December 2021

“We can say “Peace on Earth.” We can sing about it, preach about it or pray about it, but if we have not internalized the mythology to make it happen inside us, then it will not be.”

-Betty Shabazz

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What's Happening in Our Community?

This Seattle Times article highlights the challenges Social Workers face as they provide crisis and mental health services in hospitals and emergency rooms. It is especially important to understand the experience of Social Workers in these settings during this pandemic so that we can support and advocate for our fellow Social Workers.
Governor Inslee just waived Continuing Education Requirements for most health care professionals, including Social Workers. The link provides the full document on the Governor's proclamation.
Many in our community have been impacted by the loss of Person Centered Tech Director, Roy Huggins. Roy was a community leader whose work with PCT helped many social workers and mental health providers navigate the connection between technology and mental health. PCT's update letter has information on his Memorial page and a GoFundMe page to support his wife Electra during these times, as well as updates on PCT changes.

Message from CSWA to the Community 11-30-21

As we continue our pandemic journey, changes to the use of telemental health continue to develop.  Two significant ones from CMS have come out this month, one on Place of Service (POS) codes and one on in-person visits required for telemental health treatment.

Place of Service Codes

POS codes are being divided by 1. telemental health provided outside the patient’s home and 2. telemental health provided in the patient’s home.  POS 02, which previously covered both categories, should only be used as of January 1, 2022, for telemental health psychotherapy provided outside the patient’s home.  POS 10, a new code, should be used as of January 1, 2022, for telemental health psychotherapy provided in the patient’s home.  The complete descriptions are as follows:

1. POS 02: Telehealth Provided Other than in Patient’s Home Descriptor: The location where health services and health-related services are provided or received through telecommunication technology. The patient is not located in their home when receiving health services or health-related services through telecommunication technology. 

2. POS 10: Telehealth Provided in Patient’s Home Descriptor: The location where health services and health-related services are provided or received through telecommunication technology. The patient is located in their home when receiving health services or health-related services through telecommunication technology. 

Links for more information can be found at .  These changes may be adopted bycommercial insurance; check with each carrier directly.

Required In-Person Visits with Medicare Patients

I have been tracking this difficult rule for the past year for the Clinical Social Work Association. It is unclear to me how it is going to be enforced. The most recent iteration came out earlier this month. 

The rule was amended in the recent 2022 Physician Fee Schedule as follows: 

“Section 123 of the CAA removed the geographic restrictions and added the home of the beneficiary as a permissible originating site for telehealth services furnished for the purposes of diagnosis, evaluation, or treatment of a mental health disorder. Section 123 requires for these services that there must be an in-person, non-telehealth service with the physician or practitioner within six months prior to the initial telehealth service and requires the Secretary to establish a frequency for subsequent in-person visits. We are implementing these statutory amendments, and finalizing that an in-person, non-telehealth visit must be furnished at least every 12 months for these services, that exceptions to the in-person visit requirement may be made based on beneficiary circumstances (with the reason documented in the patient’s medical record), and that more frequent visits are also allowed under our policy, as driven by clinical needs on a case-by-case basis.” 

The whole rule can be found at

The "beneficiary circumstances" seem to offer a way to avoid seeing patients in person but this will need to be clarified by HHS. In any case, the time period has been extended from 6 months to 12 months for in-person meetings. 

As for how to fight this rule, CSWA is working on a two-pronged approach. We encourage all mental health associations to oppose it through letters to HHS and CMS. All individual clinicians can oppose it by writing to our senators and representative about the chilling effect this rule will have on telemental health treatment, especially in this pandemic when emotional distress is high and meeting in person may be dangerous. 

This will be a long-term fight in my view and there is no alternative to holding the government's feet to the fire.  

Laura W. Groshong, LICSW, Director, Policy and Practice

Clinical Social Work Association  

Message from CSWA to the Community on 11-14-21:

Next Tuesday the Senate Finance Committee will have a hearing on funding for mental health and substance use programs. While this does not affect Medicare reimbursement or private insurance rates directly, increased funding will be helpful in those areas. 

Please read the attached statement which CSWA developed with other mental health groups.  We will keep you posted on the outcome of the hearing.

Laura W. Groshong, LICSW, Director, Policy and Practice

Clinical Social Work Association

Recognition of Service to the Society: Nitara Dandapani

We gather to thank Nitara Dandapani, LSWAIC for her service to WSSCSW as our past Professional Development Chair. She has hosted several successful events throughout her term and brought many well known and respected presenters focusing on a variety of topics that reflect the diversity of clinical social work. Nitara has a highly successful practice at Thrive Counseling Center where she serves children, teens, and adults. Please join us in thanking Nitara for her years of service to the Society.

Accepting Referrals?

Members have FREE access to post their availability, contact information, areas of specialization, and insurance preference in the, On Our Minds newsletter. Email your information to

Professional Development Events

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Employment and Financial Opportunities

Melissa K. Mezei, Olympic Medical Center:

Imagine working on the beautiful Olympic Peninsula of Washington State where recreational opportunities abound.  With the Olympic National Park and the Salilsh Sea as a backdrop and Seattle and Victoria, BC close by, you won’t find a better location. Come live and work where others only recreate!  We offer excellent benefits, competitive salaries and a wonderful lifestyle – a perfect combination!

Behavioral Health Specialist -$10000 Incentive, Children's, Port Angeles & Sequim, 1.0 FTE, Days

More Information here

Behavioral Health Specialist, $10000 Incentive, Primary Care & Peds, Port Angeles,1.0 FTE, Days

More information here


---------- Forwarded message ---------
From: Sharon S Laing <>
Date: Tue, Nov 2, 2021 at 12:29 PM
Subject: Re: Mental Health Therapists Sought

I am faculty in the UWT School of Nursing and Healthcare Leadership, and I am reaching out to the WA State Society for Clinical Social Work for recommendations of clinical mental health therapists that I can forward to our Counseling Department at UW Tacoma. I see this resource as an opportunity to support our students who may be experiencing mental health challenges during this time of COVID-19 and who seek access to cost-effective support. Therefore, I am seeking information on therapists who offer reduced rates in therapeutic interventions to students.

Kind regards,

The Institute for Family Development has immediate openings for In-Home Family Therapists.

More Information
Youth, Family and Prevention Section Manager/Special Projects Manager II – Career Service - BHRD
Location:         Chinook
Position #:       2021AC14872      
Closing Date:  12/16/21
More Information
The Behavioral Health Program Manager works with the Mary’s Place Health Services team that provides care for the health needs of the women and families served by Mary’s Place. The Behavioral Health Program Manager focuses specifically on providing behavioral health support for guests, connections to community resources, and education for guests and staff. This position supervises student interns from MSW and counseling programs.
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The Supervisor of Social Work and Care Coordination is responsible for providing direct supervision, day to day operational oversight and support to a diverse team of Care Coordinators and Social Workers. The Supervisor is also responsible for monitoring and evaluating team and program performance as defined by quality of care, compliance, financial and sustainability metrics under direction of the Manager of Social Work and Care Coordination
More Information
Bilingual Therapist and Therapist Positions

KCSARC seeks to create a work environment that reflects the diverse community that we serve. People of color, LGBTQ, and multi-lingual individuals are always encouraged to apply. We also encourage you to include your personal pronouns in your resume.
More Information
Virtual K-12 School-Based Therapist (WA)

We are looking for empathetic, compassionate, and pediatric-focused professionals to join our growing Mental Health team. 

As a Virtual Therapist, your primary responsibility will be to provide world-class mental health care to students within our partner school districts. You will interact and build relationships with school personnel, family members, and other stakeholders working to bring accessible healthcare to students across the country.

More Information

Looking for Volunteers

Community Resources

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Full Video:
Join author Sheryll Cashin for a talk about her recently-released book White Space, Black Hood: Opportunity Hoarding and Segregation in the Age of Inequality, followed by a conversation with john a. powell, director of the Othering & Belonging Institute. White Space, Black Hood shows how government created “ghettos” and affluent white space and entrenched a system of American residential caste that is the linchpin of US inequality—and issues a call for abolition.

Apps and Websites to Get Stuff Done

Forest helps planting trees both digitally and in real life as you set time to work on notes, study, and other activities. Help the planet by working on those notes!
Focusmate is for people who have been missing coffee shop accountability partners and need an online alternative. A free site that works like similar to zoom, and connects you to another person in the world who is also hoping to get stuff done.
Bashful is also a free app that can help you set boundaries with some of your favorite distraction apps by blocking access to them. 

Free Tool: The Self-Care Wheel

Description: "The Self-Care Wheel is an empowering, affirming, and positive tool, which helps individuals to manage every-day stress, and increase contentment and life satisfaction. With over 80 self-care exercises and healing modalities, the Self-Care Wheel, by Olga Phoenix, is a great beginning for your personalized, preventative, and sustainable Self-Care plan. Use the Self-Care Wheel below to learn which areas of your life need improvement. Practicing effective self-care means finding a balance between the six sectors, each of which requires our daily attention"
Click Here

Book Recommendation for December: Sometimes Therapy is Awkward

Description: "Sometimes therapy is awkward. And sometimes it's also painful, messy, and downright confusing. In its much-anticipated release, this guide chronicles the strange nuances of working in mental health in the modern world."
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Engaging Podcasts

Welcome to Mental Status, a podcast made for burnt-out therapists looking to reignite their life beyond the chair. Each episode, your host Meg explores the ins, outs, ups and downs of being a professional helper in the modern age, and ways to help the most important person of all—yourself.
Click Here

The Therapy for Black Girls Podcast is a weekly chat about all things mental health, personal development, and all the small decisions we can make to become the best possible versions of ourselves.

Click Here

The Modern Therapist’s Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings. It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship.

Click Here

Have a Therapy Meme Today

Communications Chair Email
Washington State Society for Clinical Social Work
PO Box 252 • Everett, WA  98206 •
Washington State Society for Clinical Social Work
PO Box 252 • Everett, WA  98206 •

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