20 CSR 2233-2.020 - Supervised Marital and Family Work Experience
(1) The phrase supervised clinical experience
as used in section 337.715.1(2), RSMo, means post-degree training in the
practice of marital and family therapy as defined in section
337.700(7),
RSMo, beginning after the satisfactory completion of the educational
requirements set forth in
20 CSR
2233-2.010 and obtained under the supervision of an
acceptable supervisor as defined in
20 CSR
2233-2.021.
(2) The effective date of a registration of
supervision or a change of supervision shall be determined by the state
committee with consideration given to when the application is complete with all
required documentation. The state committee will inform the applicant of the
effective date of supervision or change of supervision in writing.
(A) The following must be on file with the
state committee for an application for supervision or change of supervision
application to be considered complete and officially filed:
1. A registration of supervision or change of
supervision application form, provided by the state committee, that is legible
and printed in black or blue ink;
2. Application for supervision or change of
supervision application fee;
3.
Official graduate transcript(s) sent to the state committee by the educational
institution(s);
4. When applicable,
a written agreement, affiliating the licensure supervisor to the setting where
the supervised marital and family therapist or provisionally licensed marital
and family therapist will obtain licensure supervision; and
5. Background check with submission of
fingerprints to the Missouri State Highway Patrol's approved vendor(s) for both
a Missouri State Highway Patrol and Federal Bureau of Investigation criminal
background check. Any fees due for the background check shall be paid by the
applicant directly to the Missouri State Highway Patrol or its approved
vendor(s).
(3) A provisional licensed marital and family
therapist (PLMFT) or supervised-marital and family therapist (S-MFT) shall
notify the state committee within fifteen (15) days of changing supervisors or
settings by filing a change of supervision form and paying the fee as defined
in 20 CSR
2233-1.040(1)(J).
(4) A provisional license issued to an
applicant with a master's degree in compliance with
20 CSR
2233-2.010 is valid for at least three (3) years from
the date of issuance and until the expiration date of the license or upon
termination of supervision, whichever occurs first or unless the license is
disciplined by the state committee. Upon written request from the applicant and
prior to the expiration date of the provisional license, the state committee
may extend a provisional license for good cause at the discretion of the state
committee.
(5) Applicants for
supervised experience in marital and family therapy shall complete all
education requirements as defined in
20 CSR
2233-2.010(5).
(A) For the purpose of this rule, if an
applicant for supervision is deficient in any of the core areas pursuant to
20 CSR
2233-2.010(3)(A)-(G) supervision may
be approved by the state committee and the applicant may begin prior to the
completion of all required course work.
(6) A supervisor shall not be a relative of
the applicant. For the purpose of this rule a relative is defined as a parent,
spouse, child, sibling of the whole or half blood, grandparent, grandchild,
aunt, uncle, or cousin of the applicant, or one who is or has been related by
marriage.
(7) A supervisor shall be
licensed as a marital and family therapist, professional counselor,
psychologist, clinical social worker, or psychiatrist in Missouri for
supervised experience in this state to be considered for licensure. For the
purpose of this rule an inactive, provisional, expired, temporary, or retired
license shall not meet this requirement.
(8) The characteristics of acceptable
supervision shall include in no less than twenty-four (24) calendar months and
no more than sixty (60) calendar months:
(A)
A minimum fifteen hundred (1,500) hours of supervised experience in marital and
family therapy direct client contact. The PLMFT or S-MFT must obtain at least
fifteen (15) hours of supervised experience within a calendar month in order
for the experience to be considered by the state committee and must be in
compliance with 20 CSR 2233-2.020; and
1. For the purpose of these rules, direct
client contact is face-to-face interaction between the client and PLMFT or
S-MFT.
(B) A minimum of
two (2) hours every two (2) weeks or one (1) hour every week of face-to-face
supervision with the registered supervisor. For the purpose of this regulation
an hour of individual face-to-face supervision is no less than fifty (50)
continuous minutes and two (2) hours is no less than one hundred (100)
continuous minutes.
1. At least half of the
supervision shall be individual face-to-face supervision which may consist of
no more than two (2) PLMFTs or S-MFTs meeting with the registered
supervisor.
2. The remaining
supervision may be group supervision. For the purpose of this rule, group
supervision may consist of at least three (3) and no more than six (6) PLMFTs
or S-MFTs or combination thereof.
3. The PLMFT or S-MFT must complete a minimum
of two hundred (200) hours of supervision, at least half of which one hundred
(100) hours must be in individual face-to-face supervision.
4. An applicant for supervision may submit a
request for supervision by electronic methods to meet the face-to-face
supervision requirements of this rule. When using electronic methods for
supervision, the supervisor and S-MFT or PLMFT shall ensure that the system
utilized for communications is a secure, real-time system that provides for
visual and audio interaction between the S-MFT or PLMFT and supervisor and all
data storage and communications are private and protected consistent with all
applicable laws and rules; and
(C) The services provided by a PLMFT or S-MFT
shall be performed under the registered supervisor's full order, control,
oversight, and guidance. The PLMFT or S-MFT shall remain under the supervision
until licensed as a marital and family therapist.
1. A PLMFT or S-MFT shall not engage in
independent, private practice or offer therapy that is not affiliated with the
supervisor approved by the state committee for licensure supervision.
2. A PLMFT or S-MFT shall not engage in
marketing or advertising services without including the name and license number
of the registered supervisor.
3. A
PLMFT or S-MFT shall not bill clients for therapeutic services. Billing and
payment for marital and family therapy provided by the PLMFT or S-MFT shall be
facilitated by the supervisor approved by the state committee for licensure
supervision.
4. While receiving
licensure supervision and providing marital and family therapy as defined in
section 337.700(7),
RSMo, or representing themselves as a PLMFT,
a provisional licensed marital and family therapist shall use one (1) of the
following terms: PLMFT or provisional licensed marital and family
therapist.
5. A person shall use
one (1) of the following terms while under supervision for licensure and not
provisionally licensed: S-MFT or supervised marital and family
therapist.
6. The registered
supervisor shall read and cosign all written reports, to include their license
number, including treatment plans and progress notes prepared by the PLMFT or
S-MFT. If the setting prohibits the cosign/signing of reports, it is the
responsibility of the PLMFT or S-MFT to document that written reports, to
include treatment plans and progress notes, have been reviewed by the
registered supervisor.
(9) The supervisor and PLMFT or S-MFT shall
be employed by or affiliated by contract with the same licensure supervision
setting and the licensure supervision setting shall not include private
practice in which the PLMFT or S-MFT operates, manages, or has an ownership
interest in the private practice.
(10) During the period of supervised
experience in marital and family therapy, the PLMFT or S-MFT shall inform the
client that the PLMFT or S-MFT is under supervision for licensure, along with
the name and address and license number of the registered supervisor.
(11) Any PLMFT or S-MFT who has not applied
for licensure within that period of time is prohibited from providing services
pursuant to section 337.700(7),
RSMo unless the PLMFT or S-MFT continues licensure supervision approved by the
committee.
(12) For individuals
applying for supervised experience in marital and family therapy on the basis
of a doctoral or specialist's degree in marriage and family therapy or a mental
health discipline as defined in
20 CSR
2233-2.010(1)(A) or (B) or based upon
thirty (30) graduate hours of post-master's course work in marital and family
therapy or a mental health discipline as defined in
20 CSR
2233-2.010(1)(A) or (B), additional
supervised experience in marital and family therapy shall include the following
to be completed in no less than twelve (12) months and no more than twenty-four
(24) calendar months:
(A) At least seven
hundred fifty (750) hours of supervised experience in marital and family
therapy direct client contact in which the applicant for supervision shall
engage in the practice of marital and family therapy as defined in section
337.700(7),
RSMo; and
(B) The PLMFT or S-MFT
must obtain at least fifteen (15) hours of supervised experience within a
calendar month in order for the experience to be considered by the state
committee and must be in compliance with
20 CSR
2233-2.020(10), (11), and (12);
and
(C) A provisional license
issued to an applicant with thirty (30) semester hours of post-degree graduate
course work, specialist, or doctoral degree in compliance with
20 CSR
2233-2.010 is valid for at least two (2) years from
the date of issuance and is valid until the expiration date or termination of
supervision, whichever occurs first, or unless the license is disciplined by
the state committee. Upon written request from the applicant and prior to the
expiration date of the provisional license, the state committee may extend a
provisional license for good cause at the discretion of the state
committee.
(D) If a supervisor is
deceased or cannot be located by the applicant, the applicant shall provide
documentation verifying supervised hours and time providing marital and family
therapy. Approval of the supervised experience shall be at the discretion of
the state committee.
Notes
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