CBHI Therapeutic Training and Support (TT&S) Specialist

Job Description

Job Description

LATINO COUNSELING CENTER, INC.

CBHI THERAPEUTIC TRAINING & SUPPORT (TT&S) SPECIALIST

Strengthened Job Description & Documentation Standards

Department

Children's Behavioral Health Initiative (CBHI) – In-Home Therapy (IHT)

Position

Therapeutic Training & Support (TT&S) Specialist

Classification

Paraprofessional / Bachelor's-Level Eligible Role

Reports To

Assigned IHT Clinician / Clinical Supervisor / Program Director

Work Setting

Home, school, community, and other natural environments as clinically appropriate

Schedule

Flexible based on family need; evening/community availability may be required

On-Call

Participation as assigned under LCC's IHT on-call structure

1. ORGANIZATIONAL OVERVIEW

Latino Counseling Center, Inc. (LCC) is a bilingual and culturally responsive behavioral-health organization serving children, youth, adults, and families. LCC is committed to safe, confidential, family-centered, clinically appropriate, and compliant services.

2. POSITION PURPOSE

The Therapeutic Training & Support (TT&S) Specialist is a qualified paraprofessional member of the In-Home Therapy (IHT) team. TT&S works under the supervision and clinical direction of the assigned IHT Clinician and supports implementation of the clinician's treatment plan.

TT&S does not independently diagnose, determine medical necessity, establish the treatment plan, provide independent psychotherapy, or function as the clinical decision-maker. The role is to help the youth and family practice and generalize the therapeutic skills, routines, coping strategies, communication methods, behavioral supports, and family interventions identified by the IHT Clinician.

CORE CBHI ROLE: TT&S SUPPORTS THE IHT CLINICIAN'S TREATMENT PLAN. THE TT&S SPECIALIST TEACHES, MODELS, PRACTICES, REINFORCES, AND REPORTS ON SKILL DEVELOPMENT WITH THE YOUTH AND FAMILY; THE TT&S SPECIALIST DOES NOT REPLACE THE IHT CLINICIAN.

3. CBHI PRACTICE EXPECTATIONS

• Provide strength-based, youth- and family-centered services in natural environments.

• Work as part of the IHT team and maintain frequent communication with the assigned IHT Clinician.

• Implement only interventions and objectives that are consistent with the current treatment plan and clinical direction.

• Teach youth to identify, understand, manage, and regulate feelings and emotional responses.

• Coach parents/caregivers in supporting the youth's emotional, behavioral, and mental-health needs.

• Model and rehearse coping skills, problem-solving, communication, limit-setting, routines, emotional-regulation skills, and other treatment-plan interventions.

• Support use of natural and community supports and help the family generalize gains outside formal sessions.

• Participate in care coordination and team collaboration within the scope assigned by the IHT Clinician.

• Recognize and promptly escalate safety concerns, clinical changes, barriers to treatment, and concerns requiring clinician review.

• Practice culturally and linguistically responsive care and offer services in the family's preferred language when qualified/assigned.

4. TEN CORE PRACTICE ELEMENTS – EXPECTED FAMILIARITY

TT&S staff are expected to understand and apply the core elements of LCC's IHT practice model and the MassHealth-CBHI IHT Practice Profile as trained by LCC. These concepts should be observable in the employee's work, supervision, and documentation.

Practice Element

TT&S Expectation

Engagement

Build respectful, collaborative relationships with youth and caregivers.

Youth/Family Voice & Choice

Use family priorities, strengths, culture, language, and preferences in service delivery.

Assessment-Informed Practice

Understand the clinician's assessment, treatment targets, risks, strengths, and functional needs relevant to TT&S work.

Collaborative Treatment Planning

Know the current treatment-plan goals and implement only the TT&S objectives assigned within that plan.

Skill Building

Teach, model, practice, reinforce, and measure functional coping, communication, emotional-regulation, family, and behavioral skills.

Caregiver Capacity

Coach caregivers to use strategies independently and strengthen their ability to support the youth.

Risk Management / Safety

Recognize risk changes, follow the Safety Plan, and escalate urgent concerns immediately.

Team Collaboration / Care Coordination

Communicate with the IHT Clinician and authorized team members; avoid working in isolation.

Natural Supports / Sustainability

Help the family identify and strengthen supports that can continue after treatment.

Progress Monitoring & Transition

Track response to interventions, report progress/barriers to the clinician, and support planned transition/discharge.

5. ESSENTIAL JOB RESPONSIBILITIES

• Provide scheduled TT&S services to assigned youth and families in the home and community according to the current IHT treatment plan.

• Review treatment goals, TT&S objectives, Safety Plan, relevant clinical risks, and assigned interventions with the IHT Clinician before independently carrying out assigned TT&S activities.

• Use structured skill-building, coaching, modeling, rehearsal, role play, psychoeducation, and reinforcement consistent with the clinician's plan.

• Observe and report changes in youth/family functioning, barriers, strengths, new risks, progress, and response to interventions.

• Participate in case consultation, team meetings, clinical supervision, training, and case reviews.

• Maintain professional boundaries and remain within TT&S paraprofessional scope.

• Coordinate with the IHT Clinician before materially changing intervention focus or addressing a new clinical issue.

• Follow crisis/safety protocols and immediately notify the IHT Clinician/supervisor of urgent or significant concerns.

• Maintain required productivity while preserving documentation quality, medical necessity, authorization compliance, and client safety.

• Maintain confidentiality, HIPAA compliance, secure communication, and minimum-necessary access to PHI.

• Participate in QA, audits, corrective-action plans, retraining, competency validation, and re-audits when required.

6. DOCUMENTATION – REQUIRED LCC TIMELINES

Documentation is an essential job function. The following are LCC operational performance standards. If a payer, MassHealth/MCE requirement, contract, law, or approved program policy establishes a shorter deadline, the shorter controlling deadline applies.

Documentation / Action

LCC Deadline

Required Content / Standard