Atiya Weeks

Responsibilities as a Transitional Specialist:
Provide case management and individualized support to women and children transitioning from residential treatment into independent or supportive housing.

Assist clients in developing aftercare plans, including referrals to outpatient mental health and substance use programs, housing resources, childcare, and employment services.

Support clients in applying for public benefits such as SNAP, Medicaid, housing vouchers, SSI/SSD, and other entitlements to ensure financial stability.

Collaborate with interdisciplinary teams, including clinicians, peer advocates, and external agencies, to coordinate wraparound services that meet each clients specific needs.

Conduct regular one-on-one sessions to assess progress, address barriers, and reinforce coping skills learned in treatment.

Advocate on behalf of clients for access to housing, healthcare, and educational opportunities, while encouraging them to build self-advocacy skills.

Maintain accurate and timely documentation by agency and regulatory standards, including progress notes, care plans, and service referrals.

Empower clients to identify personal goals and develop life skills necessary for maintaining long-term recovery and independence.

Monitor housing readiness and support transitions into independent living, supportive housing, or reunification with family as appropriate.

Supervised and supported a team of Community Health Workers (CHWs) providing direct services to homeless women and children with complex behavioral health, substance use, and housing needs.

Conducted training, coaching, and performance evaluations to ensure CHWs were equipped to provide trauma-informed, culturally responsive care.

Coordinated intake and assessments for shelter residents, ensuring timely access to emergency housing, food, medical care, and crisis intervention.

Developed individualized service plans addressing mental health, substance use, parenting, employment, and long-term housing stability.

Built and maintained partnerships with external service providers including healthcare, domestic violence programs, legal aid, and employment agencies to expand support options for clients.

Advocated for clients in systems such as social services, child welfare (CPS), and housing court, helping them navigate institutional barriers.

Facilitated case conferencing and interdisciplinary meetings to ensure alignment on client goals and coordinated service delivery.

Monitored data collection and compliance with funder requirements, including HMIS documentation, progress tracking, and outcome reporting.

Responded to emergencies and behavioral crises with de-escalation and connection to clinical or emergency services as needed.

Promoted empowerment and self-sufficiency among clients by offering education on tenant rights, budgeting, wellness, and parenting.