Episode 195: Centering Equity, Inclusion, and Accessibility in Group Practice [featuring Erica Smith]

In this episode, Patrick Casale speaks with Erica Smith about creating equitable and accessible workplaces in private practice. Erica shares candid, real-life stories of navigating the mental health field as someone living with chronic illness, and discusses the imperative of designing work environments that are truly supportive and accessible.

Top 3 takeaways:

1. Accessibility Goes Beyond Ramps: It means considering everything from office seating and safe, convenient entryways to virtual work options and clear communication about what your space does (and doesn't) offer.
2. Culture Starts with Transparency: Erica models being upfront with staff and clients about values, policies, and decision-making—including the challenges and financial realities of running an equitable group practice.
3. Intentionality Drives Inclusion: From pronouns on the website to supporting community initiatives and hosting know-your-rights cards in the lobby, every detail signals who you want to welcome and support in your practice.

More about Erica

Erica, a North Carolina native and clinical social worker, specializes in trauma, particularly interpersonal violence, racial trauma, and chronic/invisible illness, drawn from her personal experiences. She was diagnosed with Rheumatoid Arthritis and then Lupus (Systemic Lupus Erythematosus) at age 12 in 2003—also the year she experienced the sudden loss of her father—followed by Interstitial Lung Disease (ILD)  later in life. These events spurred her desire to help others, leading to international volunteering, non-profit work, and over 10 years as a therapist. Navigating chronic illness and being a Black woman taught her strategies to adapt and advocate. She now leads Whole Mentality, a Raleigh-based group practice focused on accessible and affirming mental health services.

• From Solo to Collective: Leading an Equitable Therapy Practice - for group practice consultation: itsericakendra.com/consultation
• Website: wholementality.com
• Social media: @wholementality and @itsericakenddra

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