Streamlining licensure. Banning reparative therapy for minors. Fixing problems in child abuse reporting. Changing “interns” to “associates.” Saving Psychotherapy.
I’ve spent years now fighting for major changes in the world of mental health care, and winning. Many of the changes I’ve played a role in were ones that I was told would be impossible.
Today we launch Ben Caldwell Labs, the most important project of my career. The change I’m fighting for this time involves you.
Student loan debt has been a regular topic here, as it should be. Mental health professionals need to have graduate degrees, which often means taking on significant debt. The American Psychological Association reports that PsyD students in psychology now graduate with a median of $200,000 in student debt just from their graduate studies. The federal government offers loan forgiveness for those who work in government and nonprofit organizations, through its Public Service Loan Forgiveness program.
Recently, there’s been some concern over the fate of that program. Therapists and counselors currently working in nonprofit settings wonder whether they will in fact be eligible — or whether the program will still exist — by the time they complete 10 years of service. But their concern is (at least so far) not supported by what’s actually been happening.
[Originally published May 2014.] Last week in Isla Vista, California, Elliot Rodger killed six people before taking his own life. His family says he was seeing multiple therapists. Meanwhile, in the California legislature, discussion of a bill that would mandate additional suicide prevention training for therapists has focused on research showing that more than 30% of those who commit suicide had seen a mental health professional within the past year. Why can’t therapists do more to stop violence among our own clients?
The US Senate may take action this week on the Graham-Cassidy health care bill, a last-ditch effort by Senate Republicans to repeal and replace the Affordable Care Act. If Graham-Cassidy becomes law, the consequences for US mental health providers and their clients would be disastrous.
The nonpartisan Congressional Budget Office will not score the bill before a September 30 deadline for Senators to vote on it. But estimates suggest that under the bill, at least 16 million Americans would lose health insurance entirely after 10 years, given the bill’s similarity to prior Republican health care bills. This would leave millions paying out of pocket for mental health care that is currently covered by insurance.
Issues of race in the US routinely boil over into violence. Charlottesville is only the latest example. Before that, there was Charleston. And Charlotte. And Ferguson. And Baltimore. After each one, there is a wave of questioning on social media amounting to, “Why aren’t more white people speaking out about this?”
Some of that questioning comes from well-meaning and legitimately confused white people. Some of it comes from people of color who are tired of seeing senseless death after senseless death be forgotten with each new news cycle.
The problem with white people sharing on Facebook that they are against racism and racial hatred is that it’s an empty gesture. It reaffirms the individual’s beliefs to people who probably already share them. It becomes a circle of self-congratulation where white people get to reassure each other about how woke we all are. It feels good and does nothing.