At Support House, we open doors, minds, and possibilities. We build opportunities, we inspire change, and we transform health care. We believe everyone deserves support.
Support House is directed by our core values. They guide our agency’s decisions and actions, unite our staff, define our brand, and inspire our culture. We connect by building meaningful relationships. We put people first by supporting them to direct their own path. We focus on holistic wellness. We foster engagement through designing housing, supports and the system together.
Support House offers supportive housing options, primary care, community outreach, peer support and building system capacity.
Diversity, Equity, and Inclusion
Support House is committed to leveraging diverse backgrounds, experiences, and perspectives of our employees in order to provide services to an equally diverse community and encourages applications from all qualified candidates.
The main purpose of this position
The Social Worker is a core clinical member of the Interdisciplinary Primary Care Team, providing clinical assessment, counselling, and therapeutic interventions to individuals experiencing complex barriers to health access, including homelessness, housing instability, mental health, and substance use.
This role delivers services through a combination of clinic-based care at the Burlington clinic (760 Brant Street) and community/outreach settings across Halton.
This role brings a strong clinical and therapeutic lens to care delivery, supporting integrated, client-directed care through trauma-informed, harm reduction, and equity-focused practice.
Working within a coordinated interdisciplinary team model, the Social Worker contributes to integrated care delivery that supports access, attachment, and continuity of care for clients.
The Social Worker provides clinical expertise to shared team workflows, supporting care coordination, system navigation, and service planning, particularly in complex or high-acuity situations.
Responsibilities
Clinical Care & Therapeutic Practice
- Provide comprehensive biopsychosocial assessments and clinical formulation
- Deliver short-term counselling and evidence-informed therapeutic interventions
- Provide crisis intervention, safety planning, and stabilization support
- Develop, implement, and monitor individualized treatment and recovery plans
- Facilitate psychotherapy (individual and/or group-based) where appropriate
- Support complex case consultation across the team, contributing a clinical lens to care planning
- Provide services in both clinic and community settings, supporting flexible, client-centered care delivery
Care Coordination & Interdisciplinary Collaboration
- Collaborate with interdisciplinary team members to support coordinated care, including referrals, follow-up, and continuity of care across services
- Work within shared team workflows to support client access, attachment, and engagement in care
- Participate in care coordination meetings, case conferences, and interdisciplinary planning
- Contribute to integrated care pathways across primary care, mental health, addictions, and housing services
- Promote a “no wrong door” approach to service access and delivery
- Support effective clinic flow and a positive, client-centered care experience
Clinical Support for Access & Navigation
- Provide clinical support to facilitate access to health, mental health, and community services, particularly for complex or high-acuity client needs
- Provide targeted system navigation support for complex cases
- Advocate for client access to health, housing, and social services
- Support clients in navigating complex systems and care pathways
- Contribute clinical insight to inform care planning, prioritization, and service coordination
Documentation, Data & Quality Practice
- Maintain accurate, timely, and clinically appropriate documentation within the Electronic Medical Record (EMR)
- Ensure adherence to documentation standards, confidentiality (PHIPA), and clinical quality practices
- Contribute to data integrity and standardized documentation across the IPCT
- Participate in quality improvement (QI) initiatives, audits, and program evaluation activities
- Identify trends, service gaps, and opportunities to strengthen care delivery
Community & System Engagement
- Build and maintain collaborative relationships with community partners, primary care providers, and system stakeholders
- Support continuity of care across organizational and system boundaries
- Participate in committees, networks, or system planning activities as appropriate
Professional Development Work
- Practice in alignment with OCSWSSW standards, ethics, and professional guidelines
- Engage in supervision, case consultation, and reflective practice
- Participate in ongoing learning related to trauma-informed care, harm reduction, and integrated primary care
- Apply anti-oppressive, equity-focused, and culturally responsive approaches in all work
Personal Development Work
- Engage in self-reflection and maintain professional boundaries
- Prioritize personal wellness and sustainability in practice
- Communicate support needs and participate in wellness strategies
- Utilize internal and external supports (e.g., EFAP) as needed
Knowledge and skills necessary to be successful in this role
- Master of Social Work (MSW), registered and in good standing with OCSWSSW
- Minimum 5 years’ experience working with individuals experiencing homelessness, mental health, and substance use concerns
- Strong expertise in trauma-informed care, harm reduction, Housing First, and crisis response
- Demonstrated experience providing clinical assessment, counselling, and treatment planning
- Experience working within interdisciplinary or integrated care teams
- Strong understanding of community health, primary care, and social service systems
- Ability to support both direct client care and team-based clinical consultation
- Experience with EMR systems (PS Suite) and clinical documentation
- Strong communication, collaboration, and relationship-building skills
- Ability to manage competing priorities in complex, mobile environments
- Knowledge of community resources and strong advocacy skills
- Valid driver’s license and access to a vehicle
- First Aid, CPR, Naloxone, and ASIST training (asset)
Working conditions
- Full-time position (37.5 hours per week), with flexibility required based on program needs
- Primary work location is the Burlington clinic (760 Brant Street), with regular community-based and outreach work across Halton
- Work is conducted in both clinical and community settings within a brick-and-mortar and mobile, interdisciplinary care model
- Occasional evening or weekend work may be required to support program and client needs
- Regular travel is required; a valid driver's license and access to a vehicle is essential
- Support House prioritizes flexibility, collaboration, and work-life balance
Pay: From $82,000.00 per year
Benefits:
- Casual dress
- Company events
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Flexible schedule
- Life insurance
- Mileage reimbursement
- On-site parking
- Paid time off
- RRSP match
- Vision care
Work Location: In person
