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Residential Mental Health and Substance Abuse Facilities

National industry · NAICS 623220

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Residential Mental Health and Substance Abuse Facilities is a U.S. industry in the NAICS classification. The Bureau of Labor Statistics estimates about 258,680 workers across 159 detailed occupations in it. A typical worker earns around $51,004 a year (Singulariki estimate, see below).

This industry comprises establishments primarily engaged in providing residential care and treatment for patients with mental health and substance abuse illnesses. These establishments provide room, board, supervision, and counseling services. Although medical services may be available at these establishments, they are incidental to the counseling, mental rehabilitation, and support services offered. These establishments generally provide a wide range of social services in addition to counseling. Illustrative Examples: Alcoholism or drug addiction rehabilitation facilities (except licensed hospitals) Psychiatric convalescent homes or hospitals Mental health halfway houses Residential group homes for the emotionally disturbed Cross-References.

Employment is national May 2024 OEWS. "Typical pay" is Singulariki's own figure — the employment-weighted average of each occupation's national median wage — a rough center of the industry, not an official BLS number.

How exposed this industry is to AI

Weighting every occupation in this industry by its employment and its unified AI-exposure index (the OpenAI "GPTs are GPTs" human-rated task overlap folded with the Felten/Raj/Seamans AIOE index), this industry sits in the Moderate band — 62nd percentile across all industries.

Exposure measures how much of the work overlaps with what today's AI can do, not a prediction of automation; high-exposure industries are where AI is most likely to reshape tasks. Employment-weighted across 138 occupations that carry an exposure score. Compare every industry on the AI exposure hub.

How AI is actually used in this industry

Among measured Claude.ai (Free and Pro) conversations mapped to O*NET task statements (Anthropic Economic Index, 2026-01-15), these patterns are most associated with the occupations in this industry, weighted by its employment mix. They are shares of observed AI conversations — not of worker time, revenue, or what could be automated — and reflect one AI assistant's consumer sample, not all AI.

Signal coverage 52.8% of employment · 93/155 occupations have AEI task data
Augmentation vs. automation 45.6% working with AI · 30.6% handed to AI
Most common pattern Directive · AI does it; you give the instruction
Typical AI autonomy 3.5 / 5 · higher = AI acts more independently

Tasks driving the signal

The task families that account for the most AI activity across this industry's occupations (employment × observed usage), each attributed to the occupation it comes from.

Task Occupation How Share of signal
Troubleshoot problems involving office equipment, such as computer hardware and software. Office Clerks, General Feedback loop 17.7%
Direct or provide home health services. Registered Nurses Learning 6.1%
Use computers for various applications, such as database management or word processing. Secretaries and Administrative Assistants, Except Legal, Medical, and Executive Directive 4.7%
Conduct searches to find needed information, using such sources as the Internet. Secretaries and Administrative Assistants, Except Legal, Medical, and Executive Directive 4.3%
Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans. Registered Nurses Learning 4.2%
Develop or maintain internal or external company Web sites. Secretaries and Administrative Assistants, Except Legal, Medical, and Executive Directive 3.3%
Review class material with students by discussing text, working solutions to problems, or reviewing worksheets or other assignments. Teachers and Instructors, All Other Directive 3.0%
Instruct individuals in career development techniques such as job search and application strategies, resume writing, and interview skills. Educational, Guidance, and Career Counselors and Advisors Iteration 2.9%
Provide private instruction to individual or small groups of students to improve academic performance, improve occupational skills, or prepare for academic or occupational tests. Teachers and Instructors, All Other Learning 2.1%
Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work. First-Line Supervisors of Office and Administrative Support Workers Iteration 1.9%
Teach patient education programs that include information required to make informed health care and treatment decisions. Registered Nurses Directive 1.7%
Develop instructional materials and conduct in-service and community-based educational programs. Medical and Health Services Managers Iteration 1.1%

Occupations behind the signal

The occupations whose AI-touched tasks contribute most to this industry's signal, by employment here.

Occupation Workers Share How they use AI
Social and Human Service Assistants 20,290 7.8% Learning
Registered Nurses 12,230 4.7% Learning
Mental Health and Substance Abuse Social Workers 10,650 4.1% Learning
Residential Advisors 9,760 3.8% Directive
Social and Community Service Managers 6,890 2.7% Iteration
Licensed Practical and Licensed Vocational Nurses 6,680 2.6% Directive
Medical and Health Services Managers 5,570 2.1% Iteration
General and Operations Managers 4,050 1.6% Iteration
Maintenance and Repair Workers, General 3,870 1.5% Learning
Rehabilitation Counselors 3,810 1.5% Iteration
Secretaries and Administrative Assistants, Except Legal, Medical, and Executive 3,460 1.3% Directive
Child, Family, and School Social Workers 3,280 1.3% Learning

This rollup is only as complete as the occupation-task matches available for the industry; the coverage figure above is shown so sparse industries do not look falsely precise. AI exposure is not the same as replacement.

Skill & tool metabolism

What this industry's work actually runs on. Each figure is the share of the industry's workers in occupations that significantly rely on a skill, knowledge area, or ability (O*NET importance ≥ 3 of 5), or that use a tool category — its employment reach. This is a measure of how widespread a requirement is across the workforce, not how intensively any one worker uses it. Shares are independent and need not add to 100%.

Based on 66.6% of this industry's employment that maps to a detailed occupation with an O*NET skill profile.

Skills

Skill Employment reach Workers
Active Listening 65.6% 169,760
Speaking 65.2% 168,700
Critical Thinking 64.5% 166,850
Monitoring 62.9% 162,660
Coordination 62.5% 161,690
Reading Comprehension 62.2% 160,950
Service Orientation 61.9% 160,130
Time Management 60.4% 156,290
Social Perceptiveness 60.0% 155,100
Writing 58.0% 150,150
Judgment and Decision Making 57.0% 147,330
Complex Problem Solving 56.6% 146,330

Knowledge areas

Knowledge area Employment reach Workers
English Language 65.9% 170,390
Customer and Personal Service 64.6% 167,020
Education and Training 48.3% 124,960
Psychology 45.5% 117,590
Therapy and Counseling 41.0% 106,130
Administration and Management 38.4% 99,220
Administrative 37.7% 97,470
Computers and Electronics 37.0% 95,750
Sociology and Anthropology 34.3% 88,690
Public Safety and Security 33.3% 86,050
Medicine and Dentistry 24.3% 62,830
Mathematics 24.1% 62,430

Abilities

Abilitie Employment reach Workers
Near Vision 66.6% 172,220
Oral Comprehension 66.4% 171,860
Oral Expression 66.2% 171,170
Speech Clarity 64.9% 167,910
Speech Recognition 64.9% 167,990
Problem Sensitivity 64.5% 166,880
Information Ordering 64.1% 165,730
Written Comprehension 64.0% 165,500
Deductive Reasoning 63.8% 165,010
Inductive Reasoning 63.8% 165,060
Written Expression 61.4% 158,710
Category Flexibility 57.8% 149,400

Tool categories

Tool category Employment reach Workers
Spreadsheet software 67.0% 173,380
Word processing software 65.0% 168,250
Office suite software 64.6% 167,200
Electronic mail software 63.9% 165,370
Internet browser software 55.3% 143,080
Presentation software 52.4% 135,460
Medical software 51.4% 133,040
Data base user interface and query software 51.1% 132,160
Operating system software 28.9% 74,790
Document management software 27.9% 72,110
Calendar and scheduling software 27.4% 70,960
Project management software 27.0% 69,950
Web page creation and editing software 25.3% 65,390
Analytical or scientific software 25.2% 65,250
Enterprise resource planning ERP software 25.2% 65,300

Reach = share of industry employment in occupations where the requirement is significant; it is not a per-worker usage or proficiency measure. Skill, knowledge, and ability importance is from O*NET; tool use is reported presence of a technology category.

Largest occupations

Exposure quadrant: AI task-overlap percentile vs Median pay AI task-overlap (horizontal) versus median pay (vertical), each as a percentile across all scored occupations, for 37 occupations in Residential Mental Health and Substance Abuse Facilities. Overlap measures shared tasks with AI, not automation. Lower overlap · higher pay Higher overlap · higher pay Higher overlap · lower pay Lower overlap · lower pay Maids and Housekeeping Cleaners Nursing Assistants Psychiatric Aides Maintenance and Repair Workers, General Licensed Practical and Licensed Vocational Nurses Healthcare Support Workers, All Other Security Guards Childcare Workers Shuttle Drivers and Chauffeurs Medical Assistants Registered Nurses Mental Health and Substance Abuse Social Workers General and Operations Managers Nurse Practitioners Healthcare Social Workers Marriage and Family Therapists Rehabilitation Counselors Social and Community Service Managers Business Operations Specialists, All Other Bookkeeping, Accounting, and Auditing Clerks Human Resources Specialists AI task-overlap percentile → ↑ Median pay
The largest occupations in this industry with both an AI task-overlap score and a wage, plotted by task-overlap percentile (horizontal) and median-pay percentile (vertical). Overlap measures shared tasks with AI, not automation.

The occupations that employ the most people in this industry, with their share of the industry's workforce and national median pay for the occupation (not industry-specific pay).

Occupation Workers Share National median pay
Substance Abuse, Behavioral Disorder, and Mental Health Counselors 40,600 15.7% $49,610
Home Health and Personal Care Aides 39,290 15.2% $36,640
Social and Human Service Assistants 20,290 7.8% $40,150
Registered Nurses 12,230 4.7% $81,940
Psychiatric Technicians 12,210 4.7% $38,120
Mental Health and Substance Abuse Social Workers 10,650 4.1% $48,790
Residential Advisors 9,760 3.8% $37,030
Social and Community Service Managers 6,890 2.7% $75,490
Licensed Practical and Licensed Vocational Nurses 6,680 2.6% $63,770
Medical and Health Services Managers 5,570 2.2% $93,490
Cooks, Institution and Cafeteria 4,420 1.7% $39,810
Nursing Assistants 4,360 1.7% $38,040
General and Operations Managers 4,050 1.6% $97,290
Maintenance and Repair Workers, General 3,870 1.5% $46,280
Rehabilitation Counselors 3,810 1.5% $41,370
Secretaries and Administrative Assistants, Except Legal, Medical, and Executive 3,460 1.3% $42,510
Child, Family, and School Social Workers 3,280 1.3% $49,370
Office Clerks, General 2,940 1.1% $43,650
Medical Secretaries and Administrative Assistants 2,810 1.1% $40,210
Psychiatric Aides 2,600 1.0% $37,850
Maids and Housekeeping Cleaners 2,100 0.8% $36,610
First-Line Supervisors of Office and Administrative Support Workers 1,940 0.7% $61,870
Security Guards 1,930 0.7% $38,540
Marriage and Family Therapists 1,910 0.7% $74,410
Healthcare Social Workers 1,720 0.7% $54,370
Human Resources Specialists 1,710 0.7% $58,760
Shuttle Drivers and Chauffeurs 1,610 0.6% $36,530
Bookkeeping, Accounting, and Auditing Clerks 1,570 0.6% $48,730
First-Line Supervisors of Personal Service Workers 1,510 0.6% $44,670
Nurse Practitioners 1,480 0.6% $161,030
Receptionists and Information Clerks 1,400 0.5% $36,560
Medical Assistants 1,360 0.5% $39,770
Interviewers, Except Eligibility and Loan 1,330 0.5% $46,890
Billing and Posting Clerks 1,320 0.5% $48,150
Childcare Workers 1,210 0.5% $39,560
Business Operations Specialists, All Other 1,170 0.5% $69,440
Accountants and Auditors 1,140 0.4% $71,930
Community and Social Service Specialists, All Other 1,140 0.4% $44,600
Compliance Officers 1,070 0.4% $57,270
Healthcare Support Workers, All Other 1,050 0.4% $38,080

Showing the top 40 of 159 occupations by employment.

Most distinctive occupations

The occupations most unusually concentrated in this industry compared with the economy as a whole. The location quotient is how many times more common an occupation is here versus its economy-wide share (a value of 5 means five times as concentrated).

Occupation Concentration Workers
Residential Advisors 70.25× 9,760
Substance Abuse, Behavioral Disorder, and Mental Health Counselors 54.95× 40,600
Psychiatric Technicians 53.4× 12,210
Mental Health and Substance Abuse Social Workers 50.42× 10,650
Psychiatric Aides 44.4× 2,600
Social and Human Service Assistants 28.51× 20,290
Rehabilitation Counselors 25.54× 3,810
Social and Community Service Managers 21.01× 6,890
Marriage and Family Therapists 17.28× 1,910
Recreational Therapists 14.25× 360
Counselors, All Other 10.55× 590
Community Health Workers 9.23× 940
First-Line Supervisors of Personal Service Workers 8.41× 1,510
Psychiatrists 7.45× 310
Therapists, All Other 7.4× 240
Clinical and Counseling Psychologists 7.35× 890
Licensed Practical and Licensed Vocational Nurses 6.3× 6,680
Community and Social Service Specialists, All Other 6.16× 1,140
Healthcare Support Workers, All Other 6.04× 1,050
Cooks, Institution and Cafeteria 5.88× 4,420
Write a report on thisheadline · factoids · citation

The Residential Mental Health and Substance Abuse Facilities workforce sits at the 62nd percentile of AI task overlap — 258,680 U.S. workers

  • Weighting every occupation by its real share of Residential Mental Health and Substance Abuse Facilities employment, the industry's workforce ranks in the 62nd percentile (Moderate band) for AI task overlap — overlap with what AI can attempt, not a measure of jobs at risk.Eloundou et al. + Felten AIOE, weighted by BLS OEWS
  • The industry employs about 258,680 U.S. workers across 159 occupations.BLS OEWS (May 2024)
  • Employment-weighted typical annual pay is about $51,004.BLS OEWS (May 2024)
  • Of AI use observed across this industry's occupations, 46% looks like augmentation rather than automation — from a Claude.ai sample, not a census.Anthropic Economic Index
Copy the whole kit
The Residential Mental Health and Substance Abuse Facilities workforce sits at the 62nd percentile of AI task overlap — 258,680 U.S. workers

• Weighting every occupation by its real share of Residential Mental Health and Substance Abuse Facilities employment, the industry's workforce ranks in the 62nd percentile (Moderate band) for AI task overlap — overlap with what AI can attempt, not a measure of jobs at risk. (Eloundou et al. + Felten AIOE, weighted by BLS OEWS)
• The industry employs about 258,680 U.S. workers across 159 occupations. (BLS OEWS (May 2024))
• Employment-weighted typical annual pay is about $51,004. (BLS OEWS (May 2024))
• Of AI use observed across this industry's occupations, 46% looks like augmentation rather than automation — from a Claude.ai sample, not a census. (Anthropic Economic Index)

Source: Singulariki — "Residential Mental Health and Substance Abuse Facilities". https://singulariki.com/industries/623220
Note: AI task overlap measures what today's AI can attempt, not automation, job loss, or a forecast.

AssetsShare imageMethodology & sourcesPress & newsroomThe newsroom

Every line is built only from figures this page already shows and cites. AI task overlap means what today's AI can attempt — not automation, job loss, or a forecast.

Sources for this page

Every figure above traces to a named public dataset and the exact release below — not hand-written opinion. See the full methodology for what each measure does and does not mean.

Data compiled June 3, 2026. Figures are estimates, not advice.

Cite this page
Plain

Singulariki. "Residential Mental Health and Substance Abuse Facilities." Singulariki: a source-backed encyclopedia of work. Built from O*NET 30.3; BLS Occupational Employment and Wage Statistics (OEWS) May 2024; Census NAICS 2022; Anthropic Economic Index v4 (2026-01-15) + v2 (2025-03-27); “GPTs are GPTs” (Eloundou et al.) arXiv 2303.10130; AI Occupational Exposure (AIOE) Felten, Raj & Seamans. Accessed June 7, 2026. https://singulariki.com/industries/623220

APA

Singulariki. (2026). Residential Mental Health and Substance Abuse Facilities. Singulariki: a source-backed encyclopedia of work. Retrieved June 7, 2026, from https://singulariki.com/industries/623220

BibTeX
@misc{singulariki-623220,
  title  = {Residential Mental Health and Substance Abuse Facilities},
  author = {{Singulariki}},
  year   = {2026},
  note   = {O*NET 30.3; BLS Occupational Employment and Wage Statistics (OEWS) May 2024; Census NAICS 2022; Anthropic Economic Index v4 (2026-01-15) + v2 (2025-03-27); “GPTs are GPTs” (Eloundou et al.) arXiv 2303.10130; AI Occupational Exposure (AIOE) Felten, Raj & Seamans. Accessed June 7, 2026},
  url    = {https://singulariki.com/industries/623220}
}

Citations name the underlying public dataset releases — they reflect what this page is built from, not just the URL.