Social Worker - Family Health Team Clinic - Regular Full-time 2025-15379

Position Summary:

As an integral member of our inter-disciplinary primary care team you will be providing Social Work services to out-patients of the Sunnybrook Academic Family Health Team.  

Key Qualifications:

• Master’s degree (MSW) required
• Current registration in good standing with the Ontario College of Social Workers and Social Service Workers
• Experience working in primary care and in the community
• Superior communication, problem-solving, time management, and documentation skills
• Self-motivated and demonstrated ability to manage a busy and varied caseload
• Experience using Electronic Medical Records (EMRs), Telus Practice Solutions in particular is an asset
• Knowledge of ODSP, OW, Ontario Housing, home care services, and drug access issues including Trillium, Ontario Drug benefits and pharmaceutical access card

Key Responsibilities:

• Assist with patient attachments to primary care services
• Ongoing collaboration with inter-disciplinary team members and community partners

• Provide comprehensive counseling / mental health interventions designed to address the mental health needs of patients within the context of primary care
• Help patients identify and use health resources, including those available in the community and from community agencies
• Demonstrate knowledge and skills in a variety of treatment modalities such as Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, and Mindfulness
• Act as an advocate for patients and their families
• Independently complete psychosocial assessments of patients and family members/caregivers (when appropriate)
• Provide evidence-based psychotherapeutic interventions guided by treatment plans that address and support patient/family concerns, strengths, and challenges
• Participate in clinical case conferences and communicate appropriate patient information within the circle of care
• Collaborate with inter-disciplinary team members to plan, implement, coordinate, and evaluate patient care in consultation with patients and families
• Involve patients/families/caregivers and inter-disciplinary team members in the development  and implementation of coordinated care plans
• Act as a resource to team members and assist with staff education re: Social Work services
• Maintain an organized appointment schedule
• Monitor and manage referrals
• Participate in quality improvement initiatives