The AMHP Blog Post Archive
A lot of talk about a workforce shortage and ways to increase the number of licensed therapists. But is there really not enough therapists to go around? Let’s see what the numbers say. The Working Variables 32,000,000-Texas citizens 45,000-Licensed LPC and LMFT’s in Texas 20%-Annual active client rate 4-Average number of appts per active client, per year 50-Number of weeks a counselor will work this year. 20-Number of appts per week for a F/T counselor. Running the Equation 32 million citizens divided by 45 thousand active, licensed therapists yields a citizen to therapist ratio of 711:1. (Counting Psychologists and Social Workers only skews the formula outcome even more in favor of no shortage of licensees!) That means there is one…
Read MoreWe anticipate the mental health crisis in America, and access to mental health providers, will worsen in the foreseeable future (3-5 years) until key systemic and economic issues have been righted. But understanding the workforce shortage and what that really means is key to developing a practical solution rather than one that simply appeases an uninformed public. Understanding the Workforce Shortage We maintain that the “workforce shortage” is not about the number of clinicians or their geographic placement, but is almost entirely about access through corporate chokepoints which are the primary determinant for access and counselor pay structure. We will deal with this vertical chokepoint issue in another post. The phrase “workforce shortage” first needs to be defined. The common…
Read MoreA common-sense analysis of available population and licensee numbers leads us to conclude that there is no mental healthcare workforce shortage in TX (LPC and LMFT’s). The current perceived “shortage” stems from two major thought platforms. First, the odd manner in which the citizen:counselor ratios are calculated by the state guarantees a weak platform of logic from which to proceed. This system needs a close examination and possible overhaul. Second, the real “shortage” is not about the overall number of practicing clinicians, but appears to be almost entirely about access to current, and development of future providers in a number of different micro-economic applications. These scenarios include but are not limited to: An uninsured client’s ability to self-pay. A thriving…
Read MoreFree speech, including “religious freedom”, is guaranteed protection from Federal government interference by the first amendment. Religious Freedom includes religious beliefs and associated speech in the practice of one’s religion and spiritual beliefs. Our individual beliefs are protected from harm by other citizens through a concept called, “Conscience Protections”. The Founding Fathers believed that ones’ beliefs have property rights and are subject to the same protections as tangible property. An assault resulting in provable damages by one citizen against another’s religious beliefs is called a “moral injury” and may be pursued through our court system under protections provided by the RFRA laws at both the Federal and some State levels. We believe that each individual has the right to self-determination…
Read MoreAt AMHP we totally support the traditional professional approach to understanding and taking into account a client’s specific racial and cultural considerations. We need to be sensitive to the specific issues of the individual on all points. This does not mean, however, that we should be required to affirm a mental illness as normal nor do we consider delusional conditions or sexual preferences to be legitimate cultural categories. At AMHP we are firmly in support of a properly trained counselor’s grasp on cultural understanding through professional discussion techniques (academia, are you listening?). We are NOT in favor of forcing 100% of licensed professionals who have already been trained in this area to take 3 hrs (12.5% of their required hours)…
Read MoreSo what just happened on Tuesday? I’ll tell you what happened. Cultural Marxism 3.0 officially died because rural America showed up and put a stake through its evil heart. Real, “Constitutional-Republic”ans showed up en masse and said, “No, I don’t think so, Karl.” The Return of Our Profession Begins Be advised though, this is not going to be like some movie exorcism where the heavy air of evil immediately clears up once the devil is dispatched and the sun comes out with the requisite birds-a-chirping. Wars don’t end that neatly. There will be a period where those soldiers who didn’t get the memo persist with their skirmishes (think Japanese soldiers who hid in the mountains at the ready for 40…
Read MoreOpen Letter to Public Members Dear Public Member, Welcome to public service. I know it can be a lonely, thankless, no-paying job with long hours, but I’m glad to see you pick up the baton to run your leg of the race. Unfortunately, based on observations over many years there seems to be a disconnect between two vital variables in the equation and I’d like to address those in hopes that it helps you during your multi-year hitch on the board. The Board’s Primary Role The primary and stated purpose of the board is to protect me, Joe Citizen, from mental health counselors; to make sure they ply their trade in a professional and evidence-based manner. It’s not licensing, BHEC…
Read MorePhillip Crum, AMHP Co-Founder, TX Citizen. After the last two board meetings I think I’ve figured out why this room is almost empty every time you meet, and I think I know why you go through volunteer public members like salt through a goose. Cultivating Public Comment Most of these people who speak up, in-person or via zoom, put a lot of thought into what they want to say to you. They’re scared to death just to speak in public and they get treated like cattle just to make sure you have plenty of time to spend discussing non-binding political opinion messages to the legislature that only represent the beliefs of the board members. Really?? Why should anyone want to…
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