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What does an alcohol and drug counselor do?

Updated January 8, 2025
6 min read
Quoted expert
Debra Minsky-Kelly
What does an alcohol and drug counselor do

A drug & alcohol counselor treats addicts in either one-on-one or group settings. They help by educating and developing possible treatment plans for patients to support them in coping with their addictive personalities. A drug and alcohol counselor will evaluate to determine the progress has been successfully made towards recovery. They help patients better understand and overcome their addictions. Counselors help through offering support, rehabilitation, and guidance by using various techniques. Drug & alcohol counselors seek to help an addict find the source of their addiction.

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Alcohol and drug counselor responsibilities

Here are examples of responsibilities from real alcohol and drug counselor resumes:

  • Plan and implement follow-up and aftercare programs for clients to be discharge from treatment programs.
  • Practice cognitive behavioral, motivational enhancement and structural family therapy.
  • front office, counseling and aftercare.
  • Administer UA test onsite and send out.
  • Improve IOP successful completion rate while facilitating seven groups per week.
  • Collect and organize statistical data as required by DASA, and NEWTA.
  • Provide group and individual counseling on addiction as primary counselor in an IOP.
  • Conduct CBT, substance abuse therapeutic groups, and one-on-one therapy for a dually diagnose male population.
  • Conduct educational sessions as required by WAC and ensure the client gains knowledge to substance use disorder.
  • Monitor the therapeutic environment and assures client/patient compliance with all program and Washington WAC rules and regulations.
  • Conduct screening interviews to determine the need for a drug and alcohol assessment using the ASI and ASAM instruments.
  • Work with and counsele adolescent populations with oppositional defiance disorders, conduct depressive disorders, emotional challenges, and ADHD.
  • Provide education to patients on recovery from substance abuse and/or psychiatric illness, relapse and other skills necessary for maintaining recovery.
  • Provide readjustment counseling services to patients and their significant others with substance abuse disorders and highly complex and diversify psychological/social problems.
  • Design, organize, and implement new medication schedule for entire rehabilitation clinic to sustain enhance operations.

Alcohol and drug counselor skills and personality traits

We calculated that 15% of Alcohol And Drug Counselors are proficient in Patients, Social Work, and Crisis Intervention.

We break down the percentage of Alcohol And Drug Counselors that have these skills listed on their resume here:

  • Patients, 15%

    Provided readjustment counseling services to patients and their significant others with substance abuse disorders and highly complex and diversified psychological/social problems.

  • Social Work, 11%

    Collaborated with other staff to develop and provide training/information/follow-up for services during weekly social work supervision and Health Promotion staff meetings.

  • Crisis Intervention, 8%

    Provided diagnostic assessment and Intensive Outpatient drug and alcohol group and individual counseling and crisis intervention in adolescent treatment program.

  • Rehabilitation, 7%

    Provided daily group and individual psychotherapy at an outpatient rehabilitation facility for clients with co-occurring mental health and substance use disorders.

  • Substance Abuse Treatment, 6%

    Complete comprehensive assessments, administer the SASSI and formulate diagnostic evaluations by conducting client interviews and reviewing substance abuse treatment history.

  • Treatment Services, 6%

    Participated in Volunteer Community Outreach events, including local Pow-Wows and activities to increase awareness regarding treatment services.

Most alcohol and drug counselors use their skills in "patients," "social work," and "crisis intervention" to do their jobs. You can find more detail on essential alcohol and drug counselor responsibilities here:

All alcohol and drug counselor skills

The three companies that hire the most alcohol and drug counselors are:

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Compare different alcohol and drug counselors

Alcohol and drug counselor vs. Primary therapist

Primary therapists are the main point of contact for patients concerning wellness and overall mental health. Those who choose this career path will be expected to supervise and manage efficient treatment according to plan, and to manage between six and eight patients at a time, keeping in constant communication with these patients and various specialists.

We looked at the average alcohol and drug counselor salary and compared it with the wages of a primary therapist. Generally speaking, primary therapists are paid $14,068 higher than alcohol and drug counselors per year.While the two careers have a salary gap, they share some of the same responsibilities. Employees in both alcohol and drug counselor and primary therapist positions are skilled in patients, social work, and crisis intervention.

These skill sets are where the common ground ends though. The responsibilities of an alcohol and drug counselor are more likely to require skills like "rehabilitation," "substance abuse treatment," "treatment services," and "drug abuse." On the other hand, a job as a primary therapist requires skills like "excellent organizational," "patient care," "treatment plan reviews," and "clinical services." As you can see, what employees do in each career varies considerably.

Primary therapists tend to make the most money working in the finance industry, where they earn an average salary of $61,326. In contrast, alcohol and drug counselors make the biggest average salary, $44,333, in the professional industry.The education levels that primary therapists earn slightly differ from alcohol and drug counselors. In particular, primary therapists are 27.2% more likely to graduate with a Master's Degree than an alcohol and drug counselor. Additionally, they're 1.2% more likely to earn a Doctoral Degree.

Alcohol and drug counselor vs. Mental health professional

The duties of a mental health professional will revolve around observing the behavior of patients. They are responsible for knowing their medical history, conducting consultations and assessments, diagnosing conditions, devising particular treatments and prescribing medication, and providing emotional support to patients. Furthermore, a mental health professional must coordinate with families and other mental health experts to monitor patients' behavior and develop care plans to help them in their road to recovery.

Mental health professional positions earn higher pay than alcohol and drug counselor roles. They earn a $3,361 higher salary than alcohol and drug counselors per year.While the salary may differ for these jobs, they share a few skills needed to perform their duties. Based on resume data, both alcohol and drug counselors and mental health professionals have skills such as "patients," "social work," and "crisis intervention. "

Each career also uses different skills, according to real alcohol and drug counselor resumes. While alcohol and drug counselor responsibilities can utilize skills like "substance abuse treatment," "treatment services," "asam," and "discharge summaries," mental health professionals use skills like "cpr," "excellent interpersonal," "clinical supervision," and "mental health."

On average, mental health professionals earn a higher salary than alcohol and drug counselors. Some industries support higher salaries in each profession. Interestingly enough, mental health professionals earn the most pay in the finance industry with an average salary of $49,393. Whereas alcohol and drug counselors have higher pay in the professional industry, with an average salary of $44,333.In general, mental health professionals achieve higher levels of education than alcohol and drug counselors. They're 11.4% more likely to obtain a Master's Degree while being 1.2% less likely to earn a Doctoral Degree.

What technology do you think will become more important and prevalent for alcohol and drug counselors in the next 3-5 years?

Debra Minsky-KellyDebra Minsky-Kelly LinkedIn profile

Director of Field Education / Clinical Assistant Professor of Social Work, Carthage College

We have certainly learned a lot about remote service delivery options and ways in which these tools can make services more accessible to some clients and communities. However, I also think we have learned that connecting via technology has limitations. The power of in-person human connection is reliable, and this can often not be replicated via technology. I believe that technology has an important role to play in service delivery. Still, social workers also need to recognize the importance of keeping clients connected to their natural support networks. During periods of distress, healthy and connected relationships provide an essential buffering effect on the long term effects of trauma.

Alcohol and drug counselor vs. Mental health specialist

A mental health specialist is responsible for evaluating a patient's mental health condition and develop appropriate treatment plans to help the patients cope up with their mental difficulties. Mental health specialists provide counseling to the patients, listening to their situation, and responding with the utmost consideration. They also create regular progress reports and medical charts to monitor ongoing medication, updating treatment plans as needed. A mental health specialist must have excellent communication and organization skills, helping the patients deal with their mental stress and return to a healthy lifestyle.

An average mental health specialist eans a higher salary compared to the average salary of alcohol and drug counselors. The difference in salaries amounts to mental health specialists earning a $1,563 higher average salary than alcohol and drug counselors.By looking over several alcohol and drug counselors and mental health specialists resumes, we found that both roles require similar skills in their day-to-day duties, such as "patients," "social work," and "crisis intervention." But beyond that, the careers look very different.

Some important key differences between the two careers include a few of the skills necessary to fulfill the responsibilities of each. Some examples from alcohol and drug counselor resumes include skills like "substance abuse treatment," "treatment services," "intake assessments," and "asam," whereas a mental health specialist is more likely to list skills in "mental health," "cpr," "vital signs," and "substance abuse. "

Mental health specialists earn the highest salary when working in the government industry, where they receive an average salary of $47,531. Comparatively, alcohol and drug counselors have the highest earning potential in the professional industry, with an average salary of $44,333.When it comes to education, mental health specialists tend to earn similar degree levels compared to alcohol and drug counselors. In fact, they're 1.3% less likely to earn a Master's Degree, and 0.5% less likely to graduate with a Doctoral Degree.

Alcohol and drug counselor vs. Behavioral health specialist

Typically working for clinics and learning institutions, a behavioral health specialist is in charge of counseling and treating patients with behavioral issues. Their responsibilities revolve around conducting initial assessment through interview and observation, maintaining records and data, developing treatment plans, and referring patients to other support services when necessary. Moreover, a behavioral health specialist must communicate with the patient's families or guardians, discuss conditions, and provide advice on taking care of them. Aside from treating patients, it is also essential to continuously monitor their behavior while building positive relationships with them.

Behavioral health specialists average a lower salary than the annual salary of alcohol and drug counselors. The difference is about $950 per year.While both alcohol and drug counselors and behavioral health specialists complete day-to-day tasks using similar skills like patients, social work, and crisis intervention, the two careers vary in some skills.

Even though a few skill sets overlap between alcohol and drug counselors and behavioral health specialists, there are some differences that are important to note. For one, an alcohol and drug counselor might have more use for skills like "substance abuse treatment," "treatment services," "intake assessments," and "asam." Meanwhile, some responsibilities of behavioral health specialists require skills like "substance abuse," "patient care," "vital signs," and "behavioral health. "

Behavioral health specialists enjoy the best pay in the insurance industry, with an average salary of $53,632. For comparison, alcohol and drug counselors earn the highest salary in the professional industry.The average resume of behavioral health specialists showed that they earn similar levels of education compared to alcohol and drug counselors. So much so that theyacirc;euro;trade;re 0.8% more likely to earn a Master's Degree and more likely to earn a Doctoral Degree by 0.0%.

Types of alcohol and drug counselor

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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