Mental health groups respond to Trump military transgender ban

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VoA / Public domainYesterday, President Donald Trump announced a ban on people who identify as transgender serving in the US military. US mental health professional associations swiftly challenged the ban. The associations cite research supporting the inclusion of transgender men and women. For example, a 2016 RAND Corporation study showed that inclusion of transgender servicemembers would have little to no impact on costs or combat readiness.

The major US mental health associations issued the following statements in regard to the ban.

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MFT license portability

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By Mk2010 (Own work) [CC-BY-SA-3.0 (http://creativecommons.org/licenses/by-sa/3.0) or GFDL (http://www.gnu.org/copyleft/fdl.html)], via Wikimedia CommonsAh, to be a medical doctor. To only have to pass the boards once, and then be done with it. MFT license portability isn’t so easy.

Marriage and family therapists — who, at least in theory, practice the same profession no matter where they roam — are subject to a mishmash of licensure laws around the 50 states, with similar-but-different requirements for education, experience, and examinations. Taking your MFT license to a new state can be a challenge, as you may be forced to provide transcripts and even syllabi from classes taken decades ago, register as an intern or associate even if you’ve been fully licensed, and in some states, go through another testing process.

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Responding to a Yelp review can cost you

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Woman using mobile app / Burst via Creative Commons Zero licenseSites like Yelp, HealthGrades, and Angie’s List present problems for mental health professionals. We typically cannot solicit testimonials from clients, so most clients do not write reviews. When someone does, though, any response risks breaching confidentiality. So therapists usually stay away from review sites. But that leaves us with little recourse in the event that an online review is harsh, incorrect, or even fake.

These concerns are not merely theoretical. In a 2015 disciplinary case out of California, a therapist attempted to defend himself against what he considered false accusations in a Yelp review from an angry client. The therapist responded to the review, but then changed his mind, and took the response down. By the therapist’s report — and there is no evidence that either the client or the licensing board disputes this — his response to the client was online for no more than three to five minutes.

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