Current through Register Vol. 39, No. 6, September 16, 2024
(a) Applicants for
licensure as a LCSWA shall provide an application to the Board, as set forth in
21 NCAC
63 .0202(b), and shall
comply with the requirements of this Rule.
(b) Prior to practicing clinical social work,
associates must demonstrate in writing through an emergency crisis plan that,
in the event of a clinical emergency, they have immediate access to at least
one licensed mental health professional who has agreed to provide to them
emergency clinical consultation to assure that compliance with the North
Carolina statutes and rules governing clinical social work practice are
maintained. For purposes of this Rule, "immediate" shall mean within one hour.
The emergency crisis plan shall be submitted on a form prescribed by the Board
that is available on the Board's website. The emergency crisis plan outline
must be submitted for each location where the associate practices and shall
provide the following:
(1) the name, address,
and contact information for the LCSWA practice;
(2) a description of the practice setting
that provides whether the practice is in a home, an office setting, and whether
the LCSWA practices with other practitioners;
(3) a hierarchy of initial contact persons,
if more than one contact person is identified; where each person is located;
and his or her estimated response time;
(4) a plan for follow-up consultations with
the LCSWA's clinical supervisor if an alternate emergency contact was consulted
at the time of need; and
(5)
signatures and license numbers of the LCSWA, the LCSW supervisor, and the
emergency consultant back-up provider.
Each licensed clinical social worker associate shall notify
the Board in writing within seven days of any change in such access by
resubmission of an emergency crisis plan outline form.
(c) Prior to practicing clinical
social work, associates shall provide to the Board an Employment Verification
for LCSWA form that contains the following:
(1) the associate's name, address, contact
information, license number, and license issuance and expiration
dates;
(2) the name and address of
the agency for which the associate intends to work;
(3) the associate's current position title
and a copy of the job description;
(4) whether the associate is authorized by
the employer to provide clinical services;
(5) the name of the associate's LCSW clinical
supervisor and whether the supervisor is located on-site or off-site;
(6) whether the associate is being paid a fee
or salary;
(7) dates during which
the associate is working full-time, part-time, or as needed; and
(8) the name and signature of the person
completing the form on behalf of the employer.
(d) Each associate licensee must be
supervised as set forth in
G.S.
90B-7(f) and receive
on-going appropriate supervision as defined in Rule .0211(a)(2) of this Chapter
until the qualifying examination has been passed and the Licensed Clinical
Social Worker license is issued.
(e) All associate licensees shall submit
reports of their clinical social work experience and supervision on a form
prescribed by the Board and made available on the Board's website every six
months for review and evaluation by the Board. This six-month review form shall
contain the following:
(1) the associate's
name, LCSWA license number, and contact information for the
associate;
(2) the associate's
place of employment and an employment verification form, as prescribed in
21 NCAC
63 .0202(f), if not
previously provided to the Board;
(3) the associate's signature and date
submitted;
(4) an acknowledgment
from the associate's LCSW supervisor as to whether:
(A) a position statement on clinical
supervision, available on the Board's website at
https://www.ncswboard.org,has
been signed and submitted to the Board;
(B) an emergency crisis plan, as set forth in
Paragraph (b) of this Rule, has been submitted to the Board;
(C) a supervisory log has been maintained and
is available upon request to verify documented supervision; and
(D) a case narrative summarizing one case
treated during this review period has been prepared, reviewed, and is on file
and available for Board review, if needed;
(5) a rating of the associate by the
associate's LCSW supervisor in all the following categories:
(A) ethical standards of social work
practice;
(B) effective use of
supervision;
(C) competence in
social work practice;
(D)
professional growth and development;
(E) consistency of performance
effort;
(F) knowledge of social
work principles and practices;
(G)
ability to formulate a treatment plan appropriate to the clients'
needs;
(H) ability to implement
interventions consistent with the treatment plan;
(I) supervisee's ability to assess his or her
own capacities and skills;
(J)
ability to correctly diagnose mental and emotional disorders in accordance with
professional judgment and training; and
(K) ability to plan treatment and carry out
clinical interventions related to mental and emotional disorders;
(6) a narrative summary regarding
the associate's growth as a clinical practitioner and participation in clinical
supervision;
(7) the period during
which the associate received supervision from the LCSW supervisor;
(8) the number of in-person hours of
individual supervision that the associate received;
(9) the number of in-person hours of group
supervision that the associate received;
(10) the number of hours provided through
technology that the associate received in a group setting;
(11) the number of hours provided through
technology that the associate received in an individual setting;
(12) the number of clinical practice hours
that the associate attained during the review period; and
(13) the name, phone number, signature, and
license number with expiration date of the associate's LCSW
supervisor.
(f) To
prevent a lapse in licensure, associate licensees who desire to become Licensed
Clinical Social Workers shall renew the LCSWA or complete the application
process for the Licensed Clinical Social Worker classification and submit the
application fee as set in Rule .0208 of this Chapter at least 30 days prior to
the expiration of the associate's license.
Authority
G.S.
90B-6;
90B-7;
Eff. August 1,
1993;
Temporary Amendment Eff. October 1, 1999;
Amended
Eff. October 1, 2012; August 1, 2012; September 1, 2005; April 1,
2001;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. September 19, 2015;
Amended Eff.
October 1, 2021.