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BNY Mellon technology specific questions -
#0 How much max salary for grade K ?
#1 How long does it take to promote in bny from grade K to L ?
#2 Any specific criteria for promotion? Expr , certification etc...?
#3 How much % hike to expect post promotion ?
Skills- Java, microservices,react, cloud
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What will be the monthly inhand salary for this.
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Once you better understand the disease of addiction, you’ll fall in love w the patients. Understanding the disease makes the job so much easier.
True. I’ve been working at a methadone clinic for 10 years now. I absolutely love my patients. They have endured so much in life and I am there to at least try to make their lives a bit easier . It’s been a great journey!
Most people have both issues including myself.
Same. Granted for me, it wasn’t drugs or alcohol but other vices that almost destroyed me.
It’s sad that so many people that want to work in the profession don’t live in the real world and grasp what the reality is when it comes to the relationship between addiction and mental health. 🤦♀️
Rising Star
True healthcare is expensive, and a lot of people with mental health concerns have difficulty obtaining or holding employment to obtain insurance benefits.
The reality is healthcare is not as accessible as drugs or alcohol. So people self medicate the voices away, the pain from a loved one dying, the trauma of abuse. I would say you'll be pressed to find a mental health agency of any type that doesn't deal with substance abuse.
That type of crowd is just as sick as your psychiatric patients!
Drug addicts and alcoholics
Most of the time it goes hand in hand unfortunately.
I'll ignore your verbiage for now...with the limitations of your certification, I can only suggest that you may prefer working at a facility for elders, maybe with an alzheimers ward. EVEN IF you assist a majority of mh patients, you'll find that close to 80% have or had substance abuse problems as these other professionals have noted. Otherwise, consider going back to school and earning a more flexible cert. I'll warn you, you'll still have to treat sa patients in your career. "Those people" can be rich and famous as well...
As an NP working in Psych, I’d advise you to find a different one of work. Substance abuse issues are particularly big in people with mental health issues. Often times, going hand in hand. I suggest you learn to see through their substance abuse issue to the core problem; ie, depression, ptsd, childhood trauma, schizophrenia, etc.
Hi, most people have both. It is a viscous cycle. Hand in hand.
Maybe phrase it: “I’m not comfortable working with this population “
I agree. It was the way it was worded. I work in a mental health facility and we do not speak like that.
Inpatient acute care in a hospital locked unit is for more crisis intervention in psych patients than those in dual diagnosis treatment center. Typically those that are suicidal or suffering psychosis but they need your services.
also, try going for your RBT and you can help those who live with Autism.
Intermediate Care Facilities and Day Rehab function to care for the protected patient population with Intellectual Developmental Disorders. Every state has an aggency since it operates on Medicaid Waivers
Here is source for examples.
https://icltexas.com/careers/
https://www.mosaicinfo.org/
Thank you for this, RN2. As someone who is autistic and a recovering addict, I was appalled at this recommendation as well.
I have been a psychologist for 14 years and have never worked with people with substance abuse as it is not an area of specialty for me. So it's definitely possible to specialize in something else depending on you degree, and I disagree with the people giving you a hard time for not wanting to work in this area. You are allowed to have areas that you find difficult, or that you experience a lot of countertransference around so you know you should avoid. If you are at the level of a mental health tech, I would think working in a psych hospital would give you exposure to a wide range of psych issues and not just substance abuse. If you were not on a substance abuse unit, you wouldn't be overwhelmed with that issue, and a general psych unit would have you working with people struggling with severe depression, psychosis, severe anxiety, etc. I don't know if you can get a license or a provisional license to do therapy, but if so, group practices are always looking to hire therapists and the therapists are generally allowed to say what they want to specialize in and what they are not competent to treat.
With all due respect to the Mental Health Technician, the phraseology is probably in their heart which may come through in their engagement with and interventions offered to their patient.
It sounds like you may need to work on your personal bias and stigma. It is okay to want to specialize with specific populations but this does not come across like it is a preference. This comes across like harmful bias that will impact your future work with clients regardless of the population.
Definitely you not wanting to work with SA patients is what’s hindering your ability to find a job. My suggestion would be to be more open to SA patients because, like everyone else mentioned, MH and SA go hand in hand majority of the time. A lot of the times SA patients use their drug of choice because they don’t get the proper MH help they need. Don’t discriminate without knowing the cause of their addiction.
My husband is a ptsd vet and he requested to schedule an appt with a psych np. She requested that his medical records get sent to her for review. She reviewed his record and accepted him as a patient. She told me that she always reviewed patient records to see if potential patients and her would be a good match. After a few sessions I found out that she was the owner of her practice, and she specialized with anxiety, depression and PTSD. She did not deal with a lot of substance abuse.
I went into the ER Loving it for the first four years. After getting spit, kicked, punched and verbally abused on a regular, I realized I didn’t want to work in that environment ever again. I loved the ER but the overall energy just started to drain me because of the patient abuse. I worked in the ER before they started having security guards in the department! Patients were able to walk from the lobby into the actual nurses station and rooms unaccompanied.
I started noticing that I went into work with a chip on my shoulder. It got to the point where the abusive patients were affecting my perspective and energy towards everybody. The best thing I did was leave and find another work environment. I loved patient care, but the ER environment left a bad taste in my mouth. Now I have a job where I’m not
constantly on guard, and I actually love what I do.
We all have our preferences that others may not understand. I tell people I don’t ever want to work in L&D or pediatrics. It may sound harsh to some but they don’t know about my personal losses or trauma. Of course I will provide the best care I can to every peds or pregnant patient I encounter, but it does trigger some painful memories. Learning about what you don’t want will help you identify what is more suited for you. Following your own path will be better for everyone overall. Patients deserve the best of what we have to offer. They deserve mental health professionals that are passionate about SA. They deserve nurses that love PEDS and L&D, even if it isn’t us.
Thank you for your response. Someone recently responded and was very rude that I mentioned I didn't want to work in a substance abuse setting. They were so angry they said I hope you have a hard time finding a job. I have a,right to choose where I want to work. There are so many rude people out there that have no manners!
T
Why don't you join some other facility with better location & better crowd.
Well what came first? The chicken or the egg? How does one not recognize the egg that will grow into the chicken its becoming? Or even the chicken that the egg was predisposition into becoming? Most MH participants come from a co-occurring nature. Try addressing some of the stigmas you may have in refusing service so you can be most effective in practice. Because it may hinder your ability to work in an unbiased, culturally sensitive manner.
I actually currently support a lab that is inside of a center for people recovering and if you get a good center, it’s actually is very rewarding job. Don’t base everything off of one experience or a stigma. These people are real people trying to get a handle on something that is grasp majority of our population population. The best thing you can do is stay open minded about your options or else you narrow the playing field greatly food for thought 
Maybe reword it another way....people with mental health issues usually have both once you vet to understand the issues they are facing they are some of the best patients to work with.
TYPE of crowd? Really. They are Human also , seeking help. Hope u have a hard time finding a job.