The California Board of Behavioral Sciences will discuss clinical exams this Friday. My colleague Tony Rousmaniere and I decided to dig into these exams, beyond just the horrifying report ASWB released this summer. (TLDR: Wildly disparate passing rates by race/ethnicity.) While I’m previously on record as not a fan of clinical exams, they’re widely accepted. We figured we would follow where the data leads us. And so here it is:
Psychology
Kaiser to therapists on strike: We’re not abandoning patients, you are
On Tuesday, mental health clinicians for Kaiser Permanente in Northern California went on strike. While Kaiser and the union representing the therapists appear to have reached agreement on wages, the sides remain in dispute on issues related to staffing, working conditions, and client access to care. Kaiser reps have responded by calling the strike itself “unethical.” They have said that union leaders were asking therapists to “walk away from people who need help.” Suggesting that your own employees are unethical when they are striking to force Kaiser to improve patient access to mental health care is, as they say, a choice. It’s one that would seem destined to only worsen Kaiser’s ability to recruit and retain therapists in the future.
NASW files FTC complaint over CareDash profiles funneling clients to BetterHelp [updated]
The National Association of Social Workers (NASW) informed its members last week that CareDash, which operates a health care provider directory, is engaging in what “appears to be an improper deceptive practice.” NASW says that CareDash’s process of using clinician listings to direct prospective clients to online therapy platform BetterHelp rather than to the listed clinicians “potentially violates federal and/or state consumer protection laws.”
Despite what a reasonable consumer would expect, you cannot, in fact, check my availability using the button that says Check Availability.
15 years of therapist salary data for Psychologists, counselors, social workers, and MFTs
How much does the average Psychologist, counselor, MFT, or social worker make? Are salaries rising or falling relative to inflation? Therapist salary data can tell us a lot about the overall health of the professions. I’ve gathered 15 years of therapist salary data from the US Bureau of Labor Statistics to see what insights can be gained from it.
California sets new rules for therapists writing ESA letters
Emotional support animals (ESAs), and therapists writing ESA letters for clients, are frequent topics around here. After years of overuse, the FAA allowed airlines to ban ESAs from passenger cabins early this year, and every major domestic airline has done so. Now California has developed new rules for therapists wanting to write ESA letters, most commonly for clients who want an ESA in a housing situation that does not allow pets.
A therapist directory with the scale — and killer feature — to challenge Psychology Today
A couple of years ago, I wrote about some smaller therapist directories who were trying to take on Psychology Today’s directory. Now, there’s a new therapist directory with the scale — and the killer feature — to challenge PT’s dominance.
This change in California child abuse reporting took 20 years
Almost eight years ago, I wrote about how California’s Child Abuse and Neglect Reporting Act was naive and discriminatory. By applying one set of child abuse reporting mandates to consensual heterosexual intercourse, and a very different, stricter set of reporting mandates to other forms of consensual sexual activity, the law plainly discriminated against LGBT adolescents in same-sex relationships. It also failed to address typical adolescent sexual development, making intercourse non-reportable in many instances where other activities adolescents would engage in during the run-up to intercourse were mandated reports.
That law has finally changed.
Mean salary data for Psychologists, Counselors, MFTs, and Social Workers [interactive chart]
How much salary are you likely to make as a Psychologist, counselor, MFT, or social worker? Are salaries rising or falling relative to inflation? The following chart shows 13 years of therapist salary data from the US Bureau of Labor Statistics.
How coronavirus is affecting the California BBS [Updated 6/2/20]

I’ve gotten a lot of questions in the past few days about how COVID-19 (novel coronavirus) is affecting the California BBS, or how it is likely to. I’m rounding up those questions here in hopes of making it easier to find the information you need. This post most recently updated on June 2, to include information about new BBS waivers.
Exams
Will license exams be cancelled or postponed?
The BBS-contracted testing provider Pearson VUE closed all of its US and Canada testing centers in March, and has been gradually reopening them since May. All exams scheduled while centers were closed have been cancelled and you will need to reschedule.
If your registration expired or is scheduled to expire between March 31 and June 30, 2020, see the information below on Law & Ethics Exam rule waivers.
Is therapy more effective when people pay a fee for it?

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.