MARRIAGE & FAMILY
                                                                   THERAPY NEWS
                                                       THE INDIANA ASSOCIATION FOR MARRIAGE & FAMILY THERAPY

Volume 21 Number 4                                     A Division of the American Association for Marriage and Family Therapy
Fall 2005

                                                                 From the President’s Pen
PRESIDENT                   Awards Committee                                                     By Mary Dankoski
                            Dynesha Riley
IU Dept. of Family Medicine
1520 N. Senate Ave.
Indianapolis, IN 46202      Conference Committee
Work Phone: (317) 962.1043  Shruti Poulsen       (765) 494.2939                                        Inspiration from Devastation
Chris Falley                  Historian Committee
Affiliated Counseling         Sharon Gelb                                Throughout this fall, we have witnessed painful scenes
2512 Covington                Work Phone: (812) 886-9404         from the Hurricane Katrina catastrophe and the subsequent hurri-
West Lafayette, IN 47906
Work Phone: (765) 497.3932                                       canes that have followed. We have all been affected, directly and          Legislative Committee              indirectly, by the trauma the victims have endured. Families were
                              Kurt Gregory                       separated, homes and communities were devastated. Our sense
PRESIDENT-ELECT               Work Phone: (260)244-0057
Linda Wark          
                                                                 of normalcy was acutely shaken by the desperation and chaos
IPFW, Neff 120                                                   that ensued in some settings. Gang violence, rape, murder, intimi-
2101 E. Coliseum Blvd.        Ethics Committee Chair             dation of volunteers and healthcare workers, and the agonizingly
Fort Wayne, IN 46805          Sherry Strafford Rediger
Work Phone: (260) 481.6083    Work Phone: (317)839-6655          slow response by government resources created an awareness                       that society is much more vulnerable than we may think about in
                                                                 our day to day realities. Further, this has shined a glaring spot-
                              Supervision & Training
Priscilla McGraw              Barbara A. Riggs, PhD              light on issues of poverty and race in our country, as “the rich
7002 Graham Road, Suite 224   Co-Chair                           escaped while the poor were abandoned” (David Brooks, New
Indianapolis, IN 46220        Work Phone: (317) 293.5563
Work Phone: (317) 849.1005
                                                                 York Times). Many of the poorest were racial minorities.
                              Riette Thomas Smith                Several MFTs took action in the aftermath to provide crisis men-
TREASURER                     Co-Chair
Betty Brandt                  Work Phone: (812) 332.2559
                                                                 tal health treatment and other goods and services both locally
7002 Graham Road, #224                  and as deployed volunteers. It is wonderful the way tragedy can
Indianapolis, IN 46220                                           inspire us to pull together, and it helps restore hope to all of us.
Work Phone: (317) 849.4342    ELECTIONS COMMITTEE        Eldon Solomon, Chair
                                                                 Yet, what has become apparent is that many of the poorest and
                              Work Phone: (765) 584.7409         hardest-hit victims showed the chronic effects of living without
BOARD MEMBERS                   good medical care – many had never seen a dentist – and of
District #1
Dennis W. Edwards, Ph.D.      STUDENT REPRESENTATIVE             course, they lacked access to mental health care as well. We
Work Phone: (765) 446.9898    Kristen Boice                      know that several of the survivors will suffer long-term psychologi-
Work Fax: (765) 446.9424      107 Cherokee Lane                  cal sequelae from this trauma, and they will likely lack access to   Noblesville, IN 46060
                                 mental health services over the long run once the initial crisis
District #2                                                      intervention is over.
Linda C. Smith                INAMFT Lobbyist
Work Phone: (260) 486.5251    Mark Scherer
Fax: (260) 486.5058           Beebe, Scherer & Associates                Times like this cause me to reflect on what our country      1 N. Capitol Avenue, Suite 1111    could be like if we were all more proactively civic and
                              Indianapolis, IN 46204
District #3                   Work Phone: (317) 916.1250
                                                                 community-minded, if more was actively done to work towards
Wendy Loker                   Fax: (317) 916.1252                ending poverty and discrimination, and improving the healthcare
Work Phone: (317) 726-9532          infrastructure to provide access to basic medical and mental
                              IAMFT OFFICE                       health care for all. MFTs have the systemic training to uniquely
District #4                   Ann Ninness,                       understand the impact of social and contextual issues on the
Connie Krueger                Association Manager                human spirit. How can MFTs be better advocates for social justice
Work Phone: (812) 339.1551    1829 Cunningham Road
                              PO Box 24167                       and increased personal, societal, and institutional responsibility?
VACANT POSITIONS:             Indianapolis, IN 46224-0167        Each MFT, I hope, will also feel inspired to reflect on these impor-
Marketing Committee           (317) 684.3659                     tant questions.
Membership Committee          FAX (317) 481-1825
  V OLUME 2 1 NUMBER 4                    MARR IAG E AND FAMIL T HE RAPY NEWS                                PAGE 2
              FALL 200 5

Member Highlight                   Foreword by Connie Krueger, Region 4 Rep.

                                                 When I first met Margaret Bourne at an IAMFT Board Meeting in May of
                                         2005, I was fascinated to learn she had spent time in Florida as a disaster men-
                                         tal health counselor following the hurricanes of 2004. I thought her stories
                                         from that time would be interesting for our members but when I tried to contact
                                         her in September, I discovered she was once again doing hurricane disaster
                                         mental health counseling, this time in Louisiana following hurricane Katrina.
                                                  Margaret and I were finally able to talk by telephone at 10:00 pm one
                                         evening less than a week after her return from this year’s two-week volunteer
                                         effort. She described how a team of 3 other mental health professionals from
                                         around the country became closely bonded, sharing an experience they will
                                         never forget, even though they will probably never see each other again.
        Margaret was housed in a church, and was the leader of the team. Sometimes she did what she called ‘cornfield
counseling,” just sitting next to someone on a cot and listening. Other times she helped problem solve the practicalities
of persons with mental illness who couldn’t get their medication.
Margaret’s enthusiasm for her work in hurricane Katrina’s aftermath was evident that night I talked to her on the tele-
phone, and she felt she was able to be of help. A few days after her return she was back at the work place.

Following is a description written by Margaret of her experiences –

When disasters such as Hurricane Katrina occur, the American Red Cross provides food, shelter, emergency
financial assistance, and physical and mental health services to the victims. Volunteer licensed mental health
providers from various professional organizations including AAMFT are sought by the Red Cross to provide
mental health services. Through the end of September, 1,200 licensed mental health professionals have been
among the over 172,000 Red Cross volunteers who have responded to Hurricane Katrina. I had the privilege to
be among them.

I was deployed to a shelter in Plaquemine, Louisiana, where I led a team of four mental health professionals
for two weeks. Our task was to provide onsite, spontaneous, short-term counseling and support to the shelter’s
800 residents, Red Cross staff, military and local volunteers. Prior to arriving at the shelter, many residents
had been rescued from the rooftops of their homes and many had waded through the flooded streets of New
Orleans to seek shelter at the Convention Center or the Superdome. Several lost family members or friends
due to the hurricane or the subsequent violence. Each resident had a story to tell. Once trust was established,
we listened and provided support and encouragement to those who are facing extraordinarily difficult chal-
lenges. It was a privilege to speed time with these remarkable and resilient survivors.

This enormous tragedy has affected countless individuals. Their mental health concerns are on-going. You may
want to consider volunteering two weeks of your time to the American Red Cross relief effort – either this one
or a future one. It’s a multi-level growth experience that you’ll never forget!

Margaret Bourne
Licensed Marriage & Family Therapist
Terre Haute, Indiana

  If you would like to serve on a committee and help lead IAMFT into the future, please contact us.
                    We need you! E-mail Mary Dankoski at
              FALL 200 5                    MARR IAG E AND FAMIL T HE RAPY NEWS                              PAGE 3

                                       Updates from AAMFT
   Selected Highlights from the AAMFT Annual Report from the Board of Directors and Executive Director, October 2005

                                                BOARD UPDATES
Task Force on Relationships and Health. The AAMFT Executive Board has received and approved the Final Report from
   the Task Force, and it is now available on the web site. All members are encouraged to read it.
Strategic Planning. Due to several trend shifts that will inevitably affect the membership and organization, the Board
    of Directors decided to engage in a new strategic planning process. In April, over 100 division leaders participated
    in discussing major issues facing the organization (Indiana was represented by the Past-President, President and
    President-Elect), and in July, the AAMFT Board met for a strategic planning retreat. The Board hopes for the plan to
    be in place by the end of the year.

Department of Transportation Substance Abuse Program. After pushing since 1999, AAMFT succeeded in opening the
   DOT Substance Abuse Professional (SAP) certification to all licensed MFTs. Inclusion in the program provides over
   15 million transportation and federal employees with access to MFTs and opens many related programs that look
   to the SAP credential for qualified providers. This was accomplished through legislative and regulatory action, and
   the DoT is in the final stages of issuing the rules that will allow MFTs full participation.
Department of Defense and Veterans Health. The regulation changes in follow up to the 2004 DoD reauthorization
   that included language recognizing MFTs are still forthcoming, and AAMFT continues to pursue these changes. Ad-
   ditionally, the initiative to recognize MFTs as qualified providers within the VA is going well. While much work still
   needs to be done, legislation has been introduced that would allow veterans access to MFT services.
Medicare Update. The AAMFT has succeeded in passing legislation in the Senate to provide MFTs with Medicare reim-
   bursement. On November 3, the Senate accepted MFT language sponsored by Sen. Thomas (R-WY) and included in
   an amendment by Sen. Santorum (R-PA) to the Senate Budget Reconciliation bill, S 1932. The bill will be sent to
   conference where it will be reconciled with the House Budget Reconciliation legislation. There is no similar MFT
   provision in the House. Please watch your email closely, as we will need rapid member response to grassroots re-
Private Payer Advocacy. In response to concerns of members regarding reimbursement through private payers, AAMFT
    began building their programming to advocate and market MFT services to third party payers, and assist members
    experiencing discrimination or rejection in payment of claims. An aggressive educational campaign has started
    targeted towards executives from health plans and insurance companies, benefits managers from large corpora-
    tions, and health insurance brokers for corporations and institutions.
48 States Now License MFTs. North Dakota was the 47th state to pass legislation to license MFTs (on 4/7/05) and
   Delaware was the 48th state (on 6/30/05).

                  If you would like to place an ad or article in the
                IAMFT Newsletter, please email it to Ann Ninness -
   V OLUME 2 1 NUMBER 4                      MARR IAG E AND FAMIL T HE RAPY NEWS
               FALL 200 5                                                                                    PAGE 4

IAMFT Member Makes Her Practice Grow                                               Submitted by Linda Wark

                                                                could work better with them, and whether they needed
Joyce Maurer Smith, MSN, LMFT, attended the IAMFT con-          more formal feedback from her to help their follow-up care.
ference in fall 2004. Joyce shares an office and expenses       A week after mailing the letters, she hand delivered the
with several colleagues, but she works independently in         cards and a plant for their offices.
private practice in New Albany, Indiana. She decided to
develop a business plan based on the marketing portfolio      After this mailing, she received feedback from approxi-
presented at the conference. She was already working with     mately 40% of these physicians. They reported a desire to
some primary care physicians by word of mouth and had         have her business cards in their offices on a regular basis
this connection from a hospital-related job prior to her pri- and asked if she would keep them supplied so that they
vate practice. However, she had no formal plan.               could hand them directly to the patients. She has noticed
                                                              since that time that the physicians are calling her to make
Putting together a business plan helped her to conduct an contact about the referrals. Finally, she learned from the
analysis of her practice that was more purposeful and busi- physicians that they would be appreciative is she could see
ness-like. When she sat down to organize a plan, the time- them within a week of the referral.
line was very helpful. She could plan on a month by month
basis. She also analyzed how she was doing her billing. In The physicians also gave feedback about clients she had
her original billing schedule, she billed every three weeks.  seen in the past and how the therapy was helpful. They
She now bills twice a month instead because she can un-       indicated that they preferred periodic verbal reports from
cover insurance authorization problems in a more timely       her rather than paper reports. Since December, the rela-
fashion. With new clients she bills within one week.          tionships with the physicians are more well-established and
                                                              referrals have increased.
Another step in analyzing her practice was to track the
source of referrals. She discovered which insurance com-      Joyce also sent letters to attorneys who had referred to her.
panies were providing the most referrals. In addition, the    None of the attorneys responded immediately but spoke
business plan helped her to reassess previous advertising     with her at the next referral. They also wanted business
methods. Using yellow pages advertising only yielded three cards supplied to them.
referrals in one year, so she dropped that.                   Joyce’s practice has grown since implementing her busi-
Her method of obtaining referrals was also affected. She      ness plan. The business plan gives her more direction, and
enhanced referrals with stronger visibility with her physi-   she understands now how to influence the process.
cian resources. Last year around the December holidays,       A number of years ago, as a new therapist, Joyce’s primary
she sent thank-you letters to physicians who had referred     priority was to think about meeting her client’s needs. Now
clients to her more than twice during the year. In the letter her additional focus of meeting her own business needs is
she reminded them of the types of clients she sees. She
                                                              helping to build her practice.
also asked them what they had found helpful, how she

                                Adjunct Faculty Position Announcement
                                   Graduate Counseling Department
                                     Indiana Wesleyan University
Indiana Wesleyan University invites qualified individuals to apply for an Adjunct faculty position in our Graduate
Counseling Department. This position is primarily focused on teaching Marriage and Family Therapy and super-
vising on our Marion campus. We offer a CACREP accredited Master of Arts in Counseling. The MFT program is
designed to meet Indiana educational requirements for licensure as an MFT.

Successful candidates will possess a Ph.D. in Marriage and Family Therapy, Counseling, Counseling Psychology,
or a closely related discipline. Women and minorities are strongly encouraged to apply. Candidates must be
licensed as an MFT, and AAMFT approved supervisor status would be advantageous. Candidates need to evi-
dence a commitment to the integration of Christian faith with teaching and therapy.

All candidates please apply online at

Once there, click on “Jobs,” “College of Graduate Studies Faculty Positions Available,” and “online application.”
 V OLUME 2 1 NUMBER 4                     MARR IAG E AND FAMIL T HE RAPY NEWS                           PAGE 5
             FALL 200 5

Work Concludes on Alternative to Restricted Psychology Test List
                                                                                Submitted by Mark Scherer, Lobbyist

The alternative approach to the Restricted Psychology Test List (RTL) envisioned by Senate Bill 591 concluded
on October 1. Unfortunately, the alternative approach did not bear fruit as the psychologists continued to refuse
to compromise on their basic tenet: That only an individual with a doctoral degree in psychology and who is li-
censed as a psychologist is competent to administer and use psychological tests. As you’ll recall, Sen. Pat Miller
introduced SB 591 this past session in an effort to address the impasse on the RTL. Since negotiations with the
Indiana Psychological Association did not bear fruit during the legislative session, Sen. Miller decided to try this
new approach.

SB 591 contained two main components:
1. SB 591 established a subcommittee comprised of members of your licensing board, the Social Worker, Mar-
riage and Family Therapist, and Mental Health Counselor Board, as well as members of the State Psychology
Board. The subcommittee, which had three members from each board, was charged with developing definitions
for and criteria to perform the following:
a. Assessment
b. Diagnosis
c. Psychological Test
d. Appraisal Instrument
The bill required the subcommittee to submit a report to the Indiana Legislative Council not later than October
1. The subcommittee met three times this past summer and was scheduled to meet one other time before its
deadline. However, when it became clear that no agreement would be reached, the subcommittee canceled its
final meeting. Since the subcommittee did not agree on all of the definitions and criteria, each board submitted
a separate report on those definitions and criteria. Copies of those reports can be found on the INAFMT website.
Geneva Osawe was the MFT member of the subcommittee. Other members from your licensing board were Dr.
Rex Stockton (MHC) and Andy Harner (SW).

2. SB 591 also prohibits the State Psychology Board from adopting a new RTL until at least January 1, 2006.
As you know, the most recent proposed rule that was disapproved by former Governor Joe Kernan in May of
2004 would have restricted the use of 235 assessment instruments/psychology tests to licensed psychologists
only. Not only would the rule have prohibited MFTs from using the tests, but also an MFT who used one of the
tests after the rule was adopted would have been committing a criminal act. Each violation would have been a
Class A Misdemeanor, which is punishable by up to one year in jail and a $5,000 fine

Now that the process mandated by SB 591 has resulted in another impasse, it will be up to Sen. Miller to deter-
mine what will happen. At the last hearing on SB 591 last session, Sen. Miller indicated that she did not think
that the RTL was a workable way to address this issue. She also indicated that if the subcommittee established
by SB 591 did not agree on all of the definitions or criteria, then the General Assembly would take on that task.

The only way that MFTs can continue to use psychological tests appropriately is through legislation that repeals
the RTL. Of course, it is just as important that the definitions and criteria recognize the education and training
that MFTs have in this area so that you can continue to practice appropriately.

Please stay tuned for further developments and for the possible need for your involvement again.
                                 MARRIAGE AND FAMIL THERAPY NEWS                         PAGE 6
          FALL 2005


         Wednesday, November 9th, Board Member Wendy Loker represented
         INAMFT at a public Health Fair at First Meridian Church on the north side
         of Indianapolis. Over 200 people visited the fair in the first 2 hours. Wendy

         passed out information regarding Marriage and Family Therapy, Therapist
         locator and answered general questions from the public.

&                   SAVE THE DATE FOR THE 2006 SPRING WORKSHOP

                                     Friday, April 21, 2006
P                          Family Treatment of Personality Disorders

D                            Guest Speaker: Malcolm M. MacFarlane

T        ELECTIONS COMING SOON! Watch your mail for ballots...
                  Positions open: Region 1 rep, Region 4 rep, and Treasurer

                            INDIANA ASSOCIATION FOR MARRIAGE
                            AND FAMILY THERAPY
                            1829 Cunningham Road, PO Box 24167
                            Indianapolis, IN 46224-0167


President’s Pen…………… . 1

Member Highlight………… 2

Updates from AAMFT…..… 3

Member’s Practice 4

Alternative to RTL………… 5

News & Updates…………… 6

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