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Mental Health and Substance Abuse Social Workers

Assess and treat individuals with mental, emotional, or substance abuse problems, including abuse of alcohol, tobacco, and/or other drugs. Activities may include individual and group therapy, crisis intervention, case management, client advocacy, prevention, and education.

Median pay
$60,280

a year

Doing it now
138,900

across the country

By 2035
Up 10.3%

12,500 openings a year

Usually needs
Master's degree

to get in

What the work involves

  • Counsel clients in individual or group sessions to assist them in dealing with substance abuse, mental or physical illness, poverty, unemployment, or physical abuse.
  • Collaborate with counselors, physicians, or nurses to plan or coordinate treatment, drawing on social work experience and patient needs.
  • Monitor, evaluate, and record client progress with respect to treatment goals.
  • Refer patient, client, or family to community resources for housing or treatment to assist in recovery from mental or physical illness, following through to ensure service efficacy.
  • Counsel or aid family members to assist them in understanding, dealing with, or supporting the client or patient.
  • Modify treatment plans according to changes in client status.
  • Supervise or direct other workers who provide services to clients or patients.

What to study

The fields of study the Department of Education links to this occupation, most widely taught first.

Who it suits

O*NET scores every occupation on six interest dimensions. This one leans hardest on these three.

  • Helping and teaching

  • Analytical and curious

  • Organised and precise

Answer 24 questions and see whether this is a fit for you

Careers like this one

Where this comes from: the description and the task list are O*NET, which the Department of Labor maintains. Pay, workforce size, outlook and the education normally needed are the Bureau of Labor Statistics Employment Projections programme, 2025 wages and 2025 to 2035 projections. Half of them earn more than $60,280 a year, which means half earn less, and what you would earn depends on where you work and how long you have been doing it. The fields of study come from the National Center for Education Statistics crosswalk.