Mental Health Rehab Therapist

The Mental Health Rehabilitation Therapist I position is part of the Mental Health and Substance Abuse Rehabilitation program in North Dakota, which provides culturally competent services to adults and children who are Medicaid recipients and who are at risk of entering or re-entering a mental health or hospital facility. Services are designed to restore functioning to the highest possible level and enable clients to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills, when these abilities are impaired by symptoms of mental illness. Services are also appropriate when an individual may be at risk for functional decompensation or in a position of needing more restrictive services.

Services are provided under an Individual Treatment Plan and are overseen by a Licensed Mental Health Professional. The Mental Health Rehabilitation Therapist I provides individual, group, or family intervention from a range of treatment methods, within the scope of training and expertise of the Mental Health Rehabilitation Therapist I. Services provided are designed to reduce the client’s disability and restore the individual to previous functional levels by facilitating the development of skills needed for functioning in normal life roles in the community. The client’s ability to acquire and apply these skills helps to prevent relapse and strengthen goal attainment. The Mental Health Rehabilitation Therapist I may work individually with the client, within a group format, or in the context of the family, to assist family members or other significant others help address the identified problem areas.


The Skills Therapist must:

  • Hold at least a bachelor’s degree in a human service field, AND be licensed / certified in North Dakota to practice in one of the following areas: 
    • Licensed Social Worker (LSW);
    • Behavior Modification Specialist (BMS);
    • Licensed Social Worker (LSW);
    • Licensed Certified Social Worker (LCSW);
    • Licensed Associate Professional Counselor (LAPC);
    • Licensed Professional Counselor (LPC);
    • Behavior Modification Specialist (BMS);
    • Licensed Practical Nurse (LPN)

Other requirements for this position include:

  • Must be at least 21 years of age
  • Must pass a criminal background check
  • Must possess a valid driver’s license, have current automobile insurance and a reliable vehicle
  • Ability to work independently to meet job requirements and productivity expectations
  • Willingness to maintain a flexible schedule to meet client needs, managing appointment cancellations and prioritizing activities when needed
  • A desire to work in home and community settings with clients having mental illnesses
  • Comfort and ability working with clients who may exhibit behavior problems
  • Skills to work with a variety of cultures
  • Skills in managing emotionally-charged situations / crises
  • Sufficient organizational skills to manage daily charting requirements
  • Proficiency in the use of computers


1.    Clinical Responsibilities:  Clinical responsibilities are conducted under the supervision of a Licensed Mental Health Professional, and include: 

  • Along with the Mental Health Professional, develops and implements a culturally appropriate treatment plan and crisis plan for each client.
  • Within the Mental Health Rehabilitation Therapist I’s scope of practice and expertise, provides skills therapy in an individual, group, or family setting to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment and independent living and community skills, when these abilities are impaired by symptoms of mental illness. 
  • Work with and receive regular direction from the Mental Health Professional for the purpose of helping the client achieve maximal progress, as well as identifying and problem solving any barriers to progress on the treatment plan.
  • Within 45 days of employment the Mental Health Rehabilitation Therapist I is expected to support a caseload that allows for consistently providing the expected number of billable weekly.
  • Coordinate with other service providers, such as the Mental Health Technician providing Skills Integration to assist the client in practicing those skills learned in therapy with the Skills Therapist.
  • Provide crisis assistance services as needed, to address abrupt or substantial changes in the functioning of the child, identifying and managing crisis as they become evident and communicating this change of status to the overseeing Mental Health Professional.
  • Provide after hours on call service with the mobile crisis team as assigned.

2.    Administrative Responsibilities: 

  • Maintain current schedule with supervisor, communicating adjustments as they occur.
  • Complete chart notes daily for services provided and contacts made, ensuring that the documented time frame in the note accurately represents the service provided and that the note clearly describes the intervention provided.
  • Ensure that the file is in compliance with state standards and agency policy, including but not limited to: current Diagnostic Assessment, Individual Treatment Plan, financial agreements, releases of information, HIPAA / Notice of Privacy Practices, and evidence of ongoing case consultation.
  • Attend 4 hours of case consultation each calendar month.
  • Complete staff time and expense sheets bi-weekly for payroll processing.
  • Participate in supervision activities as directed.
  • Participate in 20 hours of training and continuing education annually, in the areas related to serving the needs of individuals with mental health problems.
  • Adhere to HIPAA privacy guidelines, data security expectations, and mandated reporting requirements, notifying management immediately of any breaches or concerns.
  • Adhere to agency policy and procedure
  • Contribute to the development of agency policies and procedures as requested.

3.    Professional Expectations: 

  • Communicate openly and directly with others
  • Take initiative, pitch in, and be a team player
  • Show flexibility when situations change, and re-prioritize tasks if needed
  • Show a positive attitude with respect to the job and present the agency in a positive light
  • Remember that you are an ambassador for the agency at all times
  • Dress appropriately for the job, following agency policy
  • Be respectful of and patient with clients, co-workers, and other team members
  • Work in a positive and cooperative manner with others
  • Resolve problems constructively
  • Accept responsibility for your own behavior, decisions, and actions
  • Behave in an ethical manner, maintaining professional boundaries in relationships and following the agency’s standards for expected ethical behavior

4.    Other Duties:  Other duties may be required or assigned


The Mental Health Rehabilitation Therapist I must be physically capable.  For example, he or she may need to participate in physical recreational activities with the client.  He or she may also need to conduct physical intervention procedures with a child or client, such as escort or restraint procedures in the event safety concerns arise.

Under normal circumstances the employee will need to have the physical capacity to continuously use his/her hands for simple and firm grasping and fine manipulation.  The employee may be required to do the following:

  • Lift and carry 25-100 lbs.
  • Push / Pull
  • Squat / Kneel / Stoop
  • Bend
  • Twist upper, and lower back

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

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