Who is this training for?
Bariatric psychological assessments should be completed by fully licensed mental health providers, including psychologists, clinical social workers, counseling professionals, marriage and family therapists, or mental health therapists. According to the ASMBS: It is also expected that evaluating clinicians hold a professional license that authorizes them to formulate a clinical diagnosis according to DSM-IV criteria. Additionally, their license should authorize them to conduct psychological evaluations, perform psychotherapy or counseling of adults with an Axis I or Axis II clinical diagnosis or other psychological conditions that may be a focus of clinical attention as outlined in the DSM-IV, and administer and interpret psychological tests.
ASMBS does not endorse nor require this training to be able to conduct bariatric psychological evaluations.
What is included in the training?
Included in this training is 3-4 hours of educational content related to bariatric psychological assessments, including assessment of readiness for surgery, how to complete a biopsychosocial evaluation and a surgeon’s letter, and education for the client that includes a patient-facing PowerPoint and scripting. You will also receive templates for the surgeon’s letter, biopsychosocial evaluation, and client questionnaire. You will also receive documentation examples for the documents listed above. The goal of this training is for you to go from little knowledge of bariatric psychological assessments to being able to perform your first evaluation once you complete the training.
How long is the training?
The training takes approximately 3-4 hours depending on your attention span and need for breaks.
Do I get a certification after completing this course?
There is no certification currently recognized by the ASMBS, though there are programs willing to sell you a certification. Since this will not alter your ability to conduct bariatric psychological assessments, there will be no certification given at the end of the training. If you need a certificate of completion to self-report CEUs, please contact me at Info@LearnBariatricPsychologicalAssessments.com and one will be provided to you.
ASMBS does not endorse nor require this training to be able to conduct bariatric psychological evaluations.
Do you provide CEUs for this training?
No. Since this training is offered nationally and for several license types, it would be challenging to obtain permission and/or give out CEUs. However, an optional test at the end of the course will meet some states’ recommendations for self-reported CEUs. If you need a certificate of completion to self-report CEUs, please contact me at Info@LearnBariatricPsychologicalAssessments.com and one will be provided to you.
Do you ever offer this training in person?
Not at this time. It is my goal to provide training to as many providers as possible to increase client access to well-educated and prepared providers.
Is the training live or self-paced?
This training is self-paced and untimed. You can work on it as you find time.
Where do you get referrals from?
The majority of my referrals come straight from bariatric surgeons. It is important to find the bariatric surgeons in your area and contact them to find out if they have internal evaluators. Even if they do have someone conducting evaluations internally, they need to find someone to use for second opinions or for conflict of interest cases. Some clients will find me on their own through Google searches. I have a separate website deducted to bariatric evaluations, so I am easily found. Lastly, I get referrals from other therapist who do not conduct bariatric evaluations.
What do clients pay for evaluations?
This varies depending on the area, the number of providers who provide this service, and the wait times for those who are providing these evaluations. You will need to figure out your market tolerance. Many clients have a hard time finding providers who provide bariatric evaluations, so they are more tolerant of higher prices to get them done correctly. Some clients might have already seen a provider who stated they could do the evaluation and then submitted them without the letter, making them unusable. At the very least, it should be 2 hours of your regular therapy rate, as these evaluations can take up to 2 hours.
Do you have to take insurance?
Yes, though there is not a separate code for these evaluations. You would bill with a normal intake code. You can also charge a fee for the letter to secure additional funds that cover the time that these evaluations take while still staying inside your insurance contractual agreements. Many clients are used to using insurance for the other aspects of the bariatric process, so they often expect to be able to use insurance for these evaluations.
Can you provide these evaluations as a self-pay only provider?
Yes. Many clients are eager to get their evaluations done quickly and are often willing to pay to get them done quickly and correctly the first time.
How long does the evaluation take to complete?
In general, evaluations take 1-2 hours to complete, depending on how comfortable you are with the material, how complicated the client’s case or situation is, and how many questions the client has. As you start to do more evaluations and get more comfortable with the process, you may only need 1-1 ½ hours. Usually you will need 1- 1 ½ hours with the client and up to another ½ hour for completing documentation for the surgeon.
Do I need additional specialized training, such as for eating disorders?
Not necessarily. For these evaluations, you are evaluating the need for further treatment. Your skills as a therapist will remain. If a client is outside your scope, you will refer out to another provider who specializes in eating disorders. The main point of these evaluations is to educate the client so the client can then self-refer if needed in the future.
Are the assessments state specific?
No. The ASMBS is the governing body for setting standards for these evaluations, and they are national.
ASBMS does not endorse nor require this training to be able to conduct bariatric psychological evaluations.
Do you find any ethical concerns when providing these evaluations?
Like in all therapy, there are ethical concerns. This is why consultation is important while conducting bariatric evaluations. It ensures you are conducting yourself in a way similar to other providers who provide this service. However, know that these evaluations are only saying that you do not believe there are any concerns that would heavily impede the client’s post-surgical success (and this knowledge is solely based on what clients tell us). You are not saying the client is a good candidate for surgery or that you believe the client should have surgery. That is for the surgeon to decide.
Are you concerned you might get sued for providing these evaluations?
Anyone can sue you for any reason at any time, so it’s best to do what you can to protect yourself. Only practice in states in which you are licensed to practice, do not allow your liability insurance to lapse, work to the fulfill best practices as set by the ASMBS, seek consultation to ensure you are conducting these evaluations as others would, and work together with surgeons and their teams for high risk or concerning clients in order to liability share.