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Psychiatric Occupational Therapist - Contractor

Silver Hill HospitalNew Canaan, Connecticut

The Occupational Therapy Contractor provides specialized, recovery-oriented occupational therapy services within our residential programs, primarily a program specializing in CPTSD and DID. This role focuses on enhancing patients’ functional independence, daily living skills, and overall quality of life through structured, evidence-based interventions. The Occupational Therapist collaborates closely with an interdisciplinary treatment team to support patients in building meaningful routines, improving coping strategies, and preparing for successful community reintegration. This is a contractor position working up to five hours per week.

Duties/Responsibilities:

Clinical Assessment & Treatment Planning:

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Conduct comprehensive occupational therapy evaluations to assess functional abilities, including activities of daily living (ADLs), instrumental activities of daily living (IADLs), cognitive functioning, sensory processing, and psychosocial skills.

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Develop individualized, goal-oriented treatment plans aligned with each patient’s clinical presentation, treatment goals, and discharge planning needs.

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Continuously assess patient progress and adjust interventions to support measurable outcomes.

Therapeutic Interventions:

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Facilitate individual occupational therapy sessions focused on skill-building in areas such as daily structure, time management, emotional regulation, executive functioning, and social participation.

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Provide interventions that promote independence in ADLs/IADLs, including hygiene and routines.

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Support patients in developing healthy routines, leisure exploration, and engagement in meaningful activities that promote recovery.

Residential Milieu Integration:

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Integrate occupational therapy interventions into the residential milieu to reinforce skill generalization and real-world application.

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Collaborate with residential staff to identify opportunities for patients to practice skills within the program environment.

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Provide recommendations for environmental modifications or supports to enhance patient functioning and safety.

Collaboration & Interdisciplinary Care:

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Participate in interdisciplinary treatment team meetings, case conferences, and care planning discussions, as requested by the team.

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Collaborate with psychiatry, nursing, social work, and other clinical staff to ensure cohesive and coordinated care.

Documentation & Compliance:

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Maintain timely, accurate, and compliant documentation of all evaluations, treatment sessions, and progress notes in accordance with organizational policies and regulatory standards.

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Ensure all services are delivered in alignment with best practices, ethical standards, and safety protocols.

Required Skills/Abilities:

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Strong understanding of psychosocial rehabilitation and recovery-oriented care within a mental health setting.

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Strong interest in working with adult survivors of severe trauma and an ability to work sensitively with individuals experiencing post-traumatic and dissociative symptoms.

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Capacity to modify interventions to meet the needs of this specific population and to adapt interventions to align with the global treatment approach of the residential program.

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Ability to engage patients with diverse psychiatric presentations, including mood disorders, anxiety disorders, trauma-related conditions, and thought disorders.

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Ability to translate clinical concepts into practical, functional skill-building interventions.

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Strong organizational, communication, and interdisciplinary collaboration skills.

Education and Experience:

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Master’s or Doctoral degree in Occupational Therapy from an accredited program.

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Current state licensure as an Occupational Therapist (or eligibility for licensure).

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Minimum of 1–3 years of experience in a behavioral health, residential, or psychiatric setting preferred.

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