Current through 2024-38, September 18, 2024
Each applicant shall demonstrate one year of predoctoral
supervised experience and one year of postdoctoral supervised experience as
described in this section from one or more supervisors with the qualifications
described in Chapter 7 of the board's rules.
A candidate for postdoctoral re-specialization in clinical
psychology may demonstrate 2 years of postdoctoral supervision instead of one
year of predoctoral supervision and one year of postdoctoral supervision. At
the discretion of the board, predoctoral supervision in associated fields may
be accepted.
1.
Length and
Amount of Predoctoral Supervision
The predoctoral supervised experience consists of a minimum
of 1,500 hours of actual work experience (exclusive of holidays, sick leave,
vacations or other such absences) completed in not less than 48 weeks nor more
than 104 weeks. The predoctoral experience averages at least 16 hours but not
more than 40 hours per week. During the predoctoral supervision, the supervisor
shall provide a minimum of 2 hours per week of face-to-face supervision and 2
hours of additional learning activities such as group supervision, seminars,
and case conferences regardless of whether the predoctoral internship is
completed in one year or two. At least 50% of the predoctoral supervised
experience must be in service-related activities such as assessment,
interviews, report writing, case presentations, treatment and consultation with
at least 25% of that time devoted to face-to-face direct patient/client
contact. No more than 25% of time may be allocated for research. Supervised
experience does not include work experience earned in connection with practica
for which academic credit has been awarded.
2.
Length and Amount of Postdoctoral
Supervision
The postdoctoral supervised experience consists of a minimum
of 1,500 hours of actual work experience (exclusive of holidays, sick leave,
vacations or other such absences) completed in not less than 48 weeks nor more
than 104 weeks. The postdoctoral experience averages at least 16 hours but not
more than 40 hours per week. During the postdoctoral supervision, the
supervisor shall provide a minimum of one hour of individual supervision and
one additional hour of learning activities per week. There may be special
circumstances, (e.g., geographical or confirmed physical hardship) when a
jurisdiction may consider a variance in the frequency of the supervision
sessions so that a minimum of four hours per month of one-to-one supervision is
maintained. The postdoctoral supervised experience consists of at least 25% and
not more than 60% of the time devoted to direct service per week with the
majority of work being in the intended area of practice. Supervised experience
does not include work experience earned in connection with practica for which
academic credit has been awarded.
3.
Supervision Program
Requirements
A.Supervised experience
may be credited only for practice in an organized public or private agency,
private practice, school, institution, or organization which provides the
opportunity for contact with other professional disciplines and work experience
with a broad range of clients.
B.An
acceptable training setting provides ongoing psychological services in a
well-defined and established program. Physical components such as office,
support staff, and equipment necessary for the successful training and practice
of the supervisee must be available. The supervision program meets the broad
and specialized needs of the supervisee that are congruent with the
supervisee's interests, level of training and intended area of practice.
Predoctoral settings offer full-spectrum training and provide a foundation for
a career in psychology. Postdoctoral experience focuses the training in areas
of intended, advanced or specialized practice. The major orientation of the
setting is on training rather than on generating funds. There is sufficient
administrative and financial support to maintain integrity as a training
program.
C.Both the predoctoral and
postdoctoral supervision programs are organized education and training programs
with a planned sequence of supervised experience. Postdoctoral programs offer a
range of education and training building on the doctoral program and the
predoctoral internship. The program must provide the prospective supervisees
with a written document specifying the rules and regulations of the program, as
well as the roles, goals and objectives expected from both supervisees and
supervisor. At the onset of training the supervisor shall develop, along with
the supervisees, a written individualized training plan which meets the needs
of the supervisees and is consistent with the purpose of the setting. The
supervisor is responsible for determining the adequacy of the trainee's
preparation for the tasks to be performed. These documents serve as the
foundation for quarterly, written evaluations.
D.Written and oral evaluations provide
objective assessment and direct feedback about the supervisee's competence in
order to facilitate skill acquisition and professional growth. They are
necessary to ensure that supervisees achieve identified objectives. At the
outset of the supervisory period, each supervisor together with the supervisee
shall establish a written contract which specifies:
(i) the competencies to be evaluated and the
goals to be attained; (ii) the standards for measuring performance; and (iii)
the time frame for goal attainment. Direct feedback should be ongoing with
written evaluations provided at least once every six months. Written evaluation
of the supervisor by the supervisee must be provided at the end of the training
program.
E.The
supervision program must have a licensed psychologist who is clearly
responsible for the integrity and quality of the program and as many additional
psychologists as are necessary to meet the training needs of the supervisees.
The supervising psychologist may rely upon one or more experts in allied
disciplines for training in specific skill areas, provided that at least 50% of
the supervision for doctoral level candidates is provided by the supervising
psychologist.
[NOTE: The supervision requirements for Medicare
reimbursement are more stringent than the supervision requirements of Section
2(3)(E). See
42
CFR
§410.71(a)(2)(iv).]
F.The supervision program should
offer a variety of professional role models and diverse client populations. The
predoctoral program must have an identifiable group of supervisees who are of
sufficient number to ensure meaningful peer interaction and support. The
postdoctoral program must make every effort to provide meaningful peer
interaction and support. The training status of the supervisees must be
identified by an appropriate title such as intern, resident, fellow, trainee,
etc. such that their training status is clearly identifiable to clients,
third-party payors and other entities.
G.The supervisory process addresses legal,
ethical, social and cultural dimensions that impact not only the professional
practice of psychology but also the supervisory relationship. Issues of
confidentiality, professional practice and protection of the public are
central.
H.An internship or
postdoctoral program accredited by the APA meets the requirements of this
subsection.
4.
Additional Responsibilities of Supervisors
A.The supervisor shall have sufficient
knowledge of clients, including face-to-face contact when necessary, in order
to plan effective service delivery procedures.
B.When the service needed by a client is
beyond the areas of expertise of the supervisor, supervision must be delegated
to another psychologist or psychological examiner whose competence in the
delegated areas has been demonstrated by previous education, training and
experience. Supervisors may not permit their supervisees to engage in any
psychological practice which they cannot competently perform
themselves.
C.The supervisor shall
restrict practice of the supervisee to areas in which the supervisee is
competent to perform under supervision. If the supervisor identifies
deficiencies in the practice of the supervisee, the supervisor shall develop a
corrective action plan to address the deficiencies. The supervisor shall
interrupt or terminate the supervisee's practice whenever necessary to ensure
adequate training and adequate protection of the public.
D.The supervisor is ethically and legally
responsible for all of the professional activities of the
supervisees.
E.The supervisor shall
ensure the provision of appropriate emergency coverage for clients of
supervisees. The supervisor or a qualified designee shall provide 24-hour
availability to both supervisees and the supervisees' clients. The supervisor
shall have sufficient knowledge of clients, including face-to-face contact when
necessary, in order to plan effective service delivery procedures. The
supervisor shall make reasonable effort to provide for another qualified
supervisor in case of any interruption of supervision due to such factors as
the supervisor's illness, unavailability, or relocation.
F.Supervisors shall avoid entering into dual
relationships with their supervisees. Psychologists may not exploit or engage
in sexual relationships with supervisees. Supervisors shall attempt to resolve
any unforeseen interference which may be potentially harmful to the supervisory
relationship with due regard for the best interests of the supervisee and after
appropriate consultation.
G.An
individual supervisor in a predoctoral program may supervise no more than three
supervisees. An individual supervisor in a postdoctoral program may supervise
no more than four supervisees.
5.
Unacceptable Performance
Supervised experience which the supervisor deems
characterized by unacceptable performance by the supervisee shall not be
credited toward the required period of supervised experience.
