The idea that clients should pay at least a small fee for therapy in order for therapy to be effective has been around for a long time. But it doesn’t hold up as well as you might think.
This is one of those things that I learned in grad school and simply accepted as truth for a long time. And then I was startled when I actually looked into it. Not only does forcing clients to pay even a small amount for therapy not help outcomes, some evidence suggests it makes outcomes worse.
Despite what you may have heard, the passage of AB5 will not cause the sky to fall.
California’s independent contractor bill, Assembly Bill 5, was described in media reports as an effort to regulate the gig economy, more specifically Uber and Lyft drivers. It actually impacts many, many more workers than that. But it doesn’t change anything for master’s-level mental health professionals in the state. The change that matters for us happened more than a year ago, and most employers have already adapted to it.
Thousands of California mental health professionals working for Kaiser plan to begin an open-ended strike on June 11. They are protesting the company’s ongoing failure to staff up their mental health operations, resulting in Kaiser patients waiting several weeks between appointments. More than 700 stories of the human impacts of these wait times can be found at kaiserdontdeny.com.
I initially posted about Kaiser’s mental health labor force struggles late last year, when therapists staged a five-day walkout. Kaiser has told its workforce that they believe progress has been made since then on a new contract, but Kaiser’s NUHW workers have been working without a contract since September, and are clearly tired of waiting. The dispute hasn’t fundamentally changed since the December walkout. In April, NUHW workers staged a one-day work stoppage in Pasadena.
My original post, published December 12, 2018, follows:
On Monday, roughly 4,000 mental health professionals employed by Kaiser Permanente in California began a planned five-day strike. The therapists (and nurses, who also walked out in solidarity) say they are protesting the massive and continued failure on Kaiser’s part to provide adequate mental health care to its own patients.
This strike is, in some ways, like other strikes you’ve heard about. While the therapists are highlighting client care issues, Kaiser itself notes that those therapists also are demanding better pay and working conditions — common demands to strike over. But this strike is also deeply unusual in the mental health world. Even when therapists are in a union, strikes are very rare. For that reason, this strike is uniquely important.
We all want to pass our licensing exams. If we don’t pass, we may prolong our progress to licensure by several months. Preparing for exams takes a lot of time and money. One way people have sought to save money is by sharing an exam prep login. In other words, letting a friend or colleague access license exam test prep material under your username and password.
Paying half (or less) of the price feels a lot better than paying the whole price, and sharing an exam prep login provides a sense of community around your study experience. But before offering your password to someone else or using someone else’s account, here are some things you should consider.
From the time you were in graduate school, your instructors and supervisors have likely emphasized the importance of self-care. Burnout is a real risk in the world of counseling and psychotherapy, and you have to be able to take care of yourself in order to avoid it.
These messages come from a good place. But they ignore reality for many therapists, especially those early in their careers. And those messages often come with dangerous assumptions and a dark undercurrent: If you’re having a hard time, it’s your own fault.
Two of the most frequent questions to come up in social media groups for therapists involve licensing exams: What is the pass rate for [a specific license exam]? And, What is the passing score? Passing scores and pass rates are both good questions, and it’s easy to confuse them.
Sometimes people ask one when they mean the other. And sometimes people ask the question in a way that could mean either one, like “What’s the passing percentage?” Let’s clarify the difference, and answer both.
Santa Barbara’s Community Counseling and Engagement Center is a popular and well-respected training site for prelicensed therapists. And they’re doing something I’ve never heard of any community agency doing: They charge prospective volunteers just to apply to work there.
I mentioned recently that our old California MFT Law & Ethics Exam prep books kicked ass. But you know what was even better? Our California Clinical Social Work Law & Ethics Exam prep book.
It’s gotten more love than I ever expected, and only now do I see why: With a study guide and practice exam already baked in, it’s a power pack of exam prep. It’s a lot cheaper than the online prep programs available for L&E. And, like our books for the other professions, it’s efficient. We teach you what you need, without a lot of fluff that only serves to make people more anxious.
We gave the book an update for 2019.
When you decide to become a therapist, it is important to consider your finances. You need a plan for how to make ends meet. Ben made the point in Saving Psychotherapy that our field is mostly comprised of wealthy people, in part because those are the people who can afford to take on the financial burden of grad school and the years of low income while working toward licensure. One of the main reasons people drop out of our field before licensure is that same financial burden.
Some of us are fortunate to be able to lower our cost of living by moving back in with family or having a spouse’s support to draw from. The rest of us aren’t so lucky. We need side income to make it through to graduation.
So, uh, yeah, it’s pretty much all in the headline! We’ve updated our essential guide to California law for master’s-level mental health professionals. Basics of California Law for LMFTs, LPCCs, and LCSWs (6th edition) is now available on Amazon and at our site. Here’s a rundown of what’s new, with a discount link at the end of this post.
It’s worth pointing out here that, unlike the fifth edition, this sixth edition isn’t what we would call a major update. While there are several new laws we included in this edition, the main legal changes taking effect in 2019 are around supervision — more on that below.