1. Before an applicant is eligible for
licensure as a psychologist, he or she must complete 2 years of supervised and
documented experience that is the equivalent of full-time experience.
2. Except as otherwise provided in subsection
3, the 2 years of experience required pursuant to paragraph (d) of subsection 1
of NRS
641.170 must be supervised experience and
must comply with the following requirements:
(a) The first year must satisfy the
requirements of subsection 4; and
(b) The second year must be postdoctoral,
must consist of not less than 1,750 hours and must:
(1) Meet the guidelines established by the
Association of State and Provincial Psychology Boards; or
(2) Satisfy the requirements of subsection
6.
3. If an
applicant has been licensed for at least 5 years in the District of Columbia or
another state or territory of the United States and has had no disciplinary
action or other adverse action taken against him or her by the regulatory body,
the 2 years of experience required pursuant to paragraph (d) of subsection 1 of
NRS
641.170 must be supervised experience and
must comply with the following requirements:
(a) Each year must consist of not less than
1,500 hours;
(b) One year must
satisfy the requirements of subsection 4; and
(c) One year must be postdoctoral and must
satisfy the requirements of subsection 6.
4. For the purposes of paragraph (a) of
subsection 2 and paragraph (b) of subsection 3, 1 year of supervised experience
must be satisfactorily completed in:
(a) A
doctoral internship program accredited by the American Psychological
Association; or
(b) A doctoral
internship that is equivalent to a doctoral internship in a program that is
accredited by the American Psychological Association. An applicant, his or her
proposed supervisor and a representative of the proposed agency or institution
at which the internship will be conducted must submit to the Board a plan to
meet the requirements of this paragraph and information showing that the
proposed internship substantially complies with the accreditation standards for
doctoral internship programs in the Standards of Accreditation for Health
Service Psychology of the American Psychological Association, which is
available, free of charge, at the Internet address
https://www.apa.org/ed/accreditation/standards-of-accreditation.pdf,
and Section C of the Implementing Regulations of the Commission on
Accreditation of the American Psychological Association which is available,
free of charge, at the Internet address
https://accreditation.apa.org/policies.
Substantial compliance with such standards may be demonstrated by submission to
the Board of information showing that the proposed doctoral internship:
(1) Requires completion of the internship in
an agency or institution that provides services to a population sufficient in
number and diversity to give the intern adequate experiential exposure to meet
the purposes, aims and competencies of the internship.
(2) Requires the intern to complete a minimum
of 2,000 hours of training, which must be completed:
(I) If on a full-time basis, in not less than
12 months; or
(II) If on a
part-time basis, in not less than 24 months.
(3) Offers education and training conducted
in a single-site or multiple-site setting that prepares interns for the
practice of health service psychology.
(4) Includes a training program that meets
the requirements set forth in subsection 5.
5. A proposed doctoral internship that is not
accredited by the American Psychological Association must include a training
program that, without limitation:
(a) Is an
integral part of the mission of the agency or institution in which the program
is provided, with administrative and structural processes that facilitate
systematic coordination, control, direction and organization of the training
activities and resources of the program.
(b) Recognizes the importance of cultural and
individual differences and diversity in the training of
psychologists.
(c) Demonstrates the
adequacy of its educational and training resources, including, without
limitation, clerical and technical support, access to training materials and
equipment that reflect the current knowledge base in the profession, and
physical facilities that are appropriate for confidential interactions and are
compliant with the Americans with Disabilities Act of 1990,
42 U.S.C. §§
12101 et seq., and the regulations adopted
pursuant thereto.
(d) Has policies
and procedures that are consistent with those described in the accreditation
standards for doctoral internship programs in the Standards of Accreditation
for Health Service Psychology of the American Psychological Association,
including, without limitation, policies relating to:
(1) The recruitment and selection of
interns;
(2) The required prior
doctoral preparation and experiences;
(3) Providing administrative and financial
assistance to interns;
(4) The
requirements for successful internship performance;
(5) Performance evaluations, feedback,
retention and termination decisions relating to interns;
(6) The identification and remediation of
insufficient competence and problematic behavior by an intern;
(7) Grievance procedures for interns,
including the provision of due process;
(8) The requirements for supervision of an
intern as set forth in paragraphs (q), (r) and (s);
(9) Maintenance of records; and
(10) Nondiscrimination, including
documentation of such policies and operating procedures.
(e) Has policies and procedures that are
consistent with the profession's current ethics code and which adhere to:
(1) The regulations of the agency or
institution; and
(2) All applicable
local, state and federal laws regarding due process and fair
treatment.
(f) Requires
the retention of records on the performance of interns and complaints and
grievances against the program or persons associated with the
program.
(g) Ensures a welcoming,
supportive and encouraging learning environment for all interns, including
those from diverse and underrepresented communities.
(h) Recognizes the right of interns, faculty
and staff to be treated with courtesy and respect.
(i) Recognizes science as the core of health
service psychology and relies on the current evidence base in the training and
assessment of interns.
(j) Requires
an intern to demonstrate competency in profession-wide competencies, including,
without limitation:
(1) Research;
(2) Ethical and legal standards;
(3) Individual and cultural
diversity;
(4) Professional values,
attitudes and behaviors;
(5)
Communication and interpersonal skills;
(6) Assessment;
(7) Intervention;
(8) Supervision; and
(9) Consultation, interprofessional and
interdisciplinary skills.
(k) Demonstrates a clear and coherent plan
for educational activities that support the achievement of interns in
profession-wide and program-specific competencies.
(l) Employs primarily an experiential
training method that:
(1) Involves the
delivery of services by an intern in direct contact with recipients of those
services; and
(2) Includes
sufficient observation and supervision by doctoral-level licensed psychologists
to facilitate the readiness of the intern to enter into the general practice of
psychology upon completion of the training.
(m) Follows a logical and cumulative training
sequence that builds on the skills and competencies acquired by the intern
during training and is graded in complexity in a manner consistent with that
sequence.
(n) Demonstrates that the
tasks and duties associated with the delivery of service by an intern are
primarily learning-oriented and that the training considerations of interns
take precedence over the delivery of service and the generation of
revenue.
(o) Maintains appropriate
and transparent communication practices, including, without limitation:
(1) Articulating the commitment of the
program to attracting and training diverse clients;
(2) Ensuring regular communication between
the doctoral program and the doctoral internship program;
(3) Ensuring that all communications with
potential and current interns are informative, accurate and
transparent;
(4) Disclosing the
status of the program with regard to accreditation; and
(5) Demonstrating a commitment to public
disclosure.
(p) Provides
adequate financial support for:
(1)
Interns;
(2) Faculty and staff;
and
(3) Sufficient and dependable
training activities for the duration of the year or years of any contracts with
interns.
(q) Provides
supervision in a regularly scheduled manner and ensures that:
(1) Each intern has access to consultation
and supervision during the times he or she is providing clinical services;
and
(2) Each intern receives not
less than 4 hours per week of supervision, including not less than 2 hours per
week of face-to-face individual supervision by one or more doctoral-level
licensed psychologists who are involved in an ongoing supervisory relationship
with the intern and have primary professional responsibility for the cases on
which face-to-face individual supervision is provided.
(r) Ensures that any supervisory hours other
than the 2 hours of face-to-face individual supervision required by
subparagraph (2) of paragraph (q) are:
(1)
Consistent with the definition of supervision in the glossary of the Standards
of Accreditation for Health Service Psychology of the American Psychological
Association;
(2) Conducted by
health care professionals who are appropriately credentialed; and
(3) Interactive experiences in a group or
individual format.
(s)
Requires that overall responsibility for the supervision of interns, including
oversight and integration of supervision provided by non-psychologist
professionals, is maintained by doctoral-level licensed
psychologists.
6. For the
purposes of subparagraph (2) of paragraph (b) of subsection 2 and of paragraph
(c) of subsection 3, supervised experience is credited only for:
(a) Professional work in a setting that
provides an opportunity for interaction with colleagues and an opportunity for
work with a broad range of clients, including, without limitation, a private
practice and a public or private agency, institution or organization;
and
(b) Work experience that is
other than experience which is acquired in connection with a practicum for
which graduate credits are granted and which complies with the following
requirements:
(1) The number of hours
required pursuant to paragraph (b) of subsection 2 or paragraph (a) of
subsection 3 must be completed in not less than 10 months and not more than 3
years unless otherwise approved by the Board;
(2) Unless otherwise approved by the Board:
(I) At least 50 percent of the hours per week
of the supervised experience must be spent providing clinical services,
including, without limitation, psychological services rendered directly to an
individual, couple, family or group, psychological testing, and individual or
group supervision relating to those services; and
(II) At least 15 percent of the hours per
week of the supervised experience must be spent providing face-to-face client
care;
(3) The hours per
week of the supervised experience that are not spent in the manner set forth in
subparagraph (2) must be spent engaging in an activity related to psychology,
including, without limitation, teaching psychology, performing psychological
research in a manner not covered by the provisions of subsection 8 and engaging
in administrative activities related to psychology or in any other activity
related to psychology; and
(4) At
least 40 hours of the supervised experience must be spent receiving training in
cultural, ethnic and group processes as social bases of behavior and at least 3
hours of individual face-to-face supervision must be spent focused on that area
of psychology. Such hours may be obtained by, without limitation:
(I) Conducting clinical work directly with
culturally diverse or underserved populations;
(II) Reading materials related to culturally
diverse populations;
(III)
Researching an issue related to culturally diverse populations;
(IV) Attending a workshop, conference or
seminar concerning working with culturally diverse populations;
(V) Giving a presentation related to
culturally diverse populations at a workshop, conference or seminar;
and
(VI) Authoring a publication
related to culturally diverse populations.
7. Unless an applicant is
registered as a psychological assistant or psychological intern, he or she may
not apply hours during which he or she practiced as another type of licensed
medical or behavioral health provider toward the supervised experience that is
required for licensure as a psychologist pursuant to this section.
8. For faculty hired at an accredited
institution of higher education, hours spent engaged in activities related to
clinical research involving the provision of treatment to test the efficacy or
effectiveness of psychotherapeutic techniques or to test or identify different
mechanisms of change or factors related to treatment outcome, may be used to
meet the requirements set forth in subparagraph (2) of paragraph (b) of
subsection 6. Such activities include, without limitation:
(a) Supervision of the implementation of
treatment protocols;
(b) Direct
implementation of treatment protocols;
(c) Writing test results and other
reports;
(d) Note writing in
connection with the provision of services;
(e) Data monitoring for adverse
effects;
(f) Working with
institutional review boards to ensure patient safety;
(g) Developing and modifying study design and
treatment protocols for the implementation of such studies;
(h) Monitoring and reviewing treatment
sessions during clinical trials for adherence to treatment protocols;
and
(i) Writing the results of such
research.
[Bd. of Psychological
Exam'rs, § 641.100, eff. 12-14-78] - (NAC A 7-7-82; 8-24-90; 1-24-94;
12-28-95; R077-02, 7-25-2002; R089-03, 1-18-2005; R038-16, 12-21-2016); A by
R074-18A,
eff. 1/30/2019; A by
R115-19A,
eff. 2/28/2022; A by
R051-23A,
eff. 4/19/2024