SPECIFIC TASKS, Duties include but are not limited to the following:

1. Conduct bio-psycho-social assessments utilizing clinical interview techniques, mental status 
examination, collection of history from collaborative sources, psychometric screening tools and 
psychological testing, laboratory and imaging studies, collaboration with other clinic staff and 
TRICARE referrals, as needed for the purpose of determining of an accurate Mental Health diagnosis 
and plan of treatment;

2. Develop, review and implement Treatment Plans for care of behavioral health conditions, 
providing appropriate follow-up care, discharge, and transfers to other health care facilities 
(psychiatric units, residential care, nursing homes, rehabilitation hospitals, MTFs, VA and 
civilian facilities) as indicated.

3. Treat outpatients in individual, group, couples, and family modalities as appropriate, 
exercising professional judgment and using a range of clinical skills to include psychotherapy 
(including Cognitive Behavioral Therapy and Psychodynamic approaches)recommendations for 
lifestyle/ behavioral change.

4, Make a health record entry for every patient utilizing a S.O.A.P. format in the Electronic 
Health Record in accordance with the Coast Guard Medical Manual;

5. To the greatest extent possible, ensure the fitness of active duty personnel for unrestricted 
worldwide duty and attempt to learn of any circumstances which might adversely affect a member's 
ability to safely and effectively carry out a mission.

6. Within HIPAA confidentiality guidelines. maintain open and professional communications with 
other Clinic Healthcare staff and Commands and provide consultation services regarding mental 
health issues, including diagnosis, condition, treatment plans, prognosis and fitness for duty 
status.

7. Provide appropriate and timely evaluation and management for urgent and emergent problems as 
they occur in addition to providing regularly scheduled appointments. Provide crisis intervention services, as needed.

8. Provide immediate notification to the Medical Department should a medical emergency occur and 
report the nature of the emergency to the Commanding Officer or their authorized representative, 
Inform the Senior Coast Guard Medical Officer of any patient exhibiting significant non-compliance 
with the prescribed treatment program.

9. Plan, develop and maintain referral and coordination services with other mental health resources 
and social service agencies to provide optimal patient care. Act as liaison with Work Life 
personnel, Substance Abuse Program Specialists. Chaplains. EAP providers, civilian TRICARE mental 
health providers, Department of Detense mental health providers and psychiatric hospitals to 
coordinate care as needed.

10. Make appropriate referrals to specialists utilizing appropriate resources as directed by the 
clinic administrator. TRICARE Network resources will be used when availability exists within the 
TRICARE access standards. Use of other military treatment facilities is encouraged when/where 
available.

11. Provide expert opinion related to Mental Health diagnoses, condition, prognosis and
applicable Coast Guard policy in Medical Board actions as required;

12. Prepare and submit appropriate documentation as specified in applicable Coast Guard regulations which may require input from a professional Mental Health provider such as 
recommendations for administrative separation judgment and mental state as related as to security 
clearances, mental competency determination for legal and administrative issues and 
pre/post-deployment Mental Health assessments.

13. Provide recommendations in writing to command regarding Duty status and duration,
for all active duty members under mental health care;

14. Participate in the Health Services Quality Improvement Program.

15. Share responsibility for developing and implementing psycho-educational programs training and 
referral resources which might improve the level of behavioral health and awareness within a 
defined community or area of responsibility.

16. As requested by the Chief of Health Services or the Clinic Administrator, provide inK service 
training on Mental Health related issues to clinic personnel and (at Petaluma only) to students in 
the Health Services School.

17. Monitor rates of mental health related behavior and resource utilization, such as psychiatric 
admissions, suicide behavior, family violence cases, substance abuse treatment, and DUl's.

18. In all aspects of care, follow applicable Coast Guard regulations, policies and directives.