Ben Caldwell, Author at Psychotherapy Notes

Licensing exams get a failing grade

July 11, 2017June 9, 2015 by Ben Caldwell

Note: The following is an edited excerpt from Saving Psychotherapy: How therapists can bring the talking cure back from the brink. You can buy it on Amazon.

Licensing exams do not assess your effectiveness as a therapist. They aren’t meant to. That bears repeating: License exams do not assess your effectiveness as a therapist. They are a licensing board’s best effort at assessing whether you have the minimal knowledge (not skill, knowledge) to be able to practice independently without being a danger to the public. That’s all. When therapists decry the fact that license exams are nothing like doing therapy, they’re right – and their point isn’t relevant. Exams aren’t supposed to be like therapy. If you want to know how good you are as a therapist, look elsewhere, because exams are not and are not intended to be a barometer of clinical effectiveness. They are a somewhat crude assessment of safety for independent practice.

With that aim in mind, do they work? Do licensing exams make therapists safer?

There’s remarkably little data to answer that question.

No one really knows what supervisors should pay for

April 27, 2015 by Ben Caldwell

California law — with apologies to folks in other states, this post is pretty California-specific — says that any master’s level therapist who is not fully licensed cannot “lease or rent space, pay for furnishings, equipment, or supplies, or in any other way pay for the obligations of their employers.”

Fair enough. But what reasonably is an “obligation of their employer?” What should you expect to see as supervisor expenses, and what should you expect to pay for yourself as an intern? I surveyed MFT interns in the state to find out.

What Indiana’s religious freedom law means for therapists

April 2, 2015March 31, 2015 by Ben Caldwell

Indiana’s Religious Freedom Restoration Act, signed into law by Governor Mike Pence last week, has raised a great deal of controversy. In the psychotherapy community, the law could have an immediate impact in the form of professional events and conferences moving out of the state. In the longer term, the bill is likely to impact training and practice by making it harder for universities and licensing boards to discipline discriminatory behavior.

The first interstate compact for counselor license reciprocity

April 20, 2015March 26, 2015 by Ben Caldwell

I’ve talked a fair amount in this blog about the need for better license portability across states. True license reciprocity, where one state automatically recognizes another state’s licensure, is rightly the long-term goal of some professional associations in mental health. (I’ve argued that telehealth will help us get there.)

Blue Shield of California loses non-profit status

March 18, 2015 by Ben Caldwell

The LA Times is reporting that Blue Shield, the state’s third-largest health insurer, has been stripped of its state non-profit status. State officials have not commented on the reasons for the decision, but the Times suggests it may have to do with the company’s billions in reserves, high executive compensation, and political spending.