Behavioral Health Specialist - Trans and Gender Diverse Youth and Families

Behavioral Health Specialist - Trans and Gender Diverse Youth and Families


Boston, MA • Behavioral Health


Under the general supervision of the Behavioral Health Coordinator of Trans Youth and Family Services, the Behavioral Health Specialist -  Trans and Gender Diverse Youth and Families, provides and coordinates support, counseling as a primary care behavioral health provider, advocacy and referrals to community resource services to medical department patients. This position supports the Family medicine Providers and the Transgender Health Program, engages medical patients in care and supports patients in achieving wellness. This position will have a focus on working with trans and gender diverse (TGD) youth, and will support the development of the health center’s ability to work with TGD youth/families.


Representative Duties:

1. Focus on Working with Trans and Gender Diverse Youth

  • Provide group services for parents, youth and families
  • Provide family therapy and care coordination
  • Provide initial intake, diagnostic assessments and case coordination for new and established patients
  • Work closely with family Medicine care team, attend joint meetings, and engage in communication to ensure integration of medical and mental health services
  • Provide short-term counseling re: gender identity, coming out, medical gender affirmation readiness/preparation, community connection and informal resources
  • Provide short-term counseling to families re: acceptance and support of child, family dynamics and social affirmation
  • Provide an ongoing connection to patient and family as their needs and care change through medical and social affirmation
  • Provide curbside consults for all therapists and medical providers
  • Develop strategic partnerships with other behavioral health, social service and community- based support on behalf of TGD youth and families, and especially for younger children

2. Provides direct case coordination  services to medical patients

  • Upon referral of patients, reviews medical and psychosocial history, assesses problems and refers patients as appropriate in a timely, courteous manner
  • Provides case coordination services to medical department patients as indicated
  • Provides information to patients about available community resources and assists patients to determine eligibility and obtain services by giving resource list and/or contacting services directly
  • Provides on-going supportive maintenance to patients as appropriate and conducts outreach to encourage clients to utilize further needed services
  • Provides referrals and information to TGD youth and their families for medical gender affirmation and social support services

3. Provides direct behavioral health services to primary care clients

  • Provides psychosocial assessments, behavioral      health and substance use diagnostic evaluations for medical patients
  • Provides direct behavioral health treatment to      medical patients through a short-term, evidence-based psychotherapeutic      treatment model within the primary care setting
  • Identifies high-risk psychosocial factors that      impact health status; engages patients by phone and in person to monitor      progress, build therapeutic alliance, provide education, encourage      treatment adherence, mitigate risk factors, review goals and expectations      of treatment in order to stabilize functioning
  • Develops and provides group therapeutic      interventions for medical patients
  • Assumes essential role in coordination of care      both with medical team and patients and their families
  • Adheres to      NASW Code of Ethics
  • Provide general integrated services to assist/provide coverage for the Behavioral Health Specialist team
  • Adheres to established standards of care for working with TGD adults, adolescents and youth

4. Child/Adolescent Care 

  • Demonstrates an understanding of the developmental milestones of children/adolescents
  • Demonstrates an understanding of development of gender identity and sexual orientation in children/adolescents 
  • Demonstrates an understanding of the needs of children/adolescents with mental health symptoms and substance use disorders
  • Demonstrates an understanding of the child’s/adolescent’s role within a family system
  • Demonstrates an understanding of the needs of TGD children/adolescents
  • Demonstrates effective and age-appropriate clinical interventions with youth and families
  • Completes CANS assessments as required

5. Ensures access to care:

  • Effectively manages caseload, including bringing new clients into BH care and ending episodes of care as appropriate
  • Maintains required caseload and meets productivity expectations, according to department standards
  • Maintains same-day or next day appointment      availability to respond to urgent needs related to diversion or crisis      work

6. Provides coverage for assigned open access paging days:

  • Provide back-up coverage open access pager shifts in the morning, afternoon, and evening
  • Responds to requests from medical staff for routine and crisis interventions and warm handoffs
  • Handles periods of multiple, simultaneous requests for patient care
  • Actively interacts with and solicits referrals from medical providers
  • Participates in covering business hours behavioral health on call

7. Collaborates with other agencies and services:

  • Develops and maintains resource listings      appropriate for Fenway Health patients
  • Works with Medicaid, Medicare, Welfare, Social      Security, housing, educational, day care and other institutions to assist      patients
  • Consults with a variety of health center and      community staff (Nutritionists, Home Health Aides, P.H. Nurse, and Medical      staff) about specific clients and general approaches to patient treatment
  • Develops awareness of local resources for TGD      youth/families
  • Knowledge of institutions to support youth and      families, including CBHI services and higher levels of care

8. Performs and Completes Administrative Tasks in a timely and efficient manner

  • Writes case notes for each client interaction 
  • Completes treatment plans, treatment plan updates, session notes, assessments, and discharge summaries according to department standards and in accordance with Fenway policy 
  • Participates in staff and team meetings and conferences 
  • Participates in regularly scheduled supervision

9. Meets Agency Participatory Expectation

  • Suggests and participates in continuing quality improvement      efforts 
  • Adheres to all agency and departmental policies      and procedures
  • Participates in quality assessment and      improvement activities as requested
  • Adheres to the highest principles of patient and      client confidentiality
  • Adheres to established safety policies,      procedures and precautions; identifies potential or actual unsafe      situations in the environment and takes measures to rectify the situation
  • Attends all required meetings, in-services and      professional trainings
  • Attends all regularly      scheduled meetings, trainings, forums and pertinent FCH staff meetings
  • Maintains professional competence necessary to      perform job responsibilities; maintains and provides agency with records      of continuing education activities
  • Serves on agency committees and in professional      organizations when requested

9. Performs related duties as required




  • Requires a Master's Degree in Social Work or related mental health field
  • LCSW required, LICSW or equivalent independent licensure preferred
  • Ability to provide remote based client care when assigned in an optimal setting that ensures: 
    • reliable internet connectivity with a minimum of 25Mbps per household member
    • consistent access to a quiet, private area (room or office) for conducting private telehealth client care, and private client care based communication free of interruptions 
  • Experience with CBT, short-term interventions and mental health and substance abuse assessment and evaluation
  • Interest in and/or experience with TGD youth/families in clinical settings
  • Ability to work effectively as a member of a multi-disciplinary team
  • Experience supervising and working effectively and collaboratively with an ethnically, culturally, racially and gender diverse staff 
  • Demonstrated capacity to work effectively with ethnically, culturally, racially and gender diverse clients
  • Demonstrated understanding of the intersectional impacts of racism, homophobia, transphobia, sexism, ableism, classism, and other forms of oppression
  • Excellent interpersonal skills and ability to be an effective team member
  • Flexibility, adaptability, and ability to multitask required
  • Experience working in an ethnically, culturally, and racially diverse environment preferred 
  • Ability to work harmoniously with diverse groups of individuals required

Physical Requirements:

Ability to meet the following physical requirements with or without reasonable accommodations:

  • Sit at a computer station for extended periods of time
  • Ability to keyboard for extended periods of time
  • Ability to move around the medical care areas and see patients in non-traditional settings, such as an exam room

Supervisory Responsibility



We offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match. We also provide 12 paid holidays, paid vacation, and more.

LGBTQIA+ identified persons, Black, Indigenous, and other people of color (BIPOC), and individuals from other historically underrepresented communities are strongly encouraged to apply

APPLY HERE: https://recruiting.paylocity.com/recruiting/jobs/Details/931186/Fenway-Health/Behavioral-Health-Specialist---Trans-and-Gender-Diverse-Youth-and-Families