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Division of Professional Licensure. STEPHEN J. NEMMERS, Ph.D. Deputy Director Division of Professional Licensure. (617) 727-5369 Stephen.J.Nemmers@state.ma.us. About the Division. DPL is an “umbrella” agency - 32 Independent boards We license people, businesses, & schools
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STEPHEN J. NEMMERS, Ph.D. Deputy Director Division of Professional Licensure (617) 727-5369 Stephen.J.Nemmers@state.ma.us
About the Division • DPL is an “umbrella” agency - 32 Independent boards • We license people, businesses, & schools • Over 60 professions and trades • 350,000 Licensees
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
BCBS findings (MY interpretation) PROVIDERS’ LANGUAGE CAPABILITY Spanish 1%--6% Mandarin 0%--1% (Psychiatry) Cantonese 0%--1% (Psychiatry) American Sign 0%--1% (Psychiatry) Portuguese 0% Vietnamese 0% Haitian Creole 0% French 0% Cape Verde Creole 0%
MA School of Professional Psychology RECOMMENDATION: Upon re-licensure, acquire relevant information about linguistic/cultural competence to accurately assess workforce competence and need.
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
Aspects of the recommendation • Appropriate Board/DPL Mission? • Gov’t doesn’t regulate sub-specialties • No capability to assess competence
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
Alternative • Referrals • By word-of-mouth • By primary care providers • By insurance companies