Direct Care Careers in Behavioral Health:
Change Lives Daily
Is Working in Direct Client Care Right for You?
Are you patient and compassionate? Respectful and non-judgemental? A good communicator and team player?
If so, a career as a Direct Care provider in behavioral health might be a great fit for you! Individuals who provide direct client care in inpatient behavioral health settings play a hands-on role in supporting patients through some of the most challenging times in their lives. Direct Care providers often form strong, encouraging relationships with patients and play a vital role in helping people feel safe, respected, and cared for during their recovery.
Learn More About Direct Care Careers:
Ohio Department of Mental Health and Addiction Services: Therapeutic Program Workers
Human and Social Service Assistants (Career OneStop)
Psychiatric Aides (Career OneStop)
Psychiatric Aides (O*Net Online)
Psychiatric Technicians (Career OneStop)
Psychiatric Technicians (O*Net Online)
Psychiatric Technicians and Aides: US Bureau of Labor Statistics
*Please note that the job recommendations listed throughout this page will vary by agency and county, as some may require additional training or licensure.
Your Path to a Career in DIRECT CARE
What does it take?
Get Educated
Get Experience
Get Credentialed*
Get Ahead
*Credentials are offered by the State of Ohio or other National Organizations. They show you’re a trusted professional in the field.
Income varies and is based on role, location, experience, education, and licensing/credentials. Job growth projections are for 2023-2033. Ohio LMI
Salary ranges are based on what’s currently available through Zip Recruiter, Indeed, Career One Stop, or Salary Expert.

Get more info in the FAQs
DIRECT CARE PROFESSIONALS - FAQ
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Make a Difference: Help individuals improve their mental health and daily living skills.
Build Relationships: Form meaningful connections with clients and support their progress.
Team Environment: Work alongside healthcare professionals in a collaborative setting.
Personal Growth: Develop valuable skills in communication, problem-solving, and empathy.
Job Stability: Enjoy a steady career with opportunities in various settings across Ohio.
Gain Experience: Direct client care offers an opportunity to learn about behavioral health, gain knowledge and skills, and decide where to go next in your career journey.
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With a high school diploma/GED or higher:
Behavioral Health Technician
Behavioral Health Technicians help people with mental health challenges. They follow treatment plans created by doctors or therapists, assist with daily activities, and monitor patients' progress. They often work in hospitals, clinics, or treatment centers.
Residential Support Specialist
These specialists support individuals in residential facilities. They help residents with daily tasks like cooking, cleaning, and personal care, while encouraging them to be more independent. They also ensure the home is safe and comfortable for everyone.
Substance Use Disorder (SUD) Treatment Support Worker
SUD Treatment Support Workers assist people recovering from drug or alcohol addiction. They provide emotional support, help with treatment plans, and connect clients to resources like counseling or job training. Their goal is to support clients on their path to recovery. [Learn more about Substance Use Disorder Treatment Careers→]
These workers are part of the team at Ohio's state psychiatric hospitals. Building strong relationships with patients, they help those with mental health conditions learn daily living skills, such as dressing, eating, and socializing. They also assist in therapy sessions and monitor patients' progress.
Mental Health Treatment Support Staff
Mental Health Treatment Support Staff provide care in clinics or community settings. They support individuals with mental health needs by helping them attend appointments, manage medications, and develop coping skills. They play a key role in helping clients lead healthier lives.
With a bachelor's degree or higher:
Behavioral Health Specialist
Behavioral Health Specialists work with people facing emotional or behavioral issues. They assess clients' needs, develop treatment plans, and provide counseling or therapy. They may work in home-based services, schools, hospitals, or community centers to support mental well-being.
Job Coach/ Employment Support
Job Coaches assist individuals with disabilities or mental health challenges in finding and keeping jobs. They help clients learn job skills, prepare for interviews, practice social-emotional skills and self-regulation, and adjust to the workplace. Their support helps clients achieve independence through employment.
Other job titles you may see:
Mental Health Recovery Coach
Community Psychiatric Support and Treatment (CPST) Provider
Qualified Behavioral Health Specialist
These jobs provide a great entry point into behavioral health careers!
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Help with Daily Tasks: Support clients with things like eating, bathing, dressing, and staying clean and comfortable.
Follow Treatment Plans: Use routines and activities created by doctors or therapists to help clients reach their goals.
Teach Life Skills: Show clients how to do things on their own, like cooking, cleaning, taking medicine, or using public transportation.
Build Skills at Home: Work with clients and their families in their homes to build routines and teach skills in a familiar setting.
Coach for Work: Help clients get ready for jobs—practice interviews, learn work habits, and provide support at the workplace.
Keep Track of Progress: Watch for changes in mood, behavior, or health—and share what you see with the treatment team.
Motivate and Encourage: Help clients join in group activities, therapy, or healthy routines that support recovery.
Create a Safe Space: Make sure the environment is calm, clean, and safe for everyone—both physically and emotionally.
Direct care staff provide hands-on support to individuals, helping them navigate daily life and treatment.
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Mental Health Facilities
Residential Homes
Community Mental Health Centers
Rehabilitation Centers
Schools and Educational Programs
Home-Based Services
Direct care staff work in diverse environments to support individuals' mental health and well-being.
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Adults with Mental Illness: Individuals managing conditions like depression or schizophrenia.
Children and Adolescents: Young people facing behavioral or emotional challenges.
Individuals with Developmental Disabilities: Clients needing support with daily living skills.
People Recovering from Substance Use: Those working towards sobriety and stability.
Older Adults: Aging adults with mental health issues or cognitive decline.
Direct Care staff assist a wide range of clients, each with unique needs and goals.
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Most direct care jobs in Ohio need a high school diploma or GED.
Some roles may ask for extra training or certification in behavioral health. Many employers offer on-the-job training or assist you in getting the education you need.
Going to college can help you move into higher-level roles. Depending on the employer and job duties, a bachelor’s degree in a human service field may be needed for jobs like:
Behavioral Health Specialist
Job Coach/ Employment Support
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While a specific license may not be required to start as a Direct Care Provider, obtaining certifications can enhance your qualifications:
Certified Chemical Dependency Counselor Assistant (CDCA): For those working with individuals facing substance use issues.
Registered Behavioral Technician (RBT): For those assisting with behavioral analysis programs.
First Aid and CPR Certification: Often required for direct care roles.
Note: Requirements may vary by employer and specific job duties.
Click here to learn more about licenses, credentials, and certifications.
Disclaimer: The information provided on this website is accurate to the best of our knowledge at the time of publication. If you notice any errors or outdated information, please contact accounts@mhaadvocacy.org so we can make the necessary corrections.