Crisis Response Clinician, Full Licensure

Work, Serve, Thrive. With the City of Durham
Advance in your career while making a real difference in the community you serve.
 
Hiring Range: $68,038 – $78,000

Schedule:  Full-time with benefits, 40 hours per week, 12 hour shifts, 4 hours of administrative work time, and a 6 week rotational schedule. Shift hours will remain the same unless an employee discusses a change. Responders will work one out of every three weekends. They will also have a six to seven day break every six weeks (built into their schedule).  More information on schedule will be given during the interview process.   Salaries are determined based upon your education and/or relevant certifications and work experience.  

In 2022, the Durham Community Safety Department (DCSD) launched four 911 crisis response programs— collectively known as HEART (Holistic Empathetic Assistance Response Teams). Please visit our website and dashboard, watch this CNN clip, listen to this NPR segment, or read this piece from The Assembly. In 2025, DCSD has added a new division focused on Stabilization Services. This expansion represents an exciting new phase in DCSD’s development—and a thrilling opportunity to pair alternative response programs with stabilization services that can better support Neighbors. 

DCSD is currently hiring for Crisis Response Clinicians interested in any of our three program areas below. 

• Crisis Call Diversion embeds licensed clinicians into Durham’s 911 call center to triage, assess, and respond remotely to behavioral health related calls that can be resolved over the phone. It also supports in-person response and provides follow-up check-ins when appropriate for people who previously encountered emergency services.  Its primary goal is to provide individuals with quality remote care and/or connect individuals to in-person care. 
• The Community Response Team program sends 2-3 person teams—consisting of a Crisis Response Clinician, a Peer Support Specialist, and/or an EMT—to 911 calls for service involving behavioral health and quality of life concerns. CRT responds in-person without law enforcement (responders report feeling safe on over 99 percent of calls).  Crisis Response Clinicians are responsible for behavioral health assessment, crisis intervention, and de-escalation in collaboration with their teammates. Crisis Response Clinicians act as team leads.  
• Co-Response dispatches a Crisis Response Clinician with a Crisis Intervention Trained (CIT) police officer to the highest risk calls involving behavioral and mental health, substance use, and conflict mediation needs. The Crisis Response Clinician is responsible for behavioral health assessments, therapeutic interventions, and de-escalation in collaboration with the CIT officer. 

• Respond to 911 calls involving behavioral health, substance use, intellectual/developmental disabilities, and quality-of-life crises using people-centered, trauma-informed strategies.
• Collaborate closely with crisis response team members to assess needs, de-escalate situations, and provide therapeutic interventions.
• Screen and evaluate individuals in crisis, develop care plans, and identify barriers to treatment.
• Provide follow-up support to individuals and others affected, ensuring connection to appropriate services through warm handoffs or direct transport when necessary.
• Maintain strong knowledge of DSM-5 criteria, particularly for substance use, severe mental illness (SMI/SPMI), and intellectual/developmental disabilities. • Document all interventions accurately and in compliance with program and regulatory requirements.
• Build and maintain positive, cooperative relationships with clients, staff, community partners, and agencies.
• Participate in supervision, case conferences, trainings, and professional development activities.
• Contribute to departmental planning and culture, with a focus on effective crisis response.
• Demonstrate resilience, self-care, and wellness practices essential to first responder roles.

• Master’s degree in social work, psychology, or related human services field. 
• Fully licensed in (1) of the following;
  • Licensed Clinical Addiction Specialist (LCAS/A)
  • Licensed Clinical Mental Health Counselor (LCMHC/A)
  • Licensed Clinical Social Worker (LCSW/A)
  • Licensed Marriage and Family Therapist (LMFT/A)

• Two years of relevant experience.
• A valid North Carolina Class C Driver’s license with a satisfactory driving record within 60 days of hire.
• A track record of demonstrating initiative and sound judgment when handling ambiguity.
• Ability to maintain confidentiality, and particularly HIPAA confidentiality, at all times.
• Must be able to travel to and from worksite and other locations within Durham.
• Must be able to walk/stand up to 75% of any assigned shift. 
• A commitment to and interest in the mission of the department: to enhance public safety through community-centered approaches to prevention and intervention as alternatives to policing and the criminal legal system.
• A commitment to equity, which could include having already attended racial equity trainings.

The proposed/anticipated start date for this position will be September 8th, 2026

• Experience working with Peer Support Specialists or other individuals with lived experience with behavioral and mental health, substance use, and/or Intellectual Developmental Disability crises.
• Prior experience in outreach/engagement to populations experiencing frequent behavioral and mental health, substance use, and/or Intellectual Developmental Disability crises.
• Strong knowledge and experience with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review, and data management.
• Ability to speak two or more languages, with a high priority on Spanish.
• Familiarity with Durham health systems and community resources/services for physical health behavioral and mental health, substance use, Intellectual Developmental Disability, family dynamics, sexual/physical abuse, Veterans' Services, vocational rehabilitation, housing, justice involvement, and other services.
• Advanced collaboration and interpersonal skills with the ability to build consensus and promote the exchange of information among team members and partners.
• A commitment to, knowledge of, and affection for Durham and its communities, which could include living in Durham.