MST Therapist - Wilmington, NC (Brunswick/Columbus County)

Do you have in interest in working with North Carolina's leader in children's behavioral healthcare? Alexander Youth Network needs you!

Why Join Alexander Youth Network?

Founded in 1888, Alexander Youth Network is the leading provider of children's mental and behavioral health in North Carolina and serves over 10,000 children and youth adults annually. Headquartered in Charlotte with service locations in the central, western, and Southern Piedmont regions of the state, Alexander combined a variety of treatment programs into a complete Service Array, to meet the need of our clients - wherever they are.

Our services include:

  • Diagnostic Outpatient Services
  • Community-based Programs
  • Substance Use Treatment
  • Day Treatment
  • Residential Treatment

In addition to our mental health services, our programs under The Relatives (Mecklenburg) and Youth Focus (Guilford) serve youth and young adults in crisis through transitional living programs, crisis centers, a resource center in Charlotte, and a maternity home in Greensboro.

To learn more about services, please visit

What you would do:

Alexander Youth Network is looking for a Licensed Therapist or QMHP to join our Coastal Multi-Systemic Therapy Problem Sexual Behavior (MST-PSB) blended team as a MST Therapist serving families in Brunswick and Columbus Counties.  MST Therapist could also serve families in New Hanover and/or Pender Counties if needed. 

MST is a highly-structured evidenced-based service that uses the Family Preservation Model of service delivery. MST views individuals as being nested within many interconnected systems that include individual, family, peer, and community. The ultimate goal of MST is to provide parents with the skills and resources to address difficulties in raising adolescents.

The program consists of teams of up to four therapists and a supervisor. AYN's MST Therapists receive continuous on-site supervision by an experienced masters-level mental health professional. Supervision and program consultation occur on a weekly basis. Therapists are selected based on strengths and attributes that will combine well with the program's principles.

MST Therapist are offered paid agency orientation and MST-specific training.  Therapists are provided additional support in the form of ongoing Clinician Development and quarterly Booster Training with other Agency MST-PSB Teams.  MST Therapists are regularly assessed for model fidelity and positive outcomes.  In addition to extensive training and support, MST Therapist will have small caseloads and flexible schedules and remote working options available during COVID-19.

For additional information regarding MST and MST-PSB treatment please visit:


  • Complete targeted direct service hours 
  • All documentation including progress notes are completed accurately and in a timely manner
  • Maintain active service plan on each client
  • Accurately maintains client Electronic Health Record
  • Complete all mandated training
  • Maintain schedule in CDT 90 days in advance
  • Successfully meet discharge outcomes
  • Clinical Assessments and Updates
  • Participate in Individual and Group Supervision, Team Meetings and MST Consultations as required
  • Coordinate services within multi-systems in reaching the client's goals and to ensure buy-in and cooperation throughout the MST process as evidenced by treatment review meetings and taking the clinical lead on cases.
  • Provide direct clinical treatment (family, individual, community based services and case management) using methods compatible with MST principles, analytic process and practices as evidenced by therapist adherence measure scores and positive outcomes with families.
  • Maintain clear and concise documentation of treatment efforts that promote peer and supervisory review and feedback, and that demonstrate compliance with MST principles and analytic process as evidenced by weekly summaries and productivity documentation.
  • Hand in paperwork and necessary documentation in a timely manner and as stated by the supervisor as evidenced by meeting timeframes for all documentation.
  • Conduct MST assessment including review of referral information, identifying and engaging key participants, identifying systemic strengths and struggles, and developing an analysis of the fit of problem behaviors within an ecological context.
  • Engage primary caregivers and other key participants in active change-oriented treatment by identifying and overcoming barriers to engagement.
  • Flexibility and consistency in scheduling with the families as evidenced by meeting with families on the average 6-8 hrs per week at the start of treatment and clinically assessing need throughout treatment.
  • On-call duties 24/7, with rotation of weekend duties.
  • Active participation in weekly group supervision as evidenced by preparedness, providing feedback to team members, and accepting feedback from others.
  • Active participation in weekly group consultation with MST consultant and all MST trainings as evidenced by preparedness, providing necessary supervision feedback to consultant and accepting feedback from the consultant.
  • Appropriate use of individual supervision as needed as evidenced by seeking supervision when barriers arise and participating in clinician development sessions.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


QMHP should have either a Bachelors in a Human Services related field (i.e... Psychology, Social Work) and two years of experience with children/adolescents or a Masters in a Human Services related field and one experience with Children/adolescents or a Bachelors in a non- Human Services related field and four years  of experience with children/adolescents or be fully or provisionally licensed (LCSW, LCMHC, LMFT). Licensed clinicians strongly preferred.

It is preferred that the individual will have experience in working with antisocial behaviors in adolescents.  The individual should have a strong understanding of family systems and social ecology theories.  It will be important to have an understanding of the MST philosophy and practices.  The individual will have experience in coordinating services with other agencies within the mental health community.  An understanding of family dynamics, substance abuse, child abuse and neglect, educational issues and the legal system will be essential.

What We Offer:

Alexander offers a comprehensive benefits package which includes:

  • Medical with Employer-Sponsored HRA
  • Dental
  • Vision
  • 401(k) with Employer Match
  • Employer-Paid Life, AD&D, STD, and LTD
  • Paid Time Off and Paid Holidays
  • Employee Recognition Programs
  • Agency provided Continuing Education Units (CEUs) at no cost
  • Discounts and Perks such as AAA, credit union membership, and more!

Alexander youth network provides equal employment opportunities (EEO) to all employees and applicants for employment and complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities