Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This amendment defines the requirements for
distance supervision.
(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) super-vision 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.
(D) A minimum of two (2) hours every two (2)
weeks or one (1) hour every week of individual face-to-face supervision with
the registered supervisor. For the purpose of this regulation an hour of
individual face-to-face supervision shall be defined as fifty (50) continuous
minutes and two (2) hours shall be defined at no less than one hundred (100)
continuous minutes with the registered supervisor and supervised marital and
family therapist or provisional licensed marital and family therapist in the
same physical space.
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. The use of electronic communication is not
acceptable for meeting face-to-face supervision requirements of this rule
unless the communication is verbally and visually interactive between the
supervisor and PLMFT or S-MFT; and
(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.
*Original authority: 337.700, RSMo 1995, amended 2007,
2008, 2010; 337.715, RSMo 1995, amended 2004, 2007, 2009, 2010; and 337.727,
RSMo 1995, amended 2009, 2 010 .
