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Public policy

The mental health workforce shortage solution is right there

April 8, 2023February 14, 2023 by Ben Caldwell

People assembling a puzzle solution. Photo by Diva Plavalaguna via Pexels, used under licenseThere is a severe mental health workforce shortage in the US. You have heard this time and time again. In a time of unprecedented demand for mental health care – and deaths from lack of it – we simply don’t have enough therapists. And the therapists we do have aren’t representative of the communities they serve.

The solutions proposed for this problem so far are trivial. But there is a readily available solution to the mental health workforce shortage. It could immediately grow the field by thousands of qualified practitioners. It would dramatically improve diversity within the field at the same time. Even better, it would cost states virtually nothing to implement, and could be done in a week.

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The ASWB Clinical Exam reckoning has begun

February 7, 2023 by Ben Caldwell

Woman holding out hand in Stop gesture // photo by Andrea Piacquadio via Pexels, used under licenseThis week, legislators in Maryland introduced a pair of bills (SB0871, SB0872) to let clinical social workers get licensed without first taking the ASWB Clinical Exam. Other jurisdictions are likely to follow. The current social work exams, like all clinical exams in mental health care, simply don’t work. Worse, they fail in remarkably biased ways. Professionals, the policymakers, and the public are all catching on to the sham.

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CareDash shuts down

February 3, 2023 by Ben Caldwell

handwritten recipes // photo by Samantha Hurley, used under licenseCareDash, the “ghost network” where therapist profiles drawn from the NPI database were being used to redirect consumers to online therapy platforms, has shuttered its website. It will dissolve its business, according to the American Psychological Association.

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MFTs, Counselors will become Medicare providers in 2024 [updated]

January 17, 2023December 21, 2022 by Ben Caldwell

US Capitol building. Photo by Michael Judkins via Pexels, used under licenseAs the US government works feverishly to pass a $1.7 trillion spending bill before current funding runs out, MFTs and Counselors appear poised for a major policy victory. If the bill passes, the services of MFTs and Counselors would become eligible for Medicare reimbursement as of January 1, 2024. [Update: The bill passed, and was signed by President Biden.]

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Report: Clinical exams in mental health licensing are structural racism

January 12, 2023October 31, 2022 by Ben Caldwell

Empty track with hurdles in one lane. Photo by Andrea Piacquadio via Pexels, used under licenseThe 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:

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📣 New Posts 📣

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  • ASPPB gives up on requiring Psychology licensing boards to use the EPPP Part 2 October 29, 2024
  • How human therapists can thrive in a world of AI-based therapy August 19, 2024

Preparing for the 2025 California MFT Law & Ethics Exam

Preparing for the 2025 California MFT Law & Ethics Exam - front coverThe easiest way to get ready for California’s MFT Law & Ethics exam. This paperback includes a study guide and more than 100 practice test questions with rationales.

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  • Exam Prep
    • California LMFT Clinical Exam Prep
    • California LMFT Law & Ethics Exam Prep
    • California LPCC Law & Ethics Exam Prep
    • California LCSW Law & Ethics Exam Prep
  • CE Courses
    • California Law and Ethics 6-Hour for LMFTs, LPCCs, & LCSWs
    • California Law and Ethics for BBS Associates (AMFTs, APCCs, & ASWs) – 2025
    • Telehealth for California LMFTs, LPCCs, and LCSWs
    • Supervision of California BBS Associates
    • Supervision for Clinical Effectiveness
  • Books
    • Basics of California Law for LMFTs, LPCCs, and LCSWs (11th ed)
    • Preparing for the 2025 California MFT Law & Ethics Exam
    • Preparing for the 2025 California Clinical Social Work Law & Ethics Exam
    • Saving Psychotherapy
  • Resources
    • Think Like the Test™ Podcast
    • Exam Prep Articles
  • Blog
    • Blog home
    • Psychology
    • Professional Counseling
    • Family therapy
    • Clinical social work
    • Law and ethics
    • Education
    • Employment
    • Licensure
    • Public policy