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Residential Substance Abuse Counselor

Substance Abuse and Behavioral Disorder Counselors
Description
Counsel and support residents in a 24/7 treatment facility for substance use disorders. Provide individual, family, and group counseling, monitor resident well-being and milieu safety, coordinate care and services, and guide treatment, discharge, and aftercare planning.
  • • Counsel residents individually and in groups to address substance use, coping skills, and life changes.
  • • Complete intake assessments and document histories, progress notes, and required reports.
  • • Develop individualized residential treatment plans using assessment data and clinical judgment.
  • • Review and update resident progress toward measurable treatment and behavior goals.
  • • Interview residents, review records, and consult with medical and mental health staff to determine level of care and program fit.
  • • Provide crisis intervention and de-escalation within the facility and advocate for resident needs.
  • • Educate residents and families about addiction, recovery resources, and program expectations; make referrals as needed.
  • • Modify treatment and behavior plans in response to changes in resident status or milieu dynamics.
  • • Coordinate care with nurses, physicians, psychiatrists, social workers, and peer support staff.
  • • Attend and complete in-service trainings and maintain required certifications.
  • • Plan and implement discharge and aftercare plans for residents transitioning from the program.
  • • Conduct program orientation and house-rules education for new admissions.
  • • Facilitate family counseling or conferencing to support resident recovery.
  • • Participate in multidisciplinary case conferences, shift handoffs, and staff meetings.
  • • Serve as liaison between residents and medical staff for appointments, medications, or health concerns.
  • • Collaborate with courts, probation/parole, child welfare, and community agencies regarding resident cases.
  • • Communicate with approved family/supports about treatment plans and progress, consistent with privacy laws.
  • • Lead psychoeducation, relapse prevention, and life-skills groups per residential schedule.
  • • Track outcomes and follow up with alumni or recently discharged residents to gauge treatment effectiveness.
  • • Monitor resident attendance, wellness checks, curfews, passes, and visitation; document and address infractions per policy.
  • • Provide guidance to resident assistants or technicians and ensure consistent therapeutic milieu practices.
  • • Collect and process urine drug screens and breathalyzers in accordance with policy.
  • • Train and supervise interns or new staff in residential procedures, documentation, and group facilitation.
Interview options
Interview options
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Available on paid plans only

Interview time
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Source
Tasks & skills: O*NET occupational data (work activities, skills, knowledge). Learn more
Sources & Standards: This site includes information from O*NET by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. Career Clutch has modified some of this information for student readability. USDOL/ETA has not approved, endorsed, or tested these modifications. O*NET® is a trademark of USDOL/ETA.
Last reviewed: Jan 2026
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