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Associations work to strengthen
membership numbers
(December 2005 Issue)

By Catherine Robertson Souter

In each of the New England states, anywhere from 35% to 50% of licensed psychologists are also members of their state psychological associations.

By definition, a psychological association is just that: a group of psychologists working together toward a common goal or goals. According to their mission statements, they work to "advance psychology as a science, as a profession and as a means of promoting human welfare" (from the Mass. Psychological Association Mission Statement).

Specifically, that can mean everything from offering continuing education courses to providing an in-depth look at how the HIPAA laws will affect a member's practice.

For instance, in N.H., membership includes discounts on continuing education (CE) courses, admission and ethics credits for ethics roundtables, a listing on the Web site (searchable by the general public), opportunities to network and access to the association's listserv, a forum for psychologists to discuss relevant issues. Other states offer free CE credits for participating in focus groups (Maine) or inclusion in a practitioner resource book made available to hospitals across the state for referral purposes (Vermont).

A major role for state associations is as political advocate. N.H., for example, uses professional lobbyists to work with the state legislature on issues that affect psychologists and other mental health providers. They also act as advocates with insurance and managed care issues, both in the legislature and directly with the insurance industry.

"There is a discussion going on right now about prescriptive authority," says Russell Day, MHSA, executive director of the New Hampshire Psychological Association. "There is a real mixed vote on this even within the organization. But it is open for discussion and it is being discussed."

As Sheila Comerford, executive director of the Maine Psychological Association, points out, state associations are the best way for an individual practitioner to keep abreast of current events that may impact their business. When laws change, like the HIPAA laws, the associations have provided factual information on how that law will affect day-to-day practice.

"There is a lot happening at the state and federal level that psychologists, unless they are involved in their state organization, have no way of knowing about. That is critical in this day and age," she says.

In some cases, the laws being proposed can have a dramatic effect on a psychologist's practice.

"For example," Comerford adds, "last year, the state legislature had a bill up before it that said that psychologists would no longer be reimbursed by Medicaid. We fought it and won but afterwards I got calls from non-members saying, 'I just heard about this. What happened?'"

"I would rather see them be members and be able to educate their local legislators on these issues that affect them as small business people."

Membership numbers have increased in times when there was greater motivation to get involved. When changes occurred in health insurance, for instance, more psychologists joined the associations.

"Years ago," says Betty Foy, administrative director for the Connecticut Psychological Association, "when managed care first came along, far more people joined to deal with all the issues that were raised."

So, with all that psychological associations have to offer, why don't more people take advantage of them? That's a question that the executive directors and membership committees would love to answer. For some individual psychologists, it may be the additional cost. For others, joining may seem like one more thing on their agenda - especially if they will be asked to volunteer time on one of the committees or to petition legislators.

Across the region, each association has plans to increase membership, mostly through mailings or telephone campaigns. Vermont has also presented members with lapel pins to raise awareness of and pride in the association. Maine has seen some success with a unique approach - hosting small membership parties throughout the state at individual members' offices.

"We've made a concerted effort to introduce new members to the association and it has been fairly successful," says Comerford.

In Maine, nearly 50% of the licensed psychologists are members - approximately 270 members. "We've seen a steady increase over the past three to four years," says Comerford.

In N.H., there are currently 300 members, about 50% of the state's licensed psychologists. Because of a regime change (there was no executive director for a short time), the numbers had gone down but they are back to what is considered normal.

In Conn., there are 676 members, about 45% of the state's 1,500 total licensees. They expect to see closer to 700 soon as a result of a half-price special for new members offered at the annual convention in October. They have also introduced a reduced fee scale to attract more early-career psychologists.

Vermont has had an increase in membership over the past year - from 143 to 218 out of 466 licensed psychologists who are also state residents, which puts them at 47%.

Of course, these percentages aren't always a true test of how well an association is doing. As Rosanna Czermak, the executive director for Vermont, points out, percentage numbers may be affected in the New England area by the fact that many psychologists have dual or even triple licenses - but they would probably not join every state association where they are licensed.

"Still, we know that it's important that we encourage as many in Vermont as possible to join," says Czermak. "We are very active legislatively with three bills that we are working on. One on access to mental health has gone through the House and we are working to get it through the Senate."

"Our membership hovers at around 2,000 psychologists," says Massachusetts Psychological Association Board Secretary Elizabeth Pierce, Ph.D. "There is some change month to month but it's basically about 2,000. There are approximately 5,000 licensed psychologists in Mass. although about 4,000 of them actually live in Mass. so there are a number of people who maintain Mass. licenses that live out of state. There has been a slight drop in the past couple of years although it is pretty consistent."

R.I.'s association has close to 200 members, about 35% of the licensed psychologists.

"The numbers stay really stable," says Jack Hutson, executive director. "We've probably snuck up a tiny bit because the board has been more proactive about talking to folks who had not renewed.