Mental health stigma in ethnic minority communities can create critical barriers to treatment for groups including African Americans, Latinx Americans, Native Americans, and Asian Americans. One of the primary contributors to disparities in mental health treatment is mental health stigma, which refers to a collection of negative attitudes, thoughts, behaviors, or beliefs that help to facilitate fear, rejection, and discrimination against people with mental illness1.
Suicide is a significant public health concern. Approximately 44,965 Americans die by suicide each year . This equates to approximately 123 suicides per day. Recent reports have indicated a 30% increase in suicide rates from 1999 to 2016 (10.5 per 100,000 to 13.4 per 100,000) . Additionally, we know that suicide does not only affect those with a diagnosed mental health condition. The CDC data notes that approximately half of those who died by suicide between 1999 and 2016 did not have a known mental health condition . Though a mental health condition can be a risk factor for suicide, other factors that can contribute to suicide include stress related to relationships, finances, jobs, housing, substance use, or physical health. The ubiquity of suicide and the increase in suicide rates over the last 17 years support the importance of community suicide education and consistent suicide assessment, intervention, and treatment among clinicians interacting with individuals at increased suicide risk.
As you and your cohort settle into practicum, you will hear at some point about the intake process, specifically how different sites may have different ways of approaching an intake. Department of Mental Health sites in your county may have an intake form with questions that go on for several pages. For example, the Los Angeles County Department of Mental Health Adult Intake form has nine sections, with subsection questions for each one!
However, if you find yourself in a site that allows you freedom to conduct a semi-structured intake, it may still be challenging to find the balance between having an organic session with the client while obtaining relevant information that can inform your treatment plan.
Many therapists and graduate students would like to do the legwork of starting a private practice while still in training or earning their licensing hours, but they struggle to find the time: How are you supposed to create your private practice while you’re still occupied with your other work? I know this dilemma from firsthand experience: I started my private practice while working full time at a demanding (yet wonderful) place where I had earned my licensing hours.
A lot of the steps below can be done while you’re working a full time job and building your practice, or even just in anticipation of opening a practice if you’re still in graduate school or earning your licensing hours. I laid the groundwork for myself as much as possible so I wouldn’t have to worry about all these things upon licensure, when I’d want to just focus on seeing clients as much as possible. It worked out REALLY well. Here’s how I did it!