... milieu documentation and monitors records with supervision Assists in assuring that correct staff/resident ratios are met and adjusted as needed according to acuity May perform other duties as ...
... milieu documentation and monitors records with supervision Assists in assuring that correct staff/resident ratios are met and adjusted as needed according to acuity May perform other duties as ...
Responsibilities Participates in the development of the milieu Manages patients during therapeutic milieu activities Observes, reports and documents behaviors Provides opportunities to strengthen ...
Responsibilities Participates in the development of the milieu Manages patients during therapeutic milieu activities Observes, reports and documents behaviors Provides opportunities to strengthen ...
... milieu documentation and monitors records with supervision Assists in assuring that correct staff/resident ratios are met and adjusted as needed according to acuity May perform other duties as ...
... milieu documentation and monitors records with supervision Assists in assuring that correct staff/resident ratios are met and adjusted as needed according to acuity May perform other duties as ...
PRN Residential Specialist (Weekends)
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
PRN Residential Specialist (Weekends)
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
PRN Residential Specialist
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
PRN Residential Specialist
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Residential Specialist: Substance Use Treatment
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Residential Specialist: Substance Use Treatment
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Mental Health Associate Therapist
Fairfax Station, VA · On-site
$70K - $85K/yr
Therapist responsibilities include ensuring patient safety, providing milieu interventions, leading psychoeducational and process-oriented therapy groups, facilitate clinical assessments, conduct ...
Mental Health Associate Therapist
Fairfax Station, VA · On-site
$70K - $85K/yr
Therapist responsibilities include ensuring patient safety, providing milieu interventions, leading psychoeducational and process-oriented therapy groups, facilitate clinical assessments, conduct ...
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Part-Time Residential Specialist (Weekends 4pm-12am)
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Part-Time Residential Specialist (Weekends 4pm-12am)
Arlington, VA · On-site
$20 - $25/hr
Monitor therapeutic milieu and patient activities * Conduct random and regular walk-throughs of the program * Respond to patient crises and emergencies as needed * Demonstrate empathy, compassion ...
Therapist
$63K - $85K/yr
Therapist Part-time Centra Behavioral Health Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to ...
Therapist
$63K - $85K/yr
Therapist Part-time Centra Behavioral Health Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to ...
Behavioral Health Technician PRN
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician PRN
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician - Full Time Swing Shift
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician - Full Time Swing Shift
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician - Full Time Swing Shift
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician - Full Time Swing Shift
Locust Grove, VA · On-site
$15 - $18.25/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Evening Residential Monitor
$20 - $25/hr
Monitor therapeutic milieu and patient activities Conduct random and regular walk-through the program Respond to patient's crises and emergencies as needed Demonstrate empathy, compassion, and ...
Evening Residential Monitor
$20 - $25/hr
Monitor therapeutic milieu and patient activities Conduct random and regular walk-through the program Respond to patient's crises and emergencies as needed Demonstrate empathy, compassion, and ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Behavioral Health Technician PRN
Locust Grove, VA · On-site
$19 - $26/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Behavioral Health Technician PRN
Locust Grove, VA · On-site
$19 - $26/hr
Behavioral Health Technicians are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. Behavioral Health Technicians ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Recovery Care Specialist
Glen Allen, VA · On-site
$18 - $21/hr
Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...
Milieu information
See Virginia salary details
$35.2K - $42.1K
12% of jobs
$47.2K is the 25th percentile. Wages below this are outliers.
$42.1K - $49K
18% of jobs
$49K - $55.9K
19% of jobs
The median wage is $56.3K / yr.
$55.9K - $62.8K
16% of jobs
$67.1K is the 75th percentile. Wages above this are outliers.
$62.8K - $69.7K
16% of jobs
$69.7K - $76.6K
9% of jobs
$76.6K - $83.5K
7% of jobs
$83.5K - $90.4K
2% of jobs
$90.4K - $97.2K
1% of jobs
$97.2K - $104.1K
0% of jobs
$104.1K - $111K
0% of jobs
$35.2K
$63.4K
$111K
How much do milieu jobs pay per year?
What are the key skills and qualifications needed to thrive in the milieu position, and why are they important?
To thrive in a Milieu position, particularly within mental health or residential treatment settings, individuals need knowledge of behavioral interventions, crisis management, and a relevant educational background in psychology or social work. Familiarity with documentation systems, incident reporting tools, and sometimes CPI (Crisis Prevention Intervention) certification is important. Strong observation skills, emotional resilience, and excellent teamwork are crucial soft skills in this role. These qualities enable Milieu staff to effectively maintain a therapeutic environment, ensure client safety, and support interdisciplinary care plans.
What does a milieu do?
A typical day in a Milieu role involves monitoring and interacting with clients to ensure a safe, supportive, and structured environment. Responsibilities often include leading or assisting with group activities, de-escalating crises as needed, documenting behavior observations and incidents, and collaborating closely with clinicians and other staff members on therapeutic plans. Team meetings and ongoing communication with colleagues are also common to discuss client progress and adjust interventions. While every shift can bring new challenges, Milieu staff play a critical role in maintaining the daily structure that supports clients’ progress and well-being.
How do you become a milieu therapist?
What is a milieu?
A Milieu job typically involves working in environments that support individuals with behavioral, emotional, or mental health challenges. Professionals in this role create structured and therapeutic settings, often in schools, residential facilities, or healthcare institutions. They assist with crisis intervention, behavioral management, and daily support to promote a safe and supportive atmosphere. Milieu workers often collaborate with therapists, counselors, and other professionals to help individuals develop coping skills and improve their overall well-being.

Other
Posted 26 days ago
Centra Health rating
6.6
Based on 120 frontline employees who took The Breakroom Quiz
570th of 887 rated healthcare providers
Job description
Acts as preceptor to all student interns and staff on orientation status
Assists in managing and monitoring aberrant behaviors
Assists residents in meeting individual appointments for assessment and/or treatment
Collects data on each resident and prepares information for staffing
Ensures that therapeutic programming is implemented
Chairs all team debriefings before, during and after shift
Notifies the treatment team on any major incidents (e.g., elopement, therapeutic holds, injuries or seclusions)
Acts as contact person for on duty RN regarding medical issues as well as consults and debriefs directly with RN regarding all precautions, elopements, utilization of time out and therapeutic holds, staff/patient injuries or any other major incidents
Provides milieu documentation and monitors records with supervision
Assists in assuring that correct staff/resident ratios are met and adjusted as needed according to acuity
May perform other duties as assigned or requested and job specification can be modified or updated at any time.
Required Education: Bachelors Degree in Human Services: Counseling, Education, Social Work, Psychology, or other related field
Preferred Education: Masters Degree in Human Services: Counseling, Education, Social Work, Psychology, or other related field
Required Experience: None - But must be able to verbalize knowledge and skills necessary to provide care appropriate to the age of children and adolescents, ages six through seventeen (6-17) years old
Preferred Experience: One (1) year of experience in residential treatment, day hospital, or acute psychiatric inpatient treatment with emotionally/behaviorally disturbed children and adolescents. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of children and adolescents, ages six through seventeen (6-17) years old
Required Certifications and Licensures: Current CPI (Crisis Prevention Management) certification within thirty (30) days of being hired into this role
salary range 20.47-29.69/hourly
Participates in the development of the milieu
Manages patients during therapeutic milieu activities
Observes, reports and documents behaviors
Provides opportunities to strengthen appropriate behavior and alter problematic behavior
Manages maladaptive behavior
Provides supervision and direct care to patients.
Participates in the development of treatment goals or plans
Implements psycho-education treatment or lesson plans
Engages patients in therapeutic relationships
Supports patients' goals within the program
Enhances patient motivation for change
Creates and maintains an environment that protects patients from harm
Participates in service recovery and uses appropriate resources during complex situations.
Handles conflict resolution in an appropriate, timely, and consistent manner
Identifies personal contributions to unit-based cascading goals
Uses resources (e.g., time, people, supplies, etc.) cost effectively
Other duties as assigned
What Centra Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Centra Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Lynchburg, VA, US
Year founded
1987