The importance of ethics and qualifications in the mental health sector

I recently came across Jackie Adedeji's UNTOLD: I don't trust my therapist Channel 4 documentary that shed light on the mental health sector in particular online mental health platform services. As a consultant clinical psychologist and former head of clinical services within the public sector who has recently established my own hybrid mental health company, I felt compelled to share my thoughts.

Firstly, I want to acknowledge the increasing demand for personalised interventions and community support across different generations. The private and third sector within mental health has become more agile in terms of access, choice, and personalisation, and research suggests that the more care is personalised the more it is effective for clients. It's thus encouraging to see the growing availability of services in this sector.

However, what shocked me when researching this sector was the lack of foundation in clinical expertise among many mental health online companies and technologies. It is essential to have clinicians involved in creating and guiding these platforms to ensure that ethics remain at the centre. Unfortunately, some companies prioritise investments in AI technology and advertising over the quality of care they provide. Additionally, traditional agencies often take significant cuts from therapists' earnings while underpaying them, leading to therapists feeling pressured to overbook themselves or take on work beyond their competency level.

Furthermore, an issue that hits close to home is the lack of regulation surrounding the title 'Psychologist' in the UK. Surprisingly, anyone can technically describe themselves as a 'psychologist' and advertise their services. While not illegal, this can be misleading to those seeking qualified professionals who possess rigorous training. To differentiate, the Health and Care Professions Council (HCPC) regulates practitioner psychologists in the UK. Professionals with titles such as Clinical Psychologist, Practitioner Psychologist, and Registered Psychologist have completed rigorous training, adhere to professional standards, and maintain registration with the HCPC.

It is crucial for everyone to understand that if they are seeking a fully qualified psychologist, such as a clinical psychologist, they can check their registration with the HCPC online.

Another concern that I have observed is the trend of inexperienced individuals immediately entering independent practice after qualifying. As an 'old-school' practitioner, I believe that a high level of depth and breadth of clinical skills is necessary before embarking on independent practice. The experience gained from working in various settings, such as GP surgeries, community clinics, acute and mental health hospitals, schools, social care settings, prisons and more, enhances one's ability to handle a wide range of presentations and additional dilemmas. It also offers opportunities to understand demand and capacity, develop auditing and evaluation skills, and effectively work in multidisciplinary teams. Unfortunately, some clients who come to my company have shared stories of poor decision-making and inadequate quality of care from private practitioners who lacked a comprehensive level of experience and expertise.

In conclusion, it is crucial for the mental health sector to prioritise ethics, qualifications, and experience. Clinicians should actively participate in the development of online services and technologies, ensuring that clients receive the best possible care. Furthermore, individuals seeking mental health services should be aware of the HCPC's role in regulating practitioner psychologists and verifying qualifications. Finally, practitioners should consider gaining valuable experience and broadening their clinical skills before entering independent practice, ultimately benefiting both themselves and the clients they serve.

Thank you for taking the time to read this article on this important topic.