MFT scope of practice across the country

The Therapist magazine ventures outside of its home state this month for a look at licensing laws for MFTs around the nation. The article is written in legalese, but it does provide some interesting guidance about the remarkable consistency in practical scope around the country, even when the specific terminology differs.

To wit: MFT scope of practice laws in all 48 states (and DC) where licensure currently exists effectively allow MFTs to engage in the diagnosis and treatment of mental health disorders. (Michigan’s law has perhaps the most watered-down language — something local MFTs are working on changing — but MFTs do diagnose and treat mental disorders there.) However, minor differences in language have allowed for some tugs-of-war with other professions about whether MFTs can independently diagnose, and what the exact limitations are on what MFTs treat. Twenty-two states and the District of Columbia include the phrase “diagnosis and treatment” in their MFT scope laws; 14 states use the word “assessment” instead of “diagnosis” in that phrase, with five states preferring “evaluation” and two states going with “identification.”

Connecticut, Iowa, and Texas do not use the word “treatment,” going instead with “management,” “resolution,” and “remediation” of disorders, respectively. Other states use words like “modify” and “enhance.”

Similarly, MFTs can (and do) provide services to individuals (as well as couples and families) in all states that license MFTs, though the law is not always explicit. In 41 states and the District of Columbia, the law clearly states that MFTs can provide services to individuals. In other states, that ability can be clearly inferred from other language.

It’s a pleasant surprise, really, that the profession is so consistent across state boundaries. A marriage and family therapist in California really should be doing the same kinds of work as an MFT in Kansas.