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Live In Multisystemic Therapist Jobs in Toronto, ON

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Live In Multisystemic Therapist information

What is a live in multisystemic therapist?

A Live In Multisystemic Therapist is a mental health professional who provides intensive, in-home therapy for youth and families experiencing severe behavioral or emotional challenges. They apply the Multisystemic Therapy (MST) model, which addresses issues across a young person’s family, peer, school, and community environments. By living with the family or being available on-site, the therapist can offer immediate support, model positive behaviors, and implement interventions directly in the home setting. This approach aims to reduce out-of-home placements and help families develop lasting skills for managing difficult behaviors.

What are the key skills and qualifications needed to thrive as a live in multisystemic therapist, and why are they important?

To thrive as a Live In Multisystemic Therapist, you need a solid background in psychology or social work, experience with family and youth intervention, and typically a relevant master's degree with appropriate state licensure. Familiarity with evidence-based therapy models such as Multisystemic Therapy (MST), case management systems, and clinical documentation tools is commonly required. Exceptional interpersonal skills, cultural competence, and resilience are vital for building trust and effectively supporting families in challenging environments. These skills and qualifications enable therapists to create positive behavioral change and ensure the safety and well-being of at-risk youth and their families.

What are some common challenges faced by live in multisystemic therapists, and how are they addressed within the team environment?

Live In Multisystemic Therapists often encounter challenges such as managing high-stress family situations, maintaining professional boundaries while living on-site, and coordinating care with multiple stakeholders. To address these, therapists typically receive regular supervision, participate in team debriefings, and have access to 24/7 clinical support. The team-oriented environment fosters collaboration, allowing therapists to share strategies, discuss complex cases, and prevent burnout through mutual support and structured time off.

What is the difference between Live In Multisystemic Therapist vs Community Support Worker?

AspectLive In Multisystemic Therapist
CredentialsMaster's degree in social work, psychology, or counseling; licensure or certification often required
Work EnvironmentProvides therapy services in clients' homes, often living with the family temporarily
Employer & IndustryChild and family services, mental health agencies, often in private or nonprofit sectors
Job FocusIntensive therapeutic intervention, family systems work, crisis management

Community Support Workers typically hold less advanced credentials, focus on providing community-based support, and do not usually live with clients. In contrast, Live In Multisystemic Therapists deliver specialized, intensive therapy often requiring licensure and a master's degree, with a focus on family and behavioral interventions in a live-in setting.

What are popular job titles related to Live In Multisystemic Therapist jobs in Toronto, ON?

For Live In Multisystemic Therapist jobs in Toronto, ON, the most frequently searched job titles are:

What job categories do people searching Live In Multisystemic Therapist jobs in Toronto, ON look for?

The top searched job categories for Live In Multisystemic Therapist jobs in Toronto, ON are:

Infographic showing various Live In Multisystemic Therapist job openings in Toronto, ON as of August 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 100% In-person job distribution.

Occupational Therapist (OT) - Community Home Care (Central East)

The Care Company Inc.

Pickering, ON • On-site

Part-time

Medical, Dental

Re-posted 13 days ago


Job description

Occupational Therapist - Community Care

Casual | Employee or Independent Contractor | Flexible Scheduling | Central East Region

The Care Company is a home healthcare organization dedicated to creating A Better Life for Those at Home. We support clients of all ages to live safely, independently, and with dignity in the comfort of their own homes. Our mission is to help people Make Each Day Count by delivering exceptional, person-centred care that puts people first and strives to be Better Today than we were yesterday.

We are seeking a passionate and experienced Occupational Therapist (OT) to join our community rehabilitation team. This role is ideal for an OT who enjoys the autonomy of managing their own community caseload while being supported by an experienced interdisciplinary team.

This is a flexible, casual opportunity that can be structured as either an employee or independent contractor position, depending on the successful candidate's preference. Whether you are looking to supplement an existing caseload, build your community practice, transition into community care, or simply enjoy the flexibility of accepting referrals that fit your schedule, we would love to hear from you.

You will work closely with clients and their families in the home, completing comprehensive assessments, developing individualized treatment plans, and recommending equipment and environmental modifications that promote safety, independence, and quality of life. Many of the individuals we support are living with complex or chronic medical conditions and require Alternate Level of Care (ALC) services.

This is an exciting opportunity to join The Care Company as we continue to build and expand our Occupational Therapy program. We are looking for therapists with an entrepreneurial mindset who are excited to help shape the future of community rehabilitation. Beyond delivering exceptional clinical care, there will be opportunities to contribute to new service development, Requests for Proposals (RFPs), quality improvement initiatives, and innovative models of care that can help expand Occupational Therapy services across the community.

As our OT program continues to evolve, there will also be mentorship and leadership opportunities for therapists interested in helping shape the future of community Occupational Therapy. This includes opportunities to mentor Occupational Therapy students during community placements, support the development of future clinicians, assist with onboarding new therapists, and contribute to clinical resources and best practices.

Who This Role Is Perfect For

This opportunity may be a great fit if you are:

  • An Occupational Therapist looking to supplement your existing caseload or practice.
  • Interested in working as either an employee or independent contractor.
  • Looking for greater flexibility and autonomy over your schedule.
  • Passionate about helping clients remain safe and independent in their homes.
  • Interested in mentorship, leadership, and supporting future Occupational Therapists.
  • Entrepreneurial-minded and excited by the opportunity to help build and grow an evolving community rehabilitation program.
  • Comfortable working independently while knowing clinical and operational support is available when needed.

Requirements

What You'll Do

As an Occupational Therapist with The Care Company, you will have the opportunity to make a meaningful difference in clients' lives while enjoying the autonomy and flexibility of community practice. Working collaboratively with an interdisciplinary team, you will:

  • Complete comprehensive in-home assessments within the required referral timeframe, including functional assessments, mobility evaluations, falls risk assessments, equipment needs, and ADL/IADL evaluations.
  • Develop individualized, evidence-based treatment plans that empower clients to maximize independence, safety, and quality of life in their own homes.
  • Provide follow-up visits focused on functional goal progression, mobility, environmental modifications, home safety, cognitive and physical strategies, and caregiver education.
  • Recommend, trial, and prescribe assistive devices, adaptive equipment, and home modifications, collaborating with vendors and contractors where required.
  • Support clients and families through education, coaching, and practical strategies that promote confidence, independence, and successful aging in place.
  • Collaborate closely with nurses, physiotherapists, Personal Support Workers, physicians, care coordinators, case managers, and Ontario Health atHome to support seamless care transitions.
  • Coordinate equipment procurement and assist with ordering supplies through Ontario Health atHome vendors.
  • Monitor client outcomes and modify treatment plans as clinically appropriate to support meaningful, measurable progress.
  • Maintain accurate, timely, and clinically sound documentation.
  • Communicate proactively with the office regarding caseload availability, scheduling changes, and urgent referral readiness.
  • Independently manage your caseload and schedule while receiving administrative, scheduling, clinical, and technical support from The Care Company.
  • Deliver compassionate, ethical, and evidence-informed care while upholding The Care Company's commitment to clinical excellence.

Beyond Clinical Care

This role offers more than a traditional community caseload. As The Care Company continues to expand its Occupational Therapy services, you may also have opportunities to:

  • Help shape and grow our community Occupational Therapy program.
  • Contribute to new service development and Requests for Proposals (RFPs).
  • Participate in quality improvement and innovative models of community care.
  • Mentor Occupational Therapy students during community placements and help develop the next generation of OTs.
  • Support the onboarding and mentorship of future Occupational Therapists joining the organization.
  • Collaborate with leadership on the development of clinical resources, processes, and best practices.
  • Grow into future clinical leadership and mentorship opportunities as our rehabilitation program expands.

Scheduling

  • Flexible, casual scheduling with no fixed weekly schedule.
  • Accept referrals based on your availability and geographic preference.
  • Initial in-person home assessments are generally expected within 48-72 hours of receiving a visit request within your geographic service area.
  • Ability to independently manage scheduling and communicate promptly with the office regarding availability.
  • Central East Region may include Oshawa, Pickering, Peterborough, Haliburton, and surrounding communities.
  • Travel between client homes is required; access to a reliable vehicle is considered an asset.

Qualifications and Experience

  • Registered and in good standing with the College of Occupational Therapists of Ontario (COTO).
  • Experience providing home and community care, particularly with HCCSS and/or Ontario Health atHome clients, is strongly preferred.
  • Community Occupational Therapy experience and/or hospital discharge and transition-planning experience will also be considered.
  • Demonstrated skill in functional assessments, equipment recommendations, safety evaluations, ADL/IADL retraining, and caregiver education in the home environment.
  • Experience with equipment and supply ordering through Ontario Health atHome vendors is an asset.
  • Strong understanding of community discharge planning, falls prevention, mobility supports, and caregiver training.
  • Strong electronic documentation skills.
  • Experience coordinating with interdisciplinary teams and communicating with case managers.
  • Ability to work independently in the community and produce clear, timely, clinically appropriate documentation.
  • Valid driver's licence and access to reliable transportation, or the ability to travel efficiently within the designated service area.
  • ADP Authorizer status is considered an asset; however, The Care Company is open to supporting successful applicants through the ADP authorization process.

Benefits

Compensation

  • $150 per initial assessment, including supply ordering and funding applications.
  • $75 per in-person follow-up visit.
  • $50 per virtual follow-up visit.
  • $25 per 30 minutes of approved administrative time completed outside of scheduled client visits, including documentation, care coordination, report writing, supply ordering, funding applications, and other client-related administrative duties.

Why Join The Care Company?

  • Choose the engagement model that works best for you - opportunities may be available as either an employee or an independent contractor.
  • Flexible, casual scheduling - accept referrals based on your availability without being tied to a fixed weekly schedule.
  • Autonomy to build and manage your own community caseload while being supported by an experienced interdisciplinary team.
  • Competitive compensation, including paid administrative time for work completed outside of direct client visits.
  • Help build something meaningful - play an active role in shaping and expanding The Care Company's Occupational Therapy program.
  • Opportunities to contribute to RFPs, new programs, quality improvement initiatives, and innovative models of community rehabilitation.
  • Mentorship opportunities with Occupational Therapy students and future clinicians.
  • Opportunities for future clinical leadership and program development.
  • 24/7 clinical support from experienced clinical leadership whenever guidance is needed.
  • 24/7 technical support for documentation and technology-related questions.
  • Educational training and ongoing professional development opportunities.
  • PPE provided.
  • Visits scheduled to minimize travel time and maximize efficiency.
  • Mileage reimbursement at $0.55/km for approved travel exceeding 50 km between client visits. Travel from home to the first client and from the last client back home is considered part of the regular commute and is not reimbursed.
  • Employee Recognition Program.
  • Health and Wellness Program.
  • Staff and service provider appreciation events.
  • Opportunity to participate in Group Health and Dental Benefits, where applicable.

If you are looking for an opportunity where you can make a meaningful impact, enjoy genuine flexibility and autonomy, and help shape the future of community Occupational Therapy, we would love to hear from you.

While we thank all applicants for their interest, only those selected for an interview will be contacted.

#OTCE