HCBS Therapist, MST

Multisystemic Therapist (MST)

Position Summary

The Multisystemic Therapist (MST) provides intensive, home- and community-based therapy to youth experiencing serious behavioral, emotional, and/or substance use challenges who are at risk of out-of-home placement.

The MST Therapist works collaboratively with families, schools, probation officers, child welfare agencies, and other community systems to reduce problem behaviors and strengthen family functioning. Services are delivered using the evidence-based Multisystemic Therapy (MST) model, with a strong emphasis on accountability, measurable outcomes, and adherence to MST fidelity standards.

Key Responsibilities

Clinical Services

• Deliver intensive, evidence-based MST interventions to youth and families in home, school, and community settings.

• Conduct comprehensive assessments addressing family, peer, school, and community systems.

• Develop and implement individualized treatment plans aligned with MST principles and program guidelines.

• Maintain a small caseload (typically 4–6 families) to ensure intensive and responsive services.

• Provide crisis intervention and on-call support to families in accordance with MST program standards.

Collaboration & Systems Coordination

• Partner closely with caregivers to build family strengths, improve parenting skills, and support sustainable change.

• Collaborate with schools, juvenile justice systems, probation officers, court services, and child protective services (CPS) involved in the youth’s care.

• Advocate for youth and families while maintaining professional boundaries and ethical standards.

• Coordinate with community resources to support long-term stability and positive outcomes.

Documentation & Compliance

• Complete timely, accurate, and compliant clinical documentation in accordance with agency policies, MST standards, and regulatory requirements.

• Participate in weekly individual supervision, group supervision, and MST consultation meetings.

• Track treatment outcomes and ensure fidelity to the MST model, including participation in quality assurance activities.

Professional Development

• Complete all required MST training and ongoing professional development activities.

• Stay current with evidence-based practices, trauma-informed care, and culturally responsive services.

• Contribute to a collaborative and supportive team environment.

Qualifications

Minimum Qualifications

• Bachelor’s or Master’s degree in Social Work, Counseling, Psychology, or a related human services field.

• Experience working with at-risk youth and families preferred.

• Strong crisis intervention and engagement skills.

• Valid driver’s license and reliable transportation.

• Ability to pass background checks and meet agency hiring requirements.

Preferred Qualifications

• Experience with Multisystemic Therapy (MST) or other evidence-based family therapy models.

• Experience working with justice-involved youth, juvenile detention, truancy programs, probation services, court services, or child welfare systems.

• Experience in case management and community-based behavioral health services.

Knowledge, Skills & Abilities

• Strong clinical assessment and intervention skills.

• Ability to effectively engage resistant or high-risk families.

• Excellent written and verbal communication skills.

• Strong organizational and time-management skills.

• Demonstrated cultural humility and commitment to equity and inclusion.

• Ability to work independently while remaining accountable to a team-based model.

Work Environment & Schedule

• Community-based role requiring frequent in-home visits and work within family environments.

• Flexible scheduling required to meet family needs, including evenings and occasional weekends.

• Shared on-call responsibilities among MST team members according to program guidelines.

What we offer:

• Competitive pay
• PTO & Holiday Pay
• 401(k) match (100% up to 3%)
• Medical, Dental, and Vision Insurance
• Short‑Term Disability
• Life & AD&D Insurance
• Optional Long‑Term Disability
• FSA and additional voluntary benefits

Second Chances Comprehensive Services LLC is a caring organization with a focus on at-risk youth in the community. We are proud to be a CARF accredited provider, reflecting our dedication to reducing risk, addressing health and safety concerns, and ensuring the best possible quality of care for our clients. We provide mental health services in the Virginia communities around Hopewell, Virginia Beach, Chester and Emporia. Our founders recognized the need for strong community outreach services that may help facilitate and guide individuals with their future endeavors while maintaining family cohesiveness.  Everything we do is about empowering our clients to have the mental health peace of mind that they need for a second chance at life.  

Equal Employment Opportunity

Deblin Health Concepts is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or disability in accordance with local, state and federal laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

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Position Summary

The Multisystemic Therapist (MST) provides intensive, home- and community-based therapy to youth with serious behavioral, emotional, and/or substance use challenges who are at risk of out-of-home placement. The MST Therapist works collaboratively with families, schools, probation, child welfare, and other community systems to reduce problem behaviors and improve family functioning. Services are delivered using the evidence-based Multisystemic Therapy model with a strong focus on accountability, outcomes, and fidelity to the MST approach.

Key Responsibilities

Clinical Services

• Deliver intensive, evidence-based MST interventions to youth and families in home, school, and community settings.
• Conduct comprehensive assessments addressing family, peer, school, and community systems.
• Develop and implement individualized treatment plans aligned with MST principles and program guidelines.
• Maintain a small caseload (typically 4–6 families) to ensure intensity and responsiveness of services.
• Provide crisis intervention and on-call support to families as required by MST program standards.

Collaboration & Systems Coordination

• Partner closely with caregivers to build strengths, improve parenting skills, and promote sustainable change.
• Collaborate with schools, juvenile justice, social services, and other stakeholders involved in the youth’s care.
• Advocate for youth and families while maintaining professional boundaries and ethical standards.

Documentation & Compliance

• Complete timely, accurate, and compliant clinical documentation in accordance with agency policies, MST standards, and regulatory requirements.
• Participate in weekly individual supervision, group supervision, and MST consultation calls.
• Track outcomes and ensure fidelity to the MST model, including participation in quality assurance activities.

Professional Development

• Complete all required MST training and ongoing professional development activities.
• Stay current on evidence-based practices, trauma-informed care, and cultural responsiveness.
• Contribute to a positive, collaborative team environment.

Qualifications

Required

Minimum Qualifications

• Bachelor’s degree or Master’s degree in Social Work, Counseling, Psychology, or a related human services field required
• Experience working with at-risk youth and families preferred
• Strong crisis intervention and engagement skills
• Valid driver’s license and reliable transportation required
• Ability to pass background checks and meet agency hiring standards

Preferred

• Prior experience with MST or other evidence-based family therapy models.
• Experience working with justice-involved youth or child welfare systems.

Knowledge, Skills & Abilities

• Strong clinical assessment and intervention skills.
• Ability to engage resistant or high-risk families effectively.
• Excellent written and verbal communication skills.
• Strong organizational and time-management abilities.
• Cultural humility and commitment to equity and inclusion.
• Ability to work independently while remaining accountable to a team-based model.

Work Environment & Schedule

• Community-based role requiring frequent in-home visits.
• Flexible schedule to meet family needs, including evenings and occasional weekends.
• On-call responsibilities shared among the MST team per program guidelines.