Nursing Employment Opportunities

Thurston and Mason Counties, WA — Full and Part-time RN, Part-time LPN

The Telecare Thurston Mason Crisis Triage program is a secure, 10-bed evaluation and treatment center serving the community 24 hours a day, seven days a week. Telecare provides recovery-centered crisis treatment, including initial screening and assessment, onsite medical screening, stabilization services, medication management, and linkages to ongoing treatment services. The customer is currently Thurston Mason Behavioral Health Organization, which covers both counties.

Licensed Practical Nurse (LPN)
The Acute LPN provides services related to the safe and appropriate administration of medication as prescribed by the physician. The Acute LPN provides documentation to the treatment team of response to treatment and notifies all parties of clinical changes of condition, provides direct client support, and coordinates services to assigned clients using psychiatric rehabilitation principles and Telecare's recovery philosophy.

Acute Registered Nurse Supervisor (RNS)
The Registered Nurse Supervisor supervises and performs activities that are carried out by professional and paraprofessional nursing personnel using psychiatric rehabilitation concepts and Telecare's recovery philosophy. The
RNS is in charge of coordinating care provided on each shift and focuses on maintaining the highest quality possible
of services rendered.

Getting the Chance to Give Back to The Community

For many members in sub-acute facilities who are transitioning from state hospitals, reintegrating into the community can
be a daunting task. The Recovery Center at Woodburn (RCW) in Oregon offers its member’s the opportunity to empower themselves through activities like volunteering in their local community.

Sarah Lahey, a Rehab Therapist at RCW, has shared a story about the recent recovery success of RCW member
Alan S. below.




It began last spring when one of our residents, Alan S., came to me with a confession that he’d been keeping to himself for a while. Initially, Alan shared that he had been wanting to do something outside of the Telecare walls, something to help people, to give back in some way, or perhaps find something that could give his own life more meaning. We discussed the idea of volunteering and Alan really got excited when I mentioned volunteering at a local food bank. Almost in the same moment however, Alan's hopefulness seemed to fade, something else was bothering him.

Sarah Lahey, Rehab Therapist

Sarah Lahey, Rehab Therapist

After a little encouragement, Alan confessed that he was terrified of putting himself out there. "What if people want to know things about me," he asked. "What if they ask me questions about myself that I don’t want to answer? What if people find out about the things I have done? What if they judge me?" Alan confided this was not something he wanted to face, and in fact, has strategically avoided every day since being released from the state hospital. I had to confess too that I couldn’t protect him from what we did not know. However, I did promise that I would do everything in my power to help him find a place to volunteer where he would feel safe and respected. 

Amazingly the next day, Alan and I walked into the local food bank in Woodburn where we met Wilbur, the Supervisor for the Woodburn Food Dispensary. Right away Wilbur made a connection with Alan. He had good eye contact, a non-threatening demeanor, and made a few silly jokes, just enough to remind us he’s fallible. He said he desperately needed volunteers and asked when Alan could start. Even better than that: he required no resume!

Almost eight months later, Alan is now working three days a week, is recognized as a leader on the floor, and is often asked to be in charge of locking up at the end of the day. Along with two other residents, Oliver P., and Chris R., these individuals have developed quite a reputation for their willingness to do what it takes to keep our local food bank running!

When I asked Alan what he does at the food bank, he responded, "Whatever I can do. I unload trucks, I sort and shelve food, I wash floors, I help customers, and I help my co-workers. Basically I'm there to help with anything, and anything they want me to do, I’ll do." I asked him if he still feels afraid of people, or if anyone has ever asked about his life. He said, "No one cares cause we’re too busy! I still feel vulnerable, but I'm conquering my fears by keeping focused on my job. I work with all kinds of people, parolees, poor people, people who speak a different language, and I think: maybe they’re as scared as I am sometimes, so I just try to be kind."

What Alan has yet to be recognized for is the way he takes ownership of the place. From cleaning up the messes that others ignore, to restocking missing items without being asked, simply because, in his words, it gives him a great sense of satisfaction knowing it’s been done, that he gets the job done. 

When I checked in with Wilbur a few weeks back he said, "I sure like these Woodburn Recovery guys, they’re dependable, trustworthy, and respectful! Any chance you have any more guys for me?!"

LA Step Down Member Finds Success

Telecare's Los Angeles Step Down program offers services to members who are mentally incompetent to stand trial (MIST). The MIST program provides defendants direct linkage from the Los Angeles County Mental Health Court/ Department 95 to receive treatment in Telecare's Step Down program. For clients who are out of custody, the mental health court clinician goes into the community to see the clients and works with them on competency training and making sure they are linked mental health services.

Telecare LA Step Down has shared the success story of member Richard Davis.


Richard Davis, Graduate of Telecare LA STEP DOWN Program

Richard Davis, Graduate of Telecare LA STEP DOWN Program

Growing in Recovery

Richard Davis became a member of our program on December 23, 2015 when he was found incompetent to stand trial for a misdemeanor charge. After enrolling in our program, Richard initially presented himself as quiet, reserved, and withdrawn. Over time, he gradually began to open up and interact with his peers and the team. His love for the library where he could read books and access the internet was a significant source of support that helped him cope with his symptoms. After returning from the library, he would often share with the team what books he had read and tell the team how grateful he was for their assistance in locating a library close by.

Another sign of Richard's recovery and growth was his participation in groups where he would share with other members what his symptoms were and what he was doing to keep them from interfering with what he found enjoyable in life. Richard frequently reached out to others in the program and provided encouragement and support. "I'm in a better place now and happy where I'm at because of what the Step Down program has helped me with," he said.

Richard's positive attitude and willingness to utilize the various resources the program provided to him helped facilitate
his growth and recovery. After being in the program for less than seven months, Richard indicated that he felt ready to be referred to an adult Full Service Partnership (FSP) program after his final appearance in mental health court on
October 19, 2016.

Sharing Insight to Receiving Services 

On September 2, 2016, Ashley Mills, Project Director for the California Mental Health Services Oversight and Accountability Commission, asked the Public Defender's Office if they had candidates who could share their personal experiences receiving mental health services in the MIST/CBR program at the commission's subcommittee meeting on September 21, 2016. The Public Defender’s Office identified Richard as a candidate and he happily accepted the invitation to speak.

Public Defender Psychiatric Social Worker, Christopher Lee, attended the meeting Richard spoke at and shared his perspective on Richard’s talk.

"I wanted to let you know what a great job Richard did at the Mental Health and Criminal Justice Subcommittee meeting this morning. He spoke very highly of your program, and how your team has helped him gain insight into his mental illness and provided him with support in his recovery. He was very articulate, and everyone who attended greatly appreciated what he had to say," Christopher said. "By speaking at the meeting, Richard was able to provide the subcommittee with insight into what has helped in his recovery, and demonstrated to them how important the MIST/CBR program is. I also want to commend your team for all that you do for our clients. Your program has given Richard stability, which has allowed him to focus on his recovery, and improved the quality of his life. Richard is just one client of the many, who have benefited from your program."

As Richard continued to engage with the team and get close to his graduation he reflected on his time with the team and reiterated, "I'm so grateful for all you have done for me."

Moving Forward and Continuing in Recovery

Richard has now transitioned to another residential setting and shared with the team during his final court appearance how overjoyed he was that they were able to find a residence for him within walking distance of a public library. "I'm overjoyed how close it is to where I now live," he said.

Richard will shortly begin utilizing adult FSP services to further his recovery journey and the LA Step Down team is sincerely grateful to have been part of it. 

Links We Love

  • Instagram is launching a new feature to help users who post or search about self-harm, and provide them with the option to contact helplines directly, or receive tips on getting help.
  • The Mighty shares ways people who have PTSD can soften the danger response during a night of Trick-or-Treating.
  • Speaking of Trick-or-Treat: Keep an eye out for teal pumpkins. It's to let kids who have food allergies know that there are non-food treats offered!

Celebrations for Gateway to Recovery

We are pleased to announce that Telecare's Gateway to Recovery (GTR) program in San Diego County was awarded a re-bid on October 3. GTR provides specialized services for high utilizers of mental health services and those who are transitioning from long-term care, and offers housing subsidies for members who are at risk for homelessness through their Project 25 ACT component.

As the largest Assertive Community Treatment (ACT) provider in San Diego, we are happy to be able to continue providing mental health services in the county.

To find out more about the program, we caught up with Hector Sanchez, a recent graduate of GTR, to hear how he benefitted from the services he received there.

Improving and Refining JIMH Program Models

According to a recent article in USA Today, people who have a mental illness are 16 times more likely than others to be killed by police. Police departments and policy makers are exploring strategies to break this trend, including training in deescalation techniques.

At Telecare, however, we believe that effective treatment is the best approach. Our hope and goal is to prevent crises and prevent tragedies before they ever begin.

How are we doing this? We're implementing new approaches all the time to improve our ability to help clients with serious mental illness to address their criminogenic needs and live more stably and successfully in the community. 


Two tools we’re starting to use are Risk Needs Responsivity (RNR) and Moral Reconation Therapy (MRT).

  • The RNR model is what programs can use to properly identify the people that are at highest risk for going back to jail, or reoffending.
  • MRT is a cognitive-behavioral counseling program that combines education, group and individual counseling, and structured exercises designed to foster moral development.

Why Do They Matter?

Regional Director over Telecare's Central Coast and CORE LA program

Regional Director over Telecare's Central Coast and CORE LA program

"Those tools are extremely important for people who are in justice-involved mental health programs to transition into lower levels of care," said Cheryl Malinowski, Regional Director over Telecare's Central Coast and CORE LA program. "Increasing that awareness and knowledge, and having the expertise to help with the people out of incarceration is how our programs can ensure that they are setting their clients up for success."

"That's really our goal," said Gary Hubbard, Vice President of Operations of Southern California and Arizona. "We truly want our clients to be able to live successfully on their own in their community and make sure they have what they need to create a better life for themselves."

Gary Hubbard, VP Operations of Southern California and Arizona

Gary Hubbard, VP Operations of Southern California and Arizona

What's Next?

We're researching and testing an array of targeted risk assessments to help us quickly identify people with the greatest risk and the greatest need.

"By developing an assessment for people who are at the highest risk for reoffending or going back to jail, we begin to understand the criminogenic needs that are getting in the way of them being able to stabilize in the community. Once we figure that out, we can focus our treatment and services around those specific needs," Gary said.

Learn More:

Telecare currently has 13 justice involved mental health (JIMH) and seven court-ordered care programs. 

Our programs are working to address all 7 criminogenic needs using an array of interventions and approaches. The most notable right now include: trauma-informed care, Thinking For A Change, and cognitive behavioral therapy (CTB). We have found that including our own RCCS with these interventions can give clients the specialized help they need to lower the likelihood of reoffending or being involved in police altercations. 

Click on the links below to read about two JIMH client's success stories:

One Celebrity's Confession Sparks an Important Conversation About Mental Health

On October 5, hip-hop artist Kid Cudi announced on Facebook that he was checking himself into rehab for depression and suicidal thoughts. 

"Its been difficult for me to find the words to what I'm about to share with you because I feel ashamed. Ashamed to be a leader and hero to so many while admitting I've been living a lie," the letter starts.

"I am not at peace. I haven't been since you've known me. If I didn't come here, I would've done something to myself. I simply am a damaged human swimming in a pool of emotions everyday of my life."

In the letter, Kid Cudi highlights his everyday struggle with anxiety and depression, and apologizes for letting others down. He notes that although he feels shame in his illness, working to address what is going on with him outweighs his job responsibilities and public opinion.

"I deserve to have peace. I deserve to be happy and smiling." 

The confession since has sparked a discussion on social media with #YouGoodMan. According to BuzzFeed News, the hashtag #YouGoodMan is meant to create a space for black men to share their experiences with mental illnesses, which is a trait often associated with weakness and being less of a man.

With one in five Americans living with a mental illness, having a way to start conversations about mental health is more crucial than ever, and with the proper support, it can save lives.

The first week of October was Mental Illness Awareness Week (MIAW). The National Alliance on Mental Illness (NAMI) sponsors MIAW as a way to increase awareness and understanding of mental health issues, fight stigma, and advocate
for care.

Whether it is on social media or within your close social circles, here are some other ways to continue raising awareness: