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Marriage and Family Therapist (Advanced) - Triage Access Guidance Team (TAG)

Company: Department of Veterans Affairs
Location: Manchester
Posted on: May 3, 2021

Job Description:

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This Marriage and Family Therapist (Advanced) - Triage Access Guidance Team (TAG) position is located in Mental Health at the Manchester VA Medical Center location. This position is a full-time at 40 hours per week.

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The TAG Advanced Licensed Marriage and Family Therapist (ALMFT) functions as a clinical coordinator for the care of Veterans seeking same-day and crisis mental health services at the Manchester VA Medical Center and outlying Community Based Outpatient Clinics (CBOCs). Employee works closely with the Primary Care Mental Health Integration team, mental health (MH) management team, program managers, and staff regarding crisis assessment and intervention. Employee also works closely with a diverse group of Veterans and their support persons to improve clinical and programmatic outcomes.

Services provided include service as MH point of contact (POC) for multiple initiatives, coordination of crisis related services, provision of mental health crisis assessments, coordination with external community agencies, provision of clinical crisis consultation, and training to Manchester VAMC clinical staff. The TAG ALMFT serves to support Medical Center program evaluation and reports for national and VISN-level policies related to Urgent Care and Suicide Prevention and risk management. The employee works on an interdisciplinary team which provides services 5 days a week, with extended hours in the morning and early evening to cover Urgent Care.

Employee is capable of practicing at the advanced level and has specialized knowledge of practice typically related crisis intervention and management. The employee functions above the full performance level which requires completion of a minimum of 1 year of progressively complex post-masters degree experience equivalent to the next lower grade level. Experience must demonstrate possession of advanced practice skills and judgment, demonstrating progressively more professional competency.

The employee must possess licensure or certification in a state at the independent practice level (advanced practice license is preferred). The TAG ALMFT provides mental health services on an outpatient basis.


Clinical Responsibilities (90% of time)

  • The ALMFT will serve as the Front-Office Liaison/MH POC for Veterans who are seeking to address grievances and concerns about mental health with front-office officials.
  • The employee provides emergency and crisis evaluation and brief intervention to Veterans seen in UC or to other specialty clinics in-person and through the use of telehealth technology: VA Video Connect (VVC) and Clinical Video Telehealth (CVT).
  • The employee provides education and referral for resources and benefits and postintervention follow-up.
  • The employee provides crisis counseling/crisis assessment to individuals and families presenting to UC or to other specialty clinics including mental health. Best practices, practice guidelines, and evidence-based treatment protocols are utilized to the extent feasible in all therapeutic interventions. The employee will ensure productivity is maintained at the established level for the program to which the employee is assigned. Complies with national and local performance measures, including timely health care screening and completion of identified clinical reminders for all patients.
  • The employee provides education and referrals to Veterans for community services and arranges for coordination of these services as necessary. He/she acts as liaison between community and VA programs, providing care coordination assistance to community organizations, as needed.
  • The employee evaluates Veterans in UC for involuntary psychiatric commitment and completes appropriate paperwork for involuntary psychiatric commitment when necessary.

Program Coordination/Administrative Responsibilities (10% of time)

  • The TAG ALMFT will serve as the MH Point of Contact for the national initiative: SPED (Safety Planning in the Emergency Department and Urgent Care). The TAG ALMFT will facilitate safety planning and follow-up in Urgent Care (UC). She/he will utilize existing national standardized note templates (update note templates as needed) and monitor the SPED dashboard and complete reports to ensure that the Manchester VAMC is maintaining adherence to National Suicide Prevention Protocols.
  • The TAG ALMFT will coordinate the MH Service Line's On-Call program and provide training to MH staff members for UC and emergency services coverage.


Work Schedule: Monday - Friday 7:30 a.m. to 4:00 p.m.

Compressed/Flexible Work Schedule: Not Authorized

Telework/Virtual/Remote Work: Not Authorized

Relocation or Travel Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Financial Disclosure Report: Not required

Travel Required

Not required

Supervisory status


Promotion Potential


  • Job family (Series)

0101 Social Science

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  • Requirements



Conditions of Employment

  • You must be a U.S. Citizen to apply for this job
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process and complete additional forms to proceed with employment process.


Basic Requirements:

  1. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

  2. Education: Candidates must meet one of the following:
  • Hold a master's degree or doctoral degree in marriage and family therapy from a program approved by COAMFTE,
  • Hold a master's degree or doctoral degree in marriage and family therapy from a MFT program from a regionally accredited institution, OR,
  • Hold a master's degree or doctoral degree in a comparable mental health degree (Licensed Professional Mental Health Counselor, Social Work, Psychiatric Nursing, Psychology, and Psychiatry) that meets the current VA qualification standard of that profession.
  1. Licensure: Persons hired or reassigned to Marriage Family Therapist positions in the GS-0101 series in VHA must hold a full, current, and unrestricted Marriage Family Therapist license to independently practice marriage and family therapy in a State.

Preferred Experience:

Crisis intervention, suicide risk evaluation and safety planning, ED/UC work experience, or program coordination experience.

Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

Education, Experience and Licensure. Candidate must have successfully completed evidence based training in family therapy and

must have graduated from a COAMFTE accredited program OR have passed the AMFTRE. Candidate must have at least five years of post-licensed

clinical experience in delivery of family systems therapy including one-year equivalent to the GS-11 grade level. This experience must demonstrate the use of an evidence based family therapy model while exhibiting progressive professional competency and expertise. Assignments requiring responsibility for providing clinical supervision must have an AAMFT Approved Supervisor credential. In addition, the candidate must demonstrate the professional KSAs listed below.

Demonstrated KSAs:

  • Ability to provide specialized consultation for complex cases involving individuals, families and/or couples utilizing evidenced-based family systems theory/therapy.
  • Ability to provide crisis intervention which includes assessment, safety planning and complex treatment planning using independent clinical judgment utilizing family systems theory/therapy.
  • Ability to provide family systems therapy, which seeks to address Veterans and their family members on an individual level and deals with interpersonal interactions.
  • Ability to provide unlicensed MFT staff/trainees with systemic clinical supervision towards licensure from a family systems theory/therapy perspective.

References: VA Handbook 5005, Part II, Appendix G44

The full performance level of this vacancy is 12. The actual grade at which an applicant may be selected for this vacancy is GS-12.

Physical Requirements:

TAG ALMFT services are conducted at the facility but, could require travel to CBOC locations, community partners, and other locations if necessary. The work is generally sedentary. Simple grasping and fine manipulation are required when using a keyboard to access a computer.

The employee may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations at VA facility. Employee will use equipment and supplies appropriately and maintain a safe, orderly work area. Demonstrates infection control practices for disease prevention (i.e. hand washing, universal precautions/isolation procedures, etc.) as required.

The employee may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The employee must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

The employee may be required to work an irregular tour and/or weekends as the need arises to perform TAG related duties as assigned.


Substitution of Education: There is no educational substitution for the GS-12 level.

Keywords: Department of Veterans Affairs, Manchester , Marriage and Family Therapist (Advanced) - Triage Access Guidance Team (TAG), Other , Manchester, New Hampshire

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