Announcing the Self-Injury Institute

KISI logo, (c) 2013 Kahn Institute for Self-Injury, used by permission. Any external use requires separate permission.Non-suicidal self-injury is newly in the DSM-5, which is a welcome change reflecting a new scientific understanding of the phenomenon. It just isn’t where you might expect it, as I wrote last week on the new blog for my friend and colleague Angela Kahn’s new institute: The Self-Injury Institute.

I’ve been lamenting over the past few months that as the dynamic first-generation leaders in the family therapy profession have been passing on, there really haven’t been loud, passionate voices ready to take their places. Kahn, however, is just such a voice. She offers a full-throated defense of family-based treatment for most cases of self-injury. The crowded rooms and warm receptions she has received at conferences put on by NAMI, AAMFT-CA, and AAMFT show just how much of a hunger there is for her work and her insight.

Based in Los Angeles, SII was born partly out of necessity. There are few places in the country specializing in self-injury treatment, and few if any of them seem to offer what Kahn does: An understanding and treatment of self-injury based in family dynamics. As word of her family-based treatment has spread, she has found herself with more clients than she can take on — and no one who provides similar local services who she could refer clients to.

The Institute is starting with trainings and treatment. KISI offers family-based, outpatient therapy for self-injury through Kahn and several registered MFT interns. The first official KISI training for mental health professionals will be July 12 in Los Angeles, with Kahn herself as the instructor. Complete information and registration is at www.selfinjuryinstitute.com.

In the interest of full disclosure, I’ve been assisting the Institute in getting started, and hold the title of Fellow there. But it’s a volunteer role, and I would be happily cheering SII on even if I weren’t directly involved. This institute will be great for the family therapy profession, and more importantly, for the many families struggling with self-harm who have spent far too much time with diagnoses that don’t really match their problems, and in treatments that, far too often, don’t work.

Welcome to the world, SII. We need you.

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Your comments are welcomed. You can post them in the comments below, or email me at ben[at]bencaldwell[dot]com.

Happy holidays!

ChristmasThe blog is taking a little hiatus over the holidays. Back in January with a report on the first mostly-online program to win COAMFTE accreditation, the latest on the court challenges to California’s SB1172 (the ban on conversion therapy for minors), a discussion about the importance of cultural competence for MFTs, and much more! I hope you and your family have a wonderful holiday season. -bc

Online MFT programs

Are you interested in getting your marriage and family therapy degree through an online program? Here are five MFT programs that are mostly or fully online.                                                                                                                                                                                                                                                                                                            

Computer and screenOnline education holds the promise of extending the reach of marriage and family therapy training. Champions of these programs argue that they make advanced education available to those who otherwise might not have access to it, due to scheduling, geographic, or other barriers. It is possible that the growth of online MFT programs will particularly help bring cultural diversity and rural practitioners into our community of licensees.

Of course, there are also general concerns about online education, including dropout rates, profit motives (as many online schools are for-profit), and overall effectiveness.

In the MFT field, online education seems to be an especially challenging proposition: We need to train practitioners in the art and science of relating, face-to-face, in a way that will heal clients and their family relationships. That is a skill set, and one that would seem to require a fair amount of face-to-face interaction to be best developed, shaped, and observed.

Online graduate programs in MFT are experimenting with a number of creative ways to resolve this dilemma — and also keep themselves eligible for COAMFTE accreditation. COAMFTE has tried to walk a difficult middle ground in its educational standards, saying that MFT programs can employ some distance education but not be fully online; since “fully” means “fully,” it would seem a program could get around the letter of this requirement simply by requiring a one-hour meeting on campus at some point during the educational process. But many of the online MFT programs appear to be genuinely interested in maximizing the potential benefits of online education alongside a recognition of the need for in-person work to develop relational skills. As such, many have integrated in-person events and coursework into their online curricula.

Below you will find a list of five MFT programs that are mostly or fully online. Some things to know about all of these programs: 1, As of early December 2012, none of them have yet earned COAMFTE accreditation. (Here’s why COAMFTE accreditation matters to you.) That is only one consideration in choosing the right MFT program, but it is worth considering. [Update 2013: Northcentral is now COAMFTE-accredited.] 2, The information here is drawn from the universities’ web sites. Information can change quickly. 3, Any cost statements do not include books, supplies, living expenses, or the cost of travel or lodging for any required in-person events. 4, It is always the responsibility of the student to ensure their academic program will meet the requirements for licensure in the state where they wish to be licensed; check with your state’s licensing board before choosing a program and remain up-to-date as state requirements change. 5, States typically require hours of supervised experience in a clinic setting as part of the graduate degree; the schools also have this requirement, and offer varying levels of assistance in locating placements. 6, And of course, requirements and costs can change quickly; the information here is as of December 2012, and you should check with the schools for current information.

  • Touro University Worldwide is based in Woodland Hills, CA and has been rapidly growing their Master of Arts in Marriage and Family Therapy program. Part of this is due to cost; at $500 per unit, Touro’s program is less expensive than some of their competitors. Their 60-semester-unit program is delivered in eight-week terms (six of them per year). This program is fully online.

  • Northcentral University is widely considered a pioneer in online MFT education. Members of their faculty have spoken at past AAMFT Annual Conferences about their efforts to comply with COAMFTE standards [Update 2013: Northcentral is now COAMFTE-accredited]; it looks to me like they do so by utilizing site supervisors as co-instructors with university mentors for the practicum courses, which would then be considered in-person instruction. The Northcentral MA in MFT program is a 45-semester-unit program that can be bumped to 48 or 60 units for those living in states requiring more units for licensure. They also offer a PhD in MFT that requires an additional 72 semester units.

  • Capella University offers a Master of Science degree in Marriage and Family Counseling/Therapy. They have quickly grown this program to national prominence and notably earned CACREP accreditation. To their credit, they list cost information plainly and prominently on their site: Their 92-quarter-unit degree, at $458 per credit, will run about $40,000 in total tuition. The program requires two six-day colloquia in to accompany the online instruction. Like many online schools, Capella is for-profit, which may or may not matter to you. (I’ll do a separate post in the next few months on non-profit versus for-profit schools.)

  • Liberty University promises an affordable online MFT masters degree with a Christian perspective. They advertise themselves as the nation’s largest private, nonprofit online university. Their MFT program requires four one-week intensives to accompany the online instruction. Unfortunately, the information on their web site is surprisingly thin — I could not locate a program plan (curriculum) or specific cost information anywhere on their site.

  • Cal Southern University offers a Marriage and Family Therapy concentration within its Master of Arts in Psychology program. This 63-semester-unit program is entirely online.

There are other online programs out there as well, I’m sure. Feel free to share info on them in the comments, and I’ll update this post every once in a while with more recent additions.

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Your comments are welcomed; you can email me at ben[at]bencaldwell[dot]com, post a comment below, or find me on Twitter @bcmft. I regret that I cannot answer every comment personally, but I do chime in on the comments when I can!

Yes, Tweets can be considered advertisements

For California therapists promoting their practices on Twitter, there isn’t enough room to include legally-required disclosures on every tweet. Here’s what to do.                                                                                                                                                                                                                                                                                                            

Twitter is a web site that allows for ā€œmicro-blogging,ā€ or posting of messages that are 140 characters or less. Because of Twitter’s open and social nature, it can be a good platform for sharing news about your practice. However, as you can imagine, 140 characters is often not enough room to include both your legally-required disclosures and whatever meaningful content you had hoped to include in a post on the site (otherwise known as a “tweet”).

If you are an LMFT, LPCC, or LCSW in California (other state laws vary), you can advertise your practice on Twitter, you just need to use caution in doing so. The California Board of Behavioral Sciences reported in a committee meeting that they had consulted with legal counsel on therapistsā€™ use of Twitter [page 6 of linked PDF]. If the BBS were to receive a complaint about such advertising, they said they would consider advertising “as a whole.” In other words, if your tweet only links to your web site, they would consider the tweet and the site together. As long as a potential client must have seen your legally-mandated disclosures in at least one of those places, you should be safe.

Another way to think of it is, do NOT include any direct contact information ā€“ like your phone number, email address, or office location ā€“ in a tweet or on your Twitter profile. If you do that, a potential client could come to you just from the tweet, never having seen your required disclosures. Instead, make sure your Twitter profile and individual tweets ONLY include a link to a web site or other resource where you do meet all of Californiaā€™s advertising standards.

Standard caveat applies here: I’m not a lawyer, so if you are in need of legal advice, this isn’t that. Talk with someone who has actually, like, gone to law school. I’m giving my best clinician’s understanding of both the law and what the BBS has said about it.