I wouldn't be doing you a service however if I didn't address some of the necessary skills needed to engage in what essentially is an entrepreneurial endeavor.   Like all business ventures it is important that you count the cost involved, not just the financial investment, but also the cost in emotions as well as time. You need to ask yourself some questions. Are you a self starter? Are you able to follow though until resolution?, How do you handle paperwork and office administration tasks. Are you comfortable marketing yourself and your skills?  Being solely responsible for your business requires that you have good organizational skills as well as assertive qualities which you will need to market yourself as well as get paid.

Pro Clinical

You've asked yourself these questions and all your answers tell you that starting a private practice may be the right fit for you. Then we need to talk practicalities. You will need some basic credentials in order to hang out your shingle. You do not legally have to have a license to provide counseling services, however I would not recommend you counseling without it. It is good to have the body of knowledge and professional credentialing that the license implies. It is also necessary should you desire to work with clients who have insurance. Be aware that you also may not be able to refer to yourself in certain ways without the sanctioning of the licensing board. You can call yourself a counselor, life coach, lay or pastoral counselor without having a license, however again it will limit your ability to expand your services and obtain reimbursement from third parties.
 
Malpractice insurance is not only recommended, but is strongly advised. You will not be able to obtain reimbursement from third parties without this. But even if you see yourself as having a practice that is all self pay, malpractice insurance is still needed. I don't need to make anyone aware that we live in a litigious society. As practitioners in a private practice of mental health, we deal with emotionally frail individuals who can also be very reactive. You never know when a statement made can be misconstrued, and handshake perceived as too intimate, or a counselors attempt to engage a client be considered a threatening event. All a client has to do is complain and you will need to defend yourself. That is why malpractice insurance is a must!

Another document you will need will be an occupational license, which will establish you as operating a business in a particular area. You will also need to check to see if there are any applicable statues or rules that you will need to adhere to in order to operate your business in your area or county.
 
Obviously having Office Space to see your clients is very important. You should locate a place as soon as possible, because that will be the address you will put on the applications you fill out to obtain your occupational license, as well as any applications for third party reimbursement. If you are working full time I wouldn't recommend quitting that job before you have established your practice. If you can find a colleague who will lease space to you on a part time basis this would be preferable. You may not want to lease an office full time when you are not yet making a profit. Expect for it to take 3 to 6 months of committed effort before you may be able to see growth in your practice. In choosing a location you will want to find office space that looks professional and is handicap accessible even it you do not plan on specializing in working with the handicapped. You also will need to identify a phone so that client's can contact you. Thank God for Cell Phones, this can go with you and be dedicated to your practice. In this way your potential clients can reach you at any time if you wish.

Marketing of your practice can be done in many ways. Print media such as phone book ads can be expensive, however they are effective. Now with the internet as a source for many you may want to consider also getting a website, which is another financial investment. Networking is another good way to get the word out that you are doing counseling. However the best resource by far is referrals through insurances. I am aware of many people who have tried to make a go of a practice without accepting third party reimbursement; some of them have been able to do it. However it is very difficult and takes a longer time to build up your practice without third party referrals. It is admittedly difficult to get on some panels; however it is worth it to try.  If you do self pay it will be important to establish a fee schedule for your services. You will need to get comfortable telling people how much you charge for your services. If you are open to using a sliding scale, make sure you have thought it out and have it also established so that you can inform potential clients when they ask.
 
If you have a special population that you have been trained to serve it will assist you in obtaining provider status on an insurance panel. There is a need for clinicians who are bilingual or have a good understanding of different cultures and religions. These areas have been traditionally ignored by insurance companies in recruiting therapist. However with the advent of the internet, many potential clients are more savvy consumers. They do their homework and know how to request specific qualities and expertise in their service providers. Therefore don't be shy to identify yourself as being particularly skilled or competent in a particular area.
 
Another important issue is Paperwork and office management. You will need to have forms to use in your practice. Some basic forms that you will need are Intake Form, Release of Information form, Progress Notes, Confidentiality Policy, Financial Policy, etc. You may want to look at some of the forms that are used in your agency, before you leave, and use them as templates to design forms that can be more useable for your own practice. Remember, unless you have a secretary or office manager to take care of paper work it becomes your responsibility. Also remember when trying to build up your practice you need to answer your calls as soon as possible. A potential client is looking for a clinician to help them, and they will call several clinicians in this search. If you can answer your phone and take a name and number to call back later, that is preferable to sending it to your voice mail. Because by the time you call back this client may have already scheduled with another clinician whose response was timelier.
 
You are responsible to know the Laws of the state in which you practice especially those related to HIPPA and child abuse reporting. As a professional in private practice, be prepared to be a self feeder in terms of educating yourself.  You will need to be proactive and keep up with what is going on in your field, you will not have an agency to feed you information.  You will also need to be proactive in networking with peers.  Sometimes it is hard to get out of your office and meet with colleagues.  Belonging to an association that gets similar professionals together is a good way to approach this.  Professional Organizations, while charging fees for membership, are a good investment.

When all is said and done, your private practice will be successful if you take the time to invest in it.  It is an amazing thing and a privilege to be allowed enter into the lives of your client. 

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