Tenn. Comp. R. & Regs. 1180-02-.01 - SCOPE OF PRACTICE
(1) The scope of
practice of a Psychologist is prescribed and limited by Tennessee Code
Annotated, Title 63, Chapter 11 and the rules set forth in this chapter and
chapter 1180-1.
(2) A license
issued by the Board specifies licensure as a Psychologist. The Board may grant
designation as a Health Service Provider to qualifying Psychologists. HSP
designation will be displayed on the renewal certificate.
(3) Psychologists shall limit their practices
to the use of those techniques, and to providing services to those populations,
for which they have formal education, formal professional training and
supervised experience, and for which they hold licensure.
(4) Health services may be provided only by
Psychologists with HSP designation. The scope of practice of Psychologists with
HSP designation is limited to those health services for which the licensee has
obtained education and specific training to provide.
(5) The practice of a Psychologist includes,
but is not limited to:
(a) Psychological
testing and/or the evaluation or assessment of personal characteristics, such
as intelligence, personality, mental status, psychopathology, abilities,
achievement, interests, aptitudes and neuropsychological functioning;
(b) Behavioral analysis;
(c) Psychological evaluation or assessment or
analysis of organizations and organizational functioning;
(d) Counseling, psychoanalysis,
psychotherapy, group therapy, marital therapy, family therapy, hypnosis,
hypnotherapy, biofeedback and behavior therapy;
(e) Psychological diagnosis and treatment of
mental, emotional and nervous disorders or disabilities, developmental
deviation or disability, alcoholism and substance abuse, disorders of habit or
conduct, and the psychological aspect of physical illness, accident, injury or
disability;
(f) Psychoeducational
evaluation, psychoeducational therapy, developmental therapy, remediation and
consultation; and
(g) Case
management and utilization review of services and psychological consultations,
program planning, and psychological research to industrial, business and
corporate organizations.
(6) A Psychologist's services may be rendered
to individuals, families, groups, organizations and the public, without regard
to whether payment is received for services rendered.
(7) Standards for supervision of
Psychologists, Psychological Examiners, and Certified Psychological Assistants:
(a) Supervision must meet minimum standards
and a supervisor of record must be made known to the Board. When a Psychologist
renews his or her license he or she must list those Psychologists,
Psychological Examiners, and Certified Psychological Assistants whom the
Psychologist supervises and for whom he or she is the supervisor of record.
When a Psychological Examiner or Certified Psychological Assistant renews
his/her license or certificate, that individual must list his/her primary
supervisor(s) if engaging in activities requiring supervision.
(b) Qualified supervision requires that a
licensed Psychologist, qualified by experience and training to practice the
overall supervised activity or activities, provide supervision on a regular and
frequent basis. The supervising Psychologist for Psychological Examiners,
Certified Psychological Assistants, and for Psychologists delivering health
services must also be designated as a HSP.
(c) The supervising Psychologist shall limit
the number of supervisees in order to assure an adequate ratio of supervision
hours to practice hours consistent with professional standards and guidelines
which insure the welfare of the supervisees and their clients.
(d) Specific case monitoring and skill
training requires significant supervisory contact and must be in addition to
overall administrative supervision.
1.
Supervision is to be conducted primarily on a one-on-one basis and shall be in
addition to any group seminar or group consultations which are also deemed
appropriate. Thus, adequate supervision will require considerable one-on-one
contact and time with respect to each client. Records of the supervision
process must be maintained by the supervisor covering the number of hours of
supervision activities, the number and duration of one-on-one supervisory
meetings and documentation of clients discussed at each supervisory
session.
2. A supervisor, at the
time of supervision, must not be in a dual relationship with the supervisee,
e.g., be a spouse, other close relative or therapist.
(e) In all cases the specific terms of the
supervisory arrangement are the responsibility of the supervising Psychologist
upon whom it is incumbent to assure supervisory time and service delivery.
Likewise, it is the responsibility of the supervisee to obtain supervision. The
education, training, experience, ongoing performance and level of licensure or
certification of the supervisee must be considered by the supervisor. The
arrangements for supervision must be agreed to by both the supervisor and the
supervisee. In situations where supervision has been regular and frequent and
one-on-one contact has occurred, the frequency and intensity of supervision
may, at the discretion of the supervising Psychologist upon determination of
the supervisee's competence and readiness, be modified. Ultimately, the
supervising Psychologist of record must protect the welfare of the client and
assure compliance with Tennessee law and professional ethics. (Requirements for
Psychologists receiving supervision as part of the experience requirement for
designation as a HSP are contained in 1180-2-.02(2)(d).)
1. The standard for supervision of newly
licensed individuals with a provisional license as a Psychologist with HSP
designation and for Psychological Examiners is one (1) hour per week.
2. The standard for supervision of
experienced (licensed for at least five [5] years) Psychological Examiners is
that it shall occur no less than monthly. If an experienced Psychological
Examiner changes supervisors, the experienced Examiner may follow the monthly
supervision standard if agreed to by both the Psychologist supervisor and the
experienced Psychological Examiner in question.
3. The standard for supervision of Certified
Psychological Assistants is direct and frequent (more than one [1] hour a week)
supervision to take place at the site of the service.
(8) The Board shall consider that
an individual, either licensed or unlicensed, is violating these limits of
practice if his/her conduct includes, but is not limited to, the following:
(a) Claiming expertise or using techniques or
procedures of assessment or treatment for which the practitioner has not
completed appropriate academic course work or supervised training
experience;
(b) Knowingly
assigning, permitting or hiring any unqualified person(s) to perform functions
of assessment or treatment or delegating the provisions of psychological
services to unqualified person(s);
(c) Failing to adequately supervise any
assigned trainee or employee who is providing psychological services;
(d) Aiding, abetting, assisting, or hiring
any individual to violate or circumvent any law or duly promulgated rule
intended to guide the conduct of psychological services; or
(e) Providing or claiming to provide health
services as a Psychologist without a designation as a HSP.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 63-11-104, 63-11-201 through 63-11-208, 63-11-214, and 63-11-215.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.