Co-Occurring Disorders Specialist - Adult Services - Brattleboro

Job Category
:
Adult Services Division

Requisition Number
: COOCC
002545

• Posted :
  October 2, 2026
• Full-Time

Showing 1 location

Fairview Street
Brattleboro, VT 05301, USA

The pay for this position is between $55,000 - $65,000 annually.

Position

Purpose:

The Co-Occurring Disorders Specialist provides clinical services/counseling, screening, and case management services to clients/clients/participants in one or more specific embedded community setting (distinct jobs in which services are provided at primary care or specialty medical practice offices; or working with persons who are unhoused; or working to provide team-based care to a specific population or setting) as an independently licensed practitioner.

This work is typically as a part of an interdisciplinary team that includes medical providers (doctors, nurses, etc.), case managers, peer support services, housing advocates, and/or others. The work is often fast-paced and involves pivots according to the needs of the team, and the clients served.

Essential

Responsibilities and Duties:

Core Competencies

• ENGAGEMENT, SCREENING, AND ASSESSMENT
  • Assesses clients comprehensively, according to needs of embedded team and agency needs;
    Clinicians should be proficient in diagnosis, formulation, risk assessment, level of care assessment, identifying strengths and areas of ongoing challenges, etc.
  • Assesses client’s social and family structure in context of client/client/participant’s presenting problems
  • Assesses and plans for the client/client/participant’s aftercare needs
  • Conceptualizes clients and systems in their social context, taking into account systems stressors as well as intra- and interpersonal problems and strengths
  • Demonstrates understanding of addiction and recovery, including as it relates to screening, assessment, engagement, clinical interventions and approaches, and ASAM criteria for referrals and placement
  • Synthesizes and conveys relevant information, including clinical and case formulations, orally and in writing.
  • Formulates understandings of case material, using all data available as well as understanding of interplay between stressors and vulnerabilities and presenting problems.
  • Understands best practices for assessment and treatment of clients with diverse backgrounds and cultural experiences, including intersectionality and the impacts of systemic oppression and marginalization
  • Assesses and diagnoses clients, using DSM 5 criteria, consulting with team members as necessary
  • Demonstrates the ability to form a therapeutic relationship with the client and families.
  • Contacts the client’s providers and referral sources to obtain collateral information for assessment, and to coordinate treatment
  • Uses standardized assessment and screening tools as necessary, including for depression, anxiety, substance use, and suicide and violence risk
  • Must be able to use in-person, telephonic, and two-way video telehealth to engage client as needed
• TREATMENT
• Demonstrates the ability to provide direct clinical care to clients to promote change according to the client/client/participant’s treatment plan.
• Individual Psychotherapy:
  In a manner appropriate to the setting and frame, meets with client in a therapeutic relationship to address clinical and psychosocial issues relevant to the client’s diagnosis and presenting problems, and promotes change according to treatment goals.
• Family work/family therapy:
  Engages therapeutically with client family and systems to further client’s treatment and progress toward goals, indicated
• Supportive therapy:
  Meets with client as necessary to provide support and resolve specific task-oriented problems that may have an impact on treatment.
• Group therapy:
  Meets with clients in psycho educational or psychotherapeutic group sessions to promote, through the group process, individual growth according to treatment goals.
• Demonstrates the ability to integrate theoretical knowledge of clinical practice, group dynamics and individualized biopsychosocial assessment effectively and ethically in treatment.