Social Worker (MSW), Assertive Community Treatment (ACT) - Burnaby

City Burnaby
Job ID 2023-45455
Health Science Professionals (Allied Health) - Social Work / Counselling / Education
Employment Type
Full Time
Scheduled Start & Stop Times
0830-1630 or 0830-2030 (Monday to Friday); 1000-1800 ( Saturday & Sunday )
Days Off
Mental Health & Substance Use Services
Salary at Time of Posting
$41.04 - $51.27 / hour

Salary range

The salary range for this position is CAD $41.04 - $51.27 / hour

Why Fraser Health?

Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.


Our team of nearly 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more.


Come work with us!


Fraser Health is proudly recognized as a BC Top Employer. Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.


Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions.


Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.


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Detailed Overview

Under direction of the Care Coordinator, provides clinical social work counselling services to clients and families with serious, persistent mental illness and substance use in the clinical specialty area within the Assertive Community Treatment (ACT) program. Conducts comprehensive social work and psychosocial assessments of clients with mental illness and substance misuse/dependence using a variety of modalities and in accordance with professional standards and clinical policies and practices. Educates and provides support and consultation to clients, families, and healthcare professionals. As a member of an integrated, interdisciplinary team, takes a key role in discharge planning and ensuring optimal continuity of care through activities such as liaison, referral, advocacy, coordination, brokerage, and pre-placement visits. Develops, coordinates, and delivers in-services, presentations, psycho-educational and support groups. Initiates, develops and carries out research activities in collaboration with the interdisciplinary team.


  1. Provides comprehensive therapeutic clinical counseling services to clients with mental illness and their families, community supports, and interdisciplinary treatment teams to coordinate services, manage cases, and facilitate meetings.
  2. Conducts comprehensive social work and psychosocial assessments of clients with mental illness and substance misuse/dependence, and families by interviewing the client and/or family, obtaining relevant information, gathering social data regarding the client and/or family and interpreting the data using a variety of modalities, in accordance with professional standards and clinical policies and practices.
  3. Educates and provides consultation and support to clients, families, and healthcare professionals on issues related to high risk factors, recovery and current community practice in the field of mental health, child protection, adaptation to illness and disability, protection of vulnerable adults, chemical dependency, community living and support services.
  4. Maintains client records by documenting client assessments, charting client information, preparing progress notes and reports in accordance with established standards, policies and procedures to meet regulatory requirements and documenting for future reference.
  5. Arranges meetings to develop and coordinate care plans and community services for clients requiring facility placement and/or community support and collaborates with hospital and community services from a social work perspective to determine appropriate levels of care and the effective utilizations of client resources.
  6. Communicates/collaborates with mental health and related community service agencies and family physicians by collaborating in the assessment and management of individuals at risk, making referrals to appropriate resources when longer term treatment of follow up is required and exchanging relevant information. Provides formal liaison service to the Mental Health Centre by attendance at weekly rounds.
  7. Acts as resource to clients and their families by providing information for clients and families regarding community, resources and access to these resources, suggesting contacts to facilitate optimal planning, arranging referrals, and facilitating the development of community resources to strengthen families.
  8. Participates as a member of the mental health program and local committees and planning bodies by engaging in program/practice evaluation, identifying opportunities for change, assessing available resources, initiating solutions, analyzing outcomes and identifying areas for improved efficiency and effectiveness in service delivery to enhance patient care services and reduce service gaps in the community.
  9. Maintains a variety of records such as workload statistics by recording information into approved formats, collating data, analyzing trends, accounting for variances, and preparing reports as required.
  10. Develops, coordinates, and delivers in-services, presentations, psycho-educational and support groups and/or training related to mental health by collaborating with members of the interdisciplinary team, determining relevant content and required audiovisual/handouts aids, conducting literature searches, and planning and coordinating seminars.
  11. Initiates, develops and carries out research activities and program planning and development relevant to the needs of the client, families, hospital and community in collaboration with the interdisciplinary team by identifying current trends/gaps in literature and writing research proposals. Follows through with research methodology, disseminates research findings, and ensures clinical practices and protocols are consistent with research findings.
  12. Maintains current knowledge in Social Work practice in the mental health fields by reviewing literature in the assigned clinical specialty area, consulting with clinical and community experts within the field, evaluating practice, and participating in professional development activities in order to improve care through new practices.
  13. Performs other related duties as assigned.


Education and Experience

Masters Degree in Social Work (MSW) from an accredited school of Social Work. Two (2) years' recent, related experience in a mental health treatment setting or an equivalent combination of education, training, and experience. Current full registration with the BC College of Social Workers. Valid Class 5 BC driver's license with access to personal vehicle for business purposes.

Skills and Abilities

  • Comprehensive knowledge and understanding of emotional issues related to mental illness and addictions and client and family cultural dynamics.
  • Comprehensive counseling skills including crisis counseling, brief therapeutic interventions and group work applicable to clients and families.
  • Demonstrated ability to organize and prioritize workload in a complex environment.
  • Ability to educate and provide consultation to clients, families and healthcare professionals.
  • Ability to provide leadership to the interdisciplinary team in care planning for the effective utilization of client resources.
  • Ability to make effective referrals, reflecting in-depth knowledge of community resources and strong collaborative skills in working with community health and social agency personnel.
  • Ability to work effectively with others, including working effectively in a multicultural environment, independently, and as part of an integrated interdisciplinary team.
  • Demonstrated ability to communicate effectively both verbally and in writing with clients, families and staff and community agency personnel.
  • Ability to develop, coordinate and deliver in-services, presentations, psychoeducational and support groups.
  • Ability to initiate, develop and carry out research activities.


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