What They Don’t Tell Mental Health Professionals About Vetting Referrals In Graduate School

Jun
27
2011

Did you know that as a mental health professional, you are ethically required to vet the professionals that you refer your clients to?


I’ll bet they didn’t tell you that in graduate school - at least not directly.  That’s why I’m always amazed at my colleagues who are always posting things like “I’m looking for a licensed therapist in Florida who is on United Health Care’s panel to refer a 10 year old boy with Bipolar Disorder to.” What I’m really thinking is “ARE YOU KIDDING ME?!”Image of Caution!

That may fly for your managed care company. Remember?  Their code of ethics and priorities are not the same as yours. However, you should know that according to Barton Bernstien, JD, LMSW and other mental health attorneys that I have spoken to, there have been suits of malpractice won against mental health professionals for making referrals to poorly vetted professionals.

What’s an ethical psychotherapist to do?  Here’s what I recommend:

  • Keeping your client’s clinical needs in mind, always recommend to the best professionals that you can.  After all, isn’t that what you would want as a consumer?
  • Know who you are referring to.
  • Give your client all the information that you can to help him make an informed choice.
  • Don’t blindly choose from a list or a “directory” of providers.
  • Verify the credentials of the professional that you are referring to.
  • Only refer to professionals that you know to be ethical and competent.
  • And, most importantly, don’t refer to someone if you are not willing to bet your license on the professional that you are referring to!

Here’s the deal . . . . Our clients trust us.  They believe that we have their best interest at heart.  To throw a dart into the online directory and then refer to that professional with no additional knowledge is like throwing your client to the wolves.  Think about it!  How many therapists do you know who exaggerate their skills, are clueless about their limitations, or make blatantly false claims about their results?

Perhaps you noticed . . . this is just one more reason that networking both online and face to face is part of any responsible mental health professional’s job.  It’s how we meet, learn about, and responsibly expand our resources for our clients.

That’s how I go about vetting a potential referral. Do you have additional steps to take when vetting your referrals?

[A special "thank you" to the Private Practice Network of Denver's rich online discussion on this topic earlier this month.  It was the inspiration for this post.]
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The ABCs Of Self-Care For Psychotherapists

May
19
2011

A Guest Post by @DorleeM

(If you want to guest post on this blog, check out the guidelines here.)

I hope you will take a moment out of your busy day, to slow down long enough to read what she has to say, add your own thoughts, and visit her blog.  It’s worth your time to check her out.]

Image of Broken Pencil

One of the occupational hazards of being a psychotherapist is burnout. Psychotherapy is a demanding profession and the successful therapist must be able to tolerate the emotional depletion, isolation, the threat of lawsuits and other job-related frustrations.

A burned-out therapist is likely to have low energy, reduced interest and satisfaction, as well as a dread of work. The burned-out therapist’s emotional exhaustion may manifest itself as a detached attitude toward his or her patients.

Burnout may occur to both neophyte and seasoned therapists alike. It is the leading cause of the high rate of depression, drug and alcohol abuse and suicide among psychotherapists.

Prevent Burnout with Self-Care

  • Engage in your own therapy
  • Consult with others and/or seek supervision
  • Employ different psychological theories and draw from other disciplines (to assist clients with different needs)
  • Join a professional organization for both support and to be kept up-to-date on relevant information
  • Take continuing education courses
  • Develop non-professional interests
  • Take periodic vacations to recharge

Aside from the above-mentioned long-term recommendations by Dr. Zur on burnout prevention, there are also some small things that you could do on a day-to-day basis that may help you to refuel.

Some Simple Ways to Recharge During the Day

  1. Talk to a friend on the telephone
  2. Text a friend
  3. Have lunch with a friend or co-worker
  4. Connect to social media
  5. Exercise for 20 minutes (walking counts too!)
  6. Go outside and watch the clouds
  7. Walk/play with your pet (or offer to walk someone else’s)
  8. Play a solitary game (video, cards etc.)
  9. Read a book, magazine, newspaper or poem
  10. Take a 20 minute nap
  11. Meditate
  12. Do some stretches
  13. Listen to some music
  14. Eat some chocolate (or some other food you enjoy)
  15. Make yourself a nice hot cup of tea, coffee or soup


What are some things that you do to help yourself re-energize during the day? Are there other things that you would recommend doing to prevent burnout?

References:
McKay, M. et al. (2007). The Dialectical Behavior Therapy Skills Workbook. New Harbinger
Publishers Inc. (for ideas of things to do on a daily basis)
Zur, O. (2011). Taking Care Of The Caretaker: How To Avoid Psychotherapists' Burnout.
Online Publication by Zur Institute. Retrieved 5/13/2011 from
http://www.zurinstitute.com/burnout.html
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Tips For Working With A Forgetful Supervisor

May
12
2011

Elephant MouthIf you are under clinical supervision or working on your dissertation, you’ll want to check out The Thesis Whisperer’s tips for working with a “forgetful supervisor.”

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People House: Cooperative Office Space in Denver

May
9
2011

My colleague, Brenda Bomgardner, is the founder of Creating Your Beyond, LLC.  She has chosen to begin her practice by joining a cooperative in Denver, Colorado.  I’ve asked her to share with you her experience below.

I lease on office in an old Victorian Image of PeopleHouse logohouse built in the late 1800s called People House.  Originally, the nuns of Saint Dominic’s parish lived there.  In the early 1970’s, the building was bought by a local couple and became a small non-profit spiritual center for personal growth.

There are several large rooms for workshops as well as rooms for individual sessions.  Each room has its own unique personality.  Visitors are welcome to help themselves to the tea and coffee from one of two kitchens areas.  Consequently, it feels like home.

All the practitioners at People House are self-employed.  The majority of us are psychotherapists with a wide range of experience and expertise.  Additionally, there is a master herbalist, a masseuse, an aroma therapist and several energy workers.  Plus, there is a psychiatrist and a doctor who help with supervision of the eight interns in training.

The joy of leasing an office at People House is the sense of community.  The opportunity to learn from each other is a gift we offer one another.  The practitioners are approachable and willing to share their knowledge about all aspects of private practice.

There is also an opportunity to partner with each other to co-facilitate workshops.  I conduct most of my workshops with Christine Allison.  Hence, the shared cooperative space is fertile ground for growing a network and continued professional development.  Within the network I found my supervisor Dee Marcotte .

The beauty of the People House culture is I can choose how involved I want to be with the community and with whom I want to connect.  Hence, the community offers a balance to the isolation often experienced by individuals in private practice.

On a final note, over 60 people lease full time, rent by the hour, or offer workshops at People House.  There are over 15 different types of modalities of healing and over 40 workshops offered quarterly.  Not only do I benefit, my clients benefit too.”

If you are soon to venture out into your own practice, I want to encourage you to be creative in your planning and open in your thinking to explore the many ways you can find space to use for your office.

Cooperative spaces like People House can be cost effective and community-friendly ways for you to be of service to others while also meeting your own needs.  If you know of other non-traditional methods for securing office space, I hope you’ll share them here!

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New Jersey Association Of Women Therapists

May
5
2011

Tonight I stumbled across a website for the New Jersey Association of Women Therapists.  This professional association describes itself as

organized to New Jersey Postage Stampprovide women therapists with an opportunity to meet for fellowship, for the exchange of ideas with colleagues, and for continuing education and professional growth.”

The membership appears to be very active including multiple opportunities to socialize, network, and obtain professional development as well as an online therapist directory.

If you are in New Jersey, you may want to check this group out.  And, if you are outside of New Jersey and feeling a bit isolated, you may want to visit the website to get some great ideas for forming your own local professional association.


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