Therapist - PACT

COLUMBIA RIVER MENTAL HEALTH SERVICES IS GROWING AND WE NEED THERAPISTS!

Lives Change Here! We are GROWING... Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental / chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.

Our Mission : Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.

Why Work Here?

CRMHS offers AMAZING benefits aside from health and wellness (medical / dental / vision etc.) Work life balance benefits : 11 paid holidays per year, 2 paid floating holidays, 5 weeks of PTO days in the first year that grows year after year. Career development : $325 annual allowance for career development and education with an additional 40 hours of paid time off for career development / education! And so much more!

Starting Pay Range -

Therapist II (MHP, LICSWA, LMHCA) - $28.13-$32.11 / hr

Therapist III (LICSW, LMHC, LMFT) - $32.99-$36.32 / hr

Summary :

The PACT Therapist / Mental Health Professional (MHP) is a core member of a multidisciplinary treatment team that provides intensive, integrated services to adults with serious and persistent mental illness (SPMI) who experience complex barriers to functioning independently in the community. This position delivers a range of clinical services-assessment, therapy, crisis intervention, and case management-both in office settings and in the community, including client homes, shelters, and hospitals. The goal is to support client recovery, community integration, and psychiatric stability by reducing hospitalization and incarceration and enhancing quality of life.

Essential Job Responsibilities :

Clinical & Therapeutic Services

• Provide integrated mental health and substance use assessments using DSM-5 diagnostic clarity and service planning.
• Provide trauma-informed, evidence-based treatment for individuals with or without co-occurring mental health and substance use disorders, including but not limited to CBT, DBT, MI, and harm reduction strategies.
• Conduct comprehensive mental health assessments, including biopsychosocial evaluations and risk assessments.
• Deliver structured individual and group psychotherapy for recovery support, skill-building, relapse prevention, and psychiatric rehabilitation.
• Collaborate in the development and revision of individualized treatment plans, crisis plans, and recovery goals.
• Provide consultation and psychoeducation to other team members, supporting integrated interventions aligned with each client's readiness for change.
• Collaborate with the PACT prescriber and team to coordinate medication-assisted treatment (MAT) and monitor progress toward wellness and recovery.
• Provide ongoing crisis assessment, risk evaluation, and urgent intervention as needed, in collaboration with the team.
• Provide psychoeducation on mental health and co-occurring disorders, medications, relapse cycles, wellness strategies, and coping skills.
• Support harm reduction, housing stability, medication adherence, and community integration through are coordination and case management.
• Promote client autonomy, dignity, and culturally responsive care in all interactions
• Collaborate with team members to ensure cohesive delivery of mental health services in the community and across levels of care.
• Assist with discharge planning and coordination of referrals to inpatient detox, outpatient treatment, housing, or residential supports as appropriate.
• Advocate for clients across systems (legal, medical, housing, substance use treatment) to reduce barriers and support whole-person recovery.
• Track treatment progress and respond to audit or fidelity requirements as needed.
• Ensure compliance with confidentiality regulations, including HIPAA and 42 CFR
• Contribute to fidelity and quality improvement efforts, including outcome monitoring and data-informed practice.
• Assist with outreach and engagement efforts, including wellness checks, home visits, and collaborative visits with other staff to support continuity of care.
• Support medication delivery efforts by collaborating with nursing staff to ensure safe, timely, and therapeutic dispensing of prescribed medications in the field.
• Work alongside case managers and other specialists to support clients with housing applications, benefits enrollment, appointment scheduling, and other recovery goals.
• Provide flexible support during team member absences or high-need situations, including co-facilitating groups, participating in transitions of care, and delivering bridge services.

Team-based Responsibilities

Additional Job Functions :

Education, Licensing and Experience :

Other Requirements

This position requires regular driving and mobility in community settings. Staff must be able to safely walk, stand, sit, bend, and carry supplies as needed to provide services in varied environments. Exposure to outdoor weather, stairs, and unsheltered locations will occur.

Staff must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations may be made to enable qualified employees with disabilities to perform the essential functions of their job, absent undue hardship.