Print Posted on 05/26/2017 in Community Counseling

Community Counseling Agencies: What To Expect

Community Counseling Agencies: What To Expect

In the realm of mental health and counseling options, there are a range of service providers and private options for consumers who seek treatment. While these include things like private practice therapists and online options, another treatment option is often available as well: community counseling agencies. While these are typically one of the most affordable options available, they also have a number of things to be aware of before seeking treatment through. This article will outline what you can expect from a community counseling agency and how you can ensure you receive the best care possible from this setting.

What are Community Counseling Agencies?

While every area will have different names and funders of community counseling services, these are typically agencies (often run by local governments) who specialize in providing mental health treatment at either no cost or at a low sliding-scale rate. Like other forms of treatment, services may include things such as individual therapy, group counseling, couples counseling, and specialized treatment services depending on the presenting issue.

One of the concerns around community counseling is that these agencies are often staffed by less experienced professionals. While it may be true that your therapist may have less years of experience (or still be under supervision for licensure), community counseling agencies still usually have a well-developed supervision program for therapists, meaning that even the less experienced practitioners receive regular guidance and support from more seasoned professionals.

The Downside to Community Counseling

While community counseling may be the best fit for your budget, there are several trade-offs you should know about before seeking this service:

  • Wait-lists: Due to the high demand for this service, community counseling agencies may have much longer wait-lists than private service providers; depending on how they are funded, they may limit services to those who present with the highest need for treatment in combination with other factors, such as patient income.
  • Less choice: While community counseling agencies are staffed with trained and supported professionals, it is unlikely that you would have the option to select a therapist – instead, most agencies will have you conduct an assessment with an intake coordinator and place you with a provider based on their availability and service specialty. While you may still be able to request a new therapist should you be dissatisfied, this process will take time and may result in a gap in service delivery.
  • Employee turnover: Since many therapists start their career working within these settings, their pay is usually lower than what they could receive working in private settings or in specialized organizations. As a result, these agencies experience higher rates of therapist turnover, leaving you at-risk for starting work with a therapist, only to be transferred to a new one after several months.

How to Get the Best Care

Should you decide to seek out a community counseling agency for care, make sure to ask the following questions before starting treatment:

  • What is your therapist’s experience level? If you are being assigned to a therapist that is still under clinical supervision, how experienced is their supervisor?
  • What is your therapist’s area of expertise? What kinds of services are they able to provide? Should your needs change (for example, transitioning from individual to family therapy), will the provider be able to make this transition?
  • Does your therapist plan on staying with the agency for the amount of time you think you’ll need treatment? (Note that you may not receive an accurate answer to this.) If a change in therapist is required, whether by your request or through turnover, what policy does the agency have in place to prevent gaps in care?

As you begin a journey into community counseling, remember that patience and flexibility is key. If the cost of treatment is the most important factor for your decision around the type of service to use, community counseling may be the best choice. But if cost is less of a factor, and you need timely treatment that you have more “say” in, community counseling may be a more frustrating experience.


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