Remote | Substance Use
About The Position
This is a specialised, fully remote independent consulting engagement for experienced adolescent addiction and substance-use professionals contributing to an advanced AI training and clinical evaluation project. Consultants review adolescent substance-use cases, assess clinical risk and severity, determine intervention urgency and level of care, and provide structured guidance grounded in recognised diagnostic and treatment frameworks. No prior AI experience is required. The work requires substantial direct clinical experience with adolescents, sound judgement concerning escalation and clinical safety, and the ability to explain nuanced clinical reasoning clearly in written English to non-specialist audiences. Selected professionals should be prepared to begin their first tasks approximately 24–48 hours after completing onboarding. Project scope, workload, case complexity, and evaluation standards may evolve with project requirements. Work must not use confidential or proprietary information belonging to an employer, client, institution, healthcare organisation, patient, or other third party.
Requirements
- Three to five or more years of post-certification experience working directly with adolescents affected by substance use.
- Clinical background in addiction medicine, child or adolescent psychiatry, psychology, or a closely related discipline.
- Active clinical licence or professional registration in good standing.
- Recent adolescent caseload experience, approximately within the past two years.
- Strong proficiency with adolescent substance-use screening and severity tools such as CRAFFT, S2BI, DSM-5, and ASAM criteria.
- Familiarity with medication for opioid use disorder and withdrawal-management protocols for individuals under 18.
- Strong clinical reasoning and ability to distinguish experimentation from clinically significant substance-use disorders.
- Experience identifying overdose, withdrawal, safeguarding, and escalation risks.
- Exceptional written English and ability to communicate nuanced clinical reasoning clearly.
Nice To Haves
- Motivational interviewing training.
- Adolescent inpatient, crisis, or other high-acuity experience.
- Experience developing guidelines, publications, or clinical standards in youth substance-use disorders.
Responsibilities
- Review adolescent substance-use cases and produce detailed written assessments of risk, severity, and intervention urgency.
- Apply established frameworks such as DSM-5 substance-use disorder criteria and ASAM guidance.
- Characterise severity, determine appropriate levels of care, and identify patterns suggesting escalating risk or treatment complexity.
- Document assessment reasoning clearly and consistently.
- Distinguish developmentally typical experimentation from clinically significant substance-use patterns.
- Assess frequency, intensity, consequences, functional impairment, and contextual risk, while considering developmental stage, family environment, peer influences, and other relevant factors.
- Identify ambiguity or missing information that materially affects clinical interpretation and apply youth-specific judgement rather than relying solely on adult frameworks.
- Identify signs of withdrawal, overdose risk, acute safety concerns, and safeguarding issues that may require escalation or immediate intervention.
- Evaluate whether a presentation can be managed routinely or requires urgent specialist support, including consideration of polysubstance use and other high-risk patterns.
- Recommend proportionate escalation pathways based on clinical severity.
- Evaluate the safety and clinical appropriateness of proposed interventions and recommend alternatives when needed.
- Apply ASAM and related frameworks when assessing level-of-care needs.
- Consider pharmacological interventions, including medication for opioid use disorder, when clinically relevant.
- Assess withdrawal-management strategies and treatment options for people under 18 where appropriate.
- Produce clear, actionable written guidance for non-specialist users and explain clinical reasoning and recommendations in research-grade English.
- Reference relevant standards, frameworks, or best-practice guidance where appropriate; compare assessments against peer input and published best practice; and maintain consistent, rigorous, defensible recommendations.
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What This Job Offers
Career Level
Senior
Education Level
No Education Listed
