Crossing State Lines As A Mental Health Professional – A Call To Action

Feb
1
2012

The American Counseling Association’s online discussion list for professional counselors, COUNSGRAD, has been abuzz this last month with a meatyCrossing State Lines as a Mental Health Professionals - A Call to Action discussion related to the portability and reciprocity of licenses as counselors move from state to state here in the United States of America.

ACA’s Chief Professional Officer, Dr. David Kaplan, has given permission for me to share with you (in pdf format) his keynote address that was presented to the conference of the American Association of State Counseling Boards addressing this very issue.

Whether you are a professional counselor, social worker, psychologist, music or other creative arts therapist, I believe you will find Dr. Kaplan’s presentation, framed in terms of protecting the general public, to present information and data that you will find useful in your own day to day marketing of and advocacy for your own private practice.

Consider this your call to action to contact your own jurisdiction’s licensing board.  Ask them to adopt a unified definition for your discipliine.  And, counselors, ask your licensing boards to adopt the 20/20 consensus definition of counseling.

And, . . . if you have failed to renew your membership in your own professional association, take this as a reminder and nudge to do so.  No one is working harder for you as a mental health professional than your own professional association. You can find links to many of them right here.

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On 13 Insurance Panels And The Phone Isn’t Ringing

Dec
20
2011

Sometimes in trying to get a practice started, Image of On 13 Insurance Panels & the Phone Still Isn't Ringingit’s easy to overlook logical steps.  Last month, I received a couple of emails from a reader that I’ll call “Stephanie.”  Stephanie wrote . . .

I am on 13 insurance panels, have been doing everything possible (since April) that I know how to do and have not received one call.

I would do anything to accept private pay.

My unemployment benefits ran out in September and I applied for food stamps yesterday.

I am revising my website for the third time to focus on clients who are ________ and are non compliant in hopes I can market to and get referrals from physicians.

I never thought it would come to this. I am trying not to panic”

And, in a follow up email she wrote . . .

I have not built a referral base. I’ve been working in agencies with clients who are ________. Not my ideal clients. I only recently returned to the city and know few in private practice. I have been working on marketing 8-12 hrs a day, but not getting ‘out there’. I don’t know how.

I am changiing my niche to aging and dementia using CBT. Not many therapists do this.

I am 55 and have also tried for 2 years to get a job to sustain me.

I sound pathetic but am not. I am determined to make this private practice work. All I need are five clients to start so I can survive.

I hate the idea of insurance panels but I have no choice. I am desperate.

You can use my note but not my name.

I value any advice you can give and thank you for your kind words.”

I thought this might be a good opportunity for you to help Stephanie out.

What is she doing well?

What might be her strengths?

What seems logical to you that she might be missing?

Wiithout any magical solutions, without making anything up, and without adding any information that you have not been given – can you comment on what Stephanie might need to hear and focus on to get her practice on track?

And, what is the logical step that you are missing in your own marketing efforts?


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Disaster Planning For Your Private Practice

Jul
18
2011

Whether you are just starting your private practice or you are a seasoned professional, you and your office are not immune from fires, floods, earthquakes, tornadoes, tsunamis, volcanoes and other natural disasters.  That’s why I’ve invited Julie Uhernik, RN, LPC to guest post today.

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A Guest Post by Julie Uhernik, RN, LPC

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

Natural Disasters

This year has seen an unprecedented number of natural disasters which have affected thousands of lives either through direct experience of disaster or through collective knowledge of and concern for the many affected. The response of counselors to assist disaster survivors has been tremendous. Many counselors have partnered with the Red Cross and other disaster relief organizations to bring mental health assistance to survivors, their families and fellow responders.Image of Pop Nature

Professional organizations such as the American Counseling Association (ACA) have made Disaster and Trauma Response a primary area of focus, assisting counselors to obtain knowledge and information on best practices in this rapidly emerging field.  However, one important consideration that has not received quite that same amount of attention is a professional’s response to a disaster that directly impacts the counselor and their clients.  To put it simply . . .

  • What will you do if your office is destroyed by a tornado or hurricane?
  • Have you made provisions  for your practice or agency in Counselor Professional Preparedness Planning?
  • Does your agency or practice have a plan in place should the unthinkable occur?
  • What do you need to do to protect your clients, your family and your greatest counseling asset…yourself?!

Standards of Care

The Center for Disease Control and Prevention** recommends that we all  “Get a Kit, Make a Plan and Be Informed”.  The newly revised ACA Code of Ethics Standard C.2.h. (Counselor Incapacitation or Termination of Practice) requires a transfer plan to be in place to assure that clients have access to both counseling and their records during the period of time in which you are unable to provide counseling services. This standard would presumably include therapists whose offices / agencies were destroyed in a disaster.

It is recommended that your Professional Preparedness Plan include:

There are many important things to ponder before a disaster occurs.  As a counselor, are you ready?

**See PDF file Adapting Standards of Care under Extreme Emergencies

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Julie Uhernik, RN, LPC offices in Parker, Colorado.  She specializes in disaster mental health and trauma and provides consulting services related to emergency planning and response. If you would like to contact Julie, you may reach her at http://www.JulieUhernik.com.


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Impact Your Business By Choosing Your Posture

Jul
14
2011

Image of Girl w Book on HeadPsyBlog’s author, Jeremy Dean, has written an interesting post on how different postures can affect your performance.  Take a moment to check it out here and then consider how those postures can actually inform the business (not just the clinical) side of your work.

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How Mental Health Professionals Can Justify Their Clinical Fees

Jul
5
2011

In the last week, I’ve spoken (or emailed) with four  new professionals who are each struggling to ask for their desired fees.  If you know what the Usual and Customary Fee is for mental health professionals and are still struggling to ask for that fee, then you need to get better at justifying (to yourself and others) why your services are worth that amount.  Here are a few thoughts to help you do just that.Image of Man w Big Brain on Stack of Books

  • According to the US Census Bureau, only  2.1 % of the population in the United States of America has earned a Master’s degree and 1.5 % of the population in the USA has earned a Doctorate.  You are among the most educated in this country.
  • How many years experience do you have in mental health (pre- and post-graduate)?  The more experience you have, the higher fees you can command.
  • Do you have post-graduate certifications in certain areas?
  • How many hours of post-graduate continuing education have you accrued?  The more training and certifications that you acquire, the more justified you will be in asking for a higher fee.
  • Do you have areas of continuing education in which you have accrued 45 or more hours of training?  If so, you can state that you “specialize” in these areas – again allowing you to ask for higher fees.
  • Do you have success stories that you can share to help others see exactly how you were able to help them?
  • Have you considered what it can cost your potential client by not spending $100 / hour?  Think about divorce, DUI’s, poor parenting, and even low self-esteem.  Now talk about those costs.

Take some time to answer these questions and practice dropping this information into your telephone scripts with potential clients – long before you get around to discussing fees.  And, if you still have difficulty asking for what you are worth, consider working with a professional like me to help you resolve those nagging little money issues.

What I know and you need to know is that you deserve to make an honest living helping people change their lives for the better


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