Employment Archives - Psychotherapy Notes

Why the Kaiser mental health strike matters

December 15, 2018December 12, 2018 by Ben Caldwell

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.

Public Service Loan Forgiveness is a mess

November 4, 2018November 5, 2018 by Ben Caldwell

When the Public Service Loan Forgiveness program (PSLF) started in 2007, mental health professionals all over the country expressed optimism and relief. Student debt is crushing younger mental health professionals — hear two stories, in their own words, here. The PSLF program promised those working in nonprofit agencies and in public service that if they just stuck it out for 10 years, the remainder of their direct student loans would be forgiven.

Any kind of mental health work is challenging, but nonprofit clinics and public systems are notoriously difficult to work in. They offer low pay, low-functioning clients, a ton of paperwork, and often, little support. It’s no wonder that many counties struggle to fill those jobs at all.

For those clinicians who experience the work as a calling, though, the PSLF program offered a lifeline. It would be a reward for staying put in positions that most therapists understandably leave. For those who otherwise faced a possible lifetime of debt, PSLF suggested a way out.

It’s not going well so far.

Fighting illegal labor practices as a prelicensed therapist

September 2, 2018September 3, 2018 by Ben Caldwell

It sometimes seems like labor abuses are a rite of passage for prelicensed therapists. Recent graduates are often appalled by the unpaid or underpaid positions their colleagues (and sometimes they) willingly take simply to get their hours done. Many wonder whether they will be able to support their families as they progress to licensure.

Therapists also often talk about inadequate supervision, dangerous working conditions, unrealistic and inappropriate demands, and a variety of other serious labor concerns on the road to licensure. Some drop out of the field altogether.

If so many therapists experience labor abuses, then why do the problems persist?

Why good therapists suffer from exploitation

July 15, 2018July 16, 2018 by Ben Caldwell

Barry Duncan has an article in the current Psychotherapy Networker asking, “Why would anybody become a therapist?” The job offers low pay compared to other jobs with similar training requirements. Workers in community mental health are often stretched beyond the breaking point. And as we’ve covered here regularly, employer abuses of therapists are unfortunately common. When even a single therapist pushes back against exploitation, it makes a real difference. But that doesn’t happen very often.

Duncan’s article offers some interesting overlaps with our past coverage here. It can explain fairly well why even the best therapists can be easy targets for exploitation at work.

Senioritis: The last stretch of hours before licensure

June 24, 2018June 25, 2018 by Emma Jaegle

Brodie Vissers / Burst / Used under license We all remember the last semester of high school. A new life chapter was approaching. Our childhood was ending. We would soon experience the freedom of the college world.

It was scary to know that we would be on our own, but we were itching to leave. We knew the quality of our work did not reflect what we were capable of, we just wanted it out of the way. I even remember calculating how much I had to do to just barely pass my classes and coast through the rest of my school year. It did not matter that more difficult times and more responsibility were imminently ahead of us, we just wanted to be done with high school. We called it “senioritis.”

Nearing the end of your 3,000 hours towards licensure can be eerily similar.

Therapist shortage, or saturation? Depends who (and how) you ask

May 30, 2018May 30, 2018 by Ben Caldwell

California suffers from a severe and worsening mental health workforce shortage. In fact, much of the US is in the same boat. There simply aren’t enough qualified mental health professionals to meet our country’s needs.

At the same time, therapists in private practice often complain about their local markets being saturated. There are so many therapists in some places, it seems, that it’s hard to get a career off the ground.

As it turns out, there’s truth to both of these perspectives.

The first step to better pay: Ask for it

May 23, 2018 by Emma Jaegle

In January we launched our #PostThePay campaign. Every California job applicant has a legal right to know the pay of the position they’re applying for. When employers post pay information in job announcements, they save themselves time and promote fair wages in the mental health field. But how can you help ensure fair wages if you’re already employed? What if you know the pay of a position, but aren’t quite satisfied about it? Here are some ways you can advocate for better pay in therapy and counseling jobs.

Therapy robots are already here

May 11, 2018May 14, 2018 by Ben Caldwell

Ryan McGuire / Gratisography / Used under license Therapists often fear manualized treatments in psychotherapy. If the therapy process is boiled down to a script, the fear goes, the actual therapist becomes interchangeable with anyone else following the same script. Taken to its logical end, if therapy is just a set of manualized techniques, we could easily be replaced by robots.

So, that’s happening.

Your first clients: How to feel more at ease

May 1, 2018May 2, 2018 by Tyra Butler

Tyra Butler My first six months of seeing clients while in graduate school felt pretty crazy, though at the time I didn’t realize how crazy. When we are on a significant growth trajectory and learning curve, it’s challenging to see through the fog of all the factors involved in adjusting to becoming a therapist. It seems whenever we are in an important and difficult phase of life — potentially transformational — it’s hard to see what growth is actually occurring.

Looking back on those first six months of clinical work has taught me some valuable lessons. When I was seeing my first clients, I wish I had known how to intentionally let go of the pressure I felt to make something happen or employ technique.