(1) The scope of
practice of a Certified Psychological Assistant is prescribed and limited by
Tennessee Code Annotated, Title 63, Chapter 11 and the rules set forth in this
chapter and chapter 1180-1.
certificate issued by the Board specifies certification as a Certified
Certified Psychological Assistants 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 certification. Because no education,
professional training, supervised experience and practicum in psychotherapy or
other intervention activities is prescribed in the statute, the scope of
practice for certified psychological assistants is specifically restricted to
psychological assessment, psychological testing, and related activities, with
no certified psychological assistant allowed to engage in psychotherapy or any
other form of therapeutic intervention.
Certified Psychological Assistants, who
have had appropriate education, training and supervised practica experience,
may render to individuals or to the public for remuneration any service
involving the application of recognized principles, methods, and procedures of
the science and profession of psychology and only under the direct employment
and qualified supervision of a Psychologist or the employment of a community
mental health center or state governmental agency and the qualified supervision
of a Psychologist with HSP designation.
Supervision must meet minimum standards and a supervisor of record must be made
known to the Board.
Before supervision of
Certified Psychological Assistants may occur, a Board-supplied form shall be
submitted to the Board's administrative office. Such form shall be signed by
both the supervisor and the supervisee, and shall list
(i) those Certified Psychological Assistants
whom the Psychologist supervises and for whom he or she is the supervisor of
(ii) a Certified
Psychological Assistant must list his/her primary supervisor(s) if engaging in
activities requiring supervision.
2. The Board-supplied form may be obtained by
contacting the Board's administrative office, or by downloading it from the
Board's web page on the Internet.
(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 Certified Psychological
Assistants delivering health services must also be designated as a
(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.
The supervising psychologist shall limit his/her supervision of Certified
Psychological Assistants to psychological assessment activities. The
supervising psychologist should not supervise the Certified Psychological
Assistant for psychotherapy or other forms of intervention.
Specific case monitoring and skill
training requires significant supervisory contact and must be in addition to
overall administrative supervision.
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, 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.
(f) The supervising Psychologist has
responsibility to require that the Certified Psychologist Assistant complete
continuing education to maintain continued competence.
(g) 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
supervisor must consider the education, training, experience, ongoing
performance and level of licensure of the supervisee. The arrangements for
supervision must be agreed to by both the supervisor and the supervisee. 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).)
The Board shall consider that an
individual, either certified or uncertified, 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
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) 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
(d) Providing or claiming to provide the
services listed in paragraph (4) without supervision by a Psychologist with HSP