Reply #28: Since many states privatized mental health care, almost anyone can earn such certificates.

[yardwork]

I don't know about Maryland. I do know that in many states, mental health care has been completely outsourced to private groups who hire "counselors" with little or no training to run group "therapy" sessions for people arrested for DUI or referred by physicians for mental health care.

In North Carolina there is a huge scandal about this, as it turns out that many of the private companies provided very poor or nonexistent care, for which they were paid large sums of money in contractual fees.