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Placer County Human Resources Department
#2024-14465-01


Supplemental Questionnaire

Last Name First Name
 

 

Client Services Practitioner - Senior

(Senior Social Worker/Senior Clinician)

Supplemental Questionnaire

2024-14465-01

This is the supplemental questionnaire for the Client Services Practitioner - Senior classification. Sections I, II, and III are not scored but will be available to hiring authorities for interview and selection determination. Section IV will be scored based on your checked responses. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority.

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.

NOTE: Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


 

I have read and understood the above information.


 

SECTION I: MINIMUM QUALIFICATIONS AND POSITION REQUIREMENTS (NOT SCORED)

This section will not be scored or used for determining minimum qualifications but is provided to the applicant for informational purposes prior to completing the questionnaire. Applicants are required to demonstrate how they meet the minimum qualifications for this position on their application.


1.

As a Senior Client Services Practitioner, you may need to work weekend and evening shifts as needs of program and/or clients require. Do you have the ability to work weekend and evening shifts?

Yes No
2.

Do you possess three years of responsible experience performing duties similar to a Client Services Practitioner in Placer County with at least one year of qualifying experience at the journey level?

Yes No
 

If you answered yes, please describe your experience below.

3.

Do you possess a master's degree from an accredited college or university with major course work in social work, psychology, or counseling, which meets the eligibility requirements for licensure as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT) or Licensed Professional Clinical Counselor (LPCC) by the State Board of Behavioral Science Examiners? Note: Possession of a license is not mandatory to be qualified for this recruitment.

Yes No

 

SECTION II: SPECIALIZED SKILLS, EXPERIENCE, AND/OR LICENSURE (NOT SCORED)

Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment.

Note: Applicants indicating "Yes" to being bilingual may be required to demonstrate their proficiency via participating in a Placer County administered Language Skills Examination as part of the selection process. Upon successful completion of a foreign language proficiency exam, an additional 5% bilingual pay will be paid to employees who use a second language on a regular basis in the normal course of business.



 

BILINGUAL:


1.

Are you fluent in any languages other than English?

Yes No
 

If you selected yes above, please list the language(s) you are fluent in below. If you are not fluent in any other languages, please enter "N/A."


 

NATIVE AMERICAN:


2.

Are you interested in working with Native American families as part of a Native Service Team?

Yes No
3.

What special skills, education, or experience do you have working with Native Families? If you do not have experience, please enter "No experience."

4.

What experience do you have working with community partners and/or cultural brokers? If you do not have experience, please enter "No experience."


 

LICENSE/REGISTRATION:


5.

Do you possess licensure as a Licensed Clinical Social Worker (LCSW), Licensed Marriage Family Therapist (LMFT), or Licensed Professional Clinical Counselor (LPCC) by the State of California Board of Behavioral Science Examiners? Note: Possession of a license is not mandatory to be qualified for this recruitment.

Yes No
 

If you answered yes, please provide your California Board of Behavioral Science license number.

6.

If you do not possess licensure, are you currently registered by the California Board of Behavioral Sciences as an Associate Marriage and Family Therapist (AMFT), Associate Clinical Social Worker (ACSW), or Associate Professional Clinical Counselor (APCC)? Note: Registration is not mandatory to be qualified for this recruitment.

Yes No
 

If you answered yes, please provide your California Board of Behavioral Science license number.


 

SECTION III: ASSIGNMENT PREFERENCE (NOT SCORED)

Please mark "Yes" or "No" to specify which program(s) in Health and Human Services you are interested in being assigned to:



 

ADULT SYSTEM OF CARE (ASOC):


1.

Adult Protective Services (APS) - A 24-hour program mandated by the State that investigates allegations of harm to seniors and dependent adults who are reported to be endangered by physical, sexual, and financial abuse, isolation, neglect or self-neglect.

Yes No
2.

Mental Health Services - ASOC partners with other agencies to provide a variety of needs-based services including: assessments, mental health clinical and support services, mental health crisis response, housing assistance, peer support, and psychiatric medication services. Supervisory specialty areas include crisis services, housing, and consumer development.

Yes No
3.

Substance Use Services - ASOC offers screening clinics in-person and via telehealth, performing American Society of Addiction Medicine (ASAM) screenings and providing recommendations for clinically indicated levels of care.  In addition to substance use treatment recommendations and linkage, general case management support is provided to address a variety of needs including housing, medical care, and mental health.

Yes No
4.

Enhanced Care Management - Intensive case management for individuals experiencing homelessness and/or serious mental illness or substance use disorders to help coordinate their health care and other needed services.

Yes No

 

CHILDREN'S SYSTEM OF CARE (CSOC):


5.

Child Welfare Services - Investigations, assessments, and services to children and their families who are at risk of or have suffered from abuse or neglect. This includes intake, assessment, family maintenance/reunification, approval of caretakers for youth, and support/coaching for families in crisis.

Yes No
6.

Mental Health Services - Programs to provide crisis response, case management and/or intensive in-home support services to families in Placer County. Services are provided to support the mental health and well-being of children who are at risk of out-of-home placement or who require more intensive mental health services. Senior Client Service Practitioners ensure that families receive needed and required services while also taking a leadership role with staff.

Yes No
7.

Please check the boxes that correspond with the population(s) you are interested in being assigned to:

Children / Adolescent
Transition Age Youth
Adult
Older Adult

 

SECTION IV: TRAINING AND EXPERIENCE EXAMINATION (SCORED)

This section of the supplemental questionnaire will serve as the examination for this recruitment and will be scored using a pre-determined formula, based on applicants’ checked responses.  Scores from this evaluation will determine applicant ranking and placement on the eligible list.

Instructions: For each item, please select the option that best corresponds with your relevant training and/or experience. Please thoroughly and accurately complete all text boxes. Responses may be used as a non-scored writing sample for the hiring authority.


1.

Describe your experience developing and implementing community-based programs in treatment and social services.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
2.

Describe your experience coordinating assigned program activities with other County divisions as well as departments and outside agencies as appropriate.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
2a.

If you indicated experience, please describe below. If you do not have any experience, please enter "No experience."

3.

Describe your experience performing case management duties including investigation, treatment plan monitoring, advocacy, referral and linkage to other services and crisis intervention.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
3a.

If you indicated experience, please describe below. If you do not have any experience, please enter "No experience."

4.

Describe your experience in social work as related to providing mental health, substance abuse services and treatment, child and adult protective services, and multi-disciplinary approaches to treatment.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
4a.

If you indicated experience, please describe below. If you do not have any experience, please enter "No experience."

5.

Describe your experience with legal and regulatory issues related to the operation and delivery of client services to individuals and groups of all ages and special needs.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
6.

Describe your experience performing clinical diagnoses of emotional and mental disturbances and normal/abnormal emotional and mental development to include growth, development, and living relationships.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
7.

Describe your experience conducting and implementing psychosocial, family, individual/group therapy, counseling treatments, and prevention strategies.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
8.

Do you have experience with the following types of assessments (check all that apply):

BPS (Biopsychosocial Assessment)
ASAM (American Society of Addiction Medicine)
BQUIP (Brief Questionnaire for Initial Placement)
SDM (Structured Decision Making)
CSE-IT (Commercial Sexual Exploitation-Identification Tool)
CANS (Child and Adolescent Needs and Strengths)
8a.

If you said yes to any of the above, please describe your experience. If you have experience with any other type of assessment, please also describe below.

9.

Describe your experience providing crisis intervention and conflict resolution to clients, including management of assaultive behavior, principles of social work, and risk and safety assessments.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
9a.

If you indicated experience, please describe below. If you do not have any experience, please enter "No experience."

10.

Describe your experience coordinating and monitoring program activities to ensure compliance with program requirements.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.

 

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