Co-Occurring Disorders Specialist - Adult Services - Brattleboro

HCRS; Brattleboro (VT); On-site; USD 55,000 - 65,000; Full time

Job summary

HCRS in Brattleboro, VT is seeking a Co-Occurring Disorders Specialist to join the Adult Services Division. The role provides clinical services, counseling, screening, and case management within an interdisciplinary team, delivering care in embedded community settings.

You will conduct comprehensive assessments, engage clients using DSM-5 criteria, provide individual, family, and group therapy, and coordinate treatment with medical providers and housing advocates in fast-paced, collaborative

Qualifications

• Engagement and screening of clients within embedded settings.
• Proficient in comprehensive assessments and treatment planning.
• Experience applying DSM-5 criteria in clinical contexts.
• Ability to synthesize information for case formulation and treatment decisions.

Responsibilities

• Provide direct clinical care to promote change according to treatment plans.
• Individual psychotherapy aligned with client goals and diagnoses.
• Family work and systemic approaches to support treatment.
• Group therapy and psychoeducational sessions to facilitate growth.
• Coordinate care with interdisciplinary teams and community resources.

Skills

Engagement and screening

Assessment skills

Clinical assessment

DSM-5 criteria

Job description

Job Category: Adult Services Division

Requisition Number: COOCC002545

• Posted : October 2, 2026
• Full-Time

Locations

Showing 1 location

Fairview Street
Brattleboro, VT 05301, USA

Description

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 psychoeducational 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.