Under a bill signed into law last week by Governor Jerry Brown, counselors (PCCs) and marriage and family therapists (MFTs) in California who have completed their graduate degrees but are not yet licensed will see their title change from “Intern” to “Associate” on January 1, 2018. [Updated August 2, 2017: Added FAQ section below.]
How it happened
I previously wrote about the effort to make this change here. I proposed the title change in August of 2015. You can see me present to the Board of Behavioral Sciences about it here. If you would rather just read my presentation, it starts on page 97 here. After that presentation and some more discussion in committee, counselors were added to it. This way the proposal would provide parallel titles for all three master’s level psychotherapy professions. (Post-degree, pre-license clinical social workers in California already carried the title “Associate.”) CAMFT and AAMFT-CA added their support as well. With the professions in agreement and no known opposition, the BBS put the change into this year’s “omnibus” bill. That bill combines many non-controversial changes in law into a single bill rather than requiring that each be done separately. The bill was Senate Bill 1478.
What the change will mean
The push to change the title came partly from concern that consumers and employers generally understand the term “intern” to mean someone who is still in school, rather than a professional with a graduate degree. Many employers currently hire pre-licensed MFTs and counselors into unpaid “internships” that, under labor law, should actually be paid employment. I’ve written about that issue here and here. Not every unpaid position is illegal. But some are, and even after a recent victory by a UCSF student over the university in a fight about unpaid intern hours, some employers have been reluctant to pay prelicensed therapists for their work. The title change will of course not resolve all of the labor market forces involved here. But it is a significant step in the right direction.
As noted above, it will also provide parallel career ladders for all three master’s-level mental health professions in the state. And then there are the intangible parts — like the greater respect that comes with a more professional title.
What happens now
The January 2018 implementation provides time for therapists to update marketing materials to reflect the new title as it goes into effect. Prelicensed MFTs and counselors should not use the title Associate until then.
Procedurally, it will work much like the decades-ago change from “Marriage, Family and Child Counselor” to “Marriage and Family Therapist.” Which means the old title will stick around for a while, in many sections of law and on BBS forms. They’ll just be updated to the new title as regular updates occur.
Frequently Asked Questions
Can I start using the new title before 2018?
No. Because the new titles are not recognized by California law until 1/1/2018, using them before then is technically misrepresenting your licensure status.
Can I order business cards, brochures, and other promotional materials with the new title before 2018?
Yes. You can order these materials now, you just can’t distribute them before 1/1/2018.
What about my old marketing materials, which use the Intern title? Do I need to throw them away on January 1?
No. The BBS has proposed regulations that will formally sunset the Intern title on 12/31/2018, to allow people time to transition their marketing materials. You would not be allowed to use the old title in 2019 and beyond.
How do I abbreviate the new titles?
Post-degree, pre-license MFTs will carry the formal title “Associate Marriage and Family Therapist” or “Registered Associate Marriage and Family Therapist” (either is ok to use). If the BBS’s proposed new advertising regulations are approved, the title can be abbreviated as AMFT. Note that “MFTA” is not an acceptable abbreviation under the new law. And any advertisement that uses “AMFT” would also need to include the fully spelled-out title “Registered Associate Marriage and Family Therapist.”
Post-degree, pre-license PCCs will carry the formal title “Associate Professional Clinical Counselor” or “Registered Associate Professional Clinical Counselor” (either is ok to use). If the BBS’s proposed new advertising regulations are approved, the title can be abbreviated as APCC. Note that “PCCA” is not an acceptable abbreviation under the new law. And any advertisement that uses “APCC” would also need to include the fully spelled-out title “Registered Associate Professional Clinical Counselor.”
What if I have other questions?
The BBS has its own FAQ sheet online.