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.
Learn more about this agency
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
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
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
FUNCTIONS OR SCOPE OF ASSIGNED DUTIES
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
- 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
- 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.
DUE TO TEXT LIMITATIONS, THIS IS NOT THE ENTIRE TEXT FROM THE
FUNCTIONAL STATEMENT. IF YOU WOULD LIKE TO REVIEW THE ENTIRE DUTIES
SECTION, PLEASE CONTACT THE HUMAN RESOURCES POC LISTED AT THE
BOTTOM OF THIS JOB OPPORTUNITY ANNOUNCEMENT (JOA).
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
0101 Social Science
- Counselors, Marriage
- Counselors, Mental Health
- Family Therapists
- Marriage And Family Therapists
- Marriage Counselors
Conditions of Employment
- You must be a U.S. Citizen to apply for this job
- Selective Service Registration is required for males born after
- 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
United States Citizenship: Non-citizens may only be appointed
when it is not possible to recruit qualified citizens in accordance
with VA Policy.
- 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
- 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
- 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.
Crisis intervention, suicide risk evaluation and safety
planning, ED/UC work experience, or program coordination
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
must have graduated from a COAMFTE accredited program OR have
passed the AMFTRE. Candidate must have at least five years of
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.
- 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
- 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
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
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
Substitution of Education: There is no educational substitution
for the GS-12 level.