Marriage and Family Therapist (Advanced) - Primary Care Mental Health Integration

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. Education.

Candidates must meet one of the following: (1) Hold a master's degree or doctoral degree in marriage and family therapy from a program approved by COAMFTE, (2) Hold a master's degree or doctoral degree in marriage and family therapy from a MFT program from a regionally accredited institution, OR, (3) 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.

Licensure. Persons hired or reassigned to MFT positions in the GS-0182 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.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Creditable Experience (1) Knowledge of current professional marriage and family therapy practices. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with current professional marriage and family therapy practice.

The experience must be post-master's degree or above. The experience should include working with couples, families, individuals and/or groups utilizing family systems theory/therapy. The experience also includes the ability to diagnose and treat mental health disorders. Experience satisfying this requirement must be active professional practice, which is paid/non-paid employment as a MFT, as defined by the appropriate State licensing board. (2) Quality of Experience.

Experience is only creditable if it is obtained following graduation with a master's or higher degree in marriage and family therapy or comparable degree in mental health (Social Work, Psychiatric Nursing, Psychology, Licensed Professional Mental Health Counselor and Psychiatry) and includes work as an MFT directly related to the position to be filled. Qualifying experience must also be at a level comparable to marriage and family therapy experience at the next lower grade level. (3) Part-Time Experience.

Part-time experience as an MFT is creditable according to its relationship to the full-time workweek. For example, an MFT employed 20 hours a week, or on a 1/2-time basis, would receive one full-time workweek of credit for each two weeks of service. (4) Fellowships or Post-Graduate Training. Fellowship and post-graduate training programs are typically in a specialized area of clinical practice, e.g., group or family practice.

Training as a fellow or post-graduate may be substituted for creditable experience on a year-for-year basis. (5) Practicum in a VA or other clinical setting. A practicum experience may not be substituted for experience, as the practicum (field placement) is completed prior to graduation with a master's degree in marriage and family therapy or comparable mental health degree.

02Grade Determinations

GS-12 Marriage and Family Therapist (Advanced) Education, Experience and Licensure. Candidate must have successfully completed evidence based training in family therapy and must have graduated from a COAMFTE accredited program OR have passed the AMFTRE.

Candidate must have at least five years of post-licensed clinical experience in delivery of family systems therapy including one-year equivalent to the GS-11 grade level, which is defined as: Independently assessing the psychosocial functioning and needs of Veterans and their family members. Providing counseling and, or psychotherapy services to individuals, groups, couples and families that facilitates change through restructuring and reorganizing the client system.

Establishing and maintaining effective working relationships with Veterans and their families, colleagues, and other professionals in collaboration throughout treatment regarding clinical, ethical and legal issues and concerns. Working 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. Providing orientation, training and consultation to new MFTs including clinical oversight of MFT graduate students, and/or provide clinical supervision to pre-licensure MFTs. Using computer software applications for drafting documents, data management, maintaining accurate, timely and thorough clinical documentation, and tracking quality improvements.

This experience must demonstrate the use of an evidence based family therapy model while exhibiting progressive professional competency and expertise. Assignments requiring responsibility for providing clinical supervision must have an AAMFT Approved Supervisor credential. In addition, the candidate must demonstrate the professional KSAs listed below. Demonstrated KSAs. 1.

Ability to provide specialized consultation for complex cases involving individuals, families and/or couples utilizing evidenced-based family systems theory/therapy. 2. Ability to provide crisis intervention which includes assessment, safety planning and complex treatment planning using independent clinical judgment utilizing family systems theory/therapy. 3.

Ability to provide family systems therapy, which seeks to address Veterans and their family members on an individual level and deals with interpersonal interactions. 4. Ability to provide unlicensed MFT staff/trainees with systemic clinical supervision towards licensure from a family systems theory/therapy perspective. All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications.

Failure to demonstrate your experience in your resume may result in disqualification. It is strongly recommended that you write to each KSA in your application. Assignments: For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and variety and be performed by the incumbent at least 25% of the time.

Advanced MFTs can be assigned as the sole licensed mental health provider in settings such as CBOCs or satellite outpatient clinics or have responsibility and oversight for a MFT training program established under VA/VHA training policy as well as provide systemic clinical supervision to those MFT interns. The Advanced MFT who has responsibility for the training program provides family systemic clinical supervision to unlicensed MFTs and provides clinical consultation to less experienced staff.

Advanced MFTs develop behavioral health related training curriculum and conduct trainings for clinical staff. Advanced MFTs meet routinely with inter-professional team members and leadership to communicate about program and veteran and family issues for in depth problem solving. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-12.

The actual grade at which an applicant may be selected for this vacancy is GS-12.

03Physical Requirements

You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

The Incumbent works within the Primary Care Mental Health Integration (PCMHI) Model serving as a Marriage and Family Therapist (Advanced)/Primary Care Mental Health Integration Lead. They will function as part of a multidisciplinary primary care team and deliver brief mental health consultation-based services to Veterans within that setting. The focus is on general service delivery for a wide range of concerns and resolving problems within the primary care service context.

Behavioral health visits are brief (generally 20-30 minutes), limited in number (1-8 visits), and are provided in the primary care practice area, structured so that the Veteran views meetings with the behavioral health provider as a routine primary care service. They will function within a fast-paced primary care team with the primary goal of assisting PACT members with identification, treatment, and management of mental health and behavioral medicine conditions in the enrolled population.

He/she works closely with the physician team lead, care managers, PCMHI prescribers, and all team members to provide therapeutic, counseling, and mental health support for complex cases. The work is comprised of providing clinical services consistent with accepted standards of ethical and professional mental health treatment.

Duties include, but are not limited to: - Provides a full range of diagnostic and evaluation services appropriate to the primary care setting, especially in the areas of general psychological evaluation of emotional and behavioral problems and suicide assessment. - Provides a full range of psychological interventions consistent with training and expertise, with special emphasis on brief and evidenced-based interventions found to be effective in primary care settings.

Services may be delivered in a face-to-face and/or telehealth format. - Develops, implements, and documents the psychotherapeutic treatment plan for an assigned caseload of patients, including prompt completion of clinical reminders. - Facilitates patient and family education appropriate to the primary care setting and the specific presenting mental or behavioral health issues. - Provides brief and time limited individual, family and group counseling, as appropriate. - Provides consultation services to support Primary Care Provider (PCP) decision-making, building on PCP interventions and improving PCP-patient working relationships. -Provides follow-up of patient progress and treatment adherence with assessments and communication with their primary care team. -Participates in interdisciplinary teams, as needed, to improve organizational performance. - Works closely with PCMHI supervisor, therapists and other PCMHI staff, including supporting other programs as needed. - Complies with all documentation procedures, including timeliness standards for documentation and proper patient check out procedures (e.g., entering diagnostic and procedure codes).

Complies with the peer review and professional discipline procedures. - Provides consultation and training to Primary Care Service Line staff in the identification and management of common mental and behavioral health disorders that present in a primary care setting when indicated. - May Supervise social work trainees, and may participate in the supervision of trainees in other disciplines, including medical and psychiatric residents assigned to the Primary Care Service for rotations. - Assists PCMHI Supervisor in the design, development, and implementation of clinical programs for a team of treatment providers within PCMHI team. - Assists the program PCMHI Supervisor in the execution of ongoing program evaluation and data-driven quality improvement projects to monitor the effectiveness of the clinical program. - Facilitates liaisons with other health care programs in order to effectively coordinate services.

Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants selected for an EDRP-eligible position will be notified in their conditional job offer. The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment.

Program approval, award amount (up to $200,000), and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants are ineligible to apply. Work Schedule: Monday-Friday 7:30 a.m.-4:00 p.m. or 8:00 a.m. - 4:30 p.m. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Learn more Permanent Change of Station (PCS): Not authorized