The Marriage and Family Therapist functions as a member of the VASNHS Behavioral Health Interdisciplinary Program (BHIP) team and provides outpatient mental health services to Veterans and their families. The Marriage and Family Therapist may be located at the VA Medical Center, an outlying Primary Care Clinic, or the Pahrump Community Based Outpatient Clinic. The Marriage and Family Therapist reports to the Supervisory Social Worker, Behavioral Health Service. 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: 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, OR, 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. Example a Master's Degree in Counseling Psychology would not meet this standard as the Psychology standard requires a Ph.D. 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. 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. Physical Requirements. See VA Directive and Handbook 5019. Grandfathering Provision. All persons employed in VHA as a MFT on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education that is part of the basic requirements of the occupation. For employees who do not meet all the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it. VA Handbook 5005/101, Part II, Appendix G44, dated April 18, 2018. Grade Determinations: GS-11 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, In addition to the basic requirements, 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 KSAs below: 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. Assignments: MFTs at the full performance level are licensed to independently practice marriage and family therapy. MFTs can provide general mental health services to Veterans within the ethics and guidelines of the professional standards. MFTs at this level formulate, implement, and re- evaluate treatment plans 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. In the event that Advanced or Supervisory level assignments are not established/supportable, the incumbents at this level can be responsible for clinical supervision for licensing purposes only, provided they have an AAMFT approved supervisor credential. References: VA HANDBOOK 5005/101, PART II, APPENDIX G44 The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is GS-11. Physical Requirements: See VA Directive and Handbook 5019. This position requires to undergo a pre-employment medical examination/physical, TB test and other additional tests. ["Work Schedule: Tour of duty to be determined upon selection/needs of the facility. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The Marriage and Family Therapist must use a high level of skill in assessing and treating the complicated psychosocial problems of Veterans referred to BHIP. Provides immediate, direct, and on-site access for consultation, assessment, and mental health treatment as clinically indicated; may also be approved to provide services via telehealth utilizing VA Video Connect. The Marriage and Family Therapist operates within a multidisciplinary team matrix, actively collaborates, and coordinates Veteran care with other clinical and administrative supporting services. Provides evidence-based therapeutic interventions; implements and meets performance requirements for quality and timeliness of clinical care; and employs recovery-oriented interventions; and successfully completes other clinical duties as assigned. The Marriage and Family Therapist may also participate in interviews for positions within Behavioral Health Service. Duties of the position include, but are not limited to: Facilitate short-term, solution focused counseling with individuals and families who may be in crisis, supportive counseling, and referral for resources and benefits. Diagnose and treat mental health disorders and to be highly trained in psychotherapy and family systems along with treating a wide range of serious mental health issues including relationship issues, child-parent challenges, depression, Post Traumatic Stress Disorder (PTSD), anxiety and other mental health disorders. Establishes, implements, and maintains referrals and screening procedures. Develops screening procedures that involve a multidisciplinary team approach. Ensures screening criteria are met and procedures are maintained. Assesses at risk factors and develops a preliminary disposition plan, involving the Veteran and the family/significant other. Performs insightful assessment of serious and complicated cases involving psychiatric illness, catastrophic medical conditions, dementia, and other high-risk diagnoses. Provides individual, family, and group therapy services in accordance with the needs identified in the Veteran's treatment assessment and treatment plan. Responsible for all entries in the Veteran's medical record (CPRS) and timely completion thereof, including discharge summaries and patient encounters. Responsible for completion of all assigned clinical reminders for patients under his/her care, and performance measures assigned to the Care Line. Participates actively in Performance Improvement (PI) activities. Fully accountable for practice, including entering Veteran visits, measuring outcomes to interventions, and meeting productivity standards. Ensures timely completion of assessments, treatment plans, discharge plans, and safety plans. Participates fully in peer review, assessing the quality of professional social work practice standards provided in the organization. Responsible for identification of patient problems requiring consultation with other multi-disciplinary medical center staff and making appropriate referrals. Serves as a consultant, liaison, and point of contact for programs within Behavioral Health Service, throughout the hospital, and within the community. Participates in research as appropriate through case finding and referral of Veterans to clinical investigators engaged in research or through participating in research studies. Applies new approaches to Veteran care through integration of approved investigative and research methods, basing interventions on evidence-based effectiveness. May engage in Institutional Review Board (IRB) approved research in compliance with VHA Directives and Handbooks, VASNHS Medical Center Memorandums, BHS Policies and Procedures, and the incumbent's Scope of Practice for conducting such research. May provide orientation, training, and consultation to new MFTs including clinical oversight of MFT graduate students, and/or provide clinical supervision to pre-licensure MFTs. Performs other duties as assigned by management."]

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