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Interstate Mental Health and Substance Use Disorder Practice: Policies, Clinical Considerations, and Legal
Michelle Bedoya1, Rachel Presskreischer1
1Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Bedoya); Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill (Presskreischer).
Abstract:
In the United States, mental health and substance use disorder care is provided by a range of professionals, including psychiatrists, psychologists, and master's-level clinicians. These professionals are overseen and regulated at the state level by field-specific boards. Considerable variation between states in the educational and clinical supervision requirements for licensure creates challenges for license portability. To address these challenges, beginning in 2014, states have adopted practice compacts in medicine, psychology, counseling, and social work that allow clinicians licensed in a participating state to practice either via telehealth or in person in other participating states. This article discusses the nature of these compacts and provides legal and practice considerations for clinicians interested in joining a practice compact in their profession.
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