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Field Therapist

Full Time

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Primary Purpose/Overview:

Pacific Quest (PQ) is committed to providing the highest quality of therapeutic care and communication currently available in the wilderness treatment model. The Field Therapist (aka: Level I Therapist) serves in a clinical support role on the treatment team in this dynamic process to implement the Sustainable Growth model that integrates rites of passage, horticulture therapy, holistic wellness, experiential learning, and effective psychological and family support. Under the direct supervision of the Clinical Supervisor and in collaboration with program staff and the Primary Therapist (PT), the Field Therapist documents and monitors treatment goals and objectives, guides program staff in the intervention and monitoring process, and conducts clinical and psychoeducational activities. Activities are consistent with the PQ model and include psychosocial diagnostic assessment, individual, group and family therapy, horticultural therapy (HT), experiential education, crisis intervention and support, safety planning, professional documentation of activities, and care coordination involving the student, designated family members, collaborating professionals, and the PQ team.

Essential Duties and Responsibilities:

1. Know and respond to PQ philosophy, policies, procedures, and Sustainable Growth model.

2. Make face-to-face therapeutic contact for all students within 48 hours of arrival. Review All-in-One and relevant clinical information to prepare for contact. Contact shall involve welcoming student, orienting to clinical services, conducting mental status exam and assessing/helping with adjustment issues in coordination with PT. Provide follow-up as indicated for students as assigned. Document contacts.

3. Monitor arrivals, schedule and conduct (or assign and oversee) parent orientation calls soon after arrival and preferably before the first therapist call. Parent orientation calls shall cover overview of program and expectations as outlined in the parent manual.

4. Group therapy – Field Therapist plays a primary role in planning and conducting group therapy, conducting at least 2-4 group therapy sessions per week, and creating/maintaining lesson plans on Drive. Organize and oversee group therapy schedule at each clinical meeting to ensure group therapy is conducted for each group twice per week in accordance with PQ guidelines. Utilize verbal, experiential and HT methods consistent with program milestones and treatment goals. Conduct multi-family therapy sessions and other activity groups and clinical support activities during the family program.

5. Assist all students in Kuleana phase in meeting program and academic milestones and treatment objectives by coordinating with program staff and therapists to conduct curriculum-based experiential activities and therapies, special projects, and crisis support. Field Therapist also plays an active role in preparing students for Family Program and Huli Ka`e/Rites of Passage.

6. Take an active role in organizing Family Program (FP), monitoring FP schedule and student-parent activities, and conducting therapeutic groups as assigned.

7. Complete psychosocial diagnostic assessments and integrative summaries on assigned students in collaboration with PT, including self-report/interview, records review, mental status evaluation, DSM 5 diagnosis, and integrative summary within 10 days of arrival. Submit to Clinical Director for review.

8. Work closely with PT to develop comprehensive treatment plan and weekly treatment plan updates for assigned students in accordance with established PQ guidelines.

9. Develop working partnerships with program staff to achieve desired outcomes. This is accomplished through verbal check-ins when meeting with students, documentation of clinical concerns and intervention strategies on weekly treatment plans, email alerts/contacts, participation in case staffings, and conducting training with program guides.

10. Support NATSAP student and parent outcomes survey process at admission, designated time periods during treatment and upon discharge.

11. Maintain knowledge about the systems for academic tracking and pinnacle assignments, support students in completing curriculum, and conduct case coordination and training with clinical team related to clinical applications of the curriculum and pinnacle assignments.

12. When supporting the Primary Therapist (PT) on assigned case the Field Therapist shall:

  • Review admissions information before arrival and immediately begin the treatment planning and care coordination process with particular attention to safety concerns. Coordinate with PT to contact parents within 24 hours of arrival to introduce yourself, discuss the student’s initial adjustment to PQ, and to arrange a first phone appointment.
  • Conduct individual, group and family therapy as assigned. Coordinate with PT to ensure that there is a coordinated effort and minimum requirements for therapy are met as follows:
  • Two face-to-face, individual therapy sessions per week (average 45- 50 minutes each). Field Therapist will have a particular focus for therapy sessions (e.g., curriculum, assigned topics, art, sandplay or expressive method, etc.)
  • One parent/family therapy session per week by conference call in coordination with PT (may be video conference with student, or face-to-face during family visit).
  • Must collaborate with PT to be present for new patient Integrative Psychiatric (IP) appointments for assigned students, and if not present for the follow-up IP appointments, must provide a clinical update either via email or phone call to the Psychiatrist and or Medical Director.
  • Letter writing is encouraged by the therapist and integrated into the therapy process, consistent with the program curriculum, parent manual and the student’s treatment objectives.
  • Conduct case management activities as assigned. Remain informed about assigned student’s progress in all areas of PQ program (e.g., academics, health and wellness, program milestones, transition, etc.) and communicate effectively with others and in close coordination with PT.
  • Provide written weekly updates to family members and referrals sources as indicated and documents all activities in a timely manner.
  • Support the facilitation of transition planning throughout the student’s stay in collaboration with all team members. In close communication with PT complete and disseminate discharge recommendations two weeks before discharge. Submit discharge summaries for review within one week from discharge (or sooner as indicated) in accordance with established PQ guidelines.

13. Document all clinical activities in a timely and professional manner – therapy notes are due within 48 hours of the session.

14. Provide exceptional and responsive customer service to all referral sources, students, family members, and other stakeholders. Maintain boundaries and flexibility in interactions.

15. Participate in weekly clinical meetings that include group supervision, case staffings, team collaboration and other training as assigned.

16. Schedule and attend regular supervision meetings with the Clinical Supervisor. Utilize supervision and consultation on an ongoing basis to determine action plans and to enhance clinical effectiveness.

17. On-call as assigned. Respond promptly and professionally in accordance with PQ guidelines.

18. Respond to critical incidents immediately, provide clinical support, risk assessment and crisis intervention services as indicated, and ensure timely and accurate reporting of incidents in accordance with PQ policy.

19. Perform duties of a Primary Therapist under close supervision (e.g., vacation coverage for PT’s, small caseload when competent to perform said duties).

20. Additional duties as assigned.Additional Responsibilities:

  • Respond promptly and professionally to emails, both internal and external, in order to maintain a high level of internal and external customer service.
  • Arrange psychological testing, psychiatric care or additional clinical services (e.g., parent support) and consult with psychologists, psychiatrists and/or treating professionals.
  • Participate in follow-up inquiries and ongoing outreach to potential referral sources and stakeholders.
  • Develop presentations, write blogs, participate in marketing and PQ promotion as assigned.
  • Request/take leave and arrange coverage in accordance with PQ guidelines.
  • Shadows calls and completes “Call Reflection” forms as assigned.


  1. Masters or doctoral degree in Social Work, Counseling, Psychology or related mental health field, and licensed in Hawai’i or eligible to provide psychotherapy under supervision. One year experience with the population/wilderness therapy preferred. Masters-level or doctoral level clinicians working toward hours for licensure shall perform duties with trainee status under supervision until meeting requirements for independent licensure.
  2. Must work actively toward clinical licensure in the State of Hawaii and maintain/submit a record of activities in accordance with licensing regulations. When eligible, must obtain and maintain clinical licensure in a timely manner. All activities related to licensure and communications with the licensure board shall be reported to the Clinical Director.
  3. Ability to be a team player, and to form mutually respectful relationships with everyone the therapist interacts with in their role at PQ.
  4. Commitment to ongoing professional and personal growth necessary to meet the challenges of this position.
  5. Ability to work independently.
  6. Ability to treat all residents and coworkers with dignity and respect
  7. Ability to adhere to confidentiality policies
  8. Ability to pass a thorough background check and drug screen.
  9. Annual physical and TB clearance required.
  10. Must maintain current CPR/First Aid certification. CPR certifications must be from a classroom training. Wilderness First Aid & Wilderness First Responder are acceptable.
  11. COVID-19 Vaccination required.
  12. Alignment with Pacific Quest Core Values: (1) Purpose, (2) Professionalism, (3) Problem Solving, (4) Productivity and (5) Positivity.

Physical Demands:

With or without reasonable accommodation, the physical and mental requirements of this job may include the following: seeing, hearing, speaking, and writing clearly. Occasional reaching with hands and arms, stooping, kneeling, crouching, crawling, frequent sitting, standing and walking, may be required for long periods of time and may involve climbing stairs, walking up inclines and on uneven terrain. Additional physical requirements may include, frequent lifting and or moving up to 25 pounds.