In every state, and for every psychotherapist license, there is a supervised experience requirement. Those requirements differ a bit from state to state and between license types, but they all hover around the same place: two years of full-time experience or the equivalent, typically operationalized as 3,000 hours. Where did that standard come from, and how has it changed over time? You may be surprised.
It’s nearly 100 years old.
The US Senate may take action this week on the Graham-Cassidy health care bill, a last-ditch effort by Senate Republicans to repeal and replace the Affordable Care Act. If Graham-Cassidy becomes law, the consequences for US mental health providers and their clients would be disastrous.
The nonpartisan Congressional Budget Office will not score the bill before a September 30 deadline for Senators to vote on it. But estimates suggest that under the bill, at least 16 million Americans would lose health insurance entirely after 10 years, given the bill’s similarity to prior Republican health care bills. This would leave millions paying out of pocket for mental health care that is currently covered by insurance.
App-based therapy platforms may well represent the next evolution of psychotherapy practice. I praised Talkspace a few years ago for offering access to mental health care for many who otherwise would never find their way to a therapist’s office. But the platforms — Talkspace, Betterhelp, and the like — have run into controversy over their confidentiality policies. Therapists using these apps may have little to no ready access to the client’s full name, address, or other information necessary in an emergency.
At the August meeting of the California Board of Behavioral Sciences, I had a tense exchange with representatives from the state’s Office of Professional Examination Services about pass rates for the California MFT Clinical Exam. That pass rate has fallen off a cliff. For the first six months of the year, just 56% of those taking the test for the first time passed.
At the meeting, OPES presented about their exam development process, and argued that nothing meaningful had changed on their end. They and the BBS raised several hypotheses about both the current low pass rate and the drop in pass rate at the start of the year.
Over the past week, I investigated every one of the hypotheses offered. Not one of those hypotheses stands up to scrutiny.
Over the years, I’ve seen a lot of applications. Caldwell-Clark, a nonprofit I co-founded, regularly hires prelicensed MFTs for paid positions. We tend to get good interest in those openings when they happen, with many good candidates applying. And in the years I spent as core faculty for a graduate program, I saw hundreds of applications from students eager to get in to that program.
In both contexts, the application process can be nerve-wracking for applicants, and frustrating for people like me who are responsible for evaluating the applications. People who would likely be great students, great employees, and great therapists can easily be overlooked on the basis of a few mistakes in their application materials.
Here are some things you can do to make your application for a prelicensed therapist position as strong as it can be.