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UHS
Spokane, Washington

Adolescent Milieu Therapist - MSW

CounselorFull-Time

Listed compensation

$35.99-$53.99/hr

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Responsibilities

The Adolescent Milieu Therapist plays a critical role in creating and maintaining a safe, structured, and therapeutic treatment environment for adolescents receiving inpatient psychiatric services, including youth participating in the Child Long-Term Inpatient Program (CLIP). This position provides direct clinical services through group therapy, therapeutic activities, behavioral interventions, and daily patient engagement.

As a visible clinical presence on the unit, the Milieu Therapist partners with psychiatrists, nursing staff, social workers, educators, recreational therapists, behavioral health technicians, and other members of the treatment team to support patient stabilization, skill development, treatment engagement, and successful transitions of care.

Required

Master's degree in Social Work, Counseling, Psychology, Marriage & Family Therapy, or a related behavioral health field.

  • Knowledge of adolescent development, psychiatric disorders, and trauma-informed care.
  • Agency Affiliated Counselor (AAC) credential, or ability to obtain within the required timeframe.
  • Current BLS/First Aid certification.
  • Handle With Care and Verbal De-escalation certification (or ability to obtain upon hire).
  • Strong therapeutic communication, group facilitation, and crisis intervention skills.

Preferred

Associate or independent behavioral health licensure (LICSW, LMHC, LMFT, LMSW, LASW, LMHCA, LMFTA, LSWAIC, or equivalent).

Experience working with adolescents experiencing behavioral, emotional, psychiatric, and trauma-related challenges.

Experience facilitating psychoeducational, process-oriented, and skills-based groups in a behavioral health setting.

Qualifications

Key Responsibilities

  • Facilitate therapeutic and psychoeducational groups for adolescent patients.
  • Engage patients throughout the treatment day to reinforce coping skills, treatment goals, and healthy behaviors.
  • Collaborate with nursing, psychiatry, social work, education, and behavioral health staff to coordinate care.
  • Complete clinical documentation and contribute to treatment planning.
  • Provide crisis intervention and behavioral support using approved techniques.
  • Support the development and enhancement of evidence-based, trauma-informed programming.

This role is ideal for a behavioral health professional passionate about working with adolescents and fostering positive therapeutic outcomes in a collaborative treatment environment.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Psychoeducational group facilitationPsychiatric careBLS certification

Social Work — Counselor Career Context

Of the 50 active Social Work listings this role was benchmarked against, 70% are remote, 30% have no call, 72% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$94k midpoint carries the purchasing power of roughly $87k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Social Work pay on WeekdayDoc is up 4.4% vs. the prior quarter (through Sep 2026).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$94k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Counselor Jobs

40 matches · ranked by pay

Salary Distribution40 jobs · 22 employers

13
<$90k
7
$90k-105k
13
$105k-120k
6
$120k-135k
1
$155k

Annual compensation range

Benefits & Perks37 jobs · 22 employers

401k / retirement match
97%
Sign-on bonus
38%
CME allowance
32%
Loan repayment
11%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#3

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
#4

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

$115k-$120k
+ 38 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Social Work (Counseling) listings

Listing-based score, 0–10, across 314 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Spokane

Typical 3-bedroom home value
$397k
Typical market rent
$1,507/mo
Residents’ average commute
21 min
Metro price indexU.S. average = 100
100.3
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Spokane-Spokane Valley, WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About UHS

Hospitals and Health Care
Aiken, South Carolina
501-1,000 employees

Benefits & Perks

BLS/First Aid certification required
Handle With Care and Verbal De-escalation certification