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Mental Health & Substance Abuse Social Worker

$60,280
median / year
$39,740 – $104,170
what most earn per year (10th–90th percentile)

What the job actually is

Counsel and support people facing mental health or substance use struggles, and connect them to treatment.

You may also see this posted as: Case Manager, Mental Health Therapist, Social Worker, Therapist, Clinical Social Worker, Clinical Therapist.

Where you work

Clinics, hospitals, and community agencies

The hours

Weekday hours, some on-call and evenings

The day to day

What you'd actually spend time doing

  • Counsel clients in individual or group sessions to assist them in dealing with substance abuse, mental or physical illness, poverty, unemployment, or physical abuse.
  • Collaborate with counselors, physicians, or nurses to plan or coordinate treatment, drawing on social work experience and patient needs.
  • Monitor, evaluate, and record client progress with respect to treatment goals.
  • Interview clients, review records, conduct assessments, or confer with other professionals to evaluate the mental or physical condition of clients or patients.
  • Supervise or direct other workers who provide services to clients or patients.

Good fit if you like…

Social

helping, teaching, caring for, or supporting other people

Investigative

solving problems, analyzing evidence, and figuring out how things work

Conventional

organizing information, following systems, and getting details right

O*NET job zone 5 of 5

Extensive preparation—often graduate education and significant experience—is common.

Work styles that matter most

EmpathyCooperationSincerityDependability

Software that shows up in the work

Examples employers report—not a checklist you must already know.

Microsoft ExcelMicrosoft Office softwareMicrosoft OutlookAdobe AcrobatMicrosoft PowerPointMicrosoft SharePoint

By the numbers

May 2025 BLS wage & employment data · 2024–34 BLS employment projections.

Median pay
$60,280
per year
Hourly median
$28.98
per hour
What most earn
$39,740–$104,170
yearly, 10th to 90th percentile
Openings a year
~13,500
projected, 2024–34
Outlook to 2034
+9.7%
Much faster than average
Working in the U.S.
132,810
people, nationwide

Openings a year counts new jobs plus the ones that open when people retire or move on — a truer picture of your odds than growth alone.

“Median” means half earn more and half earn less. Your city, employer, and years on the job move it a lot — that is what the 10th-to-90th range shows.

BLS estimates 4.8% of workers in this occupation are self-employed.

What it pays in your state

Statewide medians are a better starting point than the national number. Your city and experience still matter.

BLS state wage tables

How you get in

Typical starting education

Master's degree

Training path: Master's degree and license.

Related work experience: None.

On-the-job training: Internship/residency.

License or certification

Clinical practice requires a state social work license, such as an LCSW.

Check the path where you live

Licensing rules and available programs change by state. These federal tools take you to the current official listings.

What it takes

CounselingEmpathyCrisis responseCase management

The honest take

Frontline support for people in crisis — deeply meaningful, often emotionally heavy, and steadily in demand.

Standard Occupational Classification 21-1023. Pay and employment from the BLS May 2025 OEWS survey; outlook and openings from the 2024–34 employment projections; job context from the Occupational Outlook Handbook; tasks, interests, work styles, software examples, and job zone from O*NET 30.3. See something off? Tell us.