• You’ll make a meaningful impact every day in the lives of your clients and within the community.

• You'll have the incredible opportunity to meet individuals from all walks of life.

• You can go on a continuous journey of learning and personal growth that will keep you inspired! 

• You can work in diverse environments such as jails, hospitals, or community health agencies. 

• You’ll be part of a caring and supportive team.

This career is both meaningful and flexible, and it is always in demand.

With a high school diploma/GED or higher:

• Case Manager

A Case Manager helps people with mental health or substance use challenges get the support they need to live well. They meet with clients, listen to their needs, and help them access services like housing, employment resources, or counseling. They also teach life skills and check in regularly to make sure things are going well and progress is being made. [Learn more about Care Coordination careers→]

• Harm Reduction Specialist

Harm Reduction Specialists help people who use drugs stay safer and healthier. They give out supplies like clean syringes or naloxone (a medicine that can stop overdoses). They teach people how to lower their risk of getting sick or hurt, and they listen without judgment. They also help connect people to housing, health care, or treatment if they want it. Their goal is to support people no matter where they are in their journey.

• Peer Supporter/Peer Support Specialist

Peer Supporters/Peer Support Specialists are incredible individuals who have triumphed over their own battles with addiction and emerged stronger on the other side! They share their inspiring personal stories to create deep connections, making others feel seen and supported. With a heart full of hope, they provide invaluable tips and guidance, walking side by side with clients on their transformative journey to recovery. Together, they embark on a path of resilience and empowerment, lighting the way for a brighter future for clients.  [Learn more about Peer Support Careers   →]

• Substance Use Disorder Counselor Aide

A Substance Use Disorder Counselor Aid plays a crucial role in transforming the lives of individuals battling drug or alcohol use. These individuals are at the forefront of change by leading engaging group activities, assisting with essential paperwork, and building meaningful connections by checking in with clients on their journey to recovery. This position is not just about support; it’s about being part of a dynamic treatment team and helping to create a brighter future for clients. 

With an associate’s degree or higher:

• Chemical Dependency Counselor

Chemical Dependency Counselors are passionate advocates for individuals seeking to overcome drug and alcohol use. They provide vital support, listen to personal stories, and help create tailored recovery plans. Whether leading dynamic group sessions or engaging in one-on-one meetings, these counselors inspire hope and facilitate connections to additional resources, ensuring that no one has to face their journey alone! 

• Substance Use Treatment Nurse

Substance Use Treatment Nurses assess patients, manage withdrawal symptoms, administer medication, educate patients and their families, and collaborate with a multidisciplinary team to create individualized treatment plans tailored to each patient's needs. They also connect patients and their families with support groups and other resources that can aid in the patient's recovery journey.  [Learn more about Nursing Careers   →]

With a bachelor's degree or higher:

• Behavioral Health Specialist

Behavioral Health Specialists are at the forefront of transformative care, making a tremendous impact in the lives of their clients. They dive deep into assessments and diagnoses, crafting personalized treatment plans that empower individuals to conquer substance use and embrace healthier coping strategies. With their expertise, they inspire change and promote a brighter, more fulfilling future.

• Policy Advocate/ Analyst

A policy advocate/ analyst in the realm of substance use treatment programs is at the forefront of transforming lives and communities. They are the dynamic force driving innovative policies that enhance prevention, treatment, and recovery efforts. By utilizing effective strategies and advocating for change, these professionals play a vital role in shaping a better future for those affected by substance use. Their work not only influences policy but also inspires hope and progress within the substance use treatment field. [Learn more about Advocacy careers→]

• Program Manager/ Supervisor 

A Program Manager plays a vital role in transforming the lives of patients. They oversee the daily operations of mental health and addiction treatment programs by collaborating with staff to plan services, manage personnel, and ensure the program meets the needs of its clients. In behavioral health, they also track program results and ensure compliance with ethical standards and state regulations.  [Learn more about Management careers→]

• Substance Use Disorder Counselor

As a Substance Use Disorder Counselor, you have the opportunity to make a positive difference in a client's life while assisting them on their journey to wellness. Substance Use Disorder Counselors work directly with individuals who are trying to stop using drugs or alcohol. They provide support, listen to the client’s concerns, and help clients develop an individualized recovery plan tailored to the client's specific needs. Substance Use Disorder Counselors lead group sessions and conduct one-on-one meetings, often connecting clients with additional services they may need. This role is more than just a job; it’s a mission that transforms lives! [Learn more about Therapy careers –> ]

With a master's degree or higher:

• Addiction Therapist

Addiction Therapists are licensed mental health professionals who help clients explore the reasons behind their substance use. They provide group, individual, and family counseling and education to treat both substance use and mental health concerns, like trauma, anxiety, depression, and much more. They work closely with clients to understand their emotions, assist them in developing coping skills, and provide ongoing support for their long-term recovery. [Learn more about Therapy careers –> ]

• Agency Director

An Agency Director provides the leadership and vision for the organization. They enforce best practices, accreditation, and ethical standards in all aspects of the work— from hiring staff and managing budgets to ensuring clients receive the care they need. They oversee clinical services, office operations, and work with local mental health and recovery boards to advance the mission of the agency to serve the community in the best way possible.  [Learn more about Management careers→]

• Chief Clinical Officer (CCO)

Chief Clinical Officers (CCOs) in behavioral health are top leaders who ensure that people receive high-quality mental health and addiction care. In Ohio, CCOs can work in hospitals, clinics, or community programs. They oversee the provision of services, ensuring they meet state laws and professional standards. They also lead teams of therapists, doctors, and support staff, helping create treatment plans, guide staff training, and make sure patients are treated with respect and safety. CCOs often collaborate with other leaders to develop new programs, manage budgets, and enhance services. [Learn more about Clinical Supervision careers→]

• Clinical Case Manager

A clinical case manager is a crucial ally in the recovery journey, guiding individuals to essential services and support tailored to their needs. They coordinate treatment and connect clients with vital resources while advocating for their rights and interests. By bridging the gap between individuals, treatment teams, and the community, clinical case managers ensure a holistic approach to care that empowers clients and transforms lives.  [Learn more about Care Coordination careers→]

• Clinical Supervisor

A Clinical Supervisor is a key leader in the counseling profession, responsible for mentoring less experienced counselors. Clinical supervisors provide feedback, consultations, and evaluations to help develop the skills and knowledge of the counselors they oversee. They review casework to ensure that therapeutic practices meet the ethical and legal standards of the State of Ohio. Clinical supervisors build strong teams, encourage collaboration, and handle conflicts. They also help shape the culture of their organization while making sure that diversity and cultural differences are respected in every part of the process. In Ohio, clinical supervisors need a special supervisory endorsement for their professional license.  [Learn more about Clinical Supervision careers→]

• Crisis Therapist

A Crisis Therapist is a crucial ally in times of distress, offering immediate support for individuals battling substance abuse and mental health challenges. They provide assessments, de-escalation techniques, and safety planning, while empowering individuals to manage crises, develop effective coping strategies, and access essential resources. In moments of chaos, a Crisis Therapist helps illuminate the path to a brighter future. [Learn more about Crisis Services careers –> ]

Other job titles you might see: 

• Assistant Clinical Director 

• Clinical Lead Addiction Therapist 

• Inpatient Substance Abuse Therapist 

• Outpatient Substance Abuse Therapist

• Outreach Worker

• Recovery Coach

• Substance Abuse Group Facilitator 

There are many different paths and levels in this career!

• Talk with clients and listen to their stories.

• Create individualized treatment or recovery plans.

• Lead group, family, or one-on-one counseling sessions.

• Educate individuals and families about addiction and recovery.

• Connect clients to helpful services and support.

• Use harm reduction to help people stay safer, even if they’re still using substances.

Substance Use Professionals offer hope and help to those who need it most.

Harm reduction is a transformative approach that prioritizes the health and well-being of individuals by meeting them where they are, free from judgment. Instead of prioritizing total abstinence, harm reduction helps people to use drugs more safely and responsibly. With access to clean needles, safe consumption spaces, and education on safer practices, this approach significantly reduces risks like overdose and infectious diseases. Harm reduction is a compassionate strategy that not only saves lives but also fosters healthier, more supportive communities. 

 Professionals in harm reduction might:

• Teach people and communities about overdose and infectious disease prevention.

• Distribute clean needles and other essential supplies to help prevent overdoses and infectious diseases. 

• Distribute naloxone (Narcan) to reverse overdoses.

• Help connect people to essential services, including healthcare, housing, and recovery programs.

• Provide non-judgmental support for people at any stage of drug use.

Harm reduction saves lives and builds trust.

• Mental health clinics and private practice officers

• Rehabilitation centers or treatment centers

• Schools or colleges

• Nonprofits and community organizations

• Harm reduction programs

• Jails, prisons, courts, and child welfare programs

• Psychiatric and general hospitals

There’s an incredible opportunity waiting for you in every corner of your community! 

• Individuals, both adults and adolescents, who are facing difficulties related to substance use disorders 

• Families and caregivers of individuals facing substance-related problems 

• Doctors, nurses, counselors, case workers, and other professionals on an interdisciplinary team 

• Teachers, principals, schools, and communities 

• Legal professionals and law enforcement

• People experiencing homelessness or poverty

You’ll work with a variety of professionals across dynamic environments, where you'll provide invaluable support in numerous exciting ways.

To work within this field, you’ll need the right education and real-world experience.

• A high school diploma or GED plus training in either peer support (for those in recovery) or chemical dependency treatment can provide an entry point. Many direct client care positions will receive on the job training.

• With an associate's degree in a  behavioral science field or nursing, along with specific training and experience in substance use disorder treatment, you will be qualified for more client treatment roles while being supervised by an independent clinician. 

• Many advanced roles, such as therapist or clinical supervisor, require a bachelor’s or master's degree in a behavioral science field (such as Social Work, Psychology, Counseling, Addiction Studies) or nursing.

There are many credentials and licenses that allow you to work in substance use disorder treatment:

• Certified Peer Supporter

• Chemical Dependency Counselor Assistant (CDCA) certification

• Licensed Chemical Dependency Counselor (LCDC Il and LCDC III) 

• Licensed Independent Chemical Dependency Counselor (LICDC)

• Licensed Social Worker (LSW) and Licensed Independent Social Worker (LISW)

• Licensed Professional Counselor (LPC) and Licensed Professional Clinical Counselor (LPCC)

• Registered Nurse (RN) 

Click here to learn more about licenses, credentials, and certifications.