WEBVTT 1 00:00:00.100 --> 00:00:03.300 Careers in the behavioral health field can follow many 2 00:00:03.300 --> 00:00:06.400 Pathways Beacon has resources to help 3 00:00:06.400 --> 00:00:09.500 anyone considering a career in the behavioral health field 4 00:00:09.500 --> 00:00:12.600 and provides ways for you to explore a variety 5 00:00:12.600 --> 00:00:15.600 of careers and study the differences between them 6 00:00:15.600 --> 00:00:18.800 presented. Here are some of the unique aspects 7 00:00:18.800 --> 00:00:21.800 of those careers expressed by multiple team 8 00:00:21.800 --> 00:00:24.300 members of Nebraska's licensed Mental 9 00:00:24.300 --> 00:00:27.000 Health Providers psychology is unique in the 10 00:00:27.500 --> 00:00:30.100 Behavioral Health Professions in that it's often mistaken with 11 00:00:30.100 --> 00:00:33.700 Psychiatry. That's the biggest one and in Psychiatry of 12 00:00:33.700 --> 00:00:36.500 course, folks go through medical school. They 13 00:00:36.500 --> 00:00:39.800 receive medical training just as any other MD would 14 00:00:39.800 --> 00:00:42.800 and then receive a specialization in 15 00:00:42.800 --> 00:00:45.600 mental health that allows them to specialize in 16 00:00:45.600 --> 00:00:48.700 usually mostly medication management of 17 00:00:48.700 --> 00:00:51.900 mental health issues psychologists in 18 00:00:51.900 --> 00:00:54.900 contrast to that don't prescribe medications in 19 00:00:54.900 --> 00:00:57.800 Most states, there are exceptions, but we 20 00:00:57.800 --> 00:01:00.100 do focus more on assess. 21 00:01:00.100 --> 00:01:03.900 It and diagnosis and treatment direct treatment 22 00:01:03.900 --> 00:01:07.000 of patients that is similar to what licensed 23 00:01:06.200 --> 00:01:09.500 Mental Health Providers do in terms 24 00:01:09.500 --> 00:01:12.400 of day-to-day clinical service the difference between 25 00:01:12.400 --> 00:01:15.700 psychologists. Lmhps and social workers 26 00:01:15.700 --> 00:01:18.700 is that psychologists typically do are 27 00:01:18.700 --> 00:01:21.200 allowed to do more of the assessment piece of things 28 00:01:21.200 --> 00:01:25.000 and diagnosis that at higher levels also 29 00:01:24.100 --> 00:01:27.400 psychologists often will teach at 30 00:01:27.400 --> 00:01:30.600 University Systems, which isn't something 31 00:01:30.600 --> 00:01:33.500 that's more commonly done by Elementary peas 32 00:01:33.500 --> 00:01:34.000 and social workers. 33 00:01:38.800 --> 00:01:42.000 The Unique Piece about being a PA among 34 00:01:41.100 --> 00:01:44.600 the other Health Professions is that 35 00:01:44.600 --> 00:01:47.100 in contrast to a counselor? Then you are 36 00:01:47.100 --> 00:01:50.700 able to prescribe medication even though your counselor 37 00:01:50.700 --> 00:01:53.100 and you probably will learn about medication and 38 00:01:53.100 --> 00:01:57.300 things you do not have that privilege or education 39 00:01:56.300 --> 00:01:59.100 to do that and that makes 40 00:01:59.100 --> 00:02:02.600 it unique because again now you're taking on a very medical role 41 00:02:02.600 --> 00:02:06.300 and you have to consider all the consequences of prescribing 42 00:02:05.300 --> 00:02:08.900 a medication and also diagnosing them 43 00:02:08.900 --> 00:02:11.600 accurately and making sure there isn't 44 00:02:11.600 --> 00:02:14.900 a medical issue that's going on. So you're also ordering labs. 45 00:02:16.300 --> 00:02:19.200 As well to make sure there might not be another medical issue and 46 00:02:19.200 --> 00:02:23.400 then you may be Consulting more with other professionals whether 47 00:02:23.400 --> 00:02:26.700 in neurology or with other psychiatrists or 48 00:02:26.700 --> 00:02:28.400 with other primary care providers. 49 00:02:33.100 --> 00:02:36.200 As a mental health therapist you get to work with them one-on-one on 50 00:02:36.200 --> 00:02:39.500 their goals, their therapeuticals of what they want to achieve in 51 00:02:39.500 --> 00:02:42.600 therapy if that's working in depression or anxiety 52 00:02:42.600 --> 00:02:45.600 if that's working and processing trauma, whatever 53 00:02:45.600 --> 00:02:48.600 that looks like some of the things that we do is a lot of talk therapy. 54 00:02:48.600 --> 00:02:51.900 So we get to talk through it. I do not give medication. I 55 00:02:51.900 --> 00:02:54.800 do not prescribe anything. So it's 56 00:02:54.800 --> 00:02:57.700 more talk therapy as well as an addiction from for 57 00:02:57.700 --> 00:03:00.600 a drug and alcohol therapist. It's a lot about talking about how 58 00:03:00.600 --> 00:03:03.400 you're coping with that drug and alcohol and what 59 00:03:03.400 --> 00:03:06.300 we can do to cope and healthier ways if that's running here 60 00:03:06.300 --> 00:03:09.300 that's working out whatever that looks like. So it's a 61 00:03:09.300 --> 00:03:12.200 lot of goal-oriented and a lot of me being there for 62 00:03:12.200 --> 00:03:14.300 them. No matter their circumstances. 63 00:03:19.300 --> 00:03:22.600 So what's really unique about being a licensed alcohol 64 00:03:22.600 --> 00:03:25.400 and drug counselor versus the other professions is our 65 00:03:25.400 --> 00:03:28.400 true focus is on individuals with substance use 66 00:03:28.400 --> 00:03:28.900 disorders. 67 00:03:29.800 --> 00:03:33.500 And it's a population that though some 68 00:03:32.500 --> 00:03:35.300 individuals you may believe, you 69 00:03:35.300 --> 00:03:38.200 know a lot about unless you spend the time 70 00:03:38.200 --> 00:03:41.600 to work with individuals with addictions. You 71 00:03:41.600 --> 00:03:44.200 really don't have a grasp of the 72 00:03:44.200 --> 00:03:47.500 depth that it affects a person and their 73 00:03:47.500 --> 00:03:50.700 families and their lives are real specialization is 74 00:03:50.700 --> 00:03:53.600 to help a person move into recovery 75 00:03:53.600 --> 00:03:56.700 from a substance use disorder and to 76 00:03:56.700 --> 00:03:59.600 really build a life that there they 77 00:03:59.600 --> 00:04:02.700 want to live that they're looking forward to that really 78 00:04:02.700 --> 00:04:05.500 fulfills them and putting together 79 00:04:05.500 --> 00:04:08.300 and repairing all the damage that's a 80 00:04:08.300 --> 00:04:10.900 substance use is caused in their lives and in their family, 81 00:04:15.800 --> 00:04:19.200 What is unique to counseling is that 82 00:04:18.200 --> 00:04:21.400 we really do with the preventative and 83 00:04:21.400 --> 00:04:24.700 the advocacy within family systems and individuals. And 84 00:04:24.700 --> 00:04:27.300 so I think a lot of times people feel like that only when 85 00:04:27.300 --> 00:04:30.600 I'm broken only when things are falling apart, can I 86 00:04:30.600 --> 00:04:33.400 get help and so we hope to get out there earlier? We 87 00:04:33.400 --> 00:04:36.300 hope to help people and educate them that you can 88 00:04:36.300 --> 00:04:39.600 come for anything any of the challenges of 89 00:04:39.600 --> 00:04:42.600 life and and we can be helpful in that and 90 00:04:42.600 --> 00:04:46.200 what we find is that the preventative pays 91 00:04:45.200 --> 00:04:48.700 dividends both financially for insurance companies and 92 00:04:48.700 --> 00:04:51.200 for individuals because if we can tackle that 93 00:04:51.200 --> 00:04:54.300 before it gets to crisis we can prevent some of 94 00:04:54.300 --> 00:04:57.300 the divorces some of the kids being placed some of 95 00:04:57.300 --> 00:05:00.400 the individuals going to prison and that's been huge. 96 00:05:05.700 --> 00:05:07.300 Say licensed Mental Health. 97 00:05:07.500 --> 00:05:10.400 Petitioner and a licensed addiction counselor. I have 98 00:05:10.400 --> 00:05:13.200 a unique role in a unique 99 00:05:13.200 --> 00:05:16.700 place in the profession. And mostly that is I can treat 100 00:05:16.700 --> 00:05:20.300 both mental health and substance use together concurrently 101 00:05:19.300 --> 00:05:22.400 and so folks don't 102 00:05:22.400 --> 00:05:25.000 have to go to different places to get the treatment that they need 103 00:05:25.200 --> 00:05:28.500 and when you look at you know how much 104 00:05:28.500 --> 00:05:31.700 those two issues overlap 105 00:05:31.700 --> 00:05:34.500 that's really important to be able to assess that and 106 00:05:34.500 --> 00:05:37.400 you know help meet folks where they're at. I think that's pretty 107 00:05:37.400 --> 00:05:40.400 unique in the field, but it's it's more and more 108 00:05:40.400 --> 00:05:43.800 becoming a common thing that are we're 109 00:05:43.800 --> 00:05:46.500 training our our providers to be duly licensed in 110 00:05:46.500 --> 00:05:49.200 those two areas so they can help provide better 111 00:05:49.200 --> 00:05:50.700 care to the people in, Nebraska. 112 00:05:54.400 --> 00:05:57.500 Social workers from really the second 113 00:05:57.500 --> 00:06:01.300 un or undergraduate programming you 114 00:06:00.300 --> 00:06:03.100 start to understand that we are looking at the 115 00:06:03.100 --> 00:06:06.200 whole person something we prescribe to all the time 116 00:06:06.200 --> 00:06:09.700 is the systems theory. So when we meet somebody we're 117 00:06:09.700 --> 00:06:12.300 thinking about their family system their work 118 00:06:12.300 --> 00:06:15.800 life. Do they have transportation? What's their socioeconomic 119 00:06:15.800 --> 00:06:18.200 level? We kind of all have 120 00:06:18.200 --> 00:06:22.600 that stored in the back of our mind along with resources. So 121 00:06:22.600 --> 00:06:25.300 I always kind of like tease some of the students. I've 122 00:06:25.300 --> 00:06:28.400 worked with over the years when I've taught or I've been a practicum 123 00:06:28.400 --> 00:06:31.400 coordinator and I say like you are going to be walking around 124 00:06:31.400 --> 00:06:34.400 with a Rolodex in your mind. You're gonna 125 00:06:34.400 --> 00:06:37.200 know who to call you're gonna know who to talk 126 00:06:37.200 --> 00:06:40.300 to if you need to know what housing supports are available 127 00:06:40.300 --> 00:06:43.300 whether somebody needs Transportation heck you're 128 00:06:43.300 --> 00:06:46.600 gonna probably know the bus line at some point because that's just what 129 00:06:46.600 --> 00:06:49.300 we know is social workers. So I think it's Unique that 130 00:06:49.300 --> 00:06:52.700 we're able to see a person holistically when 131 00:06:52.700 --> 00:06:54.200 they come in even when we're doing 132 00:06:54.300 --> 00:06:57.200 Therapy, we're always thinking about the other systems that 133 00:06:57.200 --> 00:06:59.700 they're interacting with and I think that is very important. 134 00:07:00.900 --> 00:07:03.300 Other thing I think it is very unique about us is that 135 00:07:03.300 --> 00:07:06.500 we are approved to see Medicare so that puts us in positions 136 00:07:06.500 --> 00:07:09.600 of working in different types of Institutions that 137 00:07:09.600 --> 00:07:13.000 sometimes another Behavioral Health provider 138 00:07:12.200 --> 00:07:15.700 would not be because they see 139 00:07:15.700 --> 00:07:18.100 social workers as valuable in the sense 140 00:07:18.100 --> 00:07:21.000 of looking at the whole person and being, you know able to do a 141 00:07:21.300 --> 00:07:24.500 lot of different levels of work with individuals because that's 142 00:07:24.500 --> 00:07:26.000 what we learn from day one. 143 00:07:30.200 --> 00:07:33.300 Being an lmft is unique amongst the different 144 00:07:33.300 --> 00:07:36.900 Behavioral Health Professions because we are systemically 145 00:07:36.900 --> 00:07:40.100 trained we treat their relationship and 146 00:07:39.100 --> 00:07:42.300 not just the symptoms or the 147 00:07:42.300 --> 00:07:45.200 individual. So if you came to 148 00:07:45.200 --> 00:07:48.900 me because you're suffering from depression, I would 149 00:07:48.900 --> 00:07:51.600 ask you about your family relationships. I 150 00:07:51.600 --> 00:07:54.300 would ask you if you're involved in activities or 151 00:07:54.300 --> 00:07:58.000 in your community. What is your work life? Like amongst other 152 00:07:57.300 --> 00:08:01.300 things to treat you guys the system 153 00:08:00.300 --> 00:08:04.400 not just that symptom. And 154 00:08:03.400 --> 00:08:06.300 so that's a difference in 155 00:08:06.300 --> 00:08:09.600 the training that lmfts receive when treating 156 00:08:09.600 --> 00:08:12.800 a couple we're trained to treat their relationships. 157 00:08:12.800 --> 00:08:15.400 So the relationship is our client. So to 158 00:08:15.400 --> 00:08:19.000 say so we focus on what are the individuals doing 159 00:08:18.300 --> 00:08:21.900 that are helping their relationship Thrive or 160 00:08:21.900 --> 00:08:25.200 that are creating problems within the relationship and 161 00:08:24.200 --> 00:08:27.800 we want that to be improved overall. 162 00:08:27.800 --> 00:08:30.000 Wow maintaining how 163 00:08:30.200 --> 00:08:31.600 Individuals doing as well. 164 00:08:36.600 --> 00:08:39.700 Compared to other Behavioral Health Professions. I 165 00:08:39.700 --> 00:08:42.800 feel like nurse practitioner is different because we 166 00:08:42.800 --> 00:08:45.900 do get to combine a lot of those different roles. 167 00:08:45.900 --> 00:08:48.700 So I get to provide therapy. I 168 00:08:48.700 --> 00:08:51.100 get to provide medication management I get to 169 00:08:51.100 --> 00:08:54.400 work as a team I get to provide some of the social work 170 00:08:54.400 --> 00:08:57.400 aspect of things and I think just the 171 00:08:57.400 --> 00:09:00.000 nursing theory behind things is that we 172 00:09:00.500 --> 00:09:03.000 provide holistic care and that's not to say 173 00:09:03.200 --> 00:09:06.200 that other other professions in this area. Do not 174 00:09:06.200 --> 00:09:09.600 provide a holistic care, but I think my training behind 175 00:09:09.600 --> 00:09:11.500 that really emphasized that 176 00:09:16.300 --> 00:09:20.000 So a behavior analyst is someone who kind of 177 00:09:19.200 --> 00:09:22.400 seeks you understand Behavior. So 178 00:09:22.400 --> 00:09:25.300 we're looking at factors that might be impacting behavior. And 179 00:09:25.300 --> 00:09:28.600 then using that information to develop plans or 180 00:09:28.600 --> 00:09:31.800 teach new skills and behaviors to help individuals to 181 00:09:31.800 --> 00:09:34.300 kind of get the most out of their daily life and 182 00:09:34.300 --> 00:09:37.500 function. Well, so a typical day or week 183 00:09:37.500 --> 00:09:40.100 for a behavior analyst will kind of vary pending on 184 00:09:40.100 --> 00:09:43.500 their training. So often times the ones 185 00:09:43.500 --> 00:09:46.200 that we kind of focus on within our program at the 186 00:09:46.200 --> 00:09:49.700 University of Nebraska Omaha our intensive services, 187 00:09:49.700 --> 00:09:52.900 so that would be children and early intervention 188 00:09:52.900 --> 00:09:55.500 with autism that are receiving a 189 00:09:55.500 --> 00:09:58.400 lot of concentrated supports to kind of 190 00:09:58.400 --> 00:10:02.300 improve their functioning or speaking other skills 191 00:10:01.300 --> 00:10:04.300 along those lines. The next would 192 00:10:04.300 --> 00:10:08.200 be within school-based services. So we have individuals 193 00:10:07.200 --> 00:10:10.800 that work as behavioral Consultants 194 00:10:10.800 --> 00:10:13.600 within schools other areas within 195 00:10:13.600 --> 00:10:16.000 education and behavior analysis would have to do with 196 00:10:16.300 --> 00:10:19.600 Development of instructions. So for example reading instruction or 197 00:10:19.600 --> 00:10:22.300 writing instruction where we're developing 198 00:10:22.300 --> 00:10:25.300 programs to help kids learn as quickly and efficiently 199 00:10:25.300 --> 00:10:28.500 as possible the skills that they need one other areas 200 00:10:28.500 --> 00:10:31.500 within a like outpatient Behavioral 201 00:10:31.500 --> 00:10:34.600 Health and within outpatient Behavioral Health 202 00:10:34.600 --> 00:10:37.500 the students may work with a variety 203 00:10:37.500 --> 00:10:40.900 of populations or clients from 204 00:10:40.900 --> 00:10:43.900 children that have externalizing behavioral 205 00:10:43.900 --> 00:10:46.700 concerns or internalizing concerns, like anxiety 206 00:10:46.700 --> 00:10:50.700 and depression and those people oftentimes 207 00:10:49.700 --> 00:10:53.100 do get an additional certification or 208 00:10:52.100 --> 00:10:55.300 credential to practice as a mental health 209 00:10:55.300 --> 00:10:57.700 practitioner within the state of Nebraska. 210 00:11:03.500 --> 00:11:06.500 I think the most unique part of being a 211 00:11:06.500 --> 00:11:09.500 psychiatrist is the medical knowledge 212 00:11:09.500 --> 00:11:12.600 that we have many psychiatric conditions 213 00:11:12.600 --> 00:11:15.700 come from medical issues. 214 00:11:15.700 --> 00:11:18.800 And as a psychiatrist, I have 215 00:11:18.800 --> 00:11:21.400 the ability to order labs and 216 00:11:21.400 --> 00:11:24.700 Order Imaging and to rule out those medical 217 00:11:24.700 --> 00:11:27.500 conditions. I also have the ability to 218 00:11:27.500 --> 00:11:30.900 prescribe medications, which many 219 00:11:30.900 --> 00:11:34.100 other Behavioral Health Specialists. Do 220 00:11:33.100 --> 00:11:35.200 not have the ability to do. 221 00:11:40.500 --> 00:11:43.800 Whereas there is two things first to me is a 222 00:11:43.800 --> 00:11:46.300 still kind of like the Last Frontier the 223 00:11:46.300 --> 00:11:49.800 mine, you know, I mean, we're always learning something 224 00:11:49.800 --> 00:11:52.200 about the mind and no matter how much 225 00:11:52.200 --> 00:11:55.200 we must learn there's always more to learn and 226 00:11:55.200 --> 00:11:58.800 more to find out and more to understand. So just 227 00:11:58.800 --> 00:12:01.800 being able to work with mind issues. 228 00:12:01.800 --> 00:12:04.800 That in itself is incredible. The 229 00:12:04.800 --> 00:12:08.100 other part is when you realize that the 230 00:12:07.100 --> 00:12:10.400 most in need people, 231 00:12:10.400 --> 00:12:13.300 those are needing the most need are those with 232 00:12:13.300 --> 00:12:16.600 mental illness. So being able to help the 233 00:12:16.600 --> 00:12:19.700 people that are in these incredible need 234 00:12:19.700 --> 00:12:22.700 or precarious situation is very 235 00:12:22.700 --> 00:12:25.700 satisfying because you're able to defend and advocate 236 00:12:25.700 --> 00:12:28.200 for those who have the least capacity to do it. 237 00:12:28.200 --> 00:12:32.100 So when you can do that, you can go home feeling and 238 00:12:31.100 --> 00:12:34.400 thinking that you have done your part in 239 00:12:34.400 --> 00:12:37.000 the community and in the country and in the nation, 240 00:12:41.900 --> 00:12:45.300 Psychiatrists are trained medical professionals. We 241 00:12:44.300 --> 00:12:48.100 complete medical school just like your other doctors and 242 00:12:47.100 --> 00:12:50.300 Physicians. So we 243 00:12:50.300 --> 00:12:53.300 consider patients through a medical lens. So we 244 00:12:53.300 --> 00:12:56.400 look at we look at both their mental health 245 00:12:56.400 --> 00:12:59.200 concerns, but also their physical concerns a lot 246 00:12:59.200 --> 00:13:02.400 of there's a lot of overlap there. If you're in chronic 247 00:13:02.400 --> 00:13:05.700 pain or you have infections or 248 00:13:05.700 --> 00:13:08.700 dementia, those can have psychiatric symptoms 249 00:13:08.700 --> 00:13:11.400 as well. So it's really important to understand 250 00:13:11.400 --> 00:13:15.000 not just the brain the mind 251 00:13:14.300 --> 00:13:18.600 but the whole body and that's also 252 00:13:17.600 --> 00:13:20.400 especially true with when we're prescribing 253 00:13:20.400 --> 00:13:23.200 medications because our medications don't 254 00:13:23.200 --> 00:13:26.400 just affect the brain they affect your kidneys and 255 00:13:26.400 --> 00:13:29.500 your liver and your entire body and so as well 256 00:13:29.500 --> 00:13:32.100 as other medications that you're on and so really having a good 257 00:13:32.100 --> 00:13:35.100 understanding of that helps us to make 258 00:13:35.100 --> 00:13:38.500 sure that we are helping patients and not inadvertently causing 259 00:13:38.500 --> 00:13:41.200 harm. There's a lot of steps to 260 00:13:41.800 --> 00:13:44.400 Sure that a patient is well cared for and so that's why 261 00:13:44.400 --> 00:13:47.800 it's so important that we work as a interprofessional team. Each 262 00:13:47.800 --> 00:13:50.600 profession has a unique role in this team 263 00:13:50.600 --> 00:13:53.300 and they address one or several of 264 00:13:53.300 --> 00:13:56.400 those components for prescribing that's typically done 265 00:13:56.400 --> 00:13:59.600 by psychiatrists psychiatric nurse practitioners and 266 00:13:59.600 --> 00:14:03.700 psychiatric physician assistance. Diagnosing can 267 00:14:03.700 --> 00:14:07.800 be done by psychiatrists psychologists Liam 268 00:14:06.800 --> 00:14:09.700 HPS, which is licensed independent 269 00:14:09.700 --> 00:14:12.100 mental health professionals can also diagnose. 270 00:14:12.900 --> 00:14:15.600 And our social workers take care of the the 271 00:14:15.600 --> 00:14:18.300 social needs and help with 272 00:14:18.300 --> 00:14:21.400 follow-up and coordination of care. They're an invaluable 273 00:14:21.400 --> 00:14:24.400 resource for all that. They're simply no way that any 274 00:14:24.400 --> 00:14:27.400 psychiatrist or individuals in 275 00:14:27.400 --> 00:14:30.800 this team could provide the comprehensive care 276 00:14:30.800 --> 00:14:32.500 that these patients need by themselves.