Posting: Substance Abuse Clinical Therapist (LMSW) Residential - Positive Images, Detroit MI

February 28, 2023

Positive Images

Substance Abuse Clinical Therapist (LMSW) Residential 

Job Description

Responsible for providing direct services to clients which includes screenings, intake, orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, provide referral services, report and record keeping; as well as consultation with other professionals in regard to client treatment/services.

Supervision Received: Therapist are directly responsible to the Clinical Supervisor.

Supervision Exercised: Responsible for all clients during shift and in the absence of the Clinical Supervisor, Administrative Assistant and Director.

Examples of Duties:

  • Evaluate psychological, social, and physiological signs and symptoms of alcohol and other drug use and abuse.
  • Determine the client’s appropriateness for admission or referral.
  • Determine the client’s eligibility for admission or referral.
  • Identify any coexisting conditions (medical, psychiatric, physical, etc.) that indicate need for additional professional assessment and/or services.
  • Complete required documents for admission to the program. Including DWIHN (MHWIN)
  • Complete required documents for program eligibility and appropriateness.
  • Obtain appropriately signed consents when soliciting from or providing information to outside sources to protect client confidentiality and rights.
  • Provide an overview to the client by describing program goals and objectives for client care.
  • Provide an overview to the client by describing program rules, and client obligations and rights.
  • Provide an overview to the client of program operations.
  • Gather relevant history from client including but not limited to alcohol and other drug abuse using appropriate interview techniques.
  • Identify methods and procedures for obtaining corroborative information from significant secondary sources regarding clients’ alcohol and other drug abuse and psycho-social history.
  • Identify appropriate assessment tools.
  • Explain to the client the rationale for the use of assessment techniques in order to facilitate understanding.
  • Develop a diagnostic evaluation of the client’s substance abuse and any coexisting conditions based on the results of all assessments in order to provide an integrated approach to treatment planning based on the client’s strengths, weaknesses, and identified problems and needs.
  • Explain assessment results to client in an understandable manner.
  • Identify and rank problems based on individual client needs in the written treatment plan.
  • Formulate agreed upon immediate and long-term goals using behavioral terms in the written treatment plan.
  • Identify the treatment methods and resources to be utilized as appropriate for the individual client.
  • Select the counseling theory(ies) that apply(ies).
  • Apply technique(s) to assist the client, group, and/or family in exploring problems and ramifications.
  • Apply technique(s) to assist the client, group, and/or family in examining the client’s behavior, attitudes, and/or feelings if appropriate in the treatment setting.
  • Individualize counseling in accordance with cultural, gender, and lifestyle differences. Interact with the client in an appropriate therapeutic manner.
  • Elicit solutions and decisions from the client.
  • Plan and implement the treatment plan.
  • Coordinate services for client care.
  • Explain the rationale of case management activities and consultation to the client (if applicable).
  • Recognize the elements of the client crisis.
  • Enhance overall treatment by utilizing crisis events.
  • Present relevant alcohol and other drug use/abuse information to the client through formal and/or informal processes.
  • Identify need(s) and/or problem(s) that the agency and/or counselor cannot meet.
  • Explain the rationale for the referral to the client.
  • Match client needs and/or problems to appropriate resources.
  • Assist the client in utilizing the support systems and community resources available.
  • Prepare reports and relevant records integrating available information to facilitate the continuum of care.
  • Chart pertinent ongoing information pertaining to the client.
  • Utilize relevant information from written documents for client care.
  • Recognize issues that are beyond the counselor’s base of knowledge and/or skill.
  • Consult with appropriate resources to ensure the provision of effective treatment services.
  • Coordinate the daily operations of the facility in conjunction with or in the absence of the Clinical team.
  • Check all doors and fire exits at start of shift to ensure that the House is secure.
  • Check all areas of the facility daily to assure that the facility is maintained in a safe and sanitary manner and in good repair.
  • Check the whereabouts of clients as needed and is available to clients during shift to assist them with clinical needs.
  • Monitor clients for possible alcohol/drug use, observe their behavior, and reports any unusual activities or behaviors to administrative staff.
  • Maintains confidentiality of all records.
  • Keeps own work area clean and neat.
  • Performs related duties, as required.
  • Adhere to applicable laws, regulations and agency policies governing procedures related to the protection of the client’s confidentiality.

Nights/weekends available

Medical benefits provided

Additional Requirements:

  • Must have a Master's Degree in Social Work.
  • Must be Licensed by the State of Michigan LARA.
  • Must have have MCBAP Credential; Certified Addictions Counselor or able to obtain one.

Job Types:

Full-time, Part-time


$23.00 - $35.00 per hour


  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Medical specialties:

Addiction Medicine


  • Monday to Friday
  • Weekend availability


  • Substance Use Disorder: 2 years (Preferred)
  • DWHIN/MHWIN: 1 year (Preferred)


  • LLMSW/LMSW (Preferred)
  • MCBAP CADC/CAADC (Preferred) /Development Plan (Preferred)

Work Location:

  • Multiple Locations

Job Contact:

Asha Gray, MBA Healthcare Administrator

p: (248) 252-3948

f: (313) 557-1971

Apply now

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