The criteria used to measure whether a particular form of work, service, or vocation has developed into a profession include (a) university-based training to obtain the necessary knowledge, skills, and dispositions; (b) a form of status or power that is conferred by the profession upon its members; (c) a national association that forms a professional identity, advocates and supports its members, transmits professional values to its members, and disseminates scholarly research; and (d) a code of ethics and attempts at self-regulation through the use of licensure and certification (Francis & Dugger, 2014; Gorman & Sandefur, 2011). The profession of counseling, and more specifically clinical mental health counseling, has met and exceeded these criteria (Francis & Dugger, 2014).The American Mental Health Counseling Association (AMHCA) was created in 1976 and affiliated with the American Counseling Association (ACA) in 1977 (Field, 2017). Since that time, AMHCA has developed from a division of ACA to an independent organization seeking to advocate for and influence the future of clinical mental health counseling. During its early years of development, the AMHCA leadership established important priorities to help the profession develop, including (a) advocating for the creation of licensure laws, (b) obtaining payments for services rendered from third party payers (i.e., insurance companies), (c) creating a scope of practice for mental health counselors, (d) achieving parity with other members of the mental health community (e.g., psychologists, clinical social workers), and (e) creating standard treatment plans for special populations (e.g., the elderly, chronic mental illnesses; Colangelo, 2009). Also included in this list of priorities was the creation of educational (i.e., accreditation) and certification standards that reflected the unique knowledge base necessary for clinical mental health counselors (CMHCs) to practice (Field, 2017).Clinical mental health counseling has matured beyond its early years and fully entered the mainstream of the mental health counseling profession. It has helped develop and revised educational standards (i.e., CACREP) and has its own codes of ethics (AMHCA, 2020). A scope of practice and licensure laws have been developed, and now the profession is lobbying for the standardization of state laws to increase the portability of licensure across state lines (AMHCA, 2021). Licensed mental health counselors (LMHCs) are being paid by insurance companies, and they continue to lobby the federal government to include CMHCs in Medicare (AMHCA, 2021). LMHCs are being included on multidisciplinary care teams and working within integrated systems.Yet, as one challenge is met, another persists or a new one presents itself as both the profession and society develop. The focus of this special edition of the Journal of Mental Health Counseling is to address the many policy and educational challenges that impact the continued development of clinical mental health counseling.Charles J. Jacob et al. (2022) address the issue of boundary violations (sexual misconduct) in the profession. The ethics of both the ACA (A.5.) and AMHCA (A.4.) clearly prohibit sexual and/or romantic relationships between counselors and clients. Yet a majority of malpractice insurance claims continue to include boundary violations. Counselor education programs, as well as state licensure boards, do not adequately address this issue beyond telling counselors this behavior is inappropriate. Jacob et al. offer a standard of self-care to manage the attraction to clients and challenge counselor educators to address this issue with more depth and training to prevent boundary violations from happening.The CACREP curriculum requirements have evolved over the life of the accreditation body. As the needs of clients have changed, and as research has increased the knowledge base of the profession, this curriculum has changed. Counselors now have a heightened awareness of the impact of discrimination and racial injustice and its toll on the mental health of all people. In addition, they have a greater understanding of the impact of adverse childhood trauma on the development of children. These crises have also highlighted the need to provide increased training in the area of trauma across the life span. Yoon Suh Moh and Katherine Sperandio (2022) review the research concerning trauma and provide information on the increased need for comprehensive clinical training in trauma treatment and prevention to better prepare clinical counselors to practice in today’s world.AMHCA continues to work with Congress to amend the Medicare law so that CMHCs can be included in the panel of mental health care providers. Each day CMHCs are denied provider status, the national provider shortage worsens. This impacts the beneficiaries of Medicare and society in general. Amy Morgan et al. (2022) provide an overview of the problem and its impact on the beneficiaries and current and potential providers. They offer CMHCs information for use in advocacy efforts to impact legislation.Integrated health care (IHC) offers CMHCs the chance to be part of a larger team of mental health providers in various clinical settings. Varinder Kaur et al. (2022) explore the challenges, opportunities, and current barriers CMHCs face in the current IHC models of care and offer a holistic integrated model that addresses the physical, mental, social, and spiritual needs of the client. This model places CMHCs at the forefront of models of care by identifying symptoms, addressing potential disorders, providing diagnosis, and offering the necessary counseling services.IHC systems and other service structures will offer CMHCs the opportunity to work with other mental health professionals in providing mental health care to clients. While counselors have a strong intraprofessional identity, these questions remain: What is the level of their interprofessional identity and interprofessionalism, and how does that impact their attitudes and work in integrated systems? Jennifer Klein and Eric Beeson (2022) explore this question with the goal of helping the profession understand how attitudes and beliefs impact interprofessional education and collaboration efforts.A code of ethics is a living document that evolves as the profession and society grow and change. It is also a reflection of the values of the profession and a statement of how the profession will interact with the public (Francis & Dugger, 2014). Anabel Mifsud and Barbara Herlihy (2022) review the prevailing codes of ethics and challenge the profession to move beyond the foundation of principle ethics and integrate a more culturally responsive method of ethical reasoning based on virtue and relational ethics. In so doing, ethical reasoning can become more responsive to collective interventions that reflect CMHCs’ interactions with a more diverse society.Each article provides the CMHC with information to address the priorities and policies laid out in the early development of AMHCA and continue to provide direction to the profession as it faces the future of mental health counseling in a complex and diverse world.