With so many therapists and clients owning iPhones, some therapists have started experimenting with doing sessions via Apple’s FaceTime videoconferencing. While Apple does not provide a Business Associate Agreement (typically required under HIPAA) for use of FaceTime, there is an interesting legal argument that suggests FaceTime may still be safe for therapists to use.
It is essential to the fairness and validity of any testing process that those who take the test are who they say they are, do not attempt to cheat on the test, and do not reveal any information about test content to those who have not yet taken the exam. This is certainly true with license exams, which are considered high-stakes tests because failing can directly impact one’s professional standing and job opportunities.
Violating exam security or subverting a license exam, one of the forms of unprofessional conduct that can lead to discipline from the Board of Behavioral Sciences, occurs most commonly when someone who has just taken their exam shares its content with others who have not yet taken the exam. “Subverting,” as it is used here, means impacting the integrity of the exam; while sharing content is perhaps the most common way this happens, it certainly is not the only way it could occur.
Casey Meinster is the Director of Evidence Based Practices at Hathaway-Sycamores Child and Family Services, a major mental health services provider in Los Angeles. In that role, she wrangles a lot of information. But one piece of information I learned from her changed how I think about the importance of measurement in psychotherapy.
Hathway-Sycamores serves thousands of clients a year through more than a dozen programs. They fund those programs through a variety of sources, including government contracts, grants, and other sources. And it is now the case that every single program they run now has to produce outcome data on its clients. Their payors demand it.
California suffers from a severe and worsening mental health workforce shortage. In fact, much of the US is in the same boat. There simply aren’t enough qualified mental health professionals to meet our country’s needs.
At the same time, therapists in private practice often complain about their local markets being saturated. There are so many therapists in some places, it seems, that it’s hard to get a career off the ground.
As it turns out, there’s truth to both of these perspectives.
From students and colleagues alike, I often hear statements to the effect of “There are a lot of bad therapists out there.” As I understand it, “bad” in this context has a variety of meanings, ranging from ineffective to unethical. At either end of that spectrum, though, the next question is usually the same: How do they stay licensed?
If you haven’t noticed, telehealth is an ongoing theme around here. Last year, we posted on what we know and don’t know about online therapy, and four reasons to move your practice online. I also proudly chaired the workgroup that developed AAMFT’s Best Practices in the Online Practice of Couple and Family Therapy, which is available for free here.
We know a lot of therapists are still worried about using technology in their practices, and we have good news — regulations are getting clearer, and so is the technology itself. In short, it’s easier and safer than ever to move part or all of your therapy practice online.
Measuring client outcomes is fast, easy, and essential. Current measurement tools are up to the task, and if more therapists used them, we could get better at our work.
Therapists often fear manualized treatments in psychotherapy. If the therapy process is boiled down to a script, the fear goes, the actual therapist becomes interchangeable with anyone else following the same script. Taken to its logical end, if therapy is just a set of manualized techniques, we could easily be replaced by robots.
Marriage and family therapists (MFTs) work with individuals, families, and couples of all types. We assess, diagnose and treat the full range of mental and emotional disorders. So, the title “marriage and family therapist” doesn’t provide the whole picture of what we do.
Should the name of the license be changed?
The overwhelming majority of therapists are women. So are most clients. Men are often reluctant to attend therapy voluntarily. As we discussed in the last episode, even well-intentioned therapists and counselors can make men feel unwelcome simply by how they frame men’s presence in the room. Sometimes, changing how you work to better respond to men’s needs and expectations of therapy can make the process a lot more effective.