Community Substance Misuse Worker

Job overview

An opportunity has arisen within the Community Drug and Alcohol team for a Community Substance Misuse Worker to join a developing substance misuse team within the Carmarthenshire locality, based in Carmarthen.

We are looking for an individual who has experience of working with substance misuse and can demonstrate core and specific competencies related to tier 3 substance misuse work or who is keen to develop their skills and experience within a tier 3 substance misuse service.

Experience in the assessment and treatment of service users with opiate dependency would be an advantage as well as a good working knowledge of harm reduction approaches and managing prescribing regimes within a recovery focused treatment framework.

Main duties of the job

The post holder will act as care manager for the caseload and any significant change in circumstances that may result in increased risk to the service user or their significant others must be discussed in the appropriate forum. This will include:

Comprehensive assessment of the service user’s substance misuse problem including their health and wellbeing needs and level of motivation to change

Agreeing a care plan /aftercare / discharge plan with the service user that may include other professionals or onward referral as appropriate.

Implementation and review of the care plan and associated evaluation in line with service and Health Board policy

Consideration of the needs of significant others and the opportunity to engage them in the care plan.

Joint working with partner agencies and contributing the treatment and clinical components of the agreed care plan where the service user is subject to a treatment order through the courts

The post holder must at all times respect the rights, dignity and interests of service users.

They should treat all individuals equitably, and must not discriminate on grounds of Age, Sex, Disability, Gender re-assignment, Marriage or civil partnership, pregnancy and maternity, Race, Religion or belief, Sexual orientation against service users, colleagues, or anyone else with whom they have dealings in the course of their work.

Detailed job description and main responsibilities

The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.

Interviews will be held on 12 & 13/10/2026

You will be able to find a full job description and person specification attached within the supporting documents.

The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.

The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.

Applicant requirements

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Welsh language skills are desirable