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Substance Abuse, Behavioral Disorder, and Mental Health Counselors

SOC: 21-1018 • Data from U.S. Bureau of Labor Statistics & O*NET

What They Do

Substance Abuse, Behavioral Disorder, and Mental Health Counselors typically perform the following tasks: • 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. • Interview clients, review records, conduct assessments, or confer with other professionals to evaluate the mental or physical condition of clients or patients. • Supervise or direct other workers who provide services to clients or patients. • Modify treatment plans according to changes in client status. • Assist clients in adhering to treatment plans, such as setting up appointments, arranging for transportation to appointments, or providing support. • Educate clients or community members about mental or physical illness, abuse, medication, or available community resources. • Counsel or aid family members to assist them in understanding, dealing with, or supporting the client or patient. • Increase social work knowledge by reviewing current literature, conducting social research, or attending seminars, training workshops, or classes. • 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. • Plan or conduct programs to prevent substance abuse, combat social problems, or improve health or counseling services in community. • Develop or advise on social policy or assist in community development.

Career Video

Video from CareerOneStop, sponsored by U.S. Department of Labor

Key facts

Median: $59,190
Employment: 483,500
Growth (2024–2034): +17.0%
Education: Master's degree

Career Intelligence Metrics

Automation Risk Assessment

Low Risk
6.0% probability of being automated in the next 10-20 years. This job is relatively safe from automation due to its creative, social, or complex problem-solving requirements.

Work-Life Balance Score

7.4/10
Good work-life balance based on typical work schedules, stress levels, and time demands.

Personality Fit (RIASEC Profile)

4.0
Realistic
5.8
Investigative
7.0
Artistic
9.2
Social
5.0
Enterprising
5.8
Conventional
Powered by O*NET Career Profiling

Personality Match: The higher the score (out of 10), the better this career matches that personality type. People with similar interests and work styles tend to be most satisfied in careers that match their personality profile.

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Top Skills

Communication skills Compassion Interpersonal skills Listening skills Patience

Strengths

  • High Demand
  • Flexible Work
  • Continuous Learning

Challenges

  • Burnout Risk
  • Rapid Technological Change

Median Salary Comparison

Employment projection (2024–2034)

Geographic Employment & Wage Analysis

BLS OEWS Data Updated 2024-05
View Interactive BLS Maps

States with Highest Employment

  • California 63,110
  • Pennsylvania 26,510
  • Florida 24,680
  • New York 22,450
  • Texas 19,520
  • Illinois 18,170
  • Massachusetts 17,950
  • Virginia 16,860
  • Ohio 16,690
  • New Jersey 14,640
BLS OEWS data (2024-05)

Regional Wage Variations

  • California 4%
    $61,310
  • Pennsylvania -1%
    $58,320
  • Florida -4%
    $56,830
  • New York 5%
    $62,070
  • Texas 2%
    $60,630
  • Illinois 1%
    $59,570
  • Massachusetts 0%
    $59,030
  • Virginia -1%
    $58,410
  • Ohio -4%
    $56,990
  • New Jersey +9%
    $64,710
BLS OEWS state wage data
Top Metropolitan Areas
New York-Newark-Jersey City
Employment: High Growth: +3.2%
Los Angeles-Long Beach
Employment: High Growth: +2.8%
Chicago-Naperville-Elgin
Employment: Medium Growth: +1.5%
Dallas-Fort Worth
Employment: Medium Growth: +4.1%
San Francisco-Oakland
Employment: High Growth: +2.3%
Based on BLS metropolitan area data
Industries with Highest Concentrations
Hospitals; state, local, and private
85%
Offices of other health practitioners
70%
Outpatient mental health and substance abuse centers
55%
Regional Job Market Outlook
Strong
West Coast
Stable
Northeast
Growing
South