šBehavioral Health Direct Care Assistants
Support Mental Health and Wellness Across Care Settings
With rising awareness of mental health and substance use disorders, the need for compassionate, trained professionals in behavioral health is growing rapidly. Behavioral Health Direct Care Assistants (also known as mental health technicians, psychiatric aides, or behavioral health support workers) play a vital role in supporting individuals living with mental illness or behavioral health conditions in residential, clinical, and community settings.
These professionals provide direct, day-to-day care and supervision to clients with behavioral, emotional, or psychiatric needsāoften serving as the first point of support. In Western Massachusetts, increasing investment in community-based mental health services and recovery programs is creating strong regional demand for this workforce.
šŗWhat Behavioral Health Direct Care Assistants Do
- Monitor and support clients in managing daily routines and behavioral goals
- Assist with basic activities of daily living (ADLs), including meals, hygiene, and transportation
- Support clients in participating in therapy, education, or recreational programming
- Observe and document client behavior, reporting concerns to clinical or supervisory staff
- Help de-escalate stressful or emotionally intense situations using trauma-informed and person-centered approaches
- Maintain a safe, structured, and therapeutic environment in accordance with care plans
š„Where Behavioral Health Direct Care Assistants Work
- Community-based mental health agencies
- Residential treatment programs
- Hospitals and psychiatric inpatient units
- Day treatment programs and recovery centers
- Group homes and supported housing programs
- Correctional facilities and re-entry programs
- Youth services and therapeutic schools
šEducation and Training Requirements
Most positions require:
- A high school diploma or GED
- On-the-job training or orientation in crisis response, safety, and behavioral health support
- CPR and First Aid certification, which may be provided by the employer
Some employers may prefer or require completion of a Behavioral Health Technician Certificate or experience in human services, substance use recovery, or special education. Additional opportunities may be available for individuals with associateās or bachelorās degrees in psychology, human services, or social work.
š§ Skills and Qualities for Success
- Empathy and patience when working with vulnerable or distressed individuals
- Strong communication and interpersonal skills
- Awareness of trauma-informed care practices
- Emotional resilience and professionalism under pressure
- Collaboration and teamwork in multi-disciplinary settings
- Ability to maintain professional boundaries and client confidentiality
- Willingness to work evening, overnight, and weekend shifts
šProfessional Resources
- National Association of State Mental Health Program Directors (NASMHPD)
- Massachusetts Department of Mental Health (DMH)
- National Alliance on Mental Illness (NAMI)
- Massachusetts Association for Mental Health (MAMH)
- Office of Adolescent Health – Mental Health Resources
šRelated Career Pathways
- Licensed Alcohol and Drug Counselor (LADC)
- Case Manager or Behavioral Health Case Worker
- Mental Health Counselor (requires masterās degree)
- Social Worker (LCSW or LICSW)
Updated: May 21, 2025