Tonight (March 22, 2026) I downloaded the AMFTRB candidate handbook for those preparing to take the National MFT Exam. That’s pretty routine. At High Pass Education, we’re working on a prep program for the national exam, and of course we want to make our content and our practice exams consistent with what examinees might see on the actual test.
According to the National MFT Exam handbook that I just downloaded, here’s the breakdown of exam content:
In 2022, ASWB released exam data that they had long denied even possessing. That data showed significant disparities in exam performance on the basis of race and ethnicity, leading to calls that their exams should be suspended or abolished. Some states have done so, at least at some licensure levels.
Since those 2022 revelations, ASWB has made two significant promises about how they would move forward with greater transparency around their exams: 1, They would continue to provide data broken down by demographic factors like race, and 2, They would release all of their psychometric validation studies.
So far, they haven’t fulfilled either promise.
Some problems can have large impacts, and still go unnoticed by the public and policymakers. ASWB’s racist exams for social work licensure are a great example. When people learn of the problems with social work exams, they tend to be rightly horrified. But most people don’t know about the problem.
A letter to the editor of your local newspaper can be a great way to raise awareness of this issue, especially in states actively considering alternate pathways to licensure. Here’s a quick guide to writing one.
Regular readers here know that when it comes to clinical exams for mental health licensure, I’m not a fan. A recent article of mine, published in the peer-reviewed Journal of Mental Health and Clinical Psychology, tackles a key component of the legal underpinning for these exams. As I explain, despite the claims of exam developers, clinical exams in mental health care do not appear to meet basic testing industry standards.
This 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.