Clinical Division Reorganization and Youth Program Integration Summary

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This reorganization aims to build capacity, create community partnerships, and foster innovative clinical practices within I/DD service delivery. It includes integrating programmatic oversight, developing a culture of learning, and optimizing communication and collaboration. Key changes involve appointing new roles and refining clinical assignments within the residential department to enhance service provision across various programs.


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  1. Clinical Division Reorganization and Youth Program Integration March 2023 1

  2. Objectives of Clinical Reorganization and Integration 1. Build the capacity of the Clinical Leadership Team to serve agency-wide and create community partnerships to develop and disseminate mission-led, innovative clinical practices within the field of I/DD service delivery. 2. Continue the integration work started in 2021 between the residential and school programs by developing programmatic oversight of direct clinical providers to improve communication, collaboration, and implementation of clinical services across milieu settings. 3. Create a culture of curiosity and learning at The Guild by developing, coordinating, and conducting a variety of meaningful learning opportunities for Guild employees, stakeholders, community members, and professionals serving individuals with I/DD. 2

  3. Reorganization Summary Utilize the strengths and professional training of advanced clinicians and current Clinical Directors and form a Clinical Advisory Group to serve agency-wide. Integrate the programmatic management of direct service providers under the Director of Residential Services and the Director of Special Education. Develop a Family Services Department to promote communication and collaboration with parents and guardians and to engage families through program participation. 3

  4. Changes to Clinical Division Existing New Chief Clinical Officer Director of Admissions and Family Services Clinical Advisory Team Family Engagement Counselors Clinical Advisor Mental Health Clinical Advisor ABA Admissions Manager Transition Specialist Clinical Advisor Related Services Psychologist Admissions Specialist/Clerk Clinical Consultation to Adult/Youth Program leadership Direct Clinical Supervision of Providers Assessment Services and Crisis Supports as needed 4

  5. UPDATED Clinical Assignments within Residential Department Chief Education Officer Director of Youth Residential Services Res. Support Specialists (2) Associate Director of Clinical Services Associate Director of Youth Res Associate Director of Youth Res Associate Director of Youth Res Overnight Supervisor Weekend Supervisor Clinical Case Manager Cedar, Sassafras, Mulberry Clinical Case Manager Dogwood, Chestnut, Walnut Clinical Case Manager Willow, Pine, Maple Program Managers 3 residences Program Managers 3 residences Program Managers 3 residences Wknd. BCBA Asst. OVN (3) Student Services Manager BCBA BCBA BCBA OT OT SLP SLP SLP OT Counselor Counselor Counselor 5

  6. UPDATED Clinical Assignments within Education Department Chief Education Officer Director of Special Education Associate Director of Education Cohort A Associate Director of Education Cohort B Associate Director of Education Cohort C Associate Director of Educational Operations Associate Director of Clinical Services Manager of Vocational Services Contracted Services Classroom Teachers Classroom Teachers Classroom Teachers Manager of APE Lead TA Clinical Lead Clinical Lead Vocational Teacher BCBA BCBA APE Teachers Rec Therapists Rec Assistants OT OT Job Coaches Afterschool Program Internal/External Job Sites SLP/A SLP/A Counselor Counselor 6

  7. Clinical Advisory Support to the Program Division Chief Program Officer Receiving clinical consultation from members of the Clinical Advisory Team Director of Adult Clinical Services Director of Residential Services Director of Health Services Associate Director of Residential Services (Cluster A) Adult Program Clinicians (2) Adult Health Services Team Associate Director of Residential Services (Cluster B) Youth Health Services Team Associate Director of Residential Services (Cluster C) Consulting MD s 7

  8. Clinical Advisory Group A group of experienced, multi-disciplinary clinicians that provide clinical leadership to all areas of The Guild regarding clinical decision-making and mission-led program development. Members of this team have extensive experience serving individuals with I/DD and related disorders along with advanced training, certification, and licensure in the clinical and related services disciplines. The Clinical Advisory Team serves The Guild by: Championing projects to strengthen clinical programming and inspire innovative practices grounded in program frameworks, strategic planning, and evidence-based practices. Creating a culture of curiosity and learning by teaching, training, researching and publishing in their areas of clinical practice. Providing high-quality clinical supervision, case conferencing, and peer review for a multi-disciplinary team of clinicians working with individuals across Guild program areas and settings. C Providing consultative support to program leadership teams regarding the implementation of clinical frameworks and practices 8

  9. Reorganization Summary - Revisited Clinical Advisory Group Clinical advisors will build relationships and CONNECT with community resources and partnerships in new ways to advance the agencies mission The focus of Advisory Group projects over the first year of implementation will prioritize CULTIVATING program practices that enhance Quality of Life and shared family experiences. Programmatic management of direct service providers INTEGRATE clinical supports into ALL Guild settings in meaningful and effective ways Family Services Department Invite and INTEGRATE new residents, families,homes, and staff into The Guild s programming CULTIVATEquality of life through consistent engagement 9

  10. Clinical Division Reorganization and Youth Program Integration March 2023 10

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