By not pursuing an interstate compact for MFTs, AAMFT is making a big mistake

Airplane flying overhead. Photo via Burst, used under licenseIn April, I wrote about AAMFT’s decision not to pursue an interstate compact for MFTs. You can see them discuss the issue and their rationale in this video. Their logic came down to two things: 1) since more than half of MFTs are in California and New York, and these states would almost certainly not join such a compact, the benefits to the MFT profession would be limited; and 2) the cost of such an effort, which would require resources to be pulled away from other initiatives, would not be worth it, especially given #1.

I think they’re wrong on both counts.

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Why there isn’t an interstate compact for MFTs

Map and antique binoculars. Photo by Matthew Henry via Burst, used under licenseTelehealth-based mental health care is now the norm. Many clinicians have sought to expand their telehealth practices by getting licensed in multiple states. Psychology, counseling, and social work have all pursued interstate compacts to expand telehealth opportunities for professionals in participating states. This has led many marriage and family therapists to wonder: Why isn’t there an interstate compact for MFTs?

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MFT license portability

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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