Therapist - In Training - Family Centered Treatment Program

Lutheran Social Services Of Wisconsin And Upper Michigan Inc Wausau , WI 54402

Posted 2 months ago

Lutheran Social Services is currently seeking a Therapist

  • In Training to join our Family Centered Treatment (FCT) team. FCT is a home-based method of treatment that focuses on 4 phases; restructuring, value change, joining and assessing, and value change. Clinicians in the program see the entire family unit as defined by the family as the client and conduct several multi-hour sessions are conduct in the home weekly.

This position will work as a FCT Therapist as well as a mentor providing therapeutic mentoring. This position performs work involving clinical assessment, diagnosis, and treatment of individuals and their family with mental health, substance use, or co-occurring disorders within the evidenced-based model of FCT.

Under the direction of a Licensed Therapist or qualified Licensed Psychologist, the Therapist

  • In Training performs clinical assessment, diagnosis, and treatment of individuals with mental health, substance use, or co-occurring disorders.

Examples of services Expected may include (These are examples, not all inclusive, and all services may not be provided by an individual employee.):

  • Psychotherapy
  • Psychotherapy includes the diagnosis and treatment of mental, emotional, or behavioral disorders, conditions, or addictions through the application of methods derived from established psychological or systemic principles for the purpose of assisting people in modifying their behaviors, cognitions, emotions, and other personal characteristics, which may include the purpose of understanding unconscious processes or intrapersonal, interpersonal, or psychosocial dynamics. Psychotherapy may be provided in an individual or group setting.
  • Individual and/or Family Psychoeducation
  • Psychoeducation services include:
  • Providing education and information resources about the member's mental health and/or substance abuse issues.

  • Skills training.

  • Problem solving.

  • Ongoing guidance about managing and coping with mental health and/or substance abuse issues.

  • Social and emotional support for dealing with mental health and/or substance abuse issues.

  • Psychoeducation may be provided individually or in a group setting to the member or the member's family and natural supports (i.e., anyone the member identifies as being supportive in his or her recovery and/or resilience process).

  • Individual Skill Development and Enhancement

  • Individual skill development and enhancement services include training in communication, interpersonal skills, problem solving, decision-making, self-regulation, conflict resolution, and other specific needs identified in the member's service plan. Services also include training in daily living skills related to personal care, household tasks, financial management, transportation, shopping, parenting, accessing and connecting to community resources and services (including health care services), and other specific daily living needs identified in the member's service plan.
  • Participation on recovery teams. (provide feedback around service delivery and progress)

AGENCY REQUIREMENTS (Required of all employees):

  • Must comply with applicable service regulations as well as agency and departmental policies and procedures.

  • Must relate to people of varied ethnic and cultural backgrounds, ages, and economic circumstances with respect and dignity.

  • Must support the Mission, Vision and Values of the Agency.

  • Represent LSS internally and externally as a servant leader in thought, words and actions.

DIRECT SERVICE REQUIREMENTS (Required of all employees providing direct services):

  • Promote client independence and growth, consistent with the service plan.

  • Provide services using a trauma-informed and person and/or family-centered model.

  • Provide services utilizing agency approved and supported evidence-based practices that have been indicated by the funder and/or agency.

  • Accurately complete time reporting.


This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time.

  • Provides assigned services to clients in alignment with the service plan.

  • Provides individual, couples, family, and/or group psychotherapy services to adult and/or child/minor clients in a school, office, out-of-home care setting and/or home setting.

  • Conducts assessments of client needs using clinical interview, objective diagnostic tools, and collateral contacts.

  • Develops treatment plans collaboratively with clients and other providers.

  • Provide agreed upon and necessary therapeutic services in keeping with strength-based, evidence-based best practice standards.

  • Complete required documentation within required timelines and expectations per LSS, regulation, payers, and practice standards.

  • Maintains client records.

  • Makes recommendations within the client team and scope of practice.

  • Testify at legal proceedings as required by law and/or role.

  • Attend client/recovery team meetings.

  • Attends and participates in staff development programs, including in-service training, staff meetings, and professional seminars.

  • Within your scope of practice, provide consultation to peers.

  • Actively participate in clinical supervision meetings as required to meet best practice and licensure standards.

  • Work a flexible weekly schedule that includes some evening and/or weekend hours for client appointments. Work directly with Program Supervisor or Manager to set expectations for scheduling clients. Schedule is based on client need.

  • Expected to understand productivity expectations and meet those standards that have been established for the role and the program.

  • Works under the direct supervision of the Clinical Director

  • FCT Supervisor as well as external FCT Foundation Consultant.
  • This role will be expected to work on average, 40+ hours/week on a full time schedule and willing to work non-traditional hours.

  • Work a flexible weekly schedule that may include frequent evening and/or weekend hours for client appointments, based on client availability

  • Works within the evidenced-based framework of FCT and the four phase of treatment-Joining and Assessment, Restructuring, Valuing Change, and Generalization.

  • Provides direct clinical treatment using methods compatible with FCT principles and practices for assigned cases and meets fidelity requirements for treatment intensity (5 hours per week per family).

  • Provides clinical/peer support to FCT team and attends FCT weekly team meetings.

  • Conducts FCT joining and assessment activities with the referred individual and their family members, review of referral information, identifying and engaging key participants, identifying systemic strengths and weaknesses, and working with the family on family identified goals.

  • Engages primary caregiver and other key participants in active change-oriented treatment by identifying and overcoming barriers to engagement.

  • Implements conceptualization, treatment planning, intervention, outcome review, and strategy revision procedure using the FCT process.

  • Maintains clear and concise documentation of treatment efforts that promote peer and supervisory review and feedback.

  • Collaborates with all relevant systems and key participants within each system to ensure their buy-in and cooperation throughout FCT treatment.

  • Carries a caseload of 3 to 5 clients

  • Significant travel to various locations for meetings, trainings, or to perform clinical responsibilities as needed. Travel will vary depending on case load.

  • Committed to adhering to the FCT principles and model, as well as completing the necessary trainings and assignments to achieve certification as a FCT Clinician within 12-18 months of hire.

  • Trained in behavioral, cognitive behavioral, and pragmatic family therapies

  • Provides direct care or face-to-face contact with youth, family and other systems involved with the family (e.g., probation, child welfare, school, employer, etc.)

  • Maintains phone contacts with the family and other systems

  • Maintains clinical documentation, which includes fidelity documentation that must be completed for every client to guide clinical planning, LSS documentation due to clinic status, documentation required for M.A. and/or CCS billing, and in some cases documentation requested by the referral source

  • Participates in supervision and consultation (this occurs for a minimum of 2.5 hours/week)

  • Participates in FCT-specific training, as well as agency trainings

  • Demonstrates flexibility to allow for specific time spent on each responsibility varies depending on intensity of client need during a given week, therapist need for additional supervision, geography, etc.

  • Participates in FCT trainings throughout the calendar year

  • Participates in all additional agency-specific trainings (e.g., HIPAA, cultural competency, etc.).

  • Participates in a team with weekly supervision and consultation

  • Participates in a rotating 24/7 on-call system that has been established by the team

  • Performs other duties and special projects as required.

Working for Lutheran Social Services of Wisconsin and Upper Michigan includes:

  • Paid Liability Insurance

  • Free Clinical Supervision

  • Flexible Schedule

  • Works Remotely

  • Promotes Wellbeing and Self-Care

  • Robust Benefits Packages including:

  • Medical/Dental/Vision

  • Flex Spending for Dependent and Healthcare

  • Ability to Contribute to a 403B

  • Life Insurance

  • Short-term and Long-term Disability

  • Ancillary benefits such as hospital confinement indemnity, supplemental life, pet insurance, etc.

  • Mileage Reimbursement

  • Employee Assistance Program

  • Paid Time Off Including

  • 10 Paid Holidays

  • Vacation

  • Sick

  • Personal

  • Service Awards and Recognition

  • Provided Technology and Equipment:

  • Laptop

  • Cell Phone

  • Office Supplies


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Upon offer, candidates must successfully complete the necessary background, caregiver, medical and any other checks required, according to program requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


  • Master's degree in Social Work with Mental Health concentration, Counseling, Psychology, Marriage and Family Therapy, or related program is required.

  • Practicum experience, through your degree program, related to services LSS provides is required.

  • Eligibility for training license by meeting criteria set for by WI Department of Safety and Professional Services.

  • Some positions may require Substance Abuse Certification as well.


  • The incumbent of this position must have or be eligible to receive state licensure "in training" as an Advanced Practice Social Worker, Marriage and Family Therapist, or Professional Counselor as applicable.

  • Must be fully certified in FCT within twelve months of their initial hire via the official FCT certification program, Wheels of Change. Certification is granted through the Family Centered Treatment Foundation (FCT Foundation) when staff passes and show competence in required components.

  • The incumbent of this position must have a valid driver's license and have reliable transportation to perform the essential duties of the role; a motor vehicle check (MVR) with a satisfactory driving record per the LSS Driver Safety Procedure is required, and ability to meet LSS auto insurance requirements.


  • Ability to read, write, analyze and interpret to complete required documentation by established timeframes.

  • Ability to document in a neat, legible, accurate, objective and consistent manner to reflect the services provided.

  • Ability to effectively present information and respond to questions from all levels of LSS management and employees, as well as the individual, family, and circle of support.


  • Working knowledge of computers to allow employee to access computer systems and applications to complete timecards, read and respond to email, and complete required on-line training.

  • Ability to utilize efficiently an electronic health record(s) for documentation of direct services.

  • Must be able to work on computer and utilize computer applications and programs to effectively complete the job.

  • Ability to work within a variety of ever-changing software packages and computer systems.


The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes. Vision adequate to read correspondence, computer screen, forms, etc. Good manual dexterity. The employee may need to climb stairs to access clients being seen in home.

The employee must react appropriately in times of crisis, which may include verbal and physical aggression from the people served and recognizing and taking appropriate action if signs of child or dependent adult abuse are present. Understands and is able to evaluate the potential for medical or behavioral emergency.

The employee of this position works in client homes. The incumbent may be exposed to unsanitary household conditions and household allergens. The employee will also be exposed to outdoor weather conditions when traveling on company business.

The noise level in the work environment is usually moderate.

TRAVEL: Daily travel may be required. Some overnight travel may be required.

LSS is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other characteristic protected by federal, state or local law.

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Therapist - In Training - Family Centered Treatment Program

Lutheran Social Services Of Wisconsin And Upper Michigan Inc