PSYPACT - Increasing Access to Mental Health Care Across State Lines

While teletherapy was nearly unheard of in 2019, the Covid-19 pandemic skyrocketed the popularity and availability of virtual visits. Suddenly, location didn’t matter so much anymore, which opened options up for people seeking therapy. Can’t find a therapist within driving distance who specializes in a service you need? Now you can work with a therapist hours away, from the comfort of your own couch.

There was still one little problem: licensure for mental health professionals is controlled at the state level. That means that a therapist can typically only practice inside the state in which they’re licensed. Fortunately, a few states recognized the need for greater accessibility to mental health care and formed PSYPACT in 2015. When the pandemic hit, many more states joined PSYPACT to ensure that their residents would have more access to crucial mental health support.

PSYPACT Participating State
PSYPACT Legislation introduced

What is PSYPACT?

PSYPACT - The Psychology Interjurisdictional Compact - was formed to facilitate telehealth and temporary in-person, face-to-face practice of mental health services across state lines. It’s essentially an agreement between participating states that allows licensed psychologists to practice in any of those states, as long as they hold a license in one of them. That means that a patient in North Carolina can work with a therapist in California via teletherapy!

Which Therapists Can Join PSYPACT?

As of now, only psychologists can utilize PSYPACT to provide therapy across state lines. This means they must have a PsyD or a PhD in Psychology. To join PSYPACT, they must complete a rigorous application process to verify their credentials and experience and ensure that they are in good standing in their profession.

Why is PSYPACT Beneficial for Clients?

If you’re thinking “Why would I need to work with a therapist outside of my state?”, here are some situations in which PSYPACT might benefit you:

  • You are moving from one state to another and would like to keep seeing your current therapist.
  • There are not enough therapists to serve the area you live in.
  • Your insurance coverage limits your ability to see therapists in your area, so you need more options.
  • You are seeking a therapist with a speciality that is difficult to find in your area.
  • You’d like to save money by finding a therapist from an area with a lower cost of living.
  • You’ve heard amazing things about a particular therapist that practices in a different state and would like to work with them.

Which States Participate in PSYPACT?

At the writing of this article, the following states participate in PSYPACT:

Alabama
Arizona
Arkansas
Colorado
Connecticut
Delaware
District of Columbia
Georgia
Idaho
Illinois
Indiana
Kansas
Kentucky
Maine
Maryland
Minnesota
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
North Carolina
Ohio
Oklahoma
Pennsylvania
Rhode Island
Tennessee
Texas
Utah
Virginia
Washington
West Virginia
Wisconsin

Check here for an up-to-date list of PSYPACT states.

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