GENERAL SUMMARY/ OVERVIEW STATEMENT: 

The Psychiatrist is an integral part of the HOPE Clinic, a co-located, multidisciplinary clinical program caring for pregnant, postpartum, and parenting people with substance use disorder (SUD), their partners, and their infants from conception of pregnancy through early childhood. The primary responsibility of the Psychiatrist is to provide compassionate behavioral health care to pregnant and postpartum people and partners as part of a collaborative care team with a recovery coach, social work, medical assistant, and obstetrical, addiction, psychiatric, family medicine and pediatric providers. The Psychiatrist develops, implements, and evaluates a program of specialized health care for the patients serviced including performing diagnostic evaluations and medication management. This position is part-time at 8 hours/week but could be paired with other opportunities in the MGH Psychiatry Department to make a part or full time position.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Assesses, diagnoses, and treats psychiatric concerns for adult pregnant and post-partum patients at the HOPE Clinic
• Provides outpatient pharmacotherapy for addiction in collaboration with addiction medicine provider, utilizing pharmacotherapies appropriate to clinical needs of the patient, including opioid antagonist or agonist therapy such as naltrexone, buprenorphine.
• Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines such as ordering and interpreting lab and diagnostic testing, prescribes medications and ordering therapeutic treatments.
• Will be responsible for follow-ups and ongoing contact with the patient (in-person, telehealth, or phone), as clinically indicated.
• Works with a multidisciplinary team of providers to provide expert consultation and to help devise an individualized plan for optimal medical and psychiatric treatment for individual patients and their families.
• Is willing and able to engage with patients across the spectrum of substance use disorders.
• Serves as a patient and family advocate and facilitates ethical and patient-centered decision making within the care teams.
• Collaborates with and develops strong, effective working relationships within MGH including psychiatric services (e.g.: APS, CL), addiction and medical services, obstetrics, as well as select primary care sites, agencies and community resources inside and outside of the hospital as relevant to develop and implement level of care needs for patients and to facilitate disposition solutions for patients and families.
• Documents in the medical record according to departmental policies and procedures.
• Adheres to federal and state policies and ensure appropriate releases are obtained to exchange and disclosure necessary patient information.
• Work with multidisciplinary team to improve clinic workflow and best practices.
• Available for urgent consultation and backup coverage for colleagues as determined by team
• Collaborate with the HOPE Clinic behavioral health team, including providing pager coverage and back up psychiatric coverage for other BH team members when needed, within established teach guidelines
• Work with, including directly precept, trainees who rotate in the HOPE Clinic
• Participates in weekly peer supervision with mental health colleagues (psychiatry, psych NP, social worker, recovery coach) and other team members as designed within the HOPE model (alternating weekly between individual and team peer supervision)
• Active participation in weekly multidisciplinary clinic rounds with appreciation for multiple view points, willing to think about family-safety (child and parent) in a nuanced way to promote health and safety

SKILLS/ABILITIES/COMPETENCIES REQUIRED:

• Understanding of/experience with supporting psychiatrically complex patients.
• Completes biopsychosocial and psychopharmacological evaluations
• Develops treatment plan based on assessment and provides appropriate treatment
• Maintains working relationship with patient and/or family while maintaining appropriate professional boundaries
• Maintains effective working relationships with collaborative leadership teams and interdisciplinary health care teams and appropriate community providers
• Documents in the medical record according to departmental policies and procedures

LICENSES, CERTIFICATIONS, and/or REGISTRATIONS:

• Current licensure as a Psychiatrist (BE /BC)
• Current federal and state-controlled substance certification/registration or eligibility.

EXPERIENCE:

• Experience in family medicine, maternal mental health and/or substance use disorders preferred.