Marriage and Family Therapist - Behavioral Health Interdisciplinary Program/Substance Use Disorders

Summary

The Marriage and Family Therapist (MFT) serves as an independent practitioner within the Mental Health Service at the Alexandria VA Health Care System (AVAHCS) - Lafayette Community Based Outpatient Clinic (CBOC) providing specialized, independent, and complex clinical services to Veterans and families. This role requires autonomous functioning with advanced knowledge of systemic therapy, family dynamics, addictions, trauma-informed care, and evidence-based psychotherapies.

Duties

Duties Include but are not limited to: Provides comprehensive clinical assessments, diagnostic impressions within licensure scope, and evaluation of complex mental health presentations including co-occurring substance use, medical, and psychiatric conditions. Provides education to Veterans, families, and significant others on mental health conditions and treatment options. Provides individual, family, conjoint, and group counseling within Marriage Family Therapist (MFT) scope of practice. Delivers evidence-based, recovery-oriented interventions appropriate to licensure and privileging. Provides crisis intervention, risk assessment, safety planning, stabilization, and follow-up. Provides consultation to Alexandria VA Health Care System staff and community providers based on clinical assessment and treatment planning. Develops, implements, and documents person-centered, individualized treatment plans. Exercises independent clinical judgment regarding treatment decisions and documentation. Adheres to operational policies, clinical practice guidelines, and interdisciplinary team procedures. Coordinates care with other VA programs and external agencies as clinically appropriate. Complies with national and local performance measures, clinical reminders, and workload expectations. Ensures timely, accurate, and complete CPRS documentation, including diagnostic and procedural coding within scope. Conducts biopsychosocial assessments addressing mental health, substance use, trauma history, medical concerns, strengths, and psychosocial needs. Identifies high-risk factors including suicidality, homelessness, interpersonal violence, or justice involvement. Responds to and triages consults, ensuring timely access to appropriate care. Develops, implements, and revises treatment plans reflecting measurable, recovery-oriented goals. Provides individual, group, and family counseling within MFT scope. Utilizes evidence-based practices, including CBT, MI, and problem-solving approaches. Independently provides crisis intervention, including assessment and management of suicidal or homicidal risk. Offers consultation and coordination support to interdisciplinary treatment teams, CBOCs, and community partners. Maintains advanced knowledge of mental health and substance use treatment, trauma-informed care, relapse prevention, case management, and psychosocial rehabilitation. Coordinates referrals to VA and community resources. Maintains collaborative relationships with internal teams and community agencies. Work Schedule: Monday - Friday, 8:00am - 4:30pm, subject to change based on the needs of the facility. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 01035F, 01034F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education. Candidates must meet one of the following: (1)Hold a master's degree or doctoral degree in marriage and family therapy from a program approved by COAMFTE, (2)Hold a master's degree or doctoral degree in marriage and family therapy from a MFT program from a regionally accredited institution, OR, (3)Hold a master's degree or doctoral degree in a comparable mental health degree(Licensed Professional Mental Health Counselor, Social Work, Psychiatric Nursing, Psychology, and Psychiatry) that meets the current VA qualification standard of that profession. Licensure. Persons hired or reassigned to MFT positions in the GS-0182 series in VHA must hold a full, current, and unrestricted MFT license to independently practice marriage and family therapy in a State. Exception: The Secretary, or his/her designee, may waive the licensure requirement for persons who are otherwise qualified, pending completion of State prerequisites for licensure examinations for a period not to exceed three years from the date of employment on the condition that MFTs appointed on this basis provide care only under the supervision of a fully licensed MFT with an AAMFT approved license. Non-licensed MFTs who otherwise meet the eligibility requirements may be given an appointment as an MFT under the authority of 38 U.S.C.§ 7401(3). This exception only applies at the entry grade level (GS-9). For grades at or above the full performance level, the candidate must be licensed. (1) MFTs that are not licensed at the time of appointment must become licensed at the independent level (Journey level) within three years of their appointment as a MFT. Most States require two years of post-graduate MFT experience as a pre-requisite to taking the licensure examination; VHA allows MFTs one additional year to pass the licensure exam. (2) It is VHA policy that a MFT who does not yet have a license that allows independent practice must be clinically supervised by an AAMFT approved licensed MFT at or above the journey level who is a VA staff member and who has access to the electronic health record. English Language Proficiency. MFTs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3j. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Marriage and Family Therapist, GS-9 (Entry Level) Experience, Education and Licensure. The entry level grade is used for non- licensed MFTs or for MFTs (master's or doctoral level) who are graduates not yet licensed at the independent practice (Journey) level. Unlicensed MFTs at the GS-9 grade level have completed the required education listed in paragraph 3b above, and are working toward completion of prerequisites for licensure. In addition, the candidates must demonstrate the Knowledge, Skills, and Abilities (KSAs) in subparagraph (b) below. Demonstrated KSAs. In addition to meeting the KSAs for GS-9 grade level, the candidate must demonstrate all of the KSAs below: 1.Knowledge of human development throughout the lifespan, interventions based on research and family systems theory and therapy, formal diagnostic criteria, risk assessment, evidence-based practice and assessment tools. 2.Ability to assess, with supervision, the psychosocial functioning and needs of Veterans and their family members. 3.Knowledge to formulate, implement, and re-evaluate a treatment plan through continuous assessment identifying the Veteran's challenges, strengths, readiness to change, external influences and current events surrounding the origins and maintenance of the presenting issue, and interactional patterns within the client system. 4.Ability to provide counseling and, or psychotherapy services, under supervision, to individuals, groups, couples and families in a manner that facilitates change through restructuring and reorganizing of the client system. 5.Basic knowledge and understanding of existing relevant statutes, case law, ethical codes, and regulations affecting professional practice of marriage and family therapy. 6.Ability