Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Counseling
 
chapter
Regulations Governing the Practice of Professional Counseling [18 VAC 115 ‑ 20]
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8/4/24  2:46 pm
Commenter: Anonymous

Wholehearted Yes
 

I absolutely support this. As it stands, many residents in private practices pay outside clinical supervisors separately upwards of $100 to $180 a week for outside supervision. Then, within the confines of the practice, the residents are expected to pay anywhere from $600 to $1000 plus a month, cover the costs (time and expenses) of my own electronic health record system, marketing, trainings, etc, and then pay a percentage of their profits (usually 20 to 40 percent of collections).

Essentially, the laws and codes as written allow many LPC private practice owners to choose to serve only as money launderers for residents. I understand this was not likely the intent of the code, but this is how it is being manipulated as of now and it is unfair and predatory to residents at the expense of clients.

As it stands clients keep a card on file with an EHR, the fee gets deposited to an LPC practice owner account, and then filtered back to the resident. That is the only service required by practice owners. Clients are still paying full fee and largely or entirely ignorant (thankfully) to the ways their clinicians are being raked over, taken advantage of and burned out. 

We as a field should be better than this. We should expect that those serving as LPC practice owners taking on residents are their to mentor and mold and shape the next generation, helping to multiply impact on the mental health outcomes for many more than just 1:1 client work would allow. But oh how quickly greed and easy money can get in the way… and boy is it easy to create essentially a multi-level marketing approach to having interns and residents make quick money with minimal work on the part of a practice owner whose main job becomes simply filtering hard-earned Resident money through their LPC account because residents are prohibited from direct billing. 

CommentID: 227248