# Co-Occurring Disorders Counselor

*/JobTypes/Co-Occurring_Disorders_Counselor*

Departments: Dual Diagnosis Unit, Intensive Outpatient Program (IOP), Substance Use Disorders (SUD) Department, Residential Treatment Services, Community Behavioral Health, Correctional Behavioral Health, Medication-Assisted Treatment (MAT) Clinic.

## Neighborhood

### Parent

- [Counselors](/Occupations/Counselors) — parent · Occupations

### Siblings

- [Adolescent Addiction Counselor](/JobTypes/Adolescent_Addiction_Counselor) — siblings · JobTypes
- [Behavioral Health Counselor](/JobTypes/Behavioral_Health_Counselor) — siblings · JobTypes
- [Camp Counselor](/JobTypes/Camp_Counselor) — siblings · JobTypes
- [Career Counselor](/JobTypes/Career_Counselor) — siblings · JobTypes
- [Community Mental Health Counselor](/JobTypes/Community_Mental_Health_Counselor) — siblings · JobTypes
- [Correctional Mental Health Counselor](/JobTypes/Correctional_Mental_Health_Counselor) — siblings · JobTypes
- [Correctional SUD Counselor](/JobTypes/Correctional_SUD_Counselor) — siblings · JobTypes
- [Crisis Counselor](/JobTypes/Crisis_Counselor) — siblings · JobTypes
- [DUI/DWI Program Educator](/JobTypes/DUI%2FDWI_Program_Educator) — siblings · JobTypes
- [Detox Intake Assessment Counselor](/JobTypes/Detox_Intake_Assessment_Counselor) — siblings · JobTypes
- [Dual Diagnosis Counselor](/JobTypes/Dual_Diagnosis_Counselor) — siblings · JobTypes
- [Eating Disorder Counselor](/JobTypes/Eating_Disorder_Counselor) — siblings · JobTypes
- [Employee Assistance Program (EAP) Counselor](/JobTypes/Employee_Assistance_Program_(EAP)_Counselor) — siblings · JobTypes
- [Grief Counselor](/JobTypes/Grief_Counselor) — siblings · JobTypes
- [IOP Group Counselor](/JobTypes/IOP_Group_Counselor) — siblings · JobTypes
- [Inpatient Psychiatric Clinician](/JobTypes/Inpatient_Psychiatric_Clinician) — siblings · JobTypes
- [Intensive Outpatient Program (IOP) Counselor](/JobTypes/Intensive_Outpatient_Program_(IOP)_Counselor) — siblings · JobTypes
- [Licensed Professional Counselor](/JobTypes/Licensed_Professional_Counselor) — siblings · JobTypes
- [MAT Clinic Counselor](/JobTypes/MAT_Clinic_Counselor) — siblings · JobTypes
- [Mental Health Counselor](/JobTypes/Mental_Health_Counselor) — siblings · JobTypes
- [Mobile Crisis Intervention Specialist](/JobTypes/Mobile_Crisis_Intervention_Specialist) — siblings · JobTypes
- [Private Practice Therapist](/JobTypes/Private_Practice_Therapist) — siblings · JobTypes
- [Problem Gambling Counselor](/JobTypes/Problem_Gambling_Counselor) — siblings · JobTypes
- [Residential Treatment Center Therapist](/JobTypes/Residential_Treatment_Center_Therapist) — siblings · JobTypes
- [Residential Treatment Counselor](/JobTypes/Residential_Treatment_Counselor) — siblings · JobTypes
- [School Counselor](/JobTypes/School_Counselor) — siblings · JobTypes
- [School-Based Mental Health Counselor](/JobTypes/School-Based_Mental_Health_Counselor) — siblings · JobTypes
- [Telehealth Therapist](/JobTypes/Telehealth_Therapist) — siblings · JobTypes
- [Trauma Counselor](/JobTypes/Trauma_Counselor) — siblings · JobTypes
- [Veterans Counselor](/JobTypes/Veterans_Counselor) — siblings · JobTypes

### Required knowledge

- [Mental Health Conditions](/Knowledge/Mental_Health_Conditions) — requires knowledge · Knowledge
- [Clinical Ethics and Confidentiality](/Knowledge/Clinical_Ethics_and_Confidentiality) — requires knowledge · Knowledge
- [Evidence-Based Counseling Modalities](/Knowledge/Evidence-Based_Counseling_Modalities) — requires knowledge · Knowledge
- [Substance Use Disorders](/Knowledge/Substance_Use_Disorders) — requires knowledge · Knowledge

### Perform

- [Maintain Clinical Case Documentation](/Tasks/Maintain_Clinical_Case_Documentation) — perform · Tasks
- [Provide Crisis Intervention](/Tasks/Provide_Crisis_Intervention) — perform · Tasks
- [Monitor Client Progress and Adjust Plans](/Tasks/Monitor_Client_Progress_and_Adjust_Plans) — perform · Tasks
- [Coordinate Care with Psychiatric Providers](/Tasks/Coordinate_Care_with_Psychiatric_Providers) — perform · Tasks
- [Deliver Individual and Group Counseling](/Tasks/Deliver_Individual_and_Group_Counseling) — perform · Tasks
- [Develop Integrated Treatment Plans](/Tasks/Develop_Integrated_Treatment_Plans) — perform · Tasks
- [Conduct Integrated Dual-Diagnosis Assessments](/Tasks/Conduct_Integrated_Dual-Diagnosis_Assessments) — perform · Tasks

### Type of

- [Substance Abuse, Behavioral Disorder, and Mental Health Counselors](/Occupations/Substance_Abuse,_Behavioral_Disorder,_and_Mental_Health_Counselors) — type of · Occupations

### Problems this exposes

- [distinguishing psychiatric decompensation from intoxication/withdrawal mid-crisis to route correctly — a wrong call sends the dual-dx client to a facility that refuses the other half](/Problems/distinguishing_psychiatric_decompensation_from_intoxication%2Fwithdrawal_mid-crisis_to_route_correctly_—_a_wrong_call_sends_the_dual-dx_client_to_a_facility_that_refuses_the_other_half) — exposes problem · Problems
- [running a group where members have both active psychiatric symptoms and SUD means the counselor must adapt an intervention mid-session when a member decompensates, without derailing the other members' recovery work](/Problems/running_a_group_where_members_have_both_active_psychiatric_symptoms_and_SUD_means_the_counselor_must_adapt_an_intervention_mid-session_when_a_member_decompensates,_without_derailing_the_other_members'_recovery_work) — exposes problem · Problems
- [the counselor must coordinate a medication and MAT plan with prescribing psychiatrists who treat the substance-use history as out of scope, leaving the dual-diagnosis client's interacting symptoms managed by no one in particular](/Problems/the_counselor_must_coordinate_a_medication_and_MAT_plan_with_prescribing_psychiatrists_who_treat_the_substance-use_history_as_out_of_scope,_leaving_the_dual-diagnosis_client's_interacting_symptoms_managed_by_no_one_in_particular) — exposes problem · Problems
- [42 CFR Part 2 forces the counselor to obtain disclosure-specific consent before even confirming the client is in SUD treatment to the psychiatrist, fragmenting the very integrated care the role exists to provide](/Problems/42_CFR_Part_2_forces_the_counselor_to_obtain_disclosure-specific_consent_before_even_confirming_the_client_is_in_SUD_treatment_to_the_psychiatrist,_fragmenting_the_very_integrated_care_the_role_exists_to_provide) — exposes problem · Problems
- [group-counseling progress captured per member during a live session](/Problems/group-counseling_progress_captured_per_member_during_a_live_session) — exposes problem · Problems
- [integrated dual-diagnosis assessment sequencing which disorder is primary when symptoms mask each other](/Problems/integrated_dual-diagnosis_assessment_sequencing_which_disorder_is_primary_when_symptoms_mask_each_other) — exposes problem · Problems
- [ASAM level-of-care justification re-derived at each treatment-plan adjustment](/Problems/ASAM_level-of-care_justification_re-derived_at_each_treatment-plan_adjustment) — exposes problem · Problems
- [crisis-intervention notes that must capture risk while preserving 42 CFR Part 2 confidentiality](/Problems/crisis-intervention_notes_that_must_capture_risk_while_preserving_42_CFR_Part_2_confidentiality) — exposes problem · Problems
- [reconciling psychiatric medication and MAT regimens across prescribers](/Problems/reconciling_psychiatric_medication_and_MAT_regimens_across_prescribers) — exposes problem · Problems
- [integrated mental-health and substance-use treatment plans documented in siloed systems](/Problems/integrated_mental-health_and_substance-use_treatment_plans_documented_in_siloed_systems) — exposes problem · Problems
- [42 CFR Part 2 consent constraints blocking care-team information sharing](/Problems/42_CFR_Part_2_consent_constraints_blocking_care-team_information_sharing) — exposes problem · Problems
- [tracking outcome and relapse measures across long, non-linear recovery episodes](/Problems/tracking_outcome_and_relapse_measures_across_long,_non-linear_recovery_episodes) — exposes problem · Problems

### Uses software

- [Telehealth Platforms](/Software/Telehealth_Platforms) — uses software · Software
- [Clinical Assessment Tools](/Software/Clinical_Assessment_Tools) — uses software · Software
- [Electronic Health Records](/Software/Electronic_Health_Records) — uses software · Software

### Requires ability

- [Social Perceptiveness](/Ability/Social_Perceptiveness) — requires ability · Ability
- [Problem Sensitivity](/Ability/Problem_Sensitivity) — requires ability · Ability
- [Oral Comprehension](/Ability/Oral_Comprehension) — requires ability · Ability

### Required skills

- [Crisis De-escalation](/Skills/Crisis_De-escalation) — requires skill · Skills
- [Group Facilitation](/Skills/Group_Facilitation) — requires skill · Skills
- [Clinical Assessment](/Skills/Clinical_Assessment) — requires skill · Skills
- [Motivational Interviewing](/Skills/Motivational_Interviewing) — requires skill · Skills
- [Integrated Treatment Planning](/Skills/Integrated_Treatment_Planning) — requires skill · Skills

### Engage in

- [Coordinate Care with Psychiatric Providers](/Activities/Coordinate_Care_with_Psychiatric_Providers) — engage in · Activities
- [Develop Integrated Treatment Plans](/Activities/Develop_Integrated_Treatment_Plans) — engage in · Activities
- [Conduct Integrated Dual-Diagnosis Assessments](/Activities/Conduct_Integrated_Dual-Diagnosis_Assessments) — engage in · Activities