Dual Diagnosis Therapist #1413

Recovery Empowerment Achievement in Life (REAL) provides culturally specific alcohol and other drug treatment for African American adolescents. REAL was created out of the idea that African American youth were not being well served in traditional youth settings and over-represented in the juvenile justice system. Further, youth with alcohol and other drug use, gang involvement and juvenile justice concerns, also were not being well-served in academic settings.

The Dual Diagnosis Therapist provides substance abuse and mental health treatment services for adults in outpatient or residential settings. Responsible for assessment, treatment planning, provision of counseling (individual, family, and group) services, consultation with care providers and coordination of multiple service providers for his/her assigned client caseload; and for keeping accurate, timely records.

As a behavioral health organization, LifeWorks NW employees are required to have had their COVID 19 vaccination (or have an approved medical/religious exemption) per State of Oregon rules. Proof of COVID-19 vaccination is required upon hire. 

Location: This position is based out of LifeWorks NW's Beaverton site. 

Pay/Benefits: $53,967 to $58,689 annual salary plus, Full benefits.

Essential Responsibilities: (These responsibilities must be able to be performed with or without reasonable accommodation.)

  • Responsible for client evaluation including initial intake interviews, formulating mental health and substance abuse diagnoses, identifying appropriate treatment services to meet the needs of clients with co-occurring disorders. Notify client, significant other(s), care givers and care providers of diagnoses and initial treatment recommendations in a timely manner, complete written narrative of evaluation, obtain necessary authorizations for disclosure.

  • Collect information about individuals or clients, using interviews, case histories, observational techniques, urinalysis, and other assessment methods. Observe and evaluate client's performance, behavior, social development, and physical health.

  • Analyze data such as interview notes, test results, and reference manuals to identify symptoms and to diagnose the nature of clients' co-occurring mental health and substance abuse problems.

  • Identify and diagnose mental health and substance abuse disorders, using information obtained from interviews, tests, records, and reference materials. Address legal issues, such as child abuse and discipline, assisting with hearings and providing testimony to inform custody arrangements. Provide accurate screenings for health, gambling, trauma, and domestic violence issues, and make referrals to appropriate services providers as necessary.

  • Provide referral services to clients and their families, e.g., residential services, psychiatric services, health care, employment services, housing, recovery support services, etc. Maintain awareness of community referral resources.

  • Develop therapeutic Individual Service and Support Plans (ISSP), based on clients' interests, abilities, strengths and integrated mental health and substance abuse needs. ISSP's will be evidence-based using clinical experience and knowledge, and will have measurable goals and objectives based on the diagnosis and will specify type, frequency, intensity, and duration of services. ISSPs will client-driven and follow-ups will be completed on time, assessing the quantity and quality of services provided.

  • Confer with clients, significant others and treatment team to develop plans for post treatment activities to maintain recovery.

  • Counsel individuals or families, using evidence-based practices, to help them understand problems, define goals, and develop realistic action plans. Guide clients in the development of skills and strategies for resolving substance abuse problems.

  • Facilitate or co-facilitate group treatment services, using evidence-based/manualized treatment models with demonstrated effectiveness for the population served. Demonstrate proficiency in using evidence-based practices, as evidenced by observation, fidelity rating scales, client report, and client outcomes.

  • May be responsible for service coordination. Coordinate/collaborate with physicians, staff, families, caregivers, referents, etc. Maintain chart notes related to external contracts, obtaining pertinent records from other treatment and tracking clients' involvement, follow-through and progress in varied treatment activities. Provides regular and timely progress reports to referents when appropriate.

  • Evaluate the effectiveness of counseling or treatments and the accuracy and completeness of diagnoses, modifying plans and diagnoses as necessary. ISSP's must be updated at least every three months. Behavioral Health Assessments must be updated at least annually.

  • Document and maintain client records in electronic healthcare system within 24 hours of meeting with client to ensure compliance with agency and contract guidelines and confidentiality.

  • Provide training to staff, caregivers, and family regarding issues of co-occurring substance abuse and mental health disorders as they relate to clients.

  • Provide crisis intervention, including appropriate consultation and safety planning for clients at risk for dangerousness. May serve as Clinician of the Day.

  • Serve as back-up for other staff when needed.

  • Administer and submit urinalyses with minimal errors. Evaluate and communicate results within agency guidelines.

  • Check e-mail/voicemail throughout the day when working, responding appropriately.

  • Continually increase level of cultural sensitivity, awareness and competency, providing culturally appropriate evaluation, treatment, resources and support linkage to clients.

  • May need to travel between sites or in the community.

  • May need to work evenings and/or weekends, depending on job assignment.

  • Meets performance standards for direct service, documentation (including progress notes, assessments, ISSP's, status reports, and authorization requests), proficiency in clinical model and evidence-based practices, quality of care (including engagement and retention) and teamwork as defined in the Performance Review.

  • Participate in regular individual and team meetings with supervisor. Attend informational and clinical meetings which may include all staff and team meetings, consultation with other staff, and required trainings.

  • Qualified licensed clinicians may be requested to provide licensure supervision as part of their regular position in compliance with the rules of their licensing board.

  • Participate in a culture of feedback at the agency by eliciting feedback to promote professional growth and assess work effectiveness.

  • Use Feedback-Informed Treatment service delivery approach to obtain and review feedback from clients regarding the fit and effectiveness of the services provided to them.

Requirements:(Equivalent education and/or experience may be substituted for qualifications. Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitudes to perform each task proficiently.)

  • This position requires a valid and active QMHP credential certification through MHACBO or a valid and active status (licensed or registered intern) with an approved Oregon licensing board.

  • Master's degree in area of specialization directly related to work performed; or a bachelor's degree in nursing or occupational therapy and licensure through the State of Oregon or QMHP.

  • If recovering from a substance abuse related disorder, must be able to demonstrate continuous sobriety under nonresidential, independent living conditions for the immediate past two years.

  • Have knowledge, skills, and abilities demonstrating competence in: treatment of mental health and substance-related disorders including client evaluation and individual, group, family, and other counseling techniques; program policies and procedures for client case management and record keeping; and accountability for recording information in the client files assigned to them consistent with those policies and procedures. Should be familiar with theory or concepts of prevention.

  • Knowledge of medications commonly used by client population.

  • Requires a current CADC or equivalent national certification or a submitted application for CADC upon hire, with a formal plan to obtain certification within two years of hire.?

  • May require LCSW or LPC.

  • More than 1 year experience in broad range of clinical interventions and mental health assessment specific to the client population.

  • Demonstrated knowledge of treatment methods for individual, family and group therapy to address chemical dependency and mental health problems

  • Demonstrated ability to maintain case management in accordance with federal, state and/or funding source requirements as well as LifeWorks NW policies and procedures.

  • Compliance with federal and state confidentiality rules and regulations.

  • Knowledge of community resources and treatment agencies enabling appropriate referrals for specific client needs.

  • Knowledge of medications commonly used by client population.

  • May require access to a car and ability to drive between sites or in the community.

  • Demonstrate effective communication skills and ability to provide culturally-competent treatment services to diverse client populations.

  • If working in a culturally specific program must have a demonstrated understanding of cultural values and norms, knowledge of acculturation and generational issues within a culture, extensive knowledge and understanding of resources and appropriate support linkage available within the community, a sensitivity and understanding of specific barriers which may lead to lack of access and engagement, effective inner-cultural communication skills in order to advocate for culturally diverse clients.

  • Good computer skills including a functional knowledge of Microsoft Outlook and Word. Ability to master proprietary software including electronic health record system.

  • Ability to perform essential functions of job without creating a direct threat to the safety of self or others.

LifeWorks NW is a private, non-profit organization providing prevention, mental health, substance use treatment, and related social services to youths, adults, and older adults in over fifteen locations throughout Multnomah, Washington, and Clackamas counties. LifeWorks NW promotes a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

Our core values-Recovery and Relationships, Resilience, and Results-inform the work we do. The four pillars of the strategic vision include Compassionate, Impactful Care, Holistic Health, Passionate Team, and Thriving Organization. Diversity, Equity, and Inclusion are critical to successfully achieving the mission. We know that "life works" when people get the help they need and are dedicated to changing lives.

Equal Opportunity Employer


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