Public policy Archives - Page 2 of 6

Are therapists replaceable?

July 24, 2018July 25, 2018 by Robin Andersen

Ben recently published an article on the shortage of therapists in California. He discussed the “supply-demand disconnect” and why it’s so difficult to meet the needs of clients across the state. Toward the end of the article, he remarked that due to this shortage, “more of our functions will be turned over to substance abuse counselors, peer counselors, and other professionals and para-professionals.”

What did he mean by that? How can therapists possibly be replaced by individuals who haven’t earned a master’s degree, aren’t registered with the Board of Behavioral Sciences, and aren’t supervised by a qualified mental health professional? Unfortunately, I can cite examples from my own personal experiences in the workforce that support Ben’s claim.

Medicare needs counselors and family therapists

July 23, 2018July 18, 2018 by Ben Caldwell

US Capitol dome ACA, AAMFT, and CAMFT continue to work with and others in Washington to get LPCs and LMFTs included as eligible providers in Medicare. Bills pending before both the House and Senate would do it. And that change would be beneficial for consumers and taxpayers alike.

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.

Most complaints about the BBS are wrong

July 11, 2018July 11, 2018 by Ben Caldwell

Look, I’m not here to defend the BBS (California’s Board of Behavioral Sciences) or any other licensing board. They’re not your friend. They require deeply flawed exams that even they know don’t work. Their disciplinary guidelines, especially around substance use issues, are unreasonably punitive. They are notoriously unresponsive. There are a lot of problems there. But it’s also true that most complaints about the BBS are based on flat-out falsehoods.

Why MFTs struggle to influence public policy

July 5, 2018July 4, 2018 by Ben Caldwell

As marriage and family therapists, we have a vast body of knowledge supporting our work with families and communities. Many of the pinciples and interventions from this body of knowledge could be utilized in public policy, to great positive effect. As two examples, family breakdown could be reduced, and juvenile crime recidivism decreased, both in ways that actually save taxpayers money. Politicians of all parties should be chomping at the bit for such policies.

Except that they don’t. And the April 2009 Family Relations journal helps us to understand why not.

Podcast episode 9: Measurement with Casey Meinster

June 3, 2018June 4, 2018 by Ben Caldwell

Psychotherapy Notes podcast Casey Meinster is the Director of Evidence Based Practices at Hathaway-Sycamores Child and Family Services, a major mental health services provider in Los Angeles. In that role, she wrangles a lot of information. But one piece of information I learned from her changed how I think about the importance of measurement in psychotherapy.

Hathway-Sycamores serves thousands of clients a year through more than a dozen programs. They fund those programs through a variety of sources, including government contracts, grants, and other sources. And it is now the case that every single program they run now has to produce outcome data on its clients. Their payors demand it.

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.

What’s in a title? “Couple” versus “Marriage” and family therapists

May 2, 2018May 9, 2018 by Ben Caldwell

Sarah Pflug / Burst / Used under license Marriage and family therapists (MFTs) work with individuals, families, and couples of all types. We assess, diagnose and treat the full range of mental and emotional disorders. So, the title “marriage and family therapist” doesn’t provide the whole picture of what we do.

Should the name of the license be changed?

Facebook connects your clients, even if you don’t use Facebook

June 18, 2019April 23, 2018 by Ben Caldwell

In testimony to Congress the week before last, Facebook CEO Mark Zuckerberg made a point of emphasizing that if you’re a Facebook user, you own your information. This is meant to reassure users, but it is more than a little misleading. “Your information” is what you personally have uploaded to Facebook. You do not own what other people have uploaded about you. That’s what has privacy advocates so concerned. It’s also why even therapists who don’t use Facebook should be worried about the client confidentiality risks that the company poses.