Scope of Practice Impact on Employability in New York State: Director and Counselor Views

2013 ◽  
Vol 35 (4) ◽  
pp. 360-376
Author(s):  
Steven Kassirer ◽  
Nicholas Delaney ◽  
Loren Goldstein ◽  
Megan Taylor ◽  
Robert Dobmeier ◽  
...  

An exploratory survey revealed the effects of New York State's Licensed Mental Health Counselor Law on hiring Licensed Mental Health Counselors. The state Office of the Professions interpreted the absence of the word diagnosis in the law as indicating that LMHCs are ineligible to diagnose mental disorders. Directors of mental health agencies (n = 22) reported that LMHCs are qualified to work in state-licensed programs and are satisfied with the quality of their work, yet they hesitate or are unwilling to hire LMHCs due to reimbursement obstacles arising from the law. LMHCs (n = 23) reported being denied opportunities for employment, promotion, and insurance reimbursement and that consumer access to care is being restricted. It is advised that licensed professional counselors advocate for inclusion of the term diagnosis in the law in New York and in other states where the practice of professional counseling is unduly restricted.

2015 ◽  
Vol 66 (8) ◽  
pp. 851-856 ◽  
Author(s):  
Jennifer P. Wisdom ◽  
David Wenger ◽  
David Robertson ◽  
Jayne Van Bramer ◽  
Lloyd I. Sederer

1998 ◽  
Vol 82 (2) ◽  
pp. 459-464 ◽  
Author(s):  
Thomas Uttaro ◽  
Allan V. Horwitz ◽  
Firoozeh Vali ◽  
William F. Henri

To assess the system's comprehensiveness in provision of public managed mental health care South Beach Psychiatric Center surveyed a sample ( n = 54) of its primary therapists employed in its outpatient departments which have recently been reconligured as key components of the New York State Office of Mental Health Prepaid Mental Health Plan. They are intended to be comprehensive resource and treatment centers which optimize recovery in a deregulated, capitated environment. As key informants, the primary therapists were asked to rate the difficulty they experience in providing or arranging adequate services and support groups in 19 areas. They were also asked to indicate if the fundamental problem was one of access, information, quality, or supply. The five areas with the highest ratings of difficulty were housing or residential services, substance-abuse services, dental care, general health care, and employment or vocational services. The reason for difficulty most endorsed for these areas was supply. It is suggested that capitated managed care contracts can create incentives to increase the supply of such services.


2004 ◽  
Vol 94 (3_suppl) ◽  
pp. 1279-1282 ◽  
Author(s):  
Thomas Uttaro ◽  
Vivian Leahy ◽  
Albert González ◽  
William F. Henri

This study evaluated the possible effects of peer, unit staff, and quality management staff survey administrators on item means of the inpatient version of the Consumer Assessment of Care, a 14-item mental health service satisfaction survey developed by the New York State Office of Mental Health and administered at South Beach Psychiatric Center. Of 511 inpatients who completed the survey, 215 were administered by unit staff, 156 by consumers, and 140 by quality management staff. Each subgroup used a mixed-mode administration method for consecutive 6-mo. periods. Reliability and factor analysis indicated the survey was psychometrically robust. Item means for the types of administrator were significantly different. Tukey HSD multiple-comparisons indicated that item means were significantly higher for unit staff administrators than peer and quality management staff administrators, which did not differ from each other. Response set, acquiescence, or socially desirable responding may elicit higher item means for unit staff administrators.


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