March 7, 2025

It is clear from the responses that CSWA has received to our post yesterday that there is more to say about asking patients to advocate for continuing telemental health as an option for delivery of mental health delivery treatment.

Asking patients to contact their elected representatives should only be done with patients who are not vulnerable or fragile. This is an unusual situation which affects both LCSWs and patients. Discussing the meaning of the LCSW asking for the patient’s help, the feelings which are stirred up by this, and the way it connects with the patient’s past, is of course recommended with any patient who is asked to contact legislators. This is not a requirement, only an option, if it is appropriate to each clinician with each patient.

Additionally, some members expressed concern about risks to patients if they voluntarily disclose that they are receiving services for mental health or substance use. This should also be considered and discussed with clients.

Many LCSWs do not have in-person offices any more so virtual treatment is all that they can offer. Many patients have come to treatment because they had difficulty getting to an office and need the telemental health option. To reiterate, time is short as virtual treatment may end on March 31 of this month.

In light of the concerns that CSWA has heard, for members who, after assessment, decide that a patient may be willing and able to contact legislators in Congress, here is revised language for them to use: “I am your constituent and believe that the following action is essential for the mental wellbeing of all citizens. Please extend Medicare coverage of telemental health treatment which is currently scheduled to end on March 31.”

CSWA always welcomes feedback from our members. Contact Laura Groshong, LICSW, Director of Policy and Practice, at lwgroshong@clinicalsocialworkassociation.org.