Mobile Crisis Response Therapist (PRN)

St. Peter's Health Regional Medical Center•Helena, MT

1d•Hybrid

About The Position

St. Peter’s Health is expanding its Mobile Crisis Response Team (MCRT) and is seeking PRN Mobile Crisis Responders. This is a flexible role with opportunities for on-site or on-call shifts, weekdays or weekends, and days or nights. The MCRT provides 24/7 community-based crisis response in Lewis and Clark County, Jefferson County, and Broadwater County, addressing mental health, substance use, and co-occurring crises in various community settings. The team is multidisciplinary, typically pairing a licensed clinician with an allied responder. The Mobile Crisis Response Therapist I is a licensure candidate who provides in-person crisis assessment, intervention, stabilization, and care coordination under supervision. The role involves assessing safety and needs, de-escalating crises using trauma-informed approaches, stabilizing individuals, and connecting them to ongoing supports. All staff operate within a shared crisis response framework, respecting role boundaries while leveraging complementary expertise. Clinical decision-making authority rests with licensed clinicians, while allied responders provide engagement, support, advocacy, and system navigation.

Requirements

Master’s degree in social work or counseling required
Must maintain active Montana license as SWLC or PCLC
Licensure candidates must complete licensure hours and sit for licensure exam within three years of hire
Current and active American Heart Association BLS required
Valid Montana driver’s license required with clear driving record
1-3 years related clinical experience required (for Level 1)
2-3 years related clinical experience required (for Level 2)
LCSW or LCPC license (or other clinical mental health professional, listed under MCA 53-21-102 (11)(b)-(h), who is qualified to provide a biopsychosocial assessment within their authorized scope of practice) (for Level 2)
Current Montana License as a Mental Health Professional Person Preferred (for Level 2)

Nice To Haves

Experience in a crisis setting preferred
Additional crisis training preferred
Chemical Dependency Certification preferred

Responsibilities

Immediately reports to scene where dispatched by hospital-provided vehicle
Assess mental status, risk, and clinical needs of persons in crisis
Assess risk of harm to self or others utilizing standardized tools
Provide crisis intervention, de-escalation, and brief therapeutic support
Collaborate with allied responders to engage individuals and families
Determine appropriate disposition and level of care
Develop and document individualized safety plans
Coordinate transportation when needed, prioritizing non-law-enforcement options when clinically appropriate
Evaluate clinical need for hospitalization or involuntary treatment according to legal criteria
Provides coordination of care and linking to appropriate treatment services to meet the needs of the individual
Collaborate with legal officials regarding the civil commitment process as needed
Provide consultation to families, friends and other providers of care to persons in acute distress
Complete clinical records and reports according to established policy and procedure
Communicate effectively and professionally with members of community including but not limited to law enforcement and first responders
Cooperate with law enforcement members in a professional and courteous manner
Provide follow up services for clients after a crisis within 2 business days and for up to 14 days following a crisis to check on referrals and identify further needs
Maintains a valid Montana driver’s license with clear driving record
Crisis response therapist I will work under the supervision of a LCPC or LCSW until Master’s Degree, LCPC or LCSW license is obtained
Participates in clinical, administrative, and supervisory meetings
Complete trainings as assigned
Maintain collaborative relationships with community referral resources, hospitals and community stakeholders
Conduct proactive outreach and rounding in identified community hotspots during periods of low call volume, in coordination with dispatch and community partners, to support early intervention, relationship-building, and crisis prevention
Provide, document, and complete required billing workflows for crisis response services in accordance with Montana Medicaid and state regulatory requirements, including services eligible for reimbursement under applicable crisis response billing rules