Adolescent Milieu Therapist - MSW
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.
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
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.
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