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How much do multisystemic therapy jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for multisystemic therapy in Texas is $16.17, according to ZipRecruiter salary data. Most workers in this role earn between $13.41 and $18.37 per hour, depending on experience, location, and employer.

What is multisystemic therapy?

Multisystemic Therapy (MST) is an intensive, evidence-based treatment program designed to help at-risk youth and their families. MST focuses on addressing the multiple factors—such as home, school, and community environments—that contribute to serious behavioral problems in adolescents. Therapists work closely with families in their own homes and communities, providing tailored interventions aimed at improving family relationships, school performance, and reducing criminal behavior. The therapy typically involves frequent sessions over several months and emphasizes family empowerment and collaboration with community resources.

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

To thrive as a Multisystemic Therapy (MST) Therapist, you need a background in psychology, social work, or counseling—typically with a relevant master's degree—and a strong understanding of behavioral and family systems theory. Familiarity with evidence-based assessment tools, case management systems, and MST-specific training or certification is often required. Exceptional interpersonal skills, cultural sensitivity, and the ability to motivate and engage families are crucial soft skills in this role. These skills and qualities ensure effective intervention, positive client outcomes, and successful collaboration with families and community stakeholders.

What are some common challenges multisystemic therapists face when working with families, and how are these challenges addressed?

Multisystemic Therapists often encounter challenges such as engaging resistant families, managing high-stress environments, and coordinating with multiple systems like schools, courts, and social services. To address these, therapists receive extensive training in evidence-based engagement techniques and benefit from strong supervision and team collaboration. Regular team meetings and ongoing professional development help therapists troubleshoot difficult cases and share effective strategies, ensuring they are well-supported in delivering positive outcomes for youth and families.

What is the difference between Multisystemic Therapy vs Family Therapist?

AspectMultisystemic TherapyFamily Therapist
CredentialsMaster's degree in social work, psychology, or counseling; certification in MSTMaster's degree in social work, psychology, or counseling; licensure or certification often preferred
Work EnvironmentCommunity-based settings, working with youth and families in home or school environmentsClinical settings, private practice, or community agencies; focus on family dynamics
Industry UsageChild and adolescent mental health, juvenile justice, social servicesMental health, counseling, social work, family therapy practices

Multisystemic Therapy (MST) is a specialized, evidence-based intervention targeting youth with behavioral issues, often involving intensive community work. Family Therapists focus on improving family dynamics and communication, typically in clinical settings. While both roles require similar credentials, MST practitioners often work in more intensive, community-based environments, whereas Family Therapists may work in clinics or private practices.

What are popular job titles related to Multisystemic Therapy jobs in Texas?

For Multisystemic Therapy jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Multisystemic Therapy jobs in Texas look for?

The top searched job categories for Multisystemic Therapy jobs in Texas are:

What cities in Texas are hiring for Multisystemic Therapy jobs?

Cities in Texas with the most Multisystemic Therapy job openings:

Multisystemic Therapy jobs near you
Infographic showing various Multisystemic Therapy job openings in Texas as of August 2026, with employment types broken down into 3% As Needed, 64% Full Time, 19% Part Time, and 14% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $33,634 per year, or $16.2 per hour.

Mental Health Professional, Bilingual

Evidence Based Associates

Houston, TX • On-site

$55K - $78K/yr

Full-time

Posted 26 days ago

Job description

**MUST SPEAK SPANISH**
This role requires candidates to provide therapy to youth and families inside the family home, where they are most comfortable.  This will require a mix of both in-office and community work. 

Candidates must reside locally and be willing to travel throughout Montgomery, Liberty, and Walker Counties. 

Overview 

Do you have a passion for working with children and families? We are looking for compassionate, dedicated people in who want to empower youth and families by creating strength-based behavior change that will be sustained long after treatment ends. 

You will receive ongoing training in the Multisystemic Therapy (MST) model as you work with families, youth, their communities, and other key members of their ecology to implement MST as designed. Extensive research has proven the effectiveness of MST. MST therapists do whatever it takes, via close collaboration with all involved, to address the needs of juveniles with criminal offenses, including, in some cases, substance abuse. You will empower families to address challenging and/or problematic behavior and to help youth aged 12 - 17 make life-transforming changes. Treatment progress is made through intensive interventions such as skill building, changing unhelpful family interactions, and increasing social support, to name a few. For more information on Multisystemic Therapy, please watch this video: How Does MST Work? 

Duties & Responsibilities

  • Provide direct clinical treatment using the MST treatment model and principles. Some principles include leveraging strengths and focusing on the positive, understanding sequences of behavior, and increasing mature behavior. 
  • Conduct a thorough assessment of the client and family: gather information on behaviors of concern and strengths in the family and their ecology to inform conceptualization of the problem behaviors and interactions within the family’s ecological context. 
  • Comfort working with a diverse community of clients.
  • Knowledge of the types of families in the community
  • Continuously work to engage the primary caregiver, family members, supports, and community agency staff (school, probation, child welfare) in change-oriented treatment. 
  • Dedicate time to weekly case planning and evaluation of case progress, with ongoing support from your supervisor and team members.
  • Receive regular training, professional development, supervision, and consultation activities designed to help you acquire extensive clinical skills within the MST treatment model. 
  • Assure, along with fellow clinicians, that clients have access to 24 hours/day, 7 days/week support as needed. 

Qualifications

  • ​​​​​​Highly skilled Masters-prepared professional with training in behavioral and cognitive behavioral therapies and pragmatic family therapies (i.e., Structural Family Therapy and Strategic Family Therapy).
  • LPC, LCSW, or LMFT preferred
    Will consider the following at lower pay, based on level of credentials:
    • LPC-Associate, LMFT-Associate or LMSW under clinical supervision
    • Master's Degree in clinical or counseling Psychology, Social Work, or related subject area
  • Excellent customer service skills
  • Bilingual in Spanish and English (paid at a higher salary)
  • Must possess a valid Texas driver’s license and have reliable transportation to travel to clients’ homes and possibly transport multiple clients at once. 
  • Must live within a 30 – 45-minute travel time from the designated service area. 

Preferred Experience 

  • Direct use of pragmatic (i.e., structural, strategic, and functional) family therapies 
  • Therapy with children and adults using cognitive-behavioral techniques. 
  • Couples therapy using behaviorally based approaches. 
  • Implementation of interventions within or between systems in the youth’s natural ecology (i.e., family, peer, school, and neighborhood) 
  • Collaboration and partnership with community agencies 
  • Previous work providing in-home or community-based therapy services. 

Pay Rate: 

  • Master's degree in Psychology, Counseling, Social Work - $55,620 Annually
    $58,597 annually, if Bilingual 
  • LPC-A, LMFT-A, LMSW - $63,860 Annually
    $67,691 annually, if Bilingual
  • LPC, LCSW, LMFT - $74,160 Annually 
    $78,609 Annually, if Bilingual 

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