Current through Register Vol. 39, No. 6, September 16, 2024
(a) The credential of licensed clinical
mental health counselor supervisor shall be granted by the Board to a licensed
clinical mental health counselor who has satisfied the following requirements:
(1) obtained an independent license that is
not under supervision as defined in
G.S.
90-336(d)(4);
(2) earned the equivalent of three semester
graduate credits in clinical supervision training from a regionally accredited
institution of higher education as documented by an official transcript, or 45
contact hours of continuing education in clinical supervision;
(3) documented licensed professional
counseling experience as defined in
G.S.
90-336(d)(2); and
(4) submitted a complete application for
licensed clinical mental health counselor supervisor.
(b) The licensed clinical mental health
counselor supervisor shall provide supervisees with a copy of a Professional
Disclosure Statement specific to supervision that includes the following:
(1) business address and telephone number of
the licensed clinical mental health counselor supervisor;
(2) the listing of degrees, credentials, and
licenses held by the licensed clinical mental health counselor
supervisor;
(3) general areas of
competence in mental health practice for which the licensed clinical mental
health counselor supervisor may provide supervision (e.g., addictions
counseling, school counseling, career counseling);
(4) a statement documenting training in
supervision and experience in providing supervision;
(5) a general statement addressing the model
of or approach to supervision, including role of the supervisor, objectives and
goals of supervision, and modalities (e.g., tape review, live
observation);
(6) a description of
the evaluation procedures used in the supervisory relationship;
(7) a statement defining the limits and scope
of confidentiality and privileged communication within the supervisory
relationship;
(8) a fee schedule,
if applicable;
(9) the emergency
contact information for the licensed clinical mental health counselor
supervisor; and
(10) a statement
indicating that the licensed clinical mental health counselor supervisor
follows the American Counseling Association's Code of Ethics and the Center for
Credentialing and Education's Approved Clinical Supervisor Code of Ethics as
set forth in Rule .0102 of this Chapter.
(c) The supervisor shall provide written or
electronically submitted reports, on forms provided by the Board on the website
www.ncblcmhc.org each quarter that supervision has occurred and shall file a
final report upon termination or completion of supervision. The supervisor
shall be available for consultation with the Board or its committees regarding
the supervisee's competence for licensure.
(d) A supervision contract form, as provided
by the Board on the website www.ncblcmhc.org shall document the following:
(1) the name of the qualified clinical
supervisor;
(2) contact information
for the qualified clinical supervisor;
(3) the modality of supervision to be
provided, such as live observation, co-therapy, audio and video recordings, and
live supervision, as defined by Rule .0208 of this Chapter;
(4) the frequency of supervision;
and
(5) the name and physical
location of the site where the proposed supervision will take place.
A separate supervision contract form shall be filed for each
supervisee.
(e)
The licensed clinical mental health counselor supervisor, in collaboration with
the supervisee, shall maintain a log of clinical supervision hours that
includes the following:
(1) the
date;
(2) supervision start and
stop times;
(3) the modality of
supervision to be provided, such as live observation, co-therapy, audio and
video recordings, and live supervision, as defined by Rule .0208 of this
Chapter; and
(4) notes on
recommendations or interventions used during the supervision.
The licensed clinical mental health counselor supervisor
shall maintain copies of these logs for a minimum of seven years beyond
termination or completion of supervision and shall provide copies to the Board
for inspection upon request.
Authority
G.S.
90-334(h);
90-336(a);
90-336(d);
Eff. January 1, 2010;
Amended Eff. July 1, 2014;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. April 27, 2019;
Amended Eff. March
1, 2022; January 1, 2020 (S.L. 2019-240, s.
3.(k)).
