Substance abuse counseling jobs play a central role in helping people manage addiction through structured, professional care. Many of these roles focus on one-on-one treatment, where counselors work directly with individuals to address substance use, mental health symptoms, and daily challenges that affect recovery. Substance abuse counseling jobs in individual care settings are often found in outpatient programs, community clinics, and court-related services where personal accountability and privacy matter.

At Rego Park Counseling, outpatient mental health and substance use treatment is provided through structured individual care, group support, and coordinated services. Based in Queens, the program serves adults across New York City through evidence-based counseling, dual diagnosis care, telehealth options, and community-based programs that support long-term recovery.

What Substance Abuse Counseling Jobs Are

Substance abuse counseling jobs focus on supporting individuals who are working to reduce or stop harmful substance use. These roles involve direct counseling, treatment planning, progress tracking, and coordination with mental health and social services. In many settings, substance abuse counseling jobs require ongoing work with the same individuals over time, allowing counselors to understand patterns that influence recovery.

One-on-one treatment is a core part of many substance abuse counseling jobs. Individual counseling sessions allow for private discussions about substance use, mental health symptoms, family stress, housing concerns, or legal responsibilities. This format supports focused care that can adjust as circumstances change.

If you are looking for structured one-on-one care, we offer Individual Substance Use Treatment that focuses on substance use patterns, relapse risk, and day-to-day stability. This service supports outpatient recovery with a clear treatment plan and consistent follow-up over time. You can review this page to see what individual treatment can include and whether it matches what you need right now.

Why One-on-One Treatment Is Central to Substance Abuse Counseling Jobs

Individual counseling allows substance abuse counselors to address recovery at a pace that fits each person. One-on-one treatment supports direct discussion of triggers, coping strategies, and goals without the pressure of a group setting. This structure helps counselors develop treatment plans that reflect personal history and readiness for change.

Many substance abuse counseling jobs depend on individual treatment for clients with complex needs. Court-mandated programs, dual diagnosis treatment, and long-term outpatient care often require structured personal sessions to support accountability and monitor progress. Individual counseling also allows early identification of relapse risk and crisis planning.

Types of Substance Abuse Counseling Jobs That Involve Individual Care

Substance abuse counseling jobs exist across several professional levels, with individual treatment responsibilities increasing as education and licensure advance. Each role supports recovery within a defined scope of practice.

According to research, telehealth can be used to deliver substance use disorder treatment through secure remote sessions, and the guide turns research findings into practical recommendations that programs can apply in real care settings.

Peer Recovery Support Roles

Peer recovery specialists support individuals using lived experience and structured training. These substance abuse counseling jobs often involve one-on-one check-ins, recovery planning, and support with daily routines. Peer roles focus on engagement and encouragement rather than clinical counseling.

Peer recovery specialists often work in outpatient and community-based programs. Their role supports connection to treatment and consistency in recovery activities.

Substance Use Disorder Technicians and Support Staff

Substance use disorder technicians support treatment plans through daily client interaction. These substance abuse counseling jobs involve monitoring attendance, documenting progress, and assisting with intake and follow-up tasks under supervision.

Support staff often spend significant one-on-one time with clients. Their observations help inform treatment decisions made by licensed counselors.

Associate Substance Abuse Counselors

Associate counselors provide supervised counseling while working toward full licensure. These substance abuse counseling jobs include individual sessions, documentation, and coordination with senior staff. Caseloads are usually smaller and closely monitored.

This role allows counselors to gain experience with one-on-one treatment while meeting education and supervision requirements.

Licensed Substance Abuse Counselors

Licensed substance abuse counselors manage primary responsibility for individual treatment. These substance abuse counseling jobs include intake assessments, treatment planning, ongoing counseling, and referrals to other services.

Licensed counselors often work in outpatient settings where one-on-one counseling forms the foundation of care. Coordination with families, courts, and mental health services is common.

Clinical and Supervisory Counseling Roles

Clinical counselors and supervisors oversee complex cases and treatment delivery. These substance abuse counseling jobs require advanced education and experience. Responsibilities include diagnostic evaluation, treatment oversight, and supervision of other counselors.

While direct counseling may be limited, individual sessions are still used for high-need cases.

Daily Responsibilities in One-on-One Substance Abuse Counseling Jobs

Substance abuse counseling jobs focused on individual care follow structured routines that support accountability and continuity.

Client Screening and Intake

Counselors conduct intake sessions to gather substance use history, mental health symptoms, and social factors. These sessions help determine readiness for treatment and identify risks that may affect recovery.

Screening also includes reviewing legal obligations, prior treatment, and available support systems.

Individual Treatment Planning

Treatment planning is central to substance abuse counseling jobs. Counselors work with clients to define goals related to substance use, mental health, and daily stability. Plans are updated based on progress and setbacks.

Individual care allows treatment plans to adjust as life circumstances change.

Ongoing Counseling Sessions

One-on-one counseling sessions focus on coping strategies, relapse prevention, and behavior change. Counselors guide discussion, track progress, and reinforce accountability.

These sessions allow direct response to stress, cravings, and practical challenges.

Documentation and Professional Responsibility

Documentation is a required part of substance abuse counseling jobs. Counselors record session notes, treatment updates, and progress reports to support continuity and compliance.

Ethical practice and confidentiality guide all individual counseling work.

Counseling Methods Used in One-on-One Substance Abuse Treatment

Substance abuse counseling jobs rely on structured methods that support behavior change. Individual treatment allows these methods to be applied with consistency.

Cognitive behavioral therapy is used to identify patterns linked to substance use and develop healthier responses. Motivational interviewing supports readiness for change through goal-focused discussion.

Relapse prevention planning helps clients identify risk situations and build routines that support stability. Individual counseling allows these plans to reflect real-life conditions.

Education and Licensing Requirements for Substance Abuse Counseling Jobs

Education requirements for substance abuse counseling jobs vary by role and state regulations. Entry-level roles may require certificates or associate degrees, while licensed counseling roles require bachelor’s or master’s degrees.

Licensure includes supervised practice hours and exams. Clinical and supervisory roles require advanced education and experience.

Work Settings for One-on-One Substance Abuse Counseling Jobs

Substance abuse counseling jobs focused on individual care are commonly found in outpatient counseling centers. These programs provide scheduled sessions without overnight stays.

Dual diagnosis programs integrate substance use and mental health treatment. Court-related programs rely on structured individual counseling to meet legal requirements.

Telehealth counseling supports one-on-one treatment through remote sessions and improves access for many clients.

Career Growth in Substance Abuse Counseling Jobs

Substance abuse counseling jobs offer defined advancement paths through education and experience. Many counselors begin in support roles and progress toward licensed practice.

Specialization areas include justice-involved populations, older adults, and dual diagnosis care. Leadership roles involve supervision and program oversight.

Skills Needed for One-on-One Substance Abuse Counseling Jobs

Effective communication supports trust and accountability in individual counseling. Counselors must manage difficult conversations while maintaining boundaries.

Clinical skills include assessment, treatment planning, and documentation. Self-care supports long-term professional practice.

Why Demand for One-on-One Substance Abuse Counseling Jobs Continues

Outpatient care relies heavily on individual treatment due to flexibility and structure. Substance abuse counseling jobs that focus on one-on-one care support long-term engagement.

Integrated mental health and substance use treatment has increased demand for counselors trained in both areas.

Conclusion

Substance abuse counseling jobs in one-on-one treatment support recovery through structured, personal care that adapts to each individual’s needs. These roles involve assessment, counseling, treatment planning, and coordination across outpatient, community, and court-related settings. Education, supervision, and ethical practice shape the field and support the delivery of consistent care. One-on-one counseling remains central because it allows focused support and accountability over time.

At Rego Park Counseling, substance abuse counseling jobs are part of an outpatient model that integrates individual treatment, group services, and mental health care under one program. Services are available to adults across Queens and New York City through in-person and telehealth options. Programs include dual diagnosis care, court-mandated services, and community-based support grounded in evidence-based counseling. Contact us to learn more about available treatment options and program access.

FAQs

What does a substance abuse counselor do in one-on-one treatment?

A substance abuse counselor provides individual counseling, creates treatment plans, monitors progress, and supports relapse prevention.

What education is required for substance abuse counseling jobs?

Education ranges from certificates to master’s degrees, depending on the role and state licensing requirements.

Are substance abuse counseling jobs available in outpatient settings?

Yes. Many substance abuse counseling jobs are based in outpatient programs where individual counseling is the main service.

Can substance abuse counseling jobs include telehealth work?

Yes. Many outpatient programs offer remote individual counseling sessions.