Psychology Archives - Psychotherapy Notes

Why the Kaiser mental health strike matters

June 3, 2019June 3, 2019 by Ben Caldwell

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.

Why you shouldn’t share an exam prep login

April 16, 2019 by Emma Jaegle

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.

Self-care is great, if you can afford it

April 9, 2019April 9, 2019 by Ben Caldwell

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.

Differentiating passing scores and pass rates on license exams

April 2, 2019 by Ben Caldwell

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.

Here’s a site charging you just to apply to volunteer there

March 19, 2019March 19, 2019 by Ben Caldwell

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.

Get notified if your supervisor’s license status changes

January 16, 2019January 16, 2019 by Ben Caldwell

Here’s a quick and easy lifehack for California mental health professionals working under supervision: Get automatic email notifications if your supervisor’s license lapses or changes status.

This has been available for a few years, and I’m surprised how few people seem to know about it. If a supervisor’s license lapses, any hours you gain while that license isn’t active will not count toward your own licensure. Unfortunately, I’ve known several folks who lost hours for precisely this reason. It’s imperative — and really easy! — to make sure your supervisor’s license remains current and active while you’re under their supervision.

The importance of therapist data

January 6, 2019January 7, 2019 by Jeffrey Liebert

I get really passionate when talking about data and using data to direct clinical decisions. Although I’m aware that I am often alone in that passion, it’s worth acknowledging that we all use data to direct all of our decisions. We’re not just guessing in the dark. We may not always directly attend to the data available to us, but I have yet to meet anyone who makes a decision without using some form of information to guide them.

Previously, I wrote about the importance of using assessments to collect data on clients, both for the purpose of diagnosis and evaluating progress. I continue to promote the value of those assessments and want to take one more opportunity to encourage you to use them in your own practice if you are not doing so already. That client data can be tremendously helpful in a variety of ways. This post, however, is meant to discuss a different category of data. One that I would argue is equally important: Therapist data.

10 years of blogging: Ben’s favorite posts

November 19, 2018November 19, 2018 by Ben Caldwell

Wait, we’ve been at this for 10 years? Huh. Guess so. Well, happy birthday to PsychotherapyNotes! This little blog is turning 10 years old. We now boast more than 300 articles, many of which are even good! (Some of mine are questionable.) Here are some of my favorites from over the years. They’re still worth a read, I think.

Marketing therapy after disasters

November 15, 2018November 15, 2018 by Ben Caldwell

In response to mass shootings and California’s recent wildfires, many therapists and counselors have sought to support impacted areas. One way they’re doing so is with free services. Marketing therapy after disasters can be difficult, though. Done well, it reinforces our roles as community caregivers. It shows off the best of who we are as professionals. With some common mistakes, it can instead come off as a tacky form of marketing, accidentally pushing people in need away from help. Here’s how to tastefully and effectively offer counseling and therapy services to those in need.