Current through all regulations passed and filed through September 16, 2024
This rule applies to all licensed professional counselors who
are working toward licensure as licensed professional clinical counselors and
counselor trainees seeking licensure under rules
4757-13-01 and
4757-13-03 of the Administrative
Code. This rule also applies to licensed professional counselors who are
diagnosing and treating mental and emotional disorders under the work
supervision of an independently licensed mental health professional.
(A)
Supervision:
"Clinical supervision" or "Work supervision" is
supervision required of licensed professional counselors whose practice
includes the diagnosis and treatment of mental and emotional disorders. This
supervision requires the evaluation of the supervisee's performance;
professional guidance to the supervisee; approval of the supervisee's
intervention plans and their implementation; the assumption of responsibility
for the welfare of the supervisee's clients; and assurance that the supervisee
functions within the limits of the supervisee's license. The supervisor must
have access to the supervisee's client documentation. Supervision must occur on
a regular and consistent basis, such that the supervisor can evaluate the
client progress and the performance of the supervisee. The clinical/work
supervisor will review the case notes of the licensed professional counselor.
The assessment, diagnosis, treatment plan, revisions to the treatment plan,
correspondence and transfer or termination of the client(s) shall be approved
by the supervisor and shall be made available to the board upon request.
Licensed professional counselors shall disclose to their clients on all printed
and electronic material that they are under the supervision of an appropriately
licensed mental health professional when diagnosing and treating mental and
emotional disorders. The supervisee shall on all printed and electronic
materials also disclose to their clients the name(s) of said professional(s).
The work/clinical supervisor may be subject to discipline when the board
determines the supervisor failed to provide proper supervision to a dependent
licensee under supervision.
(B)
"Training
supervision" is supervision of all individuals who are gaining the experience
required for a license as a licensed professional clinical counselor, or a
license as a licensed professional counselor, or a counselor trainee registered
with the board and enrolled in a practicum or internship class. Training
supervision is provided for the purposes of obtaining a license and/or
development of new areas of proficiency while providing services to clients.
The training supervisor is responsible for providing direction to the
supervisee, who applies counseling theory, standardized knowledge, skills,
competency, and applicable ethical content in the practice setting. The
supervisor and the supervisee both share responsibility for carrying out their
role in this collaborative process of professional growth and development. This
type of supervision is an intentional process that requires extensive time and
involvement on the part of the supervisor in order to help supervisees improve
their skills and/or learn new skills. Supervision must start with an initial
face to face meeting, which may be conducted via videoconferencing, after which
communication may be in person, via videoconferencing, or by phone. Training
supervision shall include an average of one hour of contact between the
supervisor and supervisee for every twenty hours of work by the
supervisee.
(1)
"Individual supervision" is supervision that consists of an
interactive face-to-face meeting between one supervisor meeting with no more
than two supervisees.
(2)
"Group supervision" is supervision that consists of an
interactive face-to-face meeting with one supervisor and no more than eight
supervisees.
(C) Purposes of
training supervision:
(1) To provide for the
protection of consumer and client welfare;
(2) To provide that supervisees function
within the limits of their competence; and
(3) To provide training in activities
relevant to the supervisee's position and academic background.
(4)
To promote the
delivery of services in a non-discriminatory manner.
(D)
Requirements pertaining to training supervision:
(1) A licensed professional clinical
counselor providing supervision shall:
(a) Have demonstrated competence in the area
in which they are supervising;
(b)
Have training in supervision theory and practice;
(c) Have training in legal and ethical issues
relevant to counseling;
(d) Have
training in multicultural counseling competencies as defined by the
board;
(e) Have a board issued
supervision designation; and
(f)
Complete and forward to the board all supervision evaluation forms required by
the board within thirty days of completing supervision with a
supervisee.
(2) Training
supervisees may not choose a supervisor who is a family member or who is
related to them in any way.
(3) Licensed
professional counselors who engage in the diagnosis and treatment of mental and
emotional disorders shall do so under the work supervision of a licensed
professional clinical counselor, a psychologist, a psychiatrist, an independent
marriage and family therapist, or an independent social worker with a clinical
area of competence. All licensed professional counselors engaging in training
supervision for licensure as licensed professional clinical counselors shall be
under the supervision of a licensed professional clinical counselor with
supervision designation. All counselor trainees engaging in training
supervision for licensure as licensed professional counselors shall be under
the supervision of a licensed professional counselor with supervision
designation or a licensed professional clinical counselor with supervision
designation except that a licensed professional clinical counselor with
supervision designation shall supervise the counselor trainee when diagnosing
and treating mental and emotional disorders. Requests for exceptions to this
rule for training supervision, due to hardship, shall be made in writing to the
board.
(4) Individuals in the
process of completing the supervised experience required for licensure, which
includes interns and trainees, may be employed on a paid basis as long as they
are practicing within the scope of practice of the license for which they are
applying, and are properly licensed or registered with the board.
(5)
Supervisees presenting supervision experience from another state shall provide
the vita of their supervisors to demonstrate that their supervisors are
licensed to supervise the diagnosis and treatment of mental and emotional
disorders and thus are acceptable to the board.
(E)
Documentation of training supervision.
(1)
Records of training supervision shall be maintained by the supervisee.
Supervisors have no obligation to
maintain supervision records, however supervisors may do so to ensure they are
able to properly document supervision hours. The supervision records
shall contain information concerning the dates/times of supervision
,
content and goals of supervision and shall be signed or
acknowledged by the supervisor at least quarterly.
The supervision records may be retained on hard copy
forms or electronic forms. Logs must be made available to the board upon
request.
(2)
Upon completion of the required supervision hours to
qualify for an licensed professional clinical counselor license, the licensed
professional counselor shall request that the licensed professional clinical
counselor with supervision endorsement who last provided training supervision
submit all accrued training supervision hours to board using
an online
evaluation form required by the board to document hours accrued.
In submitting the hours, the supervisor shall review
the log maintained by the licensed professional counselor and shall consider
any notes or recommendations of previous supervisors when submitting the
evaluation. The training supervisor shall complete the online evaluation
form and submit it to the board within thirty days of receipt of the request
from the supervisee. In submitting the hours, the supervisor is not obligated
to provide a recommendation for independent licensure if the supervisor has
determined the supervisee is not qualified at that time for independent
practice. Supervisors who fail to timely submit supervision hours upon a
request by a supervisee may be subject to disciplinary action. The evaluation
may not be submitted to the board prior to the supervisee completing training
supervision requirements.
(F)
Supervision of
licensed professional counselors owning a solo private practice.
(1)
A licensed
professional counselor (LPC) may be in solo private practice. An LPC who is
diagnosing and treating mental and emotional disorders must receive
clinical/work supervision.
(2)
The clinical/work
supervisor may be a licensed independent social worker (LISW), licensed
professional clinical counselor (LPCC), independent marriage and family
therapist (IMFT), psychologist, or psychiatrist.
(3)
Clinical/work
supervision shall be conducted on a regular basis. The clinical/work supervisor
must have access to the licensed professional counselor's client documentation.
The clinical/work supervisor will review the case notes of the licensed
professional counselor. The clinical/work supervisor is ultimately responsible
for client care. The clinical/work supervisor will review and approve
diagnoses, changes in diagnoses, and initial and revised treatment
plans.
(4)
A licensed professional clinical counselor with
supervision endorsement may provide both the clinical/work supervision and the
training supervision. In such instances, the licensed professional clinical
counselor with supervision endorsement and licensed professional counselor
should establish a clear understanding of the supervision expectations, which
may include a written contract.
(G)
A licensed
professional clinical counselor may provide clinical/work supervision to
licensees of the Ohio chemical dependency professionals board when such
licensees are working solely with substance use disorder clients. The licensed
professional clinical counselor who does so must have the appropriate
education, training and supervised experience in substance use disorder
practice.
(H)
A licensed professional counselor, when working with
solely substance use disorder clients, but not dual-diagnosis clients, may
receive clinical/work supervision from a licensed independent chemical
dependency counselor or licensed independent chemical dependency counselor
clinical supervisor licensed by the Ohio chemical dependency professionals
board.
(I) Requirements for
applying for a training supervision designation.
(1) Licensed professional clinical counselors
applying for training supervision designation shall meet the following minimum
requirements. Licensed professional counselors who hold the supervision
designation prior to January 1, 2013, may
continue to hold that designation as long as they maintain it in good standing.
(a) Document a minimum of twenty-four hours
of academic preparation or board approved continuing education coursework in
counselor supervision training including training six hours in each area as
follows:
(i) Assessment, evaluation and
remediation which includes initial, formative and summative assessment of
supervisee knowledge, skills and self-awareness; components of evaluation e.g.
evaluation criteria and expectations, supervisory procedures, methods for
monitoring (both direct and indirect observation) supervisee performance,
formal and informal feedback mechanisms, and evaluation processes (both
summative and formative), and processes and procedures for remediation of
supervisee skills, knowledge, and personal effectiveness and
self-awareness;
(ii) Counselor
development which includes models of supervision, learning models, stages of
development and transitions in supervisee/supervisor development, knowledge and
skills related to supervision intervention options, awareness of individual
differences and learning styles of supervisor and supervisee, awareness and
acknowledgment of cultural differences and
multicultural competencies needed by supervisors, recognition of relational
dynamics in the supervisory relationship, and awareness of the developmental
process of the supervisory relationship itself;
(iii) Management and administration which
includes organizational processes and procedures for recordkeeping, reporting,
monitoring of supervisee's cases, collaboration, research and evaluation;
agency or institutional policies and procedures for handling emergencies, case
assignment and case management, roles and responsibilities of supervisors and
supervisees, and expectations of supervisory process within the institution or
agency; institutional processes for managing multiple roles of supervisors, and
summative and formative evaluation processes; and
(iv) Professional responsibilities which
includes ethical and legal issues in supervision includes dual relationships,
competence, due process in evaluation, informed consent, types of supervisor
liability, privileged communication, consultation, etc.; regulatory issues
include Ohio laws governing the practice of counseling and counseling
supervision, professional standards and credentialing processes in counseling,
reimbursement eligibility and procedures, and related institutional or agency
procedures.
(b) Each
licensed professional clinical counselor shall obtain a minimum of one year and
fifteen hundred hours of clinical experience, post licensed professional
clinical counselor licensure, which shall include the diagnosis and treatment
of mental and emotional disorders.
(c) The fifteen hundred hours shall include
at least one supervision experience. The licensed professional clinical
counselor in training shall observe five training supervision sessions
conducted by a licensed professional clinical counselor with a supervisor
designation. Following the observation of five training supervision sessions,
the licensed professional clinical counselor in training and the supervisor
shall conduct a minimum of a one hour review session to process and review the
observed sessions. Supervision must start with an initial face to face meeting
after which communication may be in person, via videoconferencing, or by
phone.
(d) Comply with the American
counseling association "ACA" ethical standards pertaining to the supervisory
relationship.
(e) Document
applicant's familiarity with significant legal, ethical, and clinical issues
relevant to the supervisory relationship on a form prescribed by the
board.
(2) All licensed
professional counselors and licensed professional clinical counselors shall
maintain the training supervision designation by obtaining three hours of
counselor professional standards committee approved continuing professional
education in supervision.
(3)
Licensed professional clinical counselors engaged in training supervision shall
be called "licensed professional clinical counselor with training supervision
designation" per paragraph (T)(9) of rule
4757-3-01 of the Administrative
Code. They shall have adequate training, knowledge, and skill to render
competent clinical supervision and shall meet the criteria for work and
training supervision as defined in paragraphs (A) and (B) of this rule.
Licensed professional counselors engaged in training supervision shall be
called "licensed professional counselor with training supervision designation"
per paragraph (T)(8) of rule
4757-3-01 of the Administrative
Code. They shall have adequate training, knowledge, and skill to render
competent non-clinical supervision and shall not supervise the diagnosis and
treatment of mental and emotional disorders.
