All careersHealthcare

Psychiatric Aide

$44,910
median / year
$32,090 – $60,440
what most earn per year (10th–90th percentile)

What the job actually is

Help patients with daily care and activities in psychiatric units, watching for safety and changes.

You may also see this posted as: Mental Health Worker (MHW), Residential Care Tech (Residential Care Technician), Therapeutic Program Worker (TPW), Developmental Aide, Mental Health Aide (MHA), Psychiatric Assistant.

Where you work

Psychiatric hospitals and residential facilities.

The hours

Shift work, including nights and weekends

The day to day

What you'd actually spend time doing

  • Listen and provide emotional support and encouragement to psychiatric patients.
  • Provide patients with cognitive, intellectual, or developmental disabilities with routine physical, emotional, psychological, or rehabilitation care under the direction of nursing or medical staff.
  • Complete physical checks and monitor patients to detect unusual or harmful behavior and report observations to professional staff.
  • Restrain or aid patients as necessary to prevent injury.
  • Work as part of a team that may include psychiatrists, psychologists, psychiatric nurses, or social workers.

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 2 of 5

Some preparation—often a high school credential and on-the-job learning—is usually needed.

Work styles that matter most

EmpathyDependabilityCooperationStress Tolerance

Software that shows up in the work

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

Microsoft ExcelMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft WindowsMicrosoft Word

By the numbers

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

Median pay
$44,910
per year
Hourly median
$21.59
per hour
What most earn
$32,090–$60,440
yearly, 10th to 90th percentile
Openings a year
~5,300
projected, 2024–34
Outlook to 2034
-0.4%
Little change
Working in the U.S.
35,520
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 1.8% 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

High school / no degree

Training path: On-the-job training, paid.

Related work experience: None.

On-the-job training: Short-term on-the-job training.

License or certification

No license is required, though employers provide safety and crisis training.

You can earn while you train. This field has a genuinely paid pathway in — an apprenticeship, a paid academy, or employer-funded training — so you draw a paycheck instead of taking on debt to learn it.

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

Patient supportDe-escalationObservationPhysical stamina

The honest take

Demanding front-line work that opens the door to mental health care without a degree.

Standard Occupational Classification 31-1133. 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.