Senior Licensed Professional Mental Health Counselor-Primary Care Mental Health Integration (PCMHI)

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

01Basic Requirements

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: LPMHCs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3.j.

Education-Documentation Submitted: Hold a master's or doctoral degree in: Clinical Mental Health Counseling; Clinical Rehabilitation Counseling; Clinical Mental Health Counseling and Clinical Rehabilitation Counseling; OR A related field, from a program accredited by the Council on Accreditation of Counseling and Related Educational Programs (CACREP).

Examples of related mental health counseling fields include, but are not limited to Addiction Counseling; Community Counseling; Gerontology Counseling; Marital, Couple, and Family Counseling. CACREP defines the date when graduates are considered to have graduated from a CACREP accredited program. Additional information may be obtained from http://www.cacrep.org/directory/.

NOTE: Traditional Rehabilitation counseling programs that are accredited by CACREP do not meet the LPMHC qualification standards as Traditional Rehabilitation counseling differs from Clinical Rehabilitation counseling. Licensure-Documentation Submitted: Persons hired or reassigned to LPMHC positions in the GS-0183 series in VHA must hold a full, current, and unrestricted license to independently practice as a Licensed Professional Mental Health Counselor, which includes diagnosis and treatment.

NOTE: It is VHA policy that a LPMHC who does not yet have a license that allows independent practice must be supervised by a licensed independent practitioner of the same discipline who is a VA staff member and who has access to the electronic health record. Loss of Licensure: Once licensed, LPMHCs must maintain a full, valid, and unrestricted license to independently practice mental health counseling, which includes diagnosis and treatment.

Loss of licensure will result in removal from the GS-0183 LPMHC occupation and may result in termination of employment. Grandfather Provision: An LPMHC employed in VHA on the effective date of the qualification standard (4/3/2018) who did not meet all the basic requirements in this standard may not be promoted beyond the full performance level (GS-11) or be newly placed in supervisory or managerial positions until meeting the full qualification requirements.

02Grade Determinations

In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

GS-12 Senior LPMHC Experience Requirements: In addition to meeting the basic requirements, you must possess: A minimum of 5 years of post-licensed experience (with at least 1 year equivalent to the GS-11 grade level) that demonstrates possession of advanced practice skills and judgment, demonstrating progressive professional competency and expertise and be licensed to provide clinical supervision to trainees or unlicensed LPMHCs, AND; Experience that Demonstrates the following GS-11 Knowledge, Skills, and Abilities?

Ability to make professional evaluations, decisions, and recommendation for treatment planning and implementation. Advanced knowledge and mastery of the fundamentals of the counseling process which includes defining patient/family problems and maintaining an effective counseling relationship.

Ability to provide subject matter consultation to colleagues and trainees on the counseling process within various specialty areas, build on the foundation of competence through regular meetings and discussions to explain assignments, review progress of cases and confer about the counseling perspectives and orientation. Ability to provide complex crisis intervention and stabilization to patients who are in psychological distress. Requires independent judgment and skill.

Ability to establish goals/treatment through a collaborative process with the patient utilizing advanced counseling skills, including evidenced- based practices, screening, and psychosocial assessment. Ability to use a wide variety of individual, group, or family counseling interventions. Ability to fully utilize the current DSM in making diagnoses and formulation of treatment goals and application of appropriate clinical intervention using professional counseling practices.

Ability to develop and facilitate psychotherapy and psycho- education groups that include life skills, family support, and community integration. This may include evidence-based psychotherapy. GS-12 Senior LPMHC Knowledge, Skills, and Abilities: In addition to meeting the GS-11 level experience and KSAs above, you must possess the following Knowledge, Skills and Abilities (KSAs): Advanced knowledge of and mastery of theories and modalities used in the specialized treatment of complex mental illness.

Ability to incorporate complex multiple causation in differential diagnosis and treatment of veteran patients, including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice. Ability to determine priority of services needed and provide specialized treatment. Advanced and expert skill in a range of specialized interventions and treatment modalities for Veterans with complex needs.

This includes individual, group, and/or family counseling, or psychotherapy and advanced level psychosocial, and/or case management interventions used in the treatment of Veterans. Ability to coordinate the delivery of specialized psychosocial services and programs. Ability to design system changes based on data.

Ability to provide subject matter consultation to colleagues and trainees on the psychosocial treatment of patients, rendering professional opinions based on experience, expertise and role modeling effective clinical skills. Ability to teach, mentor staff and trainees, and provide supervision for licensure or for specialty certifications.

Ability to engage in written and oral communication with leadership/staff and community stakeholders regarding policies, procedures, practice guidelines, and issues pertaining to the practice of the profession.

03Preferred Experience

Experience delivering integrated behavioral health services within primary care settings, functioning as an effective member of an interdisciplinary care team, and contributing to collaborative treatment planning and coordinated patient care. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

04Physical Requirements

Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position. May require standing, lifting, carrying, sitting, stooping, bending, pulling, and pushing. May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment.

This position is in the VA Orlando Healthcare System (VAOHCS) which provides a state-of-the-art continuum of services, education and resources to Veterans and caregivers with complex needs.

The Licensed Professional Mental Health Counselor (LPMHC) Senior Counselor will work within Primary Care Mental Health Integration (PCMHI) to assist in the delivery of evidence-based care for primary care patients identified with a variety of emotional and psychiatric problems, including depression, anxiety disorders, and alcohol misuse.

Major duties include but are not limited to: Serves as the LPMHC Senior Counselor on an interdisciplinary team integrated within Primary Care, emphasizing coordinated mental health services. Conducts a full range of diagnostic and evaluation services appropriate for primary care, including assessment of emotional, behavioral, and cognitive concerns. Delivers psychological interventions aligned with training and best practices, with emphasis on brief, evidence-based treatments effective in primary care settings.

Facilitates patient and family education tailored to primary care needs and specific mental or behavioral health concerns. Offers consultation to primary care providers to strengthen their efforts in reducing health-risk behaviors and promoting preventive care. Supports PCP decision-making, reinforcing provider-patient relationships and enhancing treatment effectiveness.

Leads implementation of the integrated care and collaborative practice model, ensuring patients remain with their PCP for comprehensive care whenever clinically appropriate. Provides clinical supervision to LPMHC staff and/or LPMHC trainees and may be asked to develop behavioral health related training curriculum and often conduct trainings for clinical staff. Assumes responsibility of team building, as needed.

Contributes to program monitoring and outcome evaluation to improve population health outcomes across general and disease-specific primary care groups (e.g., Diabetes, Hepatitis-C, Hypertension, COPD). Maintains up-to-date knowledge of new developments in PCMHI. Work Schedule: Monday-Friday, 8:00AM-4:30PM Telework: Ad-hoc/Situational-Occasional, Non-routine Virtual: This is not a virtual position. Functional Statement #: 82727F EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact [email protected],, the EDRP Coordinator for questions/assistance. Learn more