Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: The proposed amendment limits the number of
supervisees a supervisor can have under their supervision and adds language
regarding supervision contracts.
(1) Acceptable Supervisors-
(A) An acceptable supervisor for a social
worker license shall-
1. Have a bachelor's or
master's degree, as appropriate as set forth below, from a college or
university program of social work accredited by the Council on Social Work
Education (CSWE) or a doctorate degree in social work;
2. Be licensed in Missouri as a bachelor,
master, clinical, or advanced macro social worker, as appropriate as set forth
below, or similarly licensed in another state whose licensure laws, as
determined by the committee, are equivalent to Missouri;
3. Have completed a sixteen- (16-) hour
continuing education course in supervision approved in accordance with the
rules of continuing education.
A. Approved
course work and sixteen- (16-) hour supervision training courses must contain
components relative to-
(I) Supervisory
Relationship and Process;
(II)
Supervision of Supervisee's Practices;
(III) Professional Relationships;
(IV) Work Content;
(V) Evaluation and lifelong learning;
and
(VI) Professional
Responsibility; and
4. Have five (5) years of post licensure
experience;
(B) A
licensed clinical social worker (LCSW) may supervise LCSW, licensed advanced
macro social worker (LAMSW), or licensed baccalaureate social worker (LBSW)
independent practice registrants and may supervise a licensed master social
worker (LMSW) who is under registered supervision pursuant to section (7) of
this rule;
(C) A LAMSW may
supervise LAMSW or LBSW independent practice registrants; and
(D) A Missouri LBSW independent practice or a
LBSW from another state whose licensure laws, as determined by the committee,
are equivalent to Missouri may supervise an LBSW
registrant.
(2) The
acceptable supervisor cannot be a relative of the supervisee.
(A) A relative is defined as spouse, parent,
child, sibling of the whole or half-blood, grandparent, grandchild, aunt, or
uncle of the supervisee or one who is or has been related by marriage or has
any other dual relationship.
(3) A licensed supervisor whose license has
been subject to probation, suspension, or revocation shall not supervise
without prior approval of the committee. A licensed supervisor who is currently
under probation, suspension, or revocation shall not supervise.
(4) A social worker holding an equivalent
license in another state may supervise in that state but may not do so in
Missouri because supervision is the practice of social work according to
sections 337.600-337.689, RSMo.
(5)
A licensed supervisor shall have no more than six (6) persons obtaining
post-degree supervised experience for licensure under their supervision at any
one time. Any supervisor wishing to petition the committee for additional
supervisees may do so by submitting a written request to the committee
explaining the reason for providing supervision to more than six (6)
individuals.
(6) The practice of
social work by the supervisee shall be performed under the supervisor's
control, oversight, guidance, and full professional responsibility. This shall
include all applicable areas of practice including, but not limited to:
(A) General orientation of the setting's
policies and procedures;
(B)
Providing best practice strategies for professional social work
practice;
(C) Preliminary screening
of all potential clients of the supervisee to determine if the supervisee is
capable of successful assessment, intervention, and referral;
(D) Thorough knowledge of the supervisee's
entire workload;
(E) Thorough
knowledge of each assignment or case, including assessment, diagnosis, and
intervention;
(F) Ongoing
evaluation and modification of the supervisee's workload as
necessary;
(G) Allowable
Supervision.
1. A minimum of two (2) hours
every two (2) weeks of individual face-to-face supervision by the
supervisor.
2. However, individual
face-to-face supervision may be consolidated for up to four (4) weeks for a
total of four (4) hours of individual face-to-face supervision per four- (4-)
week period. These hours shall be included in the total number of supervised
hours required as set forth in the rules promulgated by the
committee.
3. Fifty percent (50%)
of 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),
supervisees.
4. The use of
electronic communications is acceptable for meeting supervision requirements of
this rule only if the ethical standards for confidentiality are maintained and
the communication is verbally and visually interactive between the supervisor
and the supervisee;
(H)
Acceptable safeguards shall be built into the contract if the supervisor and
supervisee have a relationship that could affect the employment or benefits of
the supervisor, and the relationship could, in any way, bias or compromise the
supervisor's evaluation of the supervisee;
(I) When the proposed supervisor is not a
staff member of the supervisee's agency, the supervisor shall have a written
agreement from the agency administration as to the purpose and content of the
desired supervision and the supervisor's specific role, responsibilities, and
limitations. The supervisor is also responsible for learning agency functions
and policies so that any supervisory suggestions are constructive and realistic
within agency purposes and resources. If a proposed supervisor is both the
supervisor for employment purposes and for registered supervision then the
contract shall-
1. Specifically state such;
and
2. Address the details of the
dual relationship;
(J)
When there is a change in the setting or supervisor, the supervisor is
responsible for notifying the committee and submitting a change of status form
to the committee. Such change of status form must be received by the committee
within fourteen (14) days of the change;
(K) If supervision is terminated by either
party, the supervisor is responsible for notifying the committee and submitting
a termination form to the committee. Such termination form must be received by
the committee within fourteen (14) days of termination; and
(L) The supervisor shall provide annual
reports of progress to the committee. These will be due on the anniversary date
of the initial approval for the twelfth, twenty-fourth, and thirty-sixth months
of supervision. The annual report will provide an overview of the licensee's
practice knowledge of the licensure statutes and rules, licensure scope of
practice, understanding and adherence to approved standards of professional and
ethical conduct, areas of continued growth and development, and accountability
of supervision hours thus far in the process.
(7) Within fourteen (14) days of the termination of
the supervised experience, the supervisor shall complete and maintain the
committee's Attestation of Supervision Form, summarizing the supervisee's
performance and level of compliance with the requirements for supervised social
work experience for a period of fortyeight (48) months.
(A) If the supervisor does not recommend the
supervisee for licensure or recommends licensure with reservation, the
Attestation of Supervision Form shall be supplemented with a detailed statement
explaining why recommendation for licensure without reservation cannot be made.
Exhibits may be attached to the statement of explanation.
(B) A copy of the statement of explanation,
and any exhibits, shall be delivered to the supervisee.
(C) The supervisee may respond to the
statement of explanation within fourteen (14) days, in writing or by making a
request for an appearance before the committee.
(D) The supervisor and the supervisee shall
promptly respond to any inquiry made by the committee or at its direction
regarding the Attestation of Supervision Form or the statement of
explanation.
(8) A
licensed master social worker under registered supervision may be employed in
the supervisor's private practice setting or in the private practice of
another. In those instances, the supervisor may bill clients for services
rendered by the licensed master social worker but under no circumstances shall
the licensed master social worker bill the clients directly for services
rendered. The only exception to this section shall be when reimbursement for
services is provided under Title XIX (Medicaid) through the Missouri Department
of Social Services, MO HealthNet Division. A licensed master social worker
under registered supervision may accept a Medicaid reimbursement number and
services may be billed through that number, provided such reimbursement is
administered through the professional setting employing the licensed master
social worker, and not directly paid to the licensed master social worker. The
professional setting shall not include private practice in which the licensed
master social worker operates, manages, or has an ownership interest in the
private practice.
*Original authority: 337.600, RSMo 1989, amended 1995,
2003, 2005, 2007, 2008, 2009, 2010; 337.612, RSMo 1989, amended 1997, 2001,
2007; 337.627, RSMo 1989, amended 1993, 1995, 1997, 2007; and 337.665, RSMo
2001, amended 2004, 2007.
