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Social Worker, Mental Health and Substance Abuse


Summary
ActivitiesAssess 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.

OutlookFaster-than-average-job growth

Median Income$37,200 per year in 2008

Work Context & ConditionsFull-time social workers usually work a standard 40-hour week. Some occasionally work evenings and weekends to meet with clients, attend community meetings, and handle emergencies. Some, particularly in voluntary nonprofit agencies, work part-time.

Minimum Education RequirementsBachelor's Degree

SkillsSocial Perceptiveness, Monitoring, Critical Thinking, Instructing, Active Listening, Writing, Service Orientation, Negotiation, Time Management, Active Learning, Complex Problem Solving, Judgment and Decision Making, Coordination, Reading Comprehension, Speaking

AbilitiesOral Expression, Speech Recognition, Problem Sensitivity, Written Comprehension, Speech Clarity, Inductive Reasoning, Oral Comprehension

InterviewsLinda Doty
Debby Hill



Job Description
Job CategoryCommunity & Social Services

Job DescriptionSocial work is a profession for those with a strong desire to help improve people’s lives. Social workers help people function the best way they can in their environment, deal with their relationships, and solve personal and family problems. Social workers often see clients who face a life-threatening disease or a social problem, such as inadequate housing, unemployment, a serious illness, a disability, or substance abuse.

Mental health and substance abuse social workers assess and treat individuals with mental illness or substance abuse problems, including abuse of alcohol, tobacco, or other drugs. Such services include individual and group therapy, outreach, crisis intervention, social rehabilitation, and training in skills of everyday living. They also may help plan for supportive services to ease patients’ return to the community. Mental health and substance abuse social workers are likely to work in hospitals, substance abuse treatment centers, individual and family services agencies, or local governments. These social workers may be known as clinical social workers.

Working ConditionsFull-time social workers usually work a standard 40-hour week; however, some occasionally work evenings and weekends to meet with clients, attend community meetings, and handle emergencies. Some, particularly in voluntary nonprofit agencies, work part-time. Social workers usually spend most of their time in an office or residential facility, but also may travel locally to visit clients, meet with service providers, or attend meetings. Some may use one of several offices within a local area in which to meet with clients. The work, while satisfying, can be emotionally draining. Understaffing and large caseloads add to the pressure in some agencies.

Salary RangeMedian annual earnings of mental health and substance abuse social workers were $37,200 in 2008. The middle 50 percent earned between $28,900 and $48,600. The lowest 10 percent earned less than $21,800, and the top 10 percent earned more than $54,300.



Education
Education RequiredA bachelor’s degree in social work (BSW) degree is the most common minimum requirement to qualify for a job as a social worker; however, majors in psychology, sociology, and related fields may be adequate to qualify for some entry-level jobs, especially in small community agencies. Although a bachelor’s degree is sufficient for entry into the field, an advanced degree has become the standard for many positions. A master’s degree in social work (MSW) is typically required for positions in health settings and is required for clinical work. Some jobs in public and private agencies also may require an advanced degree, such as a master’s degree in social services policy or administration. Supervisory, administrative, and staff training positions usually require an advanced degree. College and university teaching positions and most research appointments normally require a doctorate in social work (DSW or Ph.D.).

As of 2009, the Council on Social Work Education (CSWE) accredited 468 BSW programs and 196 MSW programs. The Group for the Advancement of Doctoral Education (GADE) listed 74 doctoral programs in social work (DSW or Ph.D.). BSW programs prepare graduates for direct service positions, such as caseworker, and include courses in social work values and ethics, dealing with a culturally diverse clientele, at-risk populations, promotion of social and economic justice, human behavior and the social environment, social welfare policy and services, social work practice, social research methods, and field education. Accredited BSW programs require a minimum of 400 hours of supervised field experience.

Master’s degree programs prepare graduates for work in their chosen field of concentration and continue to develop the skills required to perform clinical assessments, manage large caseloads, and explore new ways of drawing upon social services to meet the needs of clients. Master’s programs last 2 years and include a minimum of 900 hours of supervised field instruction, or internship. A part-time program may take 4 years. Entry into a master’s program does not require a bachelor’s in social work, but courses in psychology, biology, sociology, economics, political science, and social work are recommended. In addition, a second language can be very helpful. Most master’s programs offer advanced standing for those with a bachelor’s degree from an accredited social work program.

Advancement to supervisor, program manager, assistant director, or executive director of a social service agency or department is possible, but usually requires an advanced degree and related work experience. Other career options for social workers include teaching, research, and consulting. Some of these workers also help formulate government policies by analyzing and advocating policy positions in government agencies, in research institutions, and on legislators’ staffs.

Some social workers go into private practice. Most private practitioners are clinical social workers who provide psychotherapy, usually paid for through health insurance or by the client themselves. Private practitioners must have at least a master’s degree and a period of supervised work experience. A network of contacts for referrals also is essential. Many private practitioners split their time between working for an agency or hospital and working in their private practice. They may continue to hold a position at a hospital or agency in order to receive health and life insurance.

Recommended High School CoursesEnglish, Sociology and Anthropology

Postsecondary Instructional ProgramsPsychology, Therapy and Counseling, Customer and Personal Service

Certification and LicensingAll States and the District of Columbia have licensing, certification, or registration requirements regarding social work practice and the use of professional titles. Although standards for licensing vary by State, a growing number of States are placing greater emphasis on communications skills, professional ethics, and sensitivity to cultural diversity issues. Most States require two years (3,000 hours) of supervised clinical experience for licensure of clinical social workers. In addition, the National Association of Social Workers (NASW) offers voluntary credentials. Social workers with an MSW may be eligible for the Academy of Certified Social Workers (ACSW), the Qualified Clinical Social Worker (QCSW), or the Diplomate in Clinical Social Work (DCSW) credential, based on their professional experience. Credentials are particularly important for those in private practice; some health insurance providers require social workers to have them in order to be reimbursed for services.



Skills, Abilities, & Interests
Interest Area
SocialInvolves working and communicating with, helping, and teaching people.

Work Values
AchievementGet a feeling of accomplishment.
Social ServiceDo things for other people.
SecurityHave steady employment.
Ability UtilizationMake use of individual abilities.
ActivityBusy all the time.
AutonomyPlan work with little supervision.
ResponsibilityMake decisions on your own.

Skills
Social PerceptivenessBe aware of others' reactions and understand why they react the way they do.
MonitoringAssess how well someone is doing when learning or doing something.
Critical ThinkingUse logic and analysis to identify the strengths and weaknesses of different approaches.
InstructingTeach others how to do something.
Active ListeningListen to what other people are saying and ask questions as appropriate.
WritingCommunicate effectively with others in writing as indicated by the needs of the audience.
Service OrientationActively look for ways to help people.
NegotiationBring others together and trying to reconcile differences.
Time ManagementManage one's own time and the time of others.
Active LearningWork with new material or information to grasp its implications.
Complex Problem SolvingSolving novel, ill-defined problems in complex, real-world settings.
Judgment and Decision MakingBe able to weigh the relative costs and benefits of a potential action.
CoordinationAdjust actions in relation to others' actions.
Reading ComprehensionUnderstand written sentences and paragraphs in work-related documents.
SpeakingTalk to others to effectively convey information.

Abilities
Oral ExpressionAble to convey information and ideas through speech in ways that others will understand.
Speech RecognitionIdentify and understand the speech of another person
Problem SensitivityAble to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem.
Written ComprehensionAble to read and understand information and ideas presented in writing.
Speech ClarityAble to speak clearly so listeners understand.
Inductive ReasoningAble to combine separate pieces of information, or specific answers to problems, to form general rules or conclusions. This includes coming up with a logical explanation for why seemingly unrelated events occur together.
Oral ComprehensionAble to listen to and understand information and ideas presented through spoken words and sentences.



More Information
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Job OutlookCompetition for social worker jobs is stronger in cities, where demand for services often is highest and training programs for social workers are prevalent. However, opportunities should be good in rural areas, which often find it difficult to attract and retain qualified staff. By specialty, job prospects may be best for those social workers with a background in gerontology and substance abuse treatment.

Employment of social workers is expected to grow faster than the average for all occupations through 2018. The rapidly growing elderly population and the aging baby boom generation will create greater demand for health and social services, resulting in particularly rapid job growth among gerontology social workers. Many job openings also will stem from the need to replace social workers who leave the occupation.

As hospitals continue to limit the length of patient stays, the demand for social workers in hospitals will grow more slowly than in other areas. Because hospitals are releasing patients earlier than in the past, social worker employment in home healthcare services is growing. However, the expanding senior population is an even larger factor. Employment opportunities for social workers with backgrounds in gerontology should be good in the growing numbers of assisted-living and senior-living communities. The expanding senior population will also spur demand for social workers in nursing homes, long-term care facilities, and hospices.

Employment of substance abuse social workers will grow rapidly over the 2008-18 projection period. Substance abusers are increasingly being placed into treatment programs instead of being sentenced to prison. As this trend grows, demand will increase for treatment programs and social workers to assist abusers on the road to recovery.

Employment of social workers in private social service agencies will increase. However, agencies increasingly will restructure services and hire more lower-paid social and human service assistants instead of social workers. Employment in State and local government agencies may grow somewhat in response to increasing needs for public welfare, family services, and child protection services; however, many of these services will be contracted out to private agencies. Employment levels in public and private social services agencies may fluctuate, depending on need and government funding levels.

Opportunities for social workers in private practice will expand but growth may be somewhat hindered by restrictions that managed care organizations put on mental health services. The growing popularity of employee assistance programs is expected to spur some demand for private practitioners, some of whom provide social work services to corporations on a contractual basis. However, the popularity of employee assistance programs will fluctuate with the business cycle, as businesses are not likely to offer these services during recessions.

Social workers held about 642,000 jobs in 2008. About 9 out of 10 jobs were in health care and social assistance industries, as well as State and local government agencies, primarily in departments of health and human services. Although most social workers are employed in cities or suburbs, some work in rural areas. At present there are 137,300 mental health and substance abuse social workers.

More InformationCouncil on Social Work Education, National Association of Social Workers

ReferencesBureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Social Workers, on the Internet at http://www.bls.gov/oco/ocos060.htm

O*NET OnLine, on the Internet at http://online.onetcenter.org/link/summary/21-1023.00