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Milieu Counselor

4 months ago


Somerville MA, United States Cambridge Health Alliance Full time

Location: CHA Somerville Campus

Work Days: 8 hour shifts, w/ E/O wknd rotation and holidays as assigned

Category: Human and Social Services

Department: 2 North

Job Type: 32 Hrs/wk, Part-time

Work Shift: Various Shifts

Hours/Week: 32.00

Union: Yes

Union Name: SH Laborers 381

Cambridge Health Alliance (CHA) is a vibrant, innovative health system dedicated to providing essential services to all members of the community. With almost 140,000 patients in Cambridge, Somerville, and Boston’s Metro North region, CHA is a local provider of choice for primary care, specialty care, emergency services, hospital care, maternity care and behavioral health.

CHA recently opened a new inpatient center for youth with acute behavioral health needs. Located in Somerville, the beautiful new facility offers care for children 3-12, adolescents 13-17, and children with neuro-developmental disorders. The new Center for Inpatient Child & Adolescent Psychiatry at Somerville will provide a transformative continuum of patient and family-centered care for diverse youth with mental health needs.

The Adolescent Unit is a new secured 21 bed psychiatric unit that provides care for children between the ages of 12 and 18. The unit is located in Somerville Hospital. This is an acute care unit, working on assessment, stabilization and after care treatment planning. We have a multidisciplinary team focused on teaching self-control, de-escalation and restraint reduction. This approach is used to provide patient and family centered care.

The 6 East and 6 West Child Unit is a 21 bed secured psychiatric unit providing care for children between the ages of 3 and 11. The unit is located at our CHA Somerville Campus. A multi-disciplinary approach is used to provide patient and family centered care. A continued emphasis on restraint reduction is ongoing and treatment focus is on assessment, stabilization, and after care treatment planning. Our approach is trauma informed, patient and family centered, and evidence based.

CHA provides specialist assessment and care for children who have severe mental health needs. We provide comprehensive services for adolescents experiencing complex and persistent emotional and behavioral difficulties due to behavioral health disorders.

Job Purpose

The Milieu Counselor is a member of the multidisciplinary team who, under the supervision of a registered nurse, is responsible for a safe and structured service as well as attending to the individual needs of patients in crisis in an inpatient psychiatric setting.

The role of a Milieu Counselor will assist with ADL'S lead or co-lead groups, perform safety checks, 1:1 meetings with patients, and will accurately chart patients B/P, TPR & weight. Notifies RN of any changes in vital signs. Accurately measures and documents patient's intake and output. Assists patients following through with ADL's (bathing, laundry, toileting, organizing room), maintaining nutritional and hydration needs, and assisting and monitoring the patient’s needs and other tasks as assigned by the charge RN.

Qualifications/Experience:

  • High school diploma required; B.A, B.S., or M.A. preferred or equivalent years of human service experience.

  • Current American Heart Association Basic Life Support (BLS) certification

  • Prior human services, behavioral or psychiatric experience strongly preferred. Inpatient psychiatric experience is preferred.

  • All newly hired candidates must successfully complete a job specific physical test.


In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

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