Updated: April 2021

What does a 4C0X1 do?

Supports mental health services in psychiatry, psychology, social work, family advocacy, substance abuse prevention and rehabilitation, and mental health programs. Manages mental health service resources and activities. Assists mental health professional staff with developing and implementing treatment plans. Performs specified mental health treatment. Reports and documents patient care.

Where and How Long is the Tech School For a 4C0X1?

Tech School

66 Days - Ft Sam Houston, TX


Mental Health Services

What Does the 4C0X1 Duty Badge Look Like?

Enlisted Medical Badge

What are the Demographics for the 4C0X1 Career Field?







Total: 819

What are the Requirements to Become a 4C0X1?


General: 55


40 lbs

  • Must complete the Minnesota Multiphasic Personality Inventory (MMPI) assessment.
  • Must undergo a standardized entry interview with Senior 4C0X1 at respective installation (preferred) or any credentialed/privileged mental health provider.
  • Absence of any speech impediment, must possess the ability to read aloud and speak distinctly.
  • No record of emotional instability to include exhibiting impulsive behaviors that are potentially self-damaging (e.g., promiscuity, substance abuse, substance abuse incidents, DUIs, reckless driving, binge eating, self-injury, financial irresponsibility, psychiatric hospitalizations, etc.) or self-harm attempts, threats, or self-mutilating behavior.
  • No evidence of personality disorder or unresolved mental health problems (e.g., inappropriate, intense anger or difficulty controlling anger) within the last 7 years.

What are the Duties and Responsibilities For a 4C0X1?

Conducts or assists in treatment and rehabilitation of mental health patients. Performs initial basic assessment procedures including standardized psychological testing, clinical interviewing, mental status examinations, substance abuse evaluations, and psychological and nursing assessment. Assists in identifying mental health and nursing diagnoses, treatments, patient education, and disposition planning. Participates in patient care conferences and substance abuse intervention. Observes, monitors, records, and reports patient’s progress. Conducts or assists in conducting group and individual counseling, therapeutic community, and other related milieu activities. Institutes precautionary measures to prevent patient injury, and suicide. Provides mental health and substance abuse prevention education. Performs general and special clinical procedures. Assists patients with nutritional, hygiene, and comfort measures. Obtains and records vital signs. Performs chaperone and escort duties. Maintains therapeutic relationships. Performs aeromedical evacuation procedures. Supports the Air Force drug testing program.

Plans and supervises mental health service activities. Coordinates with appropriate agencies regarding specified care, treatment, prevention, rehabilitation, and administrative functions. Contacts military and community agencies to obtain collateral information. Explains and interprets mental health services to patients or others. Assists in, or arranges patient referral to public, private, and military community agencies.

Manages enlisted resources. Establishes priorities based on knowledge of interchangeable skills among assigned enlisted personnel. Manages preparation and maintenance of records and reports pertaining to specialty services. Reviews procedures and requirements within specialty services to preclude duplication and to free personnel for more direct service work with patients. Establishes, maintains, and evaluates specific mental health, family advocacy, and substance abuse training programs. Conducts in-service training. Schedules recurring training and conducts task evaluations.

Performs combat and disaster casualty care procedures. Supervises and assists with care of individuals experiencing acute and post-traumatic stress reactions.

Supervises and performs administrative duties. Prepares, maintains, and disposes of mental health, family advocacy, and substance abuse treatment records. Receives patients and schedules appointment. Evaluates mental health service activities. Collects and updates administrative and statistical data. Conducts unit self-assessments. Compiles and prepares medical and administrative reports. Briefs patients on safety and evacuation procedures.

What Are the Specialty Qualifications for a 4C0X1?

Knowledge. Knowledge is mandatory of: psychiatry, psychology, social work, family advocacy, and nursing principles, procedures and theories; confidentiality and legal aspects of patient care; understanding of medical, nursing, and mental health terminology; psychopathology; adjustment mechanisms; substance abuse pathology; 12 core functions for substance abuse counselor certification; combat and disaster casualty care management; communication processes; traumatic stress response debriefings, specialized mental health and nursing treatment techniques; anatomy and physiology; deviant and unacceptable behavior; principles of interpersonal relationships; counseling and interviewing techniques; diagnostic nomenclature; psychopharmacology; administration and scoring of psychological tests; medical and mental health ethics; medical and clinical records administration; principles of milieu therapy; personnel, unit and clinic management; and budgeting and acquisition of supplies and equipment.

Education. For entry into this specialty, completion of high school is mandatory. Completion of college courses in psychology, social or behavioral sciences such as psychology, counseling, substance abuse treatment, sociology, and marriage and family is desirable.

Training. For award of AFSC 4C031, completion of the mental health service apprentice course is mandatory.

Experience. The following experience is mandatory for award of the AFSC indicated.

  • 4C051. Qualification in and possession of AFSC 4C031. Also, experience administering, scoring, and reporting psychological test results; interviewing patients to obtain biopsychosocial history, personal information; and assisting professional staff to carry out prescribed treatment plan.
  • 4C071. Qualification in and possession of AFSC 4C051. Also, experience conducting briefings, performing or supervising psychological test administration; and interviewing, and assisting in patient treatment, or substance abuse prevention and counseling. Must obtain certification in alcohol and drug counseling and be awarded SEI 475 IAW AFI 41-104, 44-119 & 44-121.
  • 4C091. Qualification in and possession of AFSC 4C071. Also, experience managing mental health service activities. Must obtain certification in alcohol and drug counseling and be awarded SEI 475 IAW AFI 41-104, 44-119 & 44-121.

For more information on AFSCs and Shredouts check this article out!


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What Are the Possible Assignments for 4C031?

  • Altus, Oklahoma
  • Andersen, Guam
  • Aviano, Italy
  • Barksdale, Louisiana
  • Beale, California
  • Bolling, District Of Columbia
  • Cannon, New Mexico
  • Columbus, Mississippi
  • Davis-Monthan, Arizona
  • Dover, Delaware
  • Dyess, Texas
  • Edwards, California
  • Eglin, Florida
  • Eielson, Alaska
  • Ellsworth, South Dakota
  • Fairchild, Washington
  • Fort Sam Houston, Texas
  • Goodfellow AFB, Texas
  • Grand Forks, North Dakota
  • Hanscom, Massachusetts
  • Hill, Utah
  • Holloman, New Mexico
  • Hurlburt Field, Florida
  • JB Andrews, Maryland
  • JB Charleston, South Carolina
  • JB Elmendorf-Rich, Alaska
  • JB Langley-Eustis, Virginia
  • JB Prl Hbr-Hickam, Hawaii
  • JBSA Lackland, Texas
  • JBSA Randolph, Texas
  • Joint Base McGuire-Dix-Lakehurst, New Jersey
  • Kadena, Japan
  • Keesler, Mississippi
  • Kirtland, New Mexico
  • Lakenheath, United Kingdom
  • Landstuhl, Germany
  • Laughlin, Texas
  • Little Rock, Arkansas
  • Luke, Arizona
  • MacDill, Florida
  • Maxwell, Alabama
  • McConnell, Kansas
  • Minot, North Dakota
  • Misawa, Japan
  • Moody, Georgia
  • Mountain Home, Idaho
  • Nellis, Nevada
  • Offutt, Nebraska
  • Ramstein, Germany
  • Robins, Georgia
  • Scott, Illinois
  • Seymour Johnson, North Carolina
  • Shaw, South Carolina
  • Sheppard, Texas
  • Spangdahlem AB, Germany
  • Tinker, Oklahoma
  • Travis, California
  • Tyndall, Florida
  • USAF Academy, Colorado
  • Whiteman, Missouri
  • Wright Patterson, Ohio
  • Yokota, Japan

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