Openings >> Primary Therapist
Primary Therapist
Title:Primary Therapist
Department:Childhelp Alice C. Tyler Village
Location:Lignum, VA

                                                      JOB/POSITION OVERVIEW
Conducts individual, group and family therapy with residents assigned to personal caseload.  Provides the appropriate application of all clinical interventions, treatment programming and clinical care for assigned cases. Conducts initial assessments, treatment planning, ongoing case management, discharge planning and aftercare development on cases assigned.  Documents treatment interventions and results in medical record on a timely basis.  Assist with the appropriate and ongoing training of direct care staff working with assigned team(s).  Participates in the multi-disciplinary case conference meetings and coordinates ongoing treatment on assigned teams.  Attends to resident, families, and referral source concerns as well as providing timely reports on treatment obstacles and progress. 

  • Graduation from an accredited college or university with a minimum of a Master’s Degree in Psychology, Social Work, Marriage and Family Therapy or related field.
  • Must be licensed by the State of Virginia as an LCSW, LMFT or LPC or license eligible working toward licensure.
Training and Experience:
  • Minimum of two (2) years experience inpatient, outpatient, and/or mental health care in the area of child and/or adolescent treatment along with a thorough knowledge of emotionally disturbed children and adolescents;
  • Strong clinical skills in intervention techniques of individual, group and family therapy in working with patients and their families. A working knowledge of educational, psychological, family and social work systems as related to special education and behavior treatment.
  • Strong interpersonal skills and excellent written and verbal communication skills. 
  • Must have at least intermediate level PC skills.
  • Must have successfully completed all of the Alice C. Tyler Village new hire orientation and training requirements. 
  • Must be current on all mandatory annual retraining and in-services.
  • Must participate in a minimum of 15 hours annually of in-service training applicable to specific job duties and responsibilities.
  • Possess a current certificate for cardiopulmonary resuscitation (CPR) and first aid.
  • Must possess a valid driver’s license.
                                                     PHYSICAL REQUIREMENTS
Must have ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift and grasp.  Should be able to run a distance of 400 meters in 2 minutes or less.  Must be able to perceive the attributes of objects such as size, shape, temperature and/or texture by touching with skin, particularly that of the fingertips.  Possesses the ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.  Hearing to perceive the nature of sounds with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information through oral communication and to make fine discriminations in sound.  Perform repetitive motions with wrists, hands and fingers.  Be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull or otherwise move objects.  Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks and visually observe patients on the unit and in therapeutic activities.
  • Must be able to pursue, on foot, residents who attempt to elope (run) from the facility. This would involve running and catching them including physically subduing them to the ground if need be.
  • Must be able to escort a physically resistive resident to a safe area when required. This involves, with the assistance of a second staff member, physically walking a resident that may be resisting by kicking, pushing, wrestling, etc. to avoid walking and/or trying to break free.
  • Must be able to assist in physically subduing an out of control and/or aggressive resident.  Staff must possess the adequate strength and flexibility to initiate wrapping them up with arms, placing them in the proper position, and holding them securely in this position for any length of time as determined by the resident calming and regaining control.

  1. Responsible for all primary therapist duties and responsibilities for a caseload of residents on assigned treatment team.
  2. Specific clinical responsibilities for each case assigned including but not limited to the following:
    1. Initial treatment assessments and formulations (psychosocial assessments; interviews with patient, parents and significant others to obtain data on the patient's personal, social, developmental, and emotional history; timely completion of the ITP and MTP, etc.).
    2. Therapy delivery (individual and family weekly).
    3. Case Management (treatment interventions, therapeutic visits, case coordination with other disciplines, etc.).
    4. Communication with clients (Referral sources, parents/guardians, school officials, etc.).
    5. Timeliness of all necessary documentation (session progress notes, contact calls, monthly summaries, discharge summaries, special notes, orders, etc.).
    6. Participation in the implementation of all clinical aspects of the Alice C. Tyler Village milieu program.
  3. Completes all necessary documentation in medical record, including monthly summaries, discharge summaries, therapy session notes, special notes and contact calls in a timely thorough and professional manner according to the following deadlines:
    1. Initial Treatment Plan  - 24 hours from the time of admission
    2. Diagnostic Summary Sections - 14 days from the time of admission
    3. Master Treatment Plan - 14 days from the time of admission
    4. Therapy Session Progress Notes – By 12p the day after service was rendered in which session was held
    5. Special Notes – Daily as needed to which the special entry refers
    6. Contact Calls – Daily as needed in which the contact call was made
    7. Group Therapy Session Notes - By 12p the day after service was rendered in which session was held
    8. Monthly Treatment Summaries – 72 hours prior to the Monthly Treatment Team Meeting 
  4. Facilitate weekly group therapy sessions for assigned treatment groups. 
  5. Attend weekly supervision to discuss case conceptualization, to review treatment goals, to discuss problems or obstacles to progress, to exchange ideas for intervention strategies, to provide clinical training, and to assist with difficult or problem families/cases.
  6. Attend multi-disciplinary case conference meetings on assigned team to review cottage dynamics and planning, review treatment coordination of treatment interventions for team/individuals, review and approve therapeutic visits and conduct scheduled master treatment plan reviews on assigned cases.
  7. Be responsive and insure that residents, families, and/or referral sources are helped with problems arising over the course of the resident’s treatment stay at the Alice C. Tyler Village.
  8. Provide regular progress reports and timely notification of problems that arise to referral source(s) on assigned cases as well as soliciting their assistance when needed.
  9. Assist with clinical certifications and reviews for re-certifications with payer sources for the ongoing funding of treatment of each assigned patient.
  10. Assist with assigned families when necessary in initiating court proceedings necessary for continuation of treatment for the patient.
  11. Assist the Resident Program Manager in the clinical training and therapeutic skill development of Direct Care Workers including clinical training on theory, diagnoses, intervention strategies and interactive styles/patterns.
  12. Consistently exercise sound, independent judgment and adequate emotional stability in evaluating situations and making decisions despite the pressures of deadlines or the occurrence of unexpected stressful events.
  13. Participate on committees and in professional meetings and staffings as necessary for the overall development and function of the program.
  14. Assures consistency in dealing in a tactful and harmonious fashion with staff, residents, and the public and to adhere to and follow all policies and procedures as designated and defined by the Executive Director of the Village.
  15. Carry out other duties as assigned to meet the needs of the program.



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