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Residential Assistant


The mission at Headrest is to assist those who have or are affected by a substance use disorder, experiencing a crisis, or needing support, by providing effective programs and treatment regardless of ability to pay.

Headrest offers programs in three areas: Crisis Hotline (24/7), Outpatient Counseling and Low-Intensity Residential Program. These programs are available to people living throughout the Upper Valley community and State of New Hampshire.

The Hotline is available to anyone and calls vary from requests for information to callers struggling with thoughts of suicide. Headrest has provided over 420,000 continuous hours of crisis intervention and support. The generosity of local towns, communities and individuals help in Headrest’s endeavor of continuing to provide these critical services especially in recent times of the opioid epidemic.

Outpatient services are available to all NH and VT residents. Headrest works with client’s to make services as affordable as possible ensuring financial barriers do not prevent individuals from seeking help. The Highly Qualified Headrest come with years of clinical experiences and passions in helping those struggling with Substance Use Disorders.

Low-Intensity Residential services (previously known as Transitional Living) is available to all New Hampshire Residents or those homeless in New Hampshire. The residential program assists clients in reclaiming their life from the devastating effects of addiction. Many transition to the residential program from 28-day rehabilitation programs. The length of stay may vary but Headrest is able to provide services to clients from 90-180 days.

Currently Headrest is looking for full-time and part-time Residential Program Assistants to help provide services to clients in our Low-Intensity Residential Program. 

Brief Position Description:

This position advances Headrest’s mission by supporting residents in recovery from substance use disorder to complete their treatment goals and achieve successful re-entry into the community.  

  • Associates or Bachelor Degree in related field or an equivalent level of education and/or experience.
  • Experience in substance use disorder treatment in a residential setting preferred.
  • Strong organization and communication skills.
  • Physical Requirements: Ability to climb stairs (safety drills, etc); lift and carry up to 25 pounds.  Hold a valid driver’s license in good standing in order to safely transport clients to appointments or meetings as needed. 

Direct Client Services

  • In collaboration with other program staff and clients, ensure the safety of residents living at Headrest. Health and safety functions include but are not limited to:  administering drug testing (urine analysis) upon intake and on-going random drug screening; supervising and documenting administration of residents’ medications in accordance with policies and procedures, supervising emergency building evacuations.
  • Provides transportation as needed in the client’s treatment plan or program sanctioned activities in order for clients to access additional health and community services.
  • Supervise residents in overall house rules to ensure that all rules and assignments are consistently and fairly enforced.
  • Provide back-up facilitation for house group meetings and document client participation.
  • Maintains accurate and timely documentation of all client contacts according to Headrest practices and contractual obligations as directed by the Clinical Director.
  • Attends and participates in periodic general staff meetings.
  • Maintains the cleanliness of the Residential Office.

Other Duties

Headrest is a service organization with a relatively small number of employees, requiring flexibility and cooperation among all staff.  Employees will need to complete other duties as assigned in order to provide quality community services. Supervision:

This position receives administrative supervision from the Residential Program Coordinator.  The Clinical Director provides clinical supervision as needed for both residential services and the employee’s professional development.  This position is not responsible for any employee supervisory duties.

How to Apply:

To apply for this position please contact Kathleen Russo, Clinical Director at (603) 448-4872 x105 or email a cover letter and resume to

Headrest is an Equal Opportunity Employer

Job Location:


Date Added: July 25, 2019

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