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SACOT Paraprofessional


Reports to: LCAS or CCS, and Administrative Supervisor


To provide services within the SA Intensive Outpatient Program (SACOT), which means structured individual and group addiction activities and services that are provided at an outpatient program designed to assist adult and adolescent members to begin recovery and learn skills for recovery maintenance.

Paraprofessional level providers who meet the requirements for Paraprofessional status according to 10A NCAC 27G and who have the knowledge, skills, and abilities required for the population and age to be services may deliver SACOT, under the supervision of a LCAS or CCS. Paraprofessional level providers may not provide services in lieu of on-site service provision by a qualified professional, LCAS, CCS, LCAS-P, or CSAC.

The program must be under the clinical supervision of a CCS or a LCAS who is on site a minimum of 90% of the hours the service is in operation. 

The maximum face-to-face staff-to-client ratio is not more than 10 adult members to 1 QP based on an average daily attendance.


  1. Provide Professional Services and treatment within the scope of the PP status.

  2. Supervision will include supervision plans. Supervision plans will be individualized and appropriate for the level of education, skill, and experience of staff. DSIS will maintain documentation of the necessary individualized and appropriate clinical supervision for all staff

  3. Under the supervision of the CCS or the LCAS, the PP may provide or ensure the provision of:

    1. Individual counseling and support;

    2. Group counseling and support;

    3. Family counseling, training or support;

    4. Biochemical assays to identify recent drug use (e.g., urine drug screens);

    5. Strategies for relapse prevention to include community and social support systems in treatment;

    6. Life skills;

    7. Crisis contingency planning

    8. Disease management; and

    9. Treatment support activities that have been adapted or specifically designed for persons with physical disabilities or persons with co-occurring disorders of mental illness and substance abuse/dependence or mental retardation/developmental disability and substance abuse/dependence.

  4. Must provide “first responder” crisis response on a 24/7/365 basis to recipients who are receiving this service, and have the capacity to respond face-to-face within 2 hours, as well as have access to the crisis plans of members.

  5.  SACOT includes case management to arrange, link, or integrate multiple services as well as assessment and reassessment of the recipient’s need for services. SACOT services also inform the recipient about benefits, community resources, and services; assist the recipient in accessing benefits and services; arranges for the recipient to receive benefits and services; and monitors the provision of services.

  6. Group counseling is provided each day SACOT services are offered.


Must maintain all trainings as required by State and Federal law and regulations.

Must possess the following trainings as required by 10A NCAC 27G .4400 et seq. which provides that: 

  • Each SACOT shall have at least one direct care staff present in the program who is trained in the following areas:

    • alcohol and other drug withdrawal symptoms; and

    • symptoms of secondary complications due to alcoholism and drug addiction.

  • Each direct care staff shall receive continuing education that includes the following:

    • understanding of the nature of addiction;

    • the withdrawal syndrome;

    • group therapy;

    • family therapy;

    • relapse prevention; and

    • other treatment methodologies.


Employees must possess the education, training, and experience to work with the population served in the capacity and at the level of intervention for which hired. 


An individual must meet one of the following credentials and qualifications to qualify as a “Paraprofessional (PP)” within the mental health, developmental disabilities and substance abuse services (mh/dd/sas) system of care means an individual who has:

A GED, high school diploma, or associate degree.


Must maintain certifications in NCI, and Community First Aid/CPR and other certifications as required. 


Please send your resume and cover letter to In the header of the email please include the title of the position you are applying to. 

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