- Summary
- What They Do
- Work Environment
- How to Become One
- Pay
- Job Outlook
- State & Area Data
- Similar Occupations
- More Info
Please enable javascript to play this video. Video transcript available at
//www.youtube.com/watch?v=pM_Xfm1Zdvk. Substance abuse, behavioral disorder, and mental health counselors provide treatment and advise people who suffer from alcoholism, drug addiction, or other mental or behavioral problems. Substance abuse, behavioral disorder, and mental health counselors work in a wide variety of settings, such as mental health centers, community health centers, prisons, and private practice. Most work full time. Most positions require at least a bachelor’s degree. Although educational requirements can vary from a high school diploma and certification to a master’s degree for substance abuse and behavioral disorder counselors, a master’s degree and an internship
is typically required to become a mental health counselor. The median annual wage for substance abuse, behavioral disorder, and mental health counselors was $48,520 in May 2021. Employment of substance abuse, behavioral disorder, and mental health counselors is projected to grow 22 percent from 2021 to 2031, much faster than the average for all occupations. About 43,600 openings for substance abuse, behavioral disorder, and mental health counselors are projected each year, on average,
over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire. Explore resources for employment and wages by state and area for substance abuse, behavioral disorder, and mental health
counselors. Compare the job duties, education, job growth, and pay of substance abuse, behavioral disorder, and mental health counselors with similar occupations. Learn more about substance abuse, behavioral disorder, and mental health counselors by visiting additional resources, including O*NET, a source on key characteristics of workers and occupations. Summary
Quick Facts: Substance Abuse, Behavioral Disorder, and Mental Health Counselors 2021 Median Pay $48,520 per year
$23.33 per hour
Typical Entry-Level Education Bachelor's degree
Work Experience in a Related Occupation None
On-the-job Training None
Number of Jobs, 2021 351,000
Job Outlook, 2021-31 22% (Much faster than average)
Employment Change, 2021-31 77,500
What Substance Abuse, Behavioral Disorder, and Mental Health Counselors Do
Work Environment
How to Become a Substance Abuse, Behavioral Disorder, or Mental Health Counselor
Pay
Job Outlook
State & Area Data
Similar Occupations
More Information, Including Links to O*NET
What Substance Abuse, Behavioral Disorder, and Mental Health Counselors Do About this section
Substance abuse, behavioral disorder, and mental health counselors provide treatment and support.
Substance abuse, behavioral disorder, and mental health counselors advise people who suffer from alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. They provide treatment and support to help clients recover from addiction or modify problem behaviors.
Duties
Substance abuse, behavioral disorder, and mental health counselors typically do the following:
- Evaluate clients’ mental and physical health, addiction, or problematic behavior and assess their readiness for treatment
- Develop, recommend, and review treatment goals and plans with clients and their families
- Assist clients in developing skills and behaviors necessary to recover from their addiction or modify their behavior
- Work with clients to identify behaviors or situations that interfere with their recovery
- Teach clients’ family members about addiction or behavior disorders and help them develop strategies to cope with those problems
- Refer clients to other resources and services, such as job placement services and support groups
- Conduct outreach programs to help people identify the signs of addiction and other destructive behavior, as well as steps to take to avoid such behavior
Substance abuse counselors and behavioral disorder counselors, also called addiction counselors, work with clients individually and in group sessions. Many incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA), to guide their practice. They teach clients how to cope with stress and life’s problems in ways that help them recover. Furthermore, they help clients rebuild professional relationships and, if necessary, reestablish their career. They also help clients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Some addiction counselors work in facilities that employ many types of healthcare and mental health professionals. Addiction counselors may work with psychologists, psychiatrists, social workers, physicians, and registered nurses to develop treatment plans and coordinate care for patients.
Some counselors work with clients who have been ordered by a judge to receive treatment for addiction. Others work with specific populations, such as teenagers, veterans, or people with disabilities. Some specialize in crisis intervention; these counselors step in when someone is endangering his or her own life or the lives of others. Other counselors specialize in noncrisis interventions, which encourage a person with addictions or other issues, such as difficulty managing anger, to get help. Noncrisis interventions often are performed at the request of friends and family.
Mental health counselors provide treatment to individuals, families, couples, and groups. Some work with specific populations, such as the elderly, college students, or children. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses. They also help with mental and emotional health issues and relationship problems.
Work Environment About this section
Substance abuse, behavioral disorder, and mental health counselors work in a wide variety of settings, including mental health centers, prisons, probation or parole agencies, and juvenile detention facilities.
Substance abuse, behavioral disorder, and mental health counselors held about 351,000 jobs in 2021. The largest employers of substance abuse, behavioral disorder, and mental health counselors were as follows:
Outpatient mental health and substance abuse centers | 19% |
Individual and family services | 15 |
Hospitals; state, local, and private | 10 |
Residential mental health and substance abuse facilities | 9 |
Government | 8 |
Substance abuse, behavioral disorder, and mental health counselors work in a wide variety of settings, including mental health centers, prisons, probation or parole agencies, and juvenile detention facilities. They also work in halfway houses, detox centers, or in employee assistance programs (EAPs). EAPs are mental health programs provided by some employers to help employees deal with personal problems.
Some addiction counselors work in residential treatment centers, where clients live in the facility for a fixed period of time. Others work with clients in outpatient treatment centers. Some counselors work in private practice, where they may work alone or with a group of counselors or other professionals.
Although rewarding, the work of substance abuse, behavioral disorder, and mental health counselors is often stressful. Many counselors have to deal with large workloads. They do not always have enough resources to meet the demand for their services. Also, they may have to intervene in crisis situations or work with agitated clients, which can be difficult.
Work Schedules
Most substance abuse, behavioral disorder, and mental health counselors work full time. In some settings, such as inpatient facilities, they may need to work evenings, nights, or weekends.
How to Become a Substance Abuse, Behavioral Disorder,
or Mental Health Counselor About this section
Substance abuse, behavioral disorder, and mental health counselors need a license in private practice.
Most positions require at least a bachelor’s degree. Although educational requirements can vary from a high school diploma and certification to a master’s degree for substance abuse and behavioral disorder counselors, a master’s degree and an internship is typically required to become a mental health counselor.
Education
Substance abuse, behavioral disorder, and mental health counselors typically need at least a bachelor’s degree. However, depending on the state and employer, educational requirements for these workers may vary from a high school diploma and certification to a master’s degree.
Common fields of undergraduate study include psychology, public policy and social services, and social science. Workers with psychology, clinical social work, mental health counseling, and similar master’s degrees may provide more services to their clients, such as private one-on-one counseling sessions, and they require less supervision than those with less education. Those interested should research their state’s educational requirements.
Licenses, Certifications, and Registrations
Substance abuse and behavioral disorder counselors in private practice must be licensed. Licensing requirements vary by state, but all states require these counselors to have a master’s degree and 2,000 to 4,000 hours of supervised clinical experience. In addition, counselors must pass a state-issued exam and complete continuing education every year. Contact information for your state's regulating board can be found through the National Board for Certified Counselors.
The licensure criteria for substance abuse and behavioral disorder counselors outside of private practice vary from state to state. For example, not all states require applicants to have a specific degree, but many require them to pass an exam. Contact information for individual states’ licensing boards can be found through the Addiction Technology Transfer Center Network.
All states require mental health counselors to be licensed, after completing a period of postdegree supervised clinical work under the supervision of a licensed counselor.
Other Experience
There is a long tradition of people who have overcome their own addictions to be involved in counseling others to overcome their addictions. Counselors with personal experience overcoming alcohol or drug addictions are sometimes viewed as especially helpful and insightful to those seeking treatment.
Important Qualities
Compassion. Substance abuse, behavioral disorder, and mental health counselors often work with people who are dealing with stressful and difficult situations, so they must be compassionate and empathize with their clients.
Interpersonal skills. Substance abuse, behavioral disorder, and mental health counselors must be able to work with different types of people. They spend most of their time working directly with clients or other professionals and must be able to develop and nurture good relationships.
Listening skills. Substance abuse, behavioral disorder, and mental health counselors need good listening skills. They must give their full attention to a client to be able to understand that client’s problems and values.
Patience. Substance abuse, behavioral disorder, and mental health counselors must be able to remain calm when working with all types of clients, including those who may be distressed or angry.
Speaking skills. Substance abuse, behavioral disorder, and mental health counselors need to be able to effectively communicate with clients. They must express ideas and information in a way that their clients easily understand.
Median
annual wages, May 2021 Pay About this section
Substance Abuse, Behavioral Disorder, and Mental Health Counselors
The median annual wage for substance abuse, behavioral disorder, and mental health counselors was $48,520 in May 2021. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $30,870, and the highest 10 percent earned more than $77,980.
In May 2021, the median annual wages for substance abuse, behavioral disorder, and mental health counselors in the top industries in which they worked were as follows:
Government | $60,450 |
Hospitals; state, local, and private | 49,630 |
Individual and family services | 47,940 |
Outpatient mental health and substance abuse centers | 47,550 |
Residential mental health and substance abuse facilities | 42,900 |
Most substance abuse, behavioral disorder, and mental health counselors work full time. In some settings, such as inpatient facilities, they may need to work evenings, nights, or weekends.
Percent change in employment, projected 2021-31 Job Outlook
About this section
Substance Abuse, Behavioral Disorder, and Mental Health Counselors
Employment of substance abuse, behavioral disorder, and mental health counselors is projected to grow 22 percent from 2021 to 2031, much faster than the average for all occupations.
About 43,600 openings for substance abuse, behavioral disorder, and mental health counselors are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
Employment
Employment growth is expected for substance abuse, behavioral disorder, and mental health counselors as people continue to seek addiction and mental health counseling services.
Demand for these workers also is expected to increase as states seek treatment and counseling services rather than jail time for people with addictions or mental health concerns. In addition, there will be a continued need for counselors to work with military veterans to provide them the appropriate mental health or substance abuse counseling care.
Employment projections data for substance abuse, behavioral disorder, and mental health counselors, 2021-31SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program | |||||
21-1018 | 351,000 | 428,500 | 22 | 77,500 | Get data |
The Occupational Employment and Wage Statistics (OEWS) program produces employment and wage estimates annually for over 800 occupations. These estimates are available for the nation as a whole, for individual states, and for metropolitan and nonmetropolitan areas. The link(s) below go to OEWS data maps for employment and wages by state and
area. Occupational employment projections are developed for all states by Labor Market Information (LMI) or individual state Employment Projections offices. All state projections data are available at
www.projectionscentral.com. Information on this site allows projected employment growth for an occupation to be compared among states or to be compared within one state. In addition, states may produce projections for areas; there are links to each state’s websites where these data may be retrieved. CareerOneStop includes hundreds of
occupational profiles with data available by state and metro area. There are links in the left-hand side menu to compare occupational employment by state and occupational wages by local area or metro area. There is also a
salary info tool to search for wages by zip code. State & Area Data About
this section
Occupational Employment and Wage Statistics (OEWS)
Projections Central
CareerOneStop
Similar Occupations About this section
This table shows a list of occupations with job duties that are similar to those of substance abuse, behavioral disorder, and mental health counselors.
| Marriage and Family Therapists | Marriage and family therapists help people manage and overcome problems with family and other relationships. | Master's degree | $49,880 |
| Physicians and Surgeons | Physicians and surgeons diagnose and treat injuries or illnesses and address health maintenance. | Doctoral or professional degree | This wage is equal to or greater than $208,000 per year. |
| Psychologists | Psychologists study cognitive, emotional, and social processes and behavior by observing, interpreting, and recording how individuals relate to one another and to their environments. | See How to Become One | $81,040 |
| Registered Nurses | Registered nurses (RNs) provide and coordinate patient care and educate patients and the public about various health conditions. | Bachelor's degree | $77,600 |
| Rehabilitation Counselors | Rehabilitation counselors help people with physical, mental, developmental, or emotional disabilities live independently. | Master's degree | $38,560 |
| School and Career Counselors and Advisors | School counselors help students develop academic and social skills. Career counselors and advisors help people choose a path to employment. | Master's degree | $60,510 |
| Social and Community Service Managers | Social and community service managers coordinate and supervise programs and organizations that support public well-being. | Bachelor's degree | $74,000 |
| Social and Human Service Assistants | Social and human service assistants provide client services in a variety of fields, such as psychology, rehabilitation, and social work. | High school diploma or equivalent | $37,610 |
| Social Workers | Social workers help people prevent and cope with problems in their everyday lives. | See How to Become One | $50,390 |
| Health Education Specialists and Community Health Workers | Health education specialists develop programs to teach people about conditions affecting well-being. Community health workers promote wellness by helping people adopt healthy behaviors. | See How to Become One | $48,860 |
| Probation Officers and Correctional Treatment Specialists | Probation officers and correctional treatment specialists assist in rehabilitation of law offenders in custody or on probation or parole. | Bachelor's degree | $60,250 |
Last Modified Date: Thursday, September 8, 2022