A pair of recent court rulings have declared therapy to be speech, not conduct. That distinction could make it much more difficult for states to regulate psychotherapy at all. That’s precisely what the law firm representing one of the plaintiffs hopes to achieve.
Clinical social work
Are therapy referrals down? 3 possible explanations (with solutions)
Are fewer people seeking out therapy? Good nationwide data is hard to come by, but we have some signals. Online therapy provider BetterHelp reports a dwindling subscriber base, down about 20% from its peak two years ago, even as they continue to spend millions of dollars on advertising. And anecdotally, we’re hearing lots of individual therapists report that they’re struggling to bring in new clients over the last few months.
If your practice has been struggling with fewer therapy referrals, here are three possible reasons for it – and solutions for each.
Your late cancellation policy may be causing late cancellations
I’ve been reading and enjoying Blind Spots, a 2011 book about why people make choices that go against their own genuinely-held values. It’s a good read, full of insights that I hope to bring to my work in ethics and policy going forward. One unexpected nugget for therapists: Your late cancellation fee might actually be encouraging late cancellations.
ASWB made two big promises about their social work exams. They haven’t kept either one
In 2022, ASWB released exam data that they had long denied even possessing. That data showed significant disparities in exam performance on the basis of race and ethnicity, leading to calls that their exams should be suspended or abolished. Some states have done so, at least at some licensure levels.
Since those 2022 revelations, ASWB has made two significant promises about how they would move forward with greater transparency around their exams: 1, They would continue to provide data broken down by demographic factors like race, and 2, They would release all of their psychometric validation studies.
So far, they haven’t fulfilled either promise.
ASWB misinformed examinees about changes to its social work exams
New evidence shows that the Association of Social Work Boards (ASWB) misinformed examinees about recent exam format changes. They then quietly updated their exam handbook two weeks after the changes had taken effect. Even if examinees had been correctly informed, the format changes appear to violate testing industry standards.