

SECURITY HOSPITAL SENIOR TREATMENT ASSISTANT, GRADE 16

8718300

SECURITY HOSPITAL SUPERVISING TREATMENT ASSISTANT, GRADE 20

8718400

SECURITY HOSPITAL TREATMENT CHIEF, M-1

8718700

 

New York State Department of Civil Service

 

Classification Standard

 

BRIEF DESCRIPTION OF CLASS SERIES

         

Positions in the Security Hospital Treatment Assistant (SHTA) series perform a wide variety of tasks related to the care, engagement, treatment, education, socialization, habilitation, recovery/healing, support, safety, security and custody of adults diagnosed with a mental illness in forensic hospitals and units operated by the Office of Mental Health (OMH).  Patients include felony defendants found unfit to stand trial, defendants found Not Responsible for Criminal Conduct due to Mental Disease or Defect, pre-trial detainees in local correctional facilities in need of inpatient care, inmates sentenced to State and local correctional facilities in need of inpatient care, and/or civil patients transferred to a forensic facility pursuant to Part 57 of the New York Codes, Rules and Regulations (NYCRR).  

 

DISTINGUISHING CHARACTERISTICS

 

          Security Hospital Treatment Assistantfull performance level.  Under the supervision of a Security Hospital Senior Treatment Assistant serves as the primary care giver to assigned patients and performs the full range of activities associated with the class. 

 

          Security Hospital Senior Treatment Assistant: lead worker and first-level supervisor. Leads, oversees, supervises, and coordinates the activities of four or more SHTAs in the performance of their assigned duties. 

 

          Security Hospital Supervising Treatment Assistant:  second-level supervisor; serves as a shift supervisor of all SHTAs and Security Hospital Senior Treatment Assistants assigned to the facility or area on an assigned shift.  May serve as the highest level SHTA staff for the forensic areas at a facility that does not exclusively serve forensic patients. 

 

          Security Hospital Treatment Chief:  overall manager of all SHTAs assigned to the facility, across all shifts. One position classified at each free-standing forensic hospital.


 

 

RELATED CLASSES

 

          Secure Care Treatment Aides 1 and 2 treat and care for patients in secure care treatment units of psychiatric and childrens psychiatric centers operated by OMH.  They provide a safe, secure stable environment within which these patients can be given the intensive care needed for stabilization and treatment.

 

          Mental Health Therapy Aides perform a wide variety of tasks related to the care, nurturing, treatment, education, socialization, habilitation, recovery/healing, and support of adults diagnosed with mental illness and children and adolescents with serious emotional disturbances.  Tasks focus on assisting recipients of mental health services to develop the skills needed to attain personal goals, live, be educated, work, and socialize successfully in a community environment.

 

          Mental Hygiene Therapy Assistants 1 and 2 lead and supervise Mental Health Therapy Aides in caring for a group of individuals diagnosed with mental illness in facilities, residential locations, and community settings of OMH.

 

ILLUSTRATIVE DUTIES

 

          Security Hospital Treatment Assistant

 

SHTAs are responsible for the care, engagement, treatment, education, socialization, habilitation, recovery/healing, support, safety, security, and custody of individuals diagnosed with mental illness in forensic hospitals and units operated by OMH.

 

·       Attend treatment team meetings and pre-shift briefings in order to assist in the development and implementation of patient treatment plans and to keep abreast of potential security threats on the unit.

 

·       Personally assist and/or instruct patients in attending to personal hygiene tasks such as grooming, nutrition, and daily living; bathe and groom patients unable to take care of personal hygiene needs independently, ensure sufficient and appropriate apparel is available, and feed or assist in feeding patients who require assistance.

 

·       Encourage patient participation in physical, recreational, social, educational, occupational, and vocational rehabilitation programs through positive therapeutic interactions. 

 

·       Escort forensic inpatients to appointments both within the facility and off grounds, including court appearances, appointments with treatment team members, bathroom visits, and all other movement which requires supervision. 

 

·       Intervene in response to mental health crises and emergency situations to protect the welfare of patients, staff, and others, following the direction of a Physician or Registered Nurse, utilizing verbal de-escalation techniques and the least physically restrictive means possible to restrain patients in the event that such measures are necessary, but as a last resort may employ physical force. 

 

·       Model appropriate behaviors and verbal skills by regularly engaging in interactions with patients.

 

·       Teach and promote positive behaviors and implement treatment goals through positive therapeutic interactions with patients.

 

·       Assist in providing a safe and therapeutic environment for patients and staff by maintaining count of patients; conducting silverware count and tray checks; searching the facility, unit, and patient rooms for contraband; conducting patient searches, as required; monitoring forensic inpatients phone usage and communication with visitors; and conducting rounds in order to identify and remediate potential safety hazards on the unit and inspect for cleanliness.

 

·       Participate in therapeutic activity groups or provide assistance to other treatment team members in conducting them.

 

·       Observe and report changes in patient behaviors and condition to appropriate treatment team members. 

 

·       Complete and maintain a variety of records, including patient progress notes,   patient movement sheets, Activities of Daily Living (ADL) sheets, assignment sheets, pre-shift briefing, and SHTA security sheets; complete patient movement sheets and daily report for next shift including information on patient restrictions, bathroom escort, 1:1, and constant supervision.

 

         

Security Hospital Senior Treatment Assistant

 

May perform any and all of the duties of a Security Hospital Treatment Assistant.

 

Serve as Lead and Working Supervisor of SHTA staff engaged in the treatment, care, and custody of patients.

 

·       Closely observe patient/SHTA interactions to ensure appropriateness in all areas of patient care and treatment

 

Participate in the development and implementation of individual treatment plans.

 

Train and instruct subordinate staff and others in effective patient-staff interactions and communication; therapeutic techniques, safety precautions, and emergency procedures.

 

Maintain order, safety, and security, and ensure the general well-being of patients in an assigned area and/or an assigned shift.

 

·       Observe and report safety/security breaches and potential problems.

·       Observe major movements or large congregations of patients to ensure the safety/security of patients and staff and prevent disruptions.

·       Ensure patient living areas are environmentally safe and in order; inspect equipment, initiate work orders and requests for furniture, equipment, and supplies.

·       Take direct charge of area security when patients engage in threatening or dangerous behavior.

·       Conduct initial investigation of incidents; assist with obtaining facts, and prepare written reports according to established protocols/guidelines.

 

May perform some of the duties of a Security Hospital Supervising Treatment Assistant (e.g., conducting pre-shift briefing, ensuring adequate coverage, maintaining records related to overtime, etc.) in the absence of a Security Hospital Supervising Treatment Assistant.

 

Security Hospital Supervising Treatment Assistant

 

Security Hospital Supervising Treatment Assistants are assigned administrative and shift supervisor duties for all Security Hospital Treatment Assistants assigned to a facility or unit on an assigned shift.  Incumbents are responsible for ensuring that a safe, secure, and therapeutic environment exists within forensic facilities or wards they serve.  As such they have regular contact with professional medical and clinical staff and serve as liaison to the treatment team. 

 

May perform any/all of the duties of a Security Hospital Senior Treatment Assistant or SHTA.

Direct Security Hospital Senior Treatment Assistants in the supervision of SHTAs.

      Ensure that staff is scheduled and assigned efficiently and effectively.

      Ensure all documentation is complete and accurate.

      Hold staff meetings to discuss issues related to patients and operational problems, and to review policies.

Conduct pre-shift briefings.

Ensure adequate coverage by SHTAs and Security Hospital Senior Treatment Assistants throughout the facility.

      Complete staffing rosters and assign staff according to facility and program needs

      Maintain mandatory and voluntary overtime records and prepare daily overtime lists for staff

Ensure a safe, secure, and therapeutic environment.

      Conduct rounds to all ward areas; ensuring that staff are at their appropriate posts and that all special observations, restraints, and seclusions are properly monitored.

      Respond to complaints of staff and patients.

      Collaborate with Nurse Administrator and Treatment Team Leaders as needed

      Attend rounds and meetings

Ensure rapid, safe evaluation of medical emergencies and the transportation of affected patients.

          Security Hospital Treatment Chief

 

Plan and direct the 24/7 therapeutic and custodial care program in stand-alone forensic hospitals operated by the Office of Mental Health.

 

May perform any/all of the duties of a Security Hospital Supervising Treatment Assistant.

 

Direct and oversee the participation of security hospital treatment staff in the treatment process.

 

      Communicate program modifications.

      Inform subordinates of individual patient progress or change and ensure that their contacts with the patient reflects these changes.

Formulate, develop, and implement facility rules, regulations, policies, and guidelines.

      Formulate policies and procedures to be used in emergency situations such as riots, fires, and assaults.

      Collaborate with medical personnel in the facility regarding the behaviors of individual patients and the medical and psychiatric needs of the patient population.

      Alert medical personnel and the Director of the facility of significant incidents; change in patients behaviors or attitudes; change in institutional climate; or potential issues affecting the care, treatment, and safety of patients and staff.

 

Perform the full-range of administrative, supervisory, and fiscal responsibilities for security hospital treatment services.

 

      Identify educational needs and direct training of subordinates

      Establish performance standards for treatment and secure care of patients

      Participate in hiring process of Security Hospital Treatment Assistant staff

      Conduct regular inspections of the facility on all shifts in order to assess operational effectiveness; identify deficiencies or areas requiring improvement; observe staff; and provide oversight of the overall safety and security of the facility in collaboration with the facilitys Chief Safety & Security Officer.

      Participate in interdisciplinary operational committees and collaborate with other discipline managers.

 

MINIMUM QUALIFICATIONS

 

          Security Hospital Treatment Assistant

 

Open competitive:  a high school diploma AND one year of direct patient care experience providing treatment to individuals diagnosed with mental illness or with emotional or social behavior problems in secure institutions.

 

          Security Hospital Senior Treatment Assistant

 

Promotion:  one year of service as a Security Hospital Treatment Assistant.

 

          Security Hospital Supervising Treatment Assistant

 

Promotion:  one year of service as a Security Hospital Senior Treatment Assistant.

 

          Security Hospital Treatment Chief

 

Promotion:  one year of service as a Security Hospital Supervising Treatment Assistant.

 

Revised:  2/17

 

NOTE: Classification Standards illustrate the nature, extent, and scope of duties and responsibilities of the classes they describe. Standards cannot and do not include all of the work that might be appropriately performed by a class. The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written. Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.