Occupations · Community and Social Service
Mental Health and Substance Abuse Social Workers
Assess and treat individuals with mental, emotional, or substance abuse problems, including abuse of alcohol, tobacco, and/or other drugs. Activities may include individual and group therapy, crisis intervention, case management, client advocacy, prevention, and education.
O*NET 30.3 Database (USDOL/ETA) · occupation code 21-1023.00
What it pays
A single “average salary” hides the spread. This is the whole distribution — the gap between the bottom and top bar is usually the number that matters.
BLS Occupational Employment and Wage Statistics, May 2024 · national, cross-industry · annual wage
Pay over time
Median up 82% between 2003 and 2024, before inflation. The band shows the 10th to 90th percentile.
BLS OEWS, one release per year. Before May 2011 only national estimates were published, so geography detail starts there.
Where the jobs are
| Metro area | Median wage | Employed |
|---|---|---|
| New York-Newark-Jersey City, NY-NJ-PA | $83,490 | 12,050 |
| Los Angeles-Long Beach-Anaheim, CA | $74,890 | 8,430 |
| Boston-Cambridge-Newton, MA-NH | $67,060 | 4,220 |
| Phoenix-Mesa-Scottsdale, AZ | $46,860 | 2,600 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | $55,830 | 2,420 |
| Minneapolis-St. Paul-Bloomington, MN-WI | $77,540 | 2,420 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $77,600 | 2,310 |
| Detroit-Warren-Dearborn, MI | $59,180 | 2,100 |
| Seattle-Tacoma-Bellevue, WA | $77,360 | 2,020 |
| San Francisco-Oakland-Hayward, CA | $78,660 | 1,630 |
| Dallas-Fort Worth-Arlington, TX | $43,920 | 1,590 |
| Riverside-San Bernardino-Ontario, CA | $83,710 | 1,490 |
BLS OEWS May 2024, metropolitan estimates · the 12 areas with the most people in this occupation
Typical education to enter: Master's degree · BLS Employment Projections 2024–34
What people in this job actually do
Ordered by how important the work is rated.
- 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.
- Modify treatment plans according to changes in client status.
- Assist clients in adhering to treatment plans, such as setting up appointments, arranging for transportation to appointments, or providing support.
- Educate clients or community members about mental or physical illness, abuse, medication, or available community resources.
- Counsel or aid family members to assist them in understanding, dealing with, or supporting the client or patient.
- Increase social work knowledge by reviewing current literature, conducting social research, or attending seminars, training workshops, or classes.
- Refer patient, client, or family to community resources for housing or treatment to assist in recovery from mental or physical illness, following through to ensure service efficacy.
- Plan or conduct programs to prevent substance abuse, combat social problems, or improve health or counseling services in community.
O*NET 30.3 task ratings, importance scale
Skills that matter most
Importance, rated 1 to 5.
O*NET 30.3 skills, importance scale
Software and tools
A dot marks what O*NET flags as in demand.
O*NET 30.3 software skills · hot-technology flag
What this work is actually like
Conditions rated against the average across all occupations — only what makes this job different is listed.
O*NET 30.3 Job Zones
Working conditions that stand out
O*NET 30.3 work context, frequency scale · observed 2021-08
How people actually get in
Share of workers by the education they hold.
O*NET 30.2 education, training and experience · observed 2021-08
What kind of person the work suits
Occupational interest profile, rated 1 to 7.
O*NET 30.2 occupational interests (RIASEC)
What you take with you
Skills rated for how well they transfer into other occupations.
O*NET 30.3 transferable skills, importance scale
Knowledge the work draws on
Abilities it leans on
O*NET 30.3 abilities and knowledge, importance scale
How this job is advertised
The same work is posted under many titles — this is what to search for.
O*NET 30.3 job titles reported for this occupation
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What changed since 2015
Comparing O*NET release 20.1 (2015-10-01) with 30.3 (2026-05-01). Signs, not colour alone, carry the meaning. 1 entries that were only relabelled between releases are left out.
Now listed 7
No longer listed 5
Diff across the O*NET releases held here in full since October 2015, following occupations through merges and retirements. O*NET re-surveys occupations on a rolling cycle, so “no change” can also mean “not re-surveyed”.
Related jobs
O*NET 30.3 related occupations
Also called
O*NET 30.3 alternative titles
The same work in Europe
| ESCO occupation | ISCO | Match |
|---|---|---|
| crisis situation social worker | 2635.3.9 | close |
| marriage counsellor | 2635.1.4 | close |
| clinical social worker | 2635.3.3 | close |
| sexual violence counsellor | 2635.1.5 | broader |
| drug and alcohol addiction counsellor | 2635.1.2 | broader |
| substance misuse worker | 2635.3.24 | broader |
| military welfare worker | 2635.3.19 | broader |
| social counsellor | 2635.1 | broader |
| mental health social worker | 2635.3.17 | broader |
| mental health support worker | 3412.4.8 | broader |
Official ESCO ↔ O*NET crosswalk (ESCO Secretariat with USDOL/ETA)
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