Designing and Implementing Supervisor Standards A Working Group Linda Barclay, Ph.D., LPCC-S, LICDC, NCC Karen Langer, M.Ed., LMHC Camille A. Clay, Ed.D., LPC American Association of State Counseling Boards January, 2012

I. Introduction/Overview II. Review of Requirements Nationally III. Examples of each A. Washington, DC B. Washington C. Ohio D. North Carolina IV. Group Discussions V. Summarize and Close Presentation Overview

Supervision Standards are Promulgated by the following organizations: I. American Association of State Counseling Boards (AASCB) II. American Mental Health Counselors Association (AMHCA) III. Association for Counselor Education and Supervision (ACES) IV. Council for Accreditation of Counseling and Related Educational Programs (CACREP) V. National Board for Certified Counselors (NBCC) National Supervision Standards

License Only 11 States plus DC License and Experience 12 States License and Training 2 States License, Experience and Supervision Training 25 States Review of State Board Supervisor Requirements

Supervision of Supervision Professional Association Membership Knowledge of Ethics Character References Videotapes of Sessions Supervisisor Registration with the State Passing Scores on an Exam (NCMHCE, OLERE, etc.) Written Philosophy of Supervision Employed with the Site Written Supervisory Agreement/Contract Evaluations of Supervisor On-Call Agreement Processing Fees No Affiliation with Supervisee (family, therapy, etc.) Additional Requirements Mentioned

 I. Requirements A. Supervisors must be mental health professionals e.g. professional counselor, psychologist, psychiatrist or clinical social worker licensed in the US. during the supervised period. B. One hundred hours of supervision must be with a licensed professional counselor. II. Rationale III. Issues/Challenges related Supervision regulations Supervisor Regulations Washington, DC

 I. Requirements A. Supervises Licensed Mental Health Counselor Associates. Associates may not practice independently B. Supervisors must have been licensed at least 2 yrs C. 2 yrs supervisor experience, D.15 hrs training in supervision through a graduate course, approved continuing education course or supervision of supervision II. Rationale III. Issues/ Challenges Supervisor Regulations Washington

I. Requirements A. Regulates supervision for pre, post, and two-tiered licensing structure. For supervisor designation need 1500 hours as LPCC; 4500 hours as LPC + supervisor training B. 24 hours training in supervision theory and practice; “supervisor in t training” shall work with the same supervisor for at least five hours of supervision in the supervision of at least one supervisee (10 hrs of f face-to-face supervised supervision experience). C. Specific content areas for Supervisory Training 1.Assessment, evaluation, and remediation methods and processes. 2.Models and interventions for promoting counselor development. 3.Management and administration of clinical supervision. 4.The legal and professional responsibilities of clinical supervisor II. Rationale III. Issues/Challenges Supervisor Regulations Ohio

Requirements to be a Supervisor A. Masters degree and 5 years post graduation counseling experience (for counselors) with 2 years post-license experience (includes LPC; LMFT; LCSW; Lic. Psychologist; MD (psychiatry); CNS or Nurse Practitioner (both with psychiatric specialty) B. 3 sem. hr. graduate course in supervision or 45 contact hours (after 2010). For those already supervising, 1 sem hr or 15 contact hrs by ; 2 sem hrs or 30 contact hrs by ; and 3 sem hrs or 45 contact hrs by July, 2014, adds supervision tier to licensure law: LPC-S Rationale Issues/Challenges Supervisor Regulations North Carolina

 Determine scope of supervision requirements   Determine Board Stds for clinical supervised experience  Board approval for training supervision vs work supervision?  Board required supervision contract?  Develop a pool of qualified supervisors (see handout) Developing Supervision Processes

 What are the challenges with setting/increasing Supervisor Standards?  What supervisor standards do you choose and why?   If you have supervisor training standards, what are the issues that have emerged?  Do you want to make a distinction between training and work supervision? Group Discussion Questions

Bambling, M., King, R., Raue, P., Schweitzer, R., & Lambert, W. (2006). Clinical supervision: Its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research, 16, Kavanagh, D.J., Spense,S., Sturk-Strong,J., Wilson, J. Worrall, I., et al. (2008). Outcomes of training in supervision: Randomized controlled trial. Australian psychologist, 43, Lambert, M.J., & Ogles, B. M. (1997). The effectiveness of psychotherapy supervision. In E.C. Watkins Jr. (Ed.), Handbook of psychotherapy supervision (pp ). New York: Wiley & Sons. Milne, D.K., & James, I.A. (2002). The observed impact of training on competence in clinical supervision. British Journal of Clinical Psychology, 41(1), Milne, D.L., Sheikh, A.I., Pattison, S., & Wilkinson, A. (2011). Evidence-based training for clinical supervisors: A systematic review of 11 controlled studies. The Clinical Supervisor, 30, Selected References

Nyman, S.J., Nafziger, M.A., & Smith, T.B. (2010). Client outcomes across counselor training level within a multitiered supervision model. Journal of Counseling & Development, 88(2), Robiner, W. N., Saltzman, S. R., Hoberman, H.M., & Schivar, J.A. (1997). Psychology supervisors’ training, experiences, supervisory evaluation and self-rated competence. The Clinical Supervisor, 16(1), Schoenwald, S.K., Sheidow, A.J., & Chapman, J.E. (2009). Clinical supervision in treatment transport: Effects on adherence and outcomes. Journal of Consulting and Clinical Psychology, 77(3), Wheeler, S., & Richards, K. (2007). The impact of clinical supervision on counselors and therapists, their practice and their clients. A systematic review of the literature. Counselling and Psychotherapy Research, 7(1), Worthen, V., & Lambert, M. (2007). Outcome oriented supervision: Advantages of adding systematic client tracking to supportive consultations. Counselling and Psychotherapy Research, 7(1), Selected References