1

Substance Abuse Assistant Jobs in Raleigh, NC (NOW HIRING)

SUBSTANCE ABUSE THERAPIST BUTNER, NC

Butner, NC · On-site

$39K - $49K/yr

The Substance Abuse Therapist provides assessment, counseling, and treatment services to ... Monitor client progress and modify treatment interventions as appropriate. * Assist youth with ...

SUBSTANCE ABUSE THERAPIST BUTNER, NC

Butner, NC · On-site

$39K - $49K/yr

The Substance Abuse Therapist provides assessment, counseling, and treatment services to ... Monitor client progress and modify treatment interventions as appropriate. * Assist youth with ...

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs , a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC · On-site

$23.25 - $31.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC · On-site

$25 - $33.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC · On-site

$25 - $33.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

Dispensing Nurse - LPN

Durham, NC · On-site

$23.25 - $31.75/hr

Provide daily assessment of patients * Assist Nursing Supervisor to orient new nursing staff ... BAART Programs, a progressive substance abuse treatment organization is committed to the highest ...

next page

Showing results 1-20

Substance Abuse Assistant information

See Raleigh, NC salary details

$10

$65

$122

How much do substance abuse assistant jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for substance abuse assistant in Raleigh, NC is $65.78, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $89.71 per hour, depending on experience, location, and employer.

How much do substance abuse assistants make?

Substance abuse assistants typically earn a median annual salary of around $30,000 to $40,000, depending on experience, location, and work setting. Entry-level positions may start lower, while those with certifications or specialized skills can earn higher wages. Salaries often increase with additional training and responsibilities in treatment facilities or healthcare environments.

What are the most common challenges a substance abuse assistant faces when supporting clients in recovery programs?

Substance Abuse Assistants often encounter challenges such as managing clients’ fluctuating motivation levels, addressing relapses, and navigating emotional or behavioral crises. The role requires patience and strong communication skills to build trust and encourage consistent engagement with treatment plans. Additionally, balancing administrative duties—like maintaining accurate records and coordinating with counselors—while providing direct client support is a frequent part of the job. Working closely with a multidisciplinary team helps address these challenges and ensures comprehensive care for each client.

What are the key skills and qualifications needed to thrive as a substance abuse assistant?

To thrive as a Substance Abuse Assistant, you typically need a background in psychology, counseling, or social work, along with relevant certifications or training in substance abuse treatment. Familiarity with client intake software, case management systems, and basic documentation tools is often required. Strong interpersonal skills, empathy, and the ability to maintain confidentiality are essential soft skills for building trust and rapport with clients. These skills ensure effective support for individuals struggling with addiction and contribute to positive treatment outcomes.

What is a substance abuse assistant?

Substance Abuse Assistants are professionals who support counselors and therapists in helping individuals struggling with drug or alcohol addiction. They assist with client intake, maintain records, lead group activities, and provide encouragement to clients during their recovery process. While they do not typically provide therapy, they play a vital role in daily operations and client support within rehabilitation centers or community programs. Their work helps ensure that clients receive consistent care and guidance as part of their treatment plan.

What is the difference between Substance Abuse Assistant vs Substance Abuse Counselor?

AspectSubstance Abuse AssistantSubstance Abuse Counselor
Required CredentialsHigh school diploma or equivalent; certification often preferredHigh school diploma; state certification or licensure often required; some roles require a master's degree
Work EnvironmentClinics, treatment centers, hospitals, community programsSimilar settings, often with more direct client therapy responsibilities
Employer & Industry UsageUsed by addiction treatment facilities, healthcare providersLicensed professionals working in similar environments, providing therapy and counseling
Common Search & ComparisonOften compared for entry-level roles and support positionsCompared for licensed, client-facing therapy roles

Substance Abuse Assistants typically support treatment teams with administrative tasks and basic client support, requiring less formal education. Substance Abuse Counselors provide direct therapy and require licensure or certification. Both roles work in similar environments, but counselors have more advanced responsibilities and credentials.

What do you need to become a substance abuse assistant?

To become a substance abuse assistant, candidates typically need a high school diploma or equivalent, relevant training or certification in substance abuse counseling, and sometimes a valid driver's license. Some positions may require prior experience working with individuals with substance use issues or in healthcare settings.
What are the most commonly searched types of Substance Abuse jobs in Raleigh, NC? The most popular types of Substance Abuse jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Substance Abuse Assistant jobs? Cities near Raleigh, NC with the most Substance Abuse Assistant job openings:
Infographic showing various Substance Abuse Assistant job openings in Raleigh, NC as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 100% In-person job distribution, with an average salary of $136,828 per year, or $65.8 per hour.

SUBSTANCE ABUSE THERAPIST BUTNER, NC

New Hope

Butner, NC • On-site

$39K - $49K/yr

Full-time

Re-posted 15 hours ago


Job description

Since our opening in 1987, New Hope Treatment Centers has been a welcoming place for young people in moments of crisis. The Substance Abuse Therapist provides assessment, counseling, and treatment services to adolescents involved with the Department of Juvenile Justice (DJJ). The therapist addresses substance uses disorders and co-occurring mental health conditions using evidence-based interventions while supporting behavioral stabilization, recovery, and successful reintegration into the community.


Essential Duties and Responsibilities

The essential functions include, but are not limited to, the following:

  • Conduct clinical and substance use assessments for youth upon admission and throughout treatment.
  • Develop, implement, and update individualized treatment plans addressing substance use, behavioral health needs, and trauma.
  • Provide individual, group, and family therapy utilizing evidence-based practices such as Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).
  • Facilitate substance abuse education and relapse prevention groups.
  • Maintain accurate and timely documentation, including progress notes, treatment plans, and discharge summaries in compliance with agency and regulatory standards.
  • Participate in multidisciplinary treatment team meetings and collaborate with residential staff, probation officers, case managers, and families.
  • Provide crisis intervention and behavioral support when needed in the residential setting.
  • Monitor client progress and modify treatment interventions as appropriate.
  • Assist youth with developing coping skills, accountability, and pro-social behaviors.
  • Support discharge and aftercare planning to promote long-term recovery and stability.

Competencies

The Substance Abuse Therapist must demonstrate competence in the following areas:

  • Clinical Assessment and Treatment Planning- demonstrates the ability to conduct comprehensive behavioral health and substance use assessments, identify co-occurring disorders, and develop individualized, measurable treatment plans that align with clinical best practices and regulatory requirements.
  • Evidence-Based Therapeutic Interventions-applies evidence-based treatment modalities including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention strategies appropriate for adolescents with substance use and behavioral health disorders.
  • Trauma-Informed Care-provides services using trauma-informed principles, recognizing the impact of trauma on behavior and substance use while promoting emotional safety, empowerment, and resilience in youth.
  • Adolescent Development and Behavioral Health Knowledge-demonstrates understanding of adolescent development, behavioral disorders, substance use disorders, and the unique needs of justice-involved youth in residential treatment settings.
  • Crisis Intervention and Behavioral Management-utilizes de-escalation techniques and crisis intervention strategies to manage aggressive or high-risk behaviors while maintaining safety within a residential treatment environment.
  • Documentation and Regulatory Compliance-maintains accurate, timely, and compliant clinical documentation including assessments, treatment plans, progress notes, and discharge summaries in accordance with CARF standards, state regulations, and agency policies.
  • Multidisciplinary Team Collaboration effectively collaborates with residential staff, case managers, probation officers, families, and clinical leadership to coordinate care and support treatment goals.
  • Ethical Practice and Professional Boundaries-maintain confidentiality and adheres to professional ethics, organizational policies, and state regulatory requirements governing behavioral health services.
  • Cultural Competency and Engagement-demonstrates the ability to work effectively with diverse youth populations, building therapeutic rapport while respecting cultural, social, and individual differences.
  • Communication and Interpersonal Skills-communicate effectively both verbally and in writing with youth, families, staff, and external stakeholders while maintaining professionalism and clarity.
  • Organizational and Time Management Skills-prioritizes workload, meets documentation deadlines, and manages caseload responsibilities in a structured residential treatment environment.
Minimum Qualifications
  • Master’s degree in counseling, Social Work, Psychology, or related behavioral health field
  • Licensed in North Carolina (LCAS)
  • Will consider MH with substance use experience.
  • Ability to pass required background checks, drug screening, and any state-mandated employment clearances.

Preferred Qualifications
  • Experience working with adolescents, substance abuse treatment, or justice-involved youth

Required Knowledge, Skills, and Abilities
  • Strong interpersonal and communication skills.
  • Ability to manage multiple priorities and maintain organized records.
  • Professional judgment, discretion, and ethical conduct.
  • Proficiency with electronic health records and standard office technology.

Physical and Work Environment Requirements
  • Work is performed in a behavioral health treatment environment that may involve exposure to emotionally distressed individuals.
  • Ability to sit, stand, walk, bend, and use standard office equipment.
  • Ability to respond to crisis situations, which may require quick movement.
  • Reasonable accommodation may be made to enable qualified individuals with disabilities to perform essential job functions.

#NHTCBTN