The incumbent is assigned to Mental Health Services at the James E. Van Zandt Medical Center and surrounding VA locations. Services include clinical assessment and diagnosis using the Diagnostic and Statistical Manual and the American Society of Addiction Medicine criteria and providing treatment including individual, group or family psychotherapy, psychoeducation, crisis intervention, advocacy, and coordination of linkages to other VA or community service providers/agencies as needed. BASIC REQUIREMENTS: The basic requirements for employment as a VHA MFT are prescribed by statute in 38 U.S.C. § 7402(b)(10), as amended by section 239 of Public Law 114-223, enacted Sept 29, 2016. To qualify for appointment as an MFT in VHA, all applicants must: Citizenship - Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Education - Candidates must meet one of the following: Hold a master's degree or doctoral degree in marriage and family therapy from a program approved by COAMFTE Hold a master's degree or doctoral degree in marriage and family therapy from a MFT program from a regionally accredited institution 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-0101 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. 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. 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. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. 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. Knowledge, Skills, and Abilities (KSA's) 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. Ability to assess, with supervision, the psychosocial functioning and needs of Veterans and their family members. 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. Ability to provide counseling and/or psychotherapy services, under supervision, to individuals, groups, couples and families in a culturally competent manner that facilitates change through restructuring and reorganizing of the client system. Basic knowledge and understanding of existing relevant statutes, case law, ethical codes, and regulations affecting professional practice of marriage and family therapy. Ability to draft documents, manage data, maintain accurate, timely and thorough clinical documentation, and track quality improvements GS-11 (Full Performance Level) Experience, Education and Licensure - In addition to the basic requirements, the GS-11 full performance level requires completion of a minimum of one year of post-master's degree experience in the field of marriage and family therapy work (VA or non-VA experience) and licensure in a State at the independent practice level. In addition, the candidate must demonstrate the KSAs below. OR a doctoral degree in marriage and family therapy or comparable degree in mental health that meets the current VA qualification standard of that profession (Licensed Professional Mental Health Counselor, Social Work, Psychiatric Nursing, Psychology, and Psychiatry) may be substituted for the required one year of marriage and family therapy experience in a clinical setting. AND the candidate must be licensed to practice at the independent practice level and they must demonstrate the following KSA. Knowledge Skills Abilities (KSA's) Skill to independently assess the psychosocial functioning and needs of Veterans and their family members. Ability to provide counseling and/or psychotherapy services to individuals, groups, couples and families in a culturally competent manner that facilitates change through restructuring and reorganizing the client system. Ability to establish and maintain effective working relationships with Veterans and their families, colleagues, and other professionals in collaboration throughout treatment regarding clinical, ethical and legal issues and concerns. Knowledge and understanding of existing relevant statutes, case law, ethical codes, regulations and VA policies affecting the practice of marriage and family therapy. This includes the ability to assist Veterans and their families in making informed decisions relevant to treatment to include limits of confidentiality. Ability to provide orientation, training and consultation to new MFTs including clinical oversight of MFT graduate students, and/or provide clinical supervision to pre-licensure MFTs. Skill in the use of computer software applications for drafting documents, data management, maintaining accurate, timely and thorough clinical documentation, and tracking quality improvements. References: VA HANDBOOK 5005/106, PART II, APPENDIX G44 Physical Requirements: The work requires sitting, bending, stooping and walking consistent with the delivery of services in the office, hospital and community. The position may entail lifting of no more than 25 pounds on an occasional basis. Whenever possible, carts and dollies will be utilized as an alternative to lifting. ["The incumbent completes thorough psychosocial assessments and includes pertinent information in all the required areas of functioning in order to determine appropriate diagnoses and other treatment-related conclusions. Ensures that clinical assessments are found to be appropriate to the referral question and conclusions are found to be reasonably substantiated by interviews, observations, historical data, collateral data (i.e. from outsides sources such as other treatment providers, family members, etc.) and other data when indicated. The incumbent provides a DSM diagnosis to determine the psychosocial functioning and needs of Veterans and/or their families. Must be able to utilize this assessment in facilitating the Veteran's maximum use of treatment for attainment of the highest level of independence that is possible and practicable. The incumbent provides emergency/crisis interventions that are provided to Veterans in an effort to stabilize. Engages in rapid assessments and develops crisis management plans. The incumbent ensures the interventions are appropriate to the level of need and would involve a range of services including facilitation of transfer of care to the appropriate level based on Veteran need as well as referral to other VA resources or community agencies. The incumbent provides psychotherapy as individual, group &/or family interventions when clinically indicated/appropriate and when of therapeutic benefit to the recipients. Must be willing to be successfully trained and implement Evidenced Based Psychotherapies and ensures the interventions are empirically supported and/or are theoretically appropriate. The incumbent provides consultation to other treatment team and staff members regarding psychosocial needs of Veterans and/or their families and the impact of the identified psychosocial problems on the Veteran's health care planning, compliance with treatment, and discharge planning. The incumbent documents direct Veteran care at a minimum of 80% of the time allotted to direct care in the clinician's weekly profile. This includes individual therapy, groups, family therapy, couples therapy, and direct clinical phone calls with the Veteran. Establishes and maintains effective therapeutic relationships with Veterans and/or their families. The incumbent works independently with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial problems. Possesses a thorough knowledge in use of medical and mental health diagnoses, disabilities, and treatment procedures, including acute, chronic and traumatic illnesses, common medications and their effects/side effects, and medical terminology. The incumbent facilitates discharge planning through collaboration with Veterans and their families as well as interdisciplinary treatment team members to ensure that appropriate discharge plans are executed in a timely manner. Provides consultation and education to Veterans and their families regarding community resources, VA benefits and specialty programs, and advance directives. Provides case management services to Veterans and their families throughout the continuum of care. The incumbent will be able to appropriately utilize principles of human growth and development over the life span and will be able to assist Veterans in coping with the loss and grief experiences from disability and terminal illness. Adheres to VA regulations regarding documentation and completion of encounters. Documentation will be thorough, timely, consistent with treatment plan, and will follow established VA guidelines and required note format. The incumbent possesses and demonstrates ability to communicate effectively, both orally and in writing with people from varied backgrounds. May be responsible for a tour of duty that includes early morning, evenings and/or weekends and participation in the On-Call rotation schedule to accommodate Veteran care needs during weekends, holidays, evenings and nights. The incumbent supervises the practice of mental health/human service students, or other appropriate students, or less experienced staff as appropriate. The incumbent regularly and effectively participates in multidisciplinary team meetings as required by the supervisor. May perform other tasks/duties as assigned. Driver's License is Preferred. Work Schedule: Monday thru Friday, 8:00 am to 4:30 pm Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Licensed Marriage and Family Therapist/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.