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1 Division of Professional Licensure 24 May 2010.

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1 1 Division of Professional Licensure 24 May 2010

2 STEPHEN J. NEMMERS, Ph.D. Deputy Director Division of Professional Licensure (617) 727-5369 Stephen.J.Nemmers@state.ma.us 24 May 2010 2

3 3 About the Division  DPL is an “umbrella” agency - 32 Independent boards  We license people, businesses, & schools  Over 60 professions and trades  350,000 Licensees

4 24 May 2010 4 Background Accessing Children’s Mental Health Services in Massachusetts: Workforce Capacity Assessment” by BCBS Foundation. http://bluecrossfoundation.org/Policy-and-Research/Access-to-Care.aspx A large, collaborative survey: 30,000 providers 10,000 sampled 2,000 responded

5 24 May 2010 5 BCBS participation

6 24 May 2010 6 BCBS findings (MY interpretation) PROVIDERS’ LANGUAGE CAPABILITY Spanish 1%--6% Mandarin 0%--1% (Psychiatry) Cantonese 0%--1% (Psychiatry) American Sign 0%--1% (Psychiatry) Portuguese0% Vietnamese0% Haitian Creole0% French0% Cape Verde Creole0%

7 24 May 2010 7 MA School of Professional Psychology RECOMMENDATION: Upon re-licensure, acquire relevant information about linguistic/cultural competence to accurately assess workforce competence and need.

8 24 May 2010 8 Aspects of the recommendation  Legal? Highly questionable Not delineated in Board’s statutory authority Would gather personal information Collection potentiates discrimination Release of personal info Highly problematic “Endorsement” is problematic

9 24 May 2010 9 Aspects of the recommendation  Appropriate Board/DPL Mission? Gov’t doesn’t regulate sub-specialties No capability to assess competence

10 24 May 2010 10 Aspects of the recommendation  Practical? Competence cannot be defined What is “Spanish-speaker” culture? Wouldn’t address all MH providers Data wouldn’t reach clientele Transient: per study, ~½ to leave in 5 yrs Very expensive

11 24 May 2010 11 Alternative  Referrals By word-of-mouth By primary care providers By insurance companies


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