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Placer County Human Resources Department
#2017-14464-01


Supplemental Questionnaire

Last Name First Name
 

 

CLIENT SERVICES PRACTITIONER - II

Supplemental Questionnaire

The following supplemental questionnaire is the examination for this recruitment and will be used to determine your examination score.  Note: The supplemental questionnaire and the application are administered as two separate documents.  The supplemental questionnaire is the only item used to determine your examination score which will, in turn, determine your ranking and placement on the eligible list. 

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.



 

Part I: Minimum Qualifications (Not Scored)


 

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 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? If no, you are encouraged to review the job posting and the minimum qualifications for this position. *Note* Possession of a license is not mandatory to be qualified for this recruitment.

Yes No
 

If you answered "no," when do you anticipate receiving the required degree?

(Note: 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 must be obtained by date of appointment.)

 

Do you possess two years of responsible casework or clinical experience performing duties similar to a Client Services Practitioner I with Placer County.

Yes No
 

If you answered yes, please describe your experience below.


 

Part II: Assignment Preference (Not Scored)

Client Services Practitioners perform a broad spectrum of duties ranging from providing direct services/case management support to those faced with difficult situations, emotional stresses, or significant change in their lives to clinically diagnosing emotional, behavioral or mental health disorders in individuals.  Not only do Client Services Practitioners assist individuals to cope with the situation at hand, they advocate for them and seek out valuable resources and other means of support for the affected person(s).  Assignments with Placer County vary in terms of the nature of professional services provided and the population served.

Please select the service areas in which you possess interest and/or experience in:


 

PROFESSIONAL SERVICES

Direct/Case Management Services

Direct/Case Management service assignments have a strong focus on client and system strengths and the development of self-care skills that go beyond the disease and symptom focus of a diagnosis.  The overall focus of direct services and case worker assignments is built on the bio-psychosocial model which uses a “person-in environment” perspective to assess strengths and challenges within a systems framework and may incorporate therapy, public or private organizations, case management, administration, and more.  Many times work will involve counseling and helping clients with whatever issues they may be having. This can range from working with individuals to secure a new job, to coordinating rehabilitation programs, and more.  Typically these assignments do not require licensure.

Yes No
 

Clinical/Therapeutic Services

Clinical/Therapeutic Service assignments address individual and family problems such as serious illness, substance abuse, and domestic conflict.  The majority of work will be done in a clinical setting and typically encompasses psychotherapy, formal counseling, skill development, psycho-educational, and more.  Some clinical/therapy assignments may require licensure.

Yes No
 

Service Focus

Child Welfare Services
Mental Health
Substance Use Disorders
Homeless Services
Employment
Older Adult Services
Public Health
Whole Person Care (physical health, behavioral health, and social services)
Emergency After-Hours/Child Protective Services Response
Co-Occurring Diagnosis
Criminogenic/Forensic
Perinatal
Wraparound (Children Services)
Adoptions/Permanency (Children Services)
 

Age of Population Served

Children/Adolescent
Transition Age Youth (17 years to 23 years of age)
Adult
Older Adult
 

Part III: Specialized Skills, Experience, and/or Licensure (Not scored)

Bilingual

Are you English/Spanish Bilingual? (Applicants who check "Yes" will be required to pass a Spanish Bilingual Language Skills Examination prior to being certified as Spanish Bilingual.)

Yes No
 

Are you English/Russian Bilingual? (Applicants who check "Yes" will be required to pass a Russian Bilingual Language Skills Examination prior to being certified as Russian Bilingual.)

Yes No
 

Native American

Are you interested in working with a Native American caseload?

Yes No
 

Native American

Do you have experience working with a Native American population?

Yes No
 

License/Certification

Do you possess licensure as a Licensed Clinical Social Worker (LCSW) or Licensed Marriage Family Therapist (LMFT) 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 registration number.


 

Part IV - Training and Experience (Scored)

Applicants' checked responses to questions in Part IV will be scored using a pre-determined formula and will determine applicant ranking and placement on the eligible list.  Narrative responses provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority and may be utilized for interview and selection determinations.

Please check all that apply:


1.

I have worked and/or completed an internship as part of my educational program in the following areas:

Counseling
Adult protective services
Child protective services
Children's mental health
Medical social work
Family services
Community organization
Social research
Substance use disorders
Severely & persistently mentally ill
Forensic mental illness (Criminal Justice)
Other related areas
 

Please describe below any work experience, internship/education, and/or certification you have in the area(s) checked:

2.

Developing and administering long or short term treatment plans with the goal of improving or restoring individual or family functioning which may determine appropriate method of treatment-intervention, including program modification:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

3.

Participating in and/or conducting comprehensive individual and/or family psychosocial assessments for problem identification and diagnosis:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

4.

Preparing and presenting clinical and/or case management documentation for review by multi-disciplinary team:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

5.

Investigating, intervening and providing a variety of professional services to clients in circumstances in which the client’s physical or emotional welfare is involved, including cases of neglect, emotional/behavioral problems, physical/mental disabilities, or other conditions that may adversely affect the client:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

6.

Performing case management duties including treatment plan monitoring, advocacy, referral and linkage to other needed services and crisis interventions:

I have none or a very limited amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

7.

Conducting field visits and/or transporting clients in a service provider or public agency role:

I have none or a very limited amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

8.

Partnering with contract providers and community service agencies to ensure treatment plan and client needs are being met in a successful manner:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

9.

Analyzing and applying principles and practices of social work as related to providing mental health, substance use disorders and child welfare services and treatment, and the multi-disciplinary approach to treatment:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:

10.

Identifying and interpreting legal and regulatory issues related to the operation and delivery of a variety of client services to individuals as groups of all ages and special needs:

I have none or a very little amount of experience performing this task.
I have been trained with 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.
 

If you indicated experience performing this task, please describe below:


 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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 Be sure to select the "Submit" button once the application has been completed. You will receive an email confirmation that the application has been submitted. A notice of your status will be sent to you after the posted final filing date.