20 CSR 2235-2.040 - Supervised Professional Experience, Section 337.025, RSMo, for the Delivery of Psychological Health Services
(1)
Postdoctoral experience for those applicants who have completed a program in
one or more of the American Psychological Association designated health service
provider delivery areas, as defined in
20 CSR
2235-1.015(10), and who intend to
seek health service provider certification, or who intend to principally engage
in the delivery of psychological health services shall be governed by the
following:
(A) Completion of Educational
Requirements. All supervised professional experience must be acquired
subsequent to the completion of all educational requirements as defined in
section 337.027, RSMo. For the purposes
of this rule, an applicant shall be deemed to have met the educational
requirements when all degree and core course requirements, as defined in 20 CSR
22352.005, have been completed. Degree requirements have been met when
indicated by conferral of the formal degree or at the time when all degree
requirements established by the recognized educational institution for the
degree have been met with the sole exception that the degree has not been
formally conferred and the institution so certifies in writing to the
committee;
(B) Amount of Time.
1. Postdoctoral supervised professional
experience shall consist of a minimum of fifteen hundred (1,500) hours of
professional experience in the delivery of psychological health services
obtained in no fewer than twelve (12) or more than twenty-four (24) calendar
months. This experience must be accumulated at a rate of no fewer than twenty
(20) hours per week nor more than fifty (50) hours per week.
2. The supervisee must obtain the supervised
experience in the same organized training program unless otherwise approved by
the committee.
3. Persons under
supervision to satisfy the postdoctoral supervised professional experience may
not claim hours obtained through the independent practice nor the supervised
practice of another profession;
(C) Organized Training Program.
1. Postdoctoral supervised professional
experience must be obtained in a program that meets one (1) of the following:
A. A postgraduate program designed to train
the applicant in one or more of the health service provider delivery areas
which has been accredited, or provisionally accredited by the American
Psychological Association (herein "APA");
B. A postgraduate program designed to train
the applicant in one or more of the health service provider delivery areas that
is a member of the Association of Psychology Postdoctoral and Internship
Centers (herein "APPIC");
C. A
postgraduate program designed to train the applicant in one or more of the
health service provider delivery areas for which the training program certifies
in writing that it has a predoctoral degree internship program which is
accredited, or provisionally accredited by APA or is a member of the
Association of Psychology Postdoctoral and Internship Centers and further
certifies that the postgraduate training program accorded the applicant
complied with and met the standards of APA and/or APPIC relative to
pre-doctoral and/or postdoctoral programs;
D. A postgraduate program designed to train
the applicant in one or more of the health service provider delivery areas
which substantially meets or is the equivalent to the standards required for
accreditation by, or membership in, APA and/or APPIC; or
E. A postgraduate program designed to train
the applicant in one or more of the health service provider delivery areas that
meets or includes the following:
(I) Provides
direct training and experience in the delivery of psychological health
services. At least ten (10) hours per week must be direct client contact
time;
(II) Occurs only when the
supervisor and the applicant are employed by or affiliated with the same
professional setting; and at least one of the supervisors whether primary or
designated secondary who is onsite at least fifteen (15) hours per
week;
(III) Does not include a
private practice setting in which the applicant operates, manages, has an
ownership interest or administrative responsibility in the private
practice;
(IV) Has at least one (1)
licensed psychologist who is certified as a health service provider or who
otherwise meets the requirements for health service provider certification and
one (1) other licensed mental health professional (for example, psychiatrist,
psychologist, marriage and family therapist, social worker, and/or professional
counselor) who is employed by or affiliated with that organized training
program and who is onsite not less than fifteen (15) hours per week;
and
(V) Provides a minimum of five
(5) hours per week of professional learning experiences. These professional
learning experiences must be established clearly and agreed upon by the
supervisee and supervisor at the initiation of the post-degree supervised
experience and must include at least three (3) of the following categories:
(a) Treatment team meetings with the
participation of the supervisor and other health professionals who are employed
in the organized health training program. Treatment team meetings must involve
discussion of diagnostic and therapeutic methods, goals and progress of
clients;
(b) Attendance and
participation in a structured didactic activity including grand rounds, case
conferences, lectures, workshops, seminars or peer supervision;
(c) Readings from journals and books relevant
to the delivery of psychological health service; and
(d) Professional psychological activity which
contributes to the professional psychological community. These activities may
include any one (1) or combination of the following:
I. The development, preparation and
presentation of seminars, workshops, in-services, lectures or papers on topics
relevant to the practice of psychology;
II. Participation in the administrative
planning, development and implementation of psychological health services
within the organized training program. Activities include serving on
institutional or program committees designed to monitor and advance the
delivery of psychological health services;
III. Participation in local, state, regional
or national psychological organizations;
IV. The design, collection, analysis and
presentation of research relevant to the practice of psychology; or
V. Teaching of a graduate or undergraduate
course in psychology at a recognized educational institution accredited by one
(1) of the regional accrediting associations approved by the Council on
Postsecondary Accreditation;
(D) Clinical
Supervision. The psychological activities of the applicant shall be performed
pursuant to the primary supervisor's order, control, and full professional
responsibility. The primary supervisor shall maintain a continuing relationship
with the applicant and shall meet with the applicant a minimum of one (1) hour
per month in face-to-face individual supervision. Clinical supervision may be
delegated by the primary supervisor to one or more secondary supervisor(s) who
shall then retain order, control and full professional responsibility for the
applicant's clinical work under their supervision and who shall then meet with
the applicant a minimum of one (1) hour per week in face-to-face individual
supervision. If the primary supervisor is also the clinical supervisor, the
face-to-face meetings shall be a minimum of one (1) hour per week. Group
supervision is not acceptable for supervised experience under this
regulation;
(E) Supervisor
Requirements.
1. The primary supervisor must
be a licensed psychologist for at least one (1) year prior to start date of
supervision and must also be a health service provider or one who otherwise
meets the requirements for health service provider certification.
2. The secondary supervisor(s) if not a
licensed psychologist, must be eligible for or otherwise meet the requirements
for licensure as a psychologist in the state wherein the supervision
occurred.
3. No supervisor, whether
primary or secondary, may be a relative of the applicant, such as a spouse,
parent, child, sibling of the whole- or half-blood, grandparent, grandchild,
aunt, uncle, stepparent, stepchild, father-in-law, mother-in-law,
brother-in-law or sister-in-law.
4.
No supervisor, whether primary or secondary, may be under discipline by any
licensing board or jurisdiction at any time during the period of supervised
professional experience.
5. No
supervisor, whether primary or secondary, shall have more than four (4) persons
obtaining post-degree supervised professional experience for licensure under
supervision at any one (1) time. Any supervisor wishing to petition the
committee for additional supervisees may do so through a written
request.
6. Must certify to the
committee at the completion of the applicant's postdoctoral supervised
professional experience that the supervisee has complied with the requirements
for supervised professional experience through the use of the attestation forms
provided by the committee;
7.
Supervisor shall notify the committee in writing within five (5) business days
if supervision should cease for any reason prior to established postdoctoral
supervised professional experience end date. The supervisor shall complete an
attestation form provided by the committee for the period of supervised
experience and forward it to the committee within two (2) weeks of the
cessation of supervision.
(F) Supervisor/Supervisee Relationship.
1. All professional activities and
psychological services provided by the supervisee must be performed pursuant to
the supervisor's order, control and full professional responsibility. The
supervisor, whether primary and/or secondary must be vested with administrative
authority over matters affecting the provision of psychological health services
which are being accorded under the supervision of the particular supervisor,
whether primary and/or secondary, so that the ultimate responsibility for the
welfare of every client is maintained by the supervising
psychologist(s).
2. The
supervisor(s) shall maintain a continuing relationship with the supervisee by
their employment, affiliation in the same setting, or both. The supervisor(s)
and supervisee should have frequent professional interactions.
3. Unless otherwise approved by the committee
for good cause, all written documents, such as case notes, intake assessments,
test reports, treatment plans and progress reports prepared by the supervisee
during the period of the supervised professional experience must be reviewed,
approved and cosigned by the appropriate supervisor;
(G) Variances. Supervisees seeking a variance
in the acceptance of the supervision requirements shall make application to the
committee which may be handled on a case-by-case basis;
(H) Prior Review. The committee, upon
request, will review a supervisee's plan of post-degree supervised professional
experience to determine if that supervision is acceptable under this rule. All
requests shall be submitted on the forms provided by the committee and
accompanied by the prior review fee for post-degree supervision. A prior review
of educational credentials must be conducted prior to or simultaneously with a
request of proposed plan of post-degree supervised professional experience. All
requests must be submitted to the committee thirty (30) days prior to a
regularly scheduled committee meeting; and
(I) Representation.
1. Throughout the period of postdoctoral
supervised professional experience, the supervisee must represent him/herself
to consumers of psychological services consistent with
20 CSR
2235-1.015.
2. Any individual, whether such individual be
provisionally licensed or be unlicensed, who is working under the supervision
of a licensed psychologist shall not be listed in telephone listings as
providing psychological services.
3. Any individual, whether such individual be
provisionally licensed or be unlicensed, who is working under the supervision
of a licensed psychologist shall list the primary supervising psychologist's
name and license number on all professional correspondence (for example,
testing reports and progress reports) and advertisements or notices (for
example, brochures) of his/her professional services.
Notes
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