Nurse to patient ratio. Nurses are not able to give the care that should be given due to overload. This also includes remote nursing. It always seems to be quantity over quality. It has made me hate nursing.
Equitable reimbursements without hours of haggling over contracting.
EMDRIA certification. I'd love to become so, but it's just so expensive.
Having more affordable certifications for therapeutic modalities.
Get trained in accelerated resolution therapy instead!
Definitely affordability of everything we have to do to keep our licenses and a law that protects us against insurances abilities to just decide not to pay. We work our butts off for our people and yes I know not to work harder than the client but I put a lot time into my sessions and certifications if I feel I need an update on methods if I’m stuck with a client. I am at 30 days tomorrow with no commercial payment and called and they were like - we have 30 days and even though your sessions were thirty days ago we didn’t process it right away so you still have a week to go
Provider medical insurance
Better reimbursement. They raise premiums. We don’t get increases. Medicaid has more requirements and in AZ increase in facility provider fees. No increases. We have to do more and do not even get gist if living reimbursement adjustments. We have to beg for fee increases and hope we sometimes get a yes.
Getting rid of that biased gatekeeping licensure exam. As if getting a masters and thousands of residency hours wasn’t enough
Required cost of living increases from insurance companies. Similar to teachers we should move up the pay scale as we increase our ceu certifications.
Better options of positions and pay for pre-licensed clinicians.
Realistic fee schedules commensurate with expertise.
Pay. Always pay, then licensure bs.
Access to affordable health insurance!
Company paid training opportunities, more PTO- especially if they require you to take it for trainings you've already paid for, and better bonuses for the amount of burnt out that happens with seeing 125 clients a month (if they aren't going to pay better salary rates). The motivation for wanting to continue to be the best you can be, has to come from somewhere
The ability to create a professional group that will allow us to get group rate medical insurance premiums.
Include training on how to start and manage a practice as part of graduate training and in continuing education.
Also if we had universal health care, we would not have to be worked to death at full time jobs just to have access to health care, and we would be able to take a chance on working for ourselves.
I want to diversify and create some residual income sources, but I don't have energy left after seeing 6-7 clients in a day. I could make a difference in the world if I had the flexibility to spend time writing, traveling, maybe even on healing my own trauma.
More affordability for licensure applications, and maintaining licensure. Also increased reimbursement rates from insurances.
Make a way for interns to earn money, while giving service to the community
1) Paid internships. Just you didn’t get paid, doesn’t mean it’s right to keep the “tradition” going.
2.) Stop gate keeping trainings by making them ridiculously expensive. I get that the creators need to get paid for their work AND when 50 people take a training for $+2,000, then I think the creators definitely go their money.
3) Reimbursement rates are a joke. They need to be equal across the board. If a session is $240/hour and insurance decides to pay me $75, 30% going to my director , I’m only getting $52.50… that’s ridiculous!
4) Finally, the national exams don’t show what we know. They show what we remember or how well we take an exam. You want to know how well we know our stuff? Have a conversation with us. Heck, do a therapy version of a mystery shopper.
Compact licensure that actually is in action!
Easier insurances and billing.
Compact state licensing. It should not be so hard to get licensed in other states
Start contesting misclassification of 1099 staff that lawfully should be W2s by IRS guidelines & many state regulations. In my state of Michigan, more clinicians are reporting their misclassification & winning. Becoming a W2 either part time or full time comes with different benefits. Regardless of the different type of benefits for part & full time, they are still benefits that are rightfully owed. If a practice owner insists that one is correctly classified, they wont mind you confirming with state & federal authorities. Limited & associate professionals have been really successful. Even a lot of fully licensed mental health professionals are winning classification reviews as the labor they provide is often an essential function of the practice. This will impact our profession by ensuring we are being compensated appropriately, via employment benefits, not just wages!
Shift the focus back to acuity for staffing and not satisfaction
It has not been a focus since the 90’s
Help our nurses! They’re burning out faster than we ever did
