Marriage and Family Therapist - 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.

Exception: The Secretary, or his/her designee, may waive the licensure requirement for persons who are otherwise qualified, pending completion of State prerequisites for licensure examinations for a period not to exceed three years from the date of employment on the condition that MFTs appointed on this basis provide care only under the supervision of a fully licensed MFT with an AAMFT approved license.

Non-licensed MFTs who otherwise meet the eligibility requirements may be given an appointment as an MFT under the authority of 38 U.S.C.§ 7401(3). This exception only applies at the entry grade level (GS-9). For grades at or above the full performance level, the candidate must be licensed. 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

Marriage and Family Therapist, GS-11 (Full Performance Level) (a) 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 in subparagraph (b) 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 KSA. (b) Demonstrated KSAs. The candidate must demonstrate all of the KSAs below: 1. Skill to independently assess the psychosocial functioning and needs of Veterans and their family members. 2. Ability to provide counseling and, or psychotherapy services to individuals, groups, couples and families that facilitates change through restructuring and reorganizing the client system. 3.

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. 4. 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. 5. 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. 6.

Skill in the use of computer software applications for drafting documents, data management, maintaining accurate, timely and thorough clinical documentation, and tracking quality improvements. 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 package.

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-11. The actual grade at which an applicant may be selected for this vacancy is GS-9 to GS-11.

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 Marriage and Family Therapist 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 generally 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.

Provides consultation, training, and supervision to primary care staff and clinical trainees on the identification, assessment, and management of common mental and behavioral health disorders, while coordinating care across healthcare programs.

Supports the development and implementation of clinical programs, program evaluation, data-driven quality improvement, compliance with performance measures and documentation standards, and participation in committees related to integrated primary care and mental health services.

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 interventions with a focus on allowing patients to remain within Primary Care for the full range of their health care needs to the extent that this is clinically appropriate. -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. 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 availableVirtual: 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