“…Moreover, much of the nature of their work that is conducted in such settings is known and understood by the profession. There has been much written describing this work and its content in open source journals and books (Civiello, 2009; Kennedy, Borum, & Fein, 2010; Kennedy & Williams, 2010; Staal & Stephenson, 2006, 2013; Stephenson & Staal, 2007; Williams & Johnson, 2006; Williams, Picano, Roland, & Banks, 2006). Soldz et al (2016) argue that due to this secrecy, access to specific information is unavailable to state licensing boards, making it difficult to investigate complaints or provide sufficient oversight.…”