Current through Supplement No. 394, October, 2024
1. All clinical training hours must involve
the clinical application of addiction counseling and be completed at a training
consortium, one or more sites approved by the board, through a university
placement or through an individualized training program approved by the board.
Clinical training hours must be supervised by a registered clinical supervisor
who is either a licensed clinical addiction counselor or a licensed master
addiction counselor. Licensed addiction counselors who are registered clinical
supervisors may supervise clinical training hours through December 31,
2023.
2. During clinical training a
supervisee may not work independently with clients and the supervisor shall
provide direct observation of all addiction-specific work performed by the
supervisee with clients, until the supervisee obtains a score of three or
higher in that particular clinical training area as documented by the
supervisor on a supervisee monthly progress report. After being rated three or
higher in a clinical training area, a supervisor shall provide appropriate
indirect supervision to the supervisee on that clinical training area. The
clinical supervisor shall sign all supervisee monthly progress reports.
3. Clinical training areas
include:
a. Screening and American society of
addiction medicine assessment;
b.
Treatment planning;
c.
Referral;
d. Service coordination
and documentation;
e.
Counseling;
f. Client, family, and
community education;
g.
Documentation; and
h. Professional
and ethical responsibilities.
4. The training program director or clinical
supervisor shall maintain monthly supervisee progress reports and retain them
for at least twenty-four months. The board may carry out audits of monthly
supervisee progress reports as it deems appropriate.
5. The training consortium's training program
director or the clinical supervisor shall submit to the board completion forms
and final performance reviews for each supervisee. The final performance review
must demonstrate scores of three or higher in each of the clinical training
areas.
6. Clinical training
requirements also include a minimum of the following:
a. Licensed addiction counselor. Nine hundred
sixty clinical training hours earned at two or more training sites at a
training consortium. Completion forms or final performance reviews must include
documentation of the provision of at least:
(1) Forty hours of direct, face-to-face
supervision in each of the following clinical training areas: screening and
American society of addiction medicine assessment; treatment planning;
counseling; and client, family, and community education.
(2) Thirty hours in the clinical training
area of documentation, which must include the supervisor reviewing and
discussing clinical notes with the supervisee.
b. Licensed master addiction counselor.
(1) Seven hundred clinical training hours
earned at one or more training sites. Completion forms or final performance
reviews must include documentation of the provision of at least:
(a) Thirty hours of direct, face-to-face
supervision in each of the following clinical training areas: screening and
American society of addiction medicine assessment; treatment planning;
counseling; and client, family, and community education.
(b) Twenty hours in the clinical training
area of documentation, which must include the supervisor reviewing and
discussing clinical notes with the supervisee.
An individual who meets this clinical hours requirement, the
academic requirements for a licensed master addiction counselor, and the
examination requirements for either a licensed addiction counselor or a
licensed master addiction counselor, upon submission of a completed application
to the board, may be granted licensure as an addiction counselor.
(2) Two thousand
postclinical training hours earned after the individual has been awarded an
appropriate master's or doctorate degree. A minimum of fifty percent of the
supervised practice hours must be supervised by a registered clinical
supervisor who is either a licensed clinical addiction counselor or a licensed
master addiction counselor. Licensed addiction counselors who are registered
clinical supervisors may supervise the clinical training hours through December
31, 2023. No more than fifty percent of the clinical training hours may be
supervised by other professionals that the supervising addiction counselor
deems competent in the area of practice being supervised, and who are either
registered as a clinical supervisor by the board that licenses the other
professional or determined by the board to be competent to serve as the
supervisor. Supervision of the clinical training hours must consist of a
minimum of one hour weekly, face-to-face supervision and may be provided by an
offsite supervisor.
c.
Clinical trainee and intern.
(1) Clinical
trainee. Individuals accepted into a training consortium, one or more sites
approved by the board, or through a university placement approved by the board
meet the clinical training requirements for registration by the board as
clinical trainees.
(2) Intern.
(a) The supervision of an intern may be
direct or indirect. At least one hour of supervision must be direct, in-person
supervision. At least fifty percent of the clinical training hours for an
intern must be supervised by either a licensed clinical addiction counselor or
a licensed master addiction counselor. Licensed addiction counselors who are
registered clinical supervisors may supervise the clinical training hours
through December 31, 2023. No more than fifty percent of the clinical training
hours for an intern may be accumulated under other professionals who are
designated by the registered clinical supervisor, approved by the board, and
competent in the area of practice being supervised. The other professional must
be registered as a clinical supervisor by the board that licenses that other
supervisor.
(b) If, previous to
having been registered as an intern, an individual completed clinical training
hours at any location other than a board-approved location, then all clinical
training hours earned after registration as an intern must be under direct
supervision until the intern scores three or higher in a clinical training area
as documented on the intern's monthly progress report. After being rated as a
three or higher in a particular clinical training area, the intern can receive
indirect supervision while performing tasks within that clinical training area.
The intern's clinical supervisor is required to submit the intern's completion
form and the final performance review to the board.
d. Licensees of other North Dakota
mental health boards.
(1) Individuals licensed
in North Dakota as psychologists, psychiatrists, physicians, marriage and
family therapists, professional clinical counselors, licensed independent
clinical social workers, or advanced clinical practice nurses who possess a
master's or doctorate degree in their field of licensure meet the clinical
training requirements for licensure as a licensed addiction counselor or a
licensed master in addiction counseling by completing three hundred fifty
supervised addiction-specific clinical training hours.
(2) The three hundred fifty hours may be
supervised only by licensed clinical addiction counselors or licensed master
addiction counselors. As set forth in North Dakota Century Code section
43-45-06, this rule may not be construed as preventing an individual from doing
work within the standards and ethics of that individual's profession or within
the scope of a license issued in this state.
General Authority: NDCC 43-45-04
Law Implemented: NDCC 43-45-01, 43-45-04,
43-45-05.1
