Mental Health Therapist, Crisis Team, #184

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.

The Mental Health Therapist provides crisis intervention to people across the lifespan, including adults, children, and families who are experiencing mental health or substance use concerns. Services are provided in the community by mobile response and at the Hawthorn Walk-in Center. Conducts mental health risk assessments and triage, coordinates crisis intervention, develops short-term person-centered stabilization plans, assists with resource linkage, and initiates involuntary transport to the emergency department (Director's Custody Hold) when indicated for safety reasons. Graveyard/overnight shifts work from home and respond to crisis calls by phone or in person as needed.

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 Hawthorn site. 

Pay/Benefits: $33.29 starting hourly pay plus, Full benefits. Additional $7.50 per hour differential for swing shift and weekends. 

Days/Hours: Various schedules available. Full-time positions, working 40 hours per week.  

Essential Responsibilities:(Must be able to be performed with or without reasonable accommodation.)

  • Responds to emergency situations involving children and adults experiencing mental health crisis.

  • Provides behavioral health risk assessments and crisis intervention at the clinic in an office setting and in the community by mobile response.

  • Performs client evaluations and risk assessments. Formulates a diagnosis and develops a short-term stabilization or safety plan to relieve the present mental health crisis and to provide a stable environment for clients. Notifies client and significant other(s) of diagnosis and initial recommendations. Completes written narrative of evaluation and obtains necessary releases. May participate in long-term treatment plans.

  • Provides follow up contact as developed in the stabilization or safety plan. 

  • Provides consultation and training to staff, caregivers, families, and community organizations regarding mental health issues, addiction and behavior management as it relates to clients.

  • Continually increases level of cultural sensitivity, awareness and humility. Actively participates in a minimum of four hours of training related to working with diverse populations.

  • Maintains awareness of community referral resources. Helps to build positive relationships with other community providers and provides appropriate referral services.

  • Assists staff members by helping to resolve difficult emergency situations and serves as back-up for other staff when needed.

  • Meets performance standards for productivity, documentation (including progress notes, assessments, treatment plans 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.

  • Identifies situations involving domestic abuse or other family problems affecting clients' development and determines whether clients should be counseled or referred to other specialists. Follows through with mandatory reporting duties. 

  • Ensures that all necessary equipment for crisis response is always ready. 

  • Always maintains professional presentation in the community and responds to all situations / calls with a customer service attitude.

  • Prepares mental health evaluations and reports for all client contacts. Maintains clear and concise records. Maintains case files that include activities, progress notes, evaluations, and recommendations according to confidentiality guidelines. Completes documentation in an electronic health records systemin a timely basis. Completes time and attendance forms.

Work Activities:

Providing Direct Client Care

  • Respond to variety of unplanned, unknown crisis events each day. This includes assessing individuals of all ages across the lifespan and all acuity levels of behavioral health crisis.

  • Case management; consultation; risk assessment; skills training; crisis intervention.

  • Requires developing rapport with individuals we are often meeting for the first time (do not have established relationship or history).

  • De-escalation use of verbal de-escalation skills to resolve heightened emotional situations on site and in the community, use of team approach to de-escalation as needed

Making Decisions and Solving Problems  Analyzing information and evaluating results to choose the best solution and solve problems.

Getting Information Observing, receiving, and otherwise obtaining information from all relevant sources.

Identifying and Assessing Actions and Events  Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Establishing and Maintaining Interpersonal Relationships ?Developing constructive and cooperative working relationships with others and maintaining them over time.

Documenting/Recording Information  Entering, recording, storing, or maintaining information in written or electronic form.

Resolving Conflicts and Negotiating with Others  Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others, including co-workers and partner agencies. 

Thinking Creatively  Developing, designing, or creating new applications, ideas, relationships or systems.

Provide Consultation and Advice to Others  Providing guidance and advice based on knowledge and experience to co-workers and clinical team.

Communicating with Supervisors, Peers, and Clients  Providing information to supervisors, co-workers, and clients by telephone, in written form, e-mail, or in person.

Communicating with Persons Outside Organization  Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.

Evaluating Information to Determine Compliance with Standards  Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Organizing, Planning, and Prioritizing Work  Developing specific goals and plans to prioritize, organize, and accomplish your work.

Performing General Physical Activities  Performing physical activities that require considerable use of arms and legs and moving the whole body, such as standing, sitting, lifting up to and occasionally 25 to 50 lbs, walking, reaching and twisting. 

Exposure to Environmental and/or Physical Hazards  May be exposed to various conditions specific to each home including stairs, pets, allergens, odors, alcohol or drug paraphernalia, and/or various other environmental elements.

Qualifications: (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.)

  • Strong assessment, decision-making and interpersonal skills are absolute necessities for this position.
  • Master's degree in Social Work, Psychology, Counseling, or a Mental Health related field.
  • Valid and active QMHP credential certification through MHACBO or a valid and active status (licensed or registered intern) with an approved Oregon licensing board.
  • Demonstrated ability to conduct a mental health crisis assessment, including identifying precipitating events, gathering histories of mental and physical health, alcohol and other drug use, past mental health services and criminal justice contacts, assessing family, social and working relationships and conducting a mental status examination; identify appropriate DSM diagnosis; work with the individual to create a safety plan; and provide appropriate referrals to address chemical dependency and/or mental health concerns.
  • More than 1 year of experience preferred in providing a broad range of clinical interventions and mental health assessments with children and families or individuals with severe and persistent mental illness.
  • Demonstrated ability to work effectively on a highly interdependent team. Necessary skill sets include initiative, dependability, flexibility and strong organizational skills.
  • Demonstrated ability to maintain case management in accordance with federal, state, and/or funding source requirements as well as   LifeWorks NW's policies and procedures.
  • Knowledge of community resources and treatment agencies enabling appropriate referrals for specific client needs.
  • Knowledge of medications commonly used by client population.
  • Good computer skills including a functional knowledge of Microsoft Outlook and Word. Ability to master proprietary software including electronic health record system. This includes the ability to enter data and retrieve data and to prepare simple reports.
  • Demonstrates effective communication skills and maintains a cooperative working relationship with others in a culturally diverse environment.
  • Requires valid driver's license and ability to meet LifeWorks NW driving requirements.
  • Ability to perform essential functions of job without creating a direct threat to the safety of self or others.


Therapy and Counseling  Knowledge of principles, methods, and procedures for diagnosis, treatment, rehabilitation, and counseling. Recognition of medical necessity and knowledge of the golden thread of treatment, from client intake through discharge. Familiarity of applications of evidence-based practices appropriate to client population.

Customer Service  Knowledge of theories and methods for actively listening to clients, maintaining a professional demeanor in stressful situations, and involving the client when possible, in all phases of service provision. 

English Language  Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Law and Government  Knowledge of laws, legal codes, and court procedures as it applies to mental health and the commitment process. 

Medicine  Knowledge of the information and techniques needed to diagnose and treat mental health conditions. This includes symptoms, treatment alternatives, and preventive health-care measures.


Active Listening  Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Social Perceptiveness  Being aware of others' reactions and understanding why they react as they do.

Critical Thinking  Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Negotiation  Bringing others together and trying to reconcile differences.

Service Orientation  Actively looking for ways to help people.

Judgment and Decision Making  Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Monitoring  Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Active Learning  Understanding the implications of new information for both current and future problem-solving and decision-making.


Oral Expression  The ability to communicate information and ideas in speaking so others will understand.

Inductive Reasoning  The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Problem Sensitivity  The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Deductive Reasoning  The ability to apply general rules to specific problems to produce answers that make sense.

Written Comprehension  The ability to read and understand information and ideas presented in writing.

Written Expression  The ability to communicate information and ideas in writing so others will understand.

Vision  The ability to see details at close and far range (within a few feet of the observer).

Physical  The ability to run or quickly move to escape to safety in a potentially dangerous situation.

Working Conditions:

  • Duties are performed both indoors and outdoors. 

  • Office environment is in an urgent mental health walk-in center that houses multi-disciplinary teams in a shared office setting with cubicle seating. 

  • Work involves contacting individuals in crisis at times with limited information about circumstance or risk factors.

  • Workday consists of primarily unplanned tasks. 

  • Fieldwork is required on a regular basis. 

  • Work includes the use of a company vehicle to travel to locations anywhere in Washington County for crisis response to include but not be limited to personal residences, campsites, hospitals, schools, jails, etc. 

  • Exposure to natural weather conditions, which may be severe while performing outdoor duties. 

  • May work in hazardous or unpleasant conditions. 

  • Environmental hazards include exposure to various conditions specific to each home including stairs, pets, allergens, odors, alcohol or drug paraphernalia, and/or various other environmental elements.

  • Physical hazards include responding to volatile situations with individuals that are agitated or behaving aggressively. 

  • Potential for exposure to traumatic events that involve threat to the safety of self or others. 

  • May require working extended hours. 

  • Works while using personal protective equipment (when needed)

  • As part of crisis and safety net services, our programs are considered essential services and continue to operate when other programs and agencies might be closed, such as during inclement weather or other hazardous conditions, like poor air quality.

  • Individuals in this position need to report in person and provide services during inclement weather and other hazardous conditions (whenever reasonably possible).

  • Most positions require at least one weekend shift.

  • Many positions require working swing shift.

  • Program operates 365 days a year, 24 /7. Holidays are required.

  • Work is in person. Not eligible for agency alternative work arrangement.

This is a represented position.

Equal Opportunity Employer

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