Statement of Purpose
Under the direct supervision of the Program Director/Supervisor, the Counselor I - Master's Level provides treatment and recovery services to participating clients, monitors, documents, and supports client treatment progress, maintains ethical and evidence-based care, and participates in treatment team activities.
Major Tasks, Duties and Responsibilities
- Conduct comprehensive substance use screening, assessment, care planning, and treatment activities, inclusive of co-occurring disorders
- Develop individualized care plans in collaboration with clients and treatment team
- Provide evidence-based services (e.g., CBT, MI, DBT, Seeking Safety) to assigned group and/or individual caseload
- Support clients with relapse prevention, life and coping skills, discharge and aftercare planning, and recovery support
- Coordinate with medical providers, social services, and other community resources
- Monitor client progress and maintain accurate and timely treatment records and progress notes (e.g., daily activities, service entries, intake and discharge documentation, etc.)
- Perform toxicology testing, take and record vitals as needed, chart relevant information
- For Counselors assigned to residential programs, make rounds every 30 minutes for 72 hours on withdrawal management clients, document and record withdrawal symptoms.
- For Counselors assigned to residential programs, observe and document client self- administration of medications.
- Ensure compliance with regulatory and accreditation standards, including but not limited to DMH, DHCS, SAPC, HIPAA, 42 CFR Part 2, CARF, etc.
- Assist clients with benefits, housing, vocational, and community reintegration needs
- Respond to behavioral crises, medical emergencies, suicidal ideation, overdose including administration of anti-overdose medications as needed, or acute intoxication safely, within scope of practice
- Occasionally provide transportation for clients including DPSS appointments and other linkages.
- Report and record any changes observed in client condition or behavior, including unusual incidents. Identify, report, and assist with the management of emergencies.
- Participate in safety programming to promote client and staff safety. Maintain health and safety standards of facility.
- Attend supervision, clinical meetings, and continuing education to maintain credentials.
- Participate in treatment team meetings, case conferences, and program planning.
- Contribute to agency quality assurance and improvement initiatives.
- Maintain professional boundaries and standards. Treat clients with respect, care, and concern. Comply with confidentiality requirements at all times.
- Maintain familiarity with BHS policies and procedures and other applicable regulations; perform job duties accordingly. Represent BHS well in all contacts.
- Courteously answer phones, appropriately directing calls and taking messages. Facilitate client external communication as approved by supervisor.
- Attend meetings and trainings, and participate in committees as assigned.
- Other duties as assigned.
Counselor I - Master's Level Competencies and Performance Expectations:
- Ability to complete the above major tasks, duties, and responsibilities.
- Ability to demonstrate professional judgment and decision-making, including the ability to recognize and seek out supervision and/or consultation when required.
- Ability to demonstrate familiarity with and practice of 12 core competencies for SUD counselors.
- Ability to demonstrate and apply knowledge of evidence-based practices, medications for addiction treatment, community resources, self-help support, and treatment philosophies, and advanced knowledge of co-occurring disorders.
- Ability to effectively document within the required note structures (e.g., SOAP, GIRP, etc.)
- Ability to recognize the symptoms and develop knowledge of appropriate treatment associated with substance use and co-occurring disorders (i.e., mental health, medical health, etc.)
- Ability to identify and respond appropriately to a crisis within scope of practice including but not limited to overdose, behavioral challenges, contraband protocol, emergency codes, etc.
- Ability to screen and/or assess for acute intoxication and withdrawal symptoms within scope of practice.
- Ability to meet productivity standards as assigned.
- Ability to recognize personal biases within diverse populations. Maintain cultural sensitivity at all times.
- Ability to adhere to professional standards.
Required Education:
- Counseling certification.
Required Experience:
- Minimum of 1-2 years of experience in a counseling or mental health setting.
- Experience working with diverse populations and understanding of cultural sensitivities.
- Familiarity with behavioral health services and therapeutic practices.
Required Skills and Abilities:
- Strong interpersonal and communication skills, both verbal and written.
- Ability to conduct assessments and develop individualized treatment plans.
- Proficient in crisis intervention and conflict resolution.
- Knowledge of ethical and legal standards in counseling practice.
- Ability to work collaboratively within a multidisciplinary team.
- Proficiency in using electronic health records and other relevant software applications.