Annual Meeting 2018.

Slides:



Advertisements
Similar presentations
DC Responses Received WA OR ID MT WY CA NV UT CO AZ NM AK HI TX ND SD NE KS OK MN IA MO AR LA WI IL MI IN OH KY TN MS AL GA FL SC NC VA WV PA NY VT NH.
Advertisements

U.S. States Abbreviations Directions: Type the state abbreviation in the box on each slide. “The English language website where everything.
Background Information on the Newspoets Total Number: 78 active newspoets. 26 (of the original 36) newspoets from returned this year.
NICS Index State Participation As of 12/31/2007 DC NE NY WI IN NH MD CA NV IL OR TN PA CT ID MT WY ND SD NM KS TX AR OK MN OH WV MSAL KY SC MO ME MA DE.
Essential Health Benefits Benchmark Plan Selection, as of October 2012
1 Washington, WA 2 Oregon, OR 3 California, CA 4 Arizona, AZ 5 Nevada, NE 6 Utah, UT 7 Idaho, ID 8 Montana, MT 9 Wyoming, WY 10 Colorado, CO 11 New Mexico,
Uninsured Non-Elderly Adult Rate Increased from 17. 8% to 20
House Price
House price index for AK
WY WI WV WA VA VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Children's Eligibility for Medicaid/CHIP by Income, January 2013
NJ WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NH NV
The State of the States Cindy Mann Center for Children and Families
Medicaid Costs are Shared by the States and the Federal Government
U.S. FEDERAL CIRCUITS Cir State 11 Alabama AL
Expansion states with Republican governors outnumber expansion states with Democratic governors, May 2018 WY WI WV◊ WA VA^ VT UT TX TN SD SC RI PA OR OK.
Expansion states with Republican governors outnumber expansion states with Democratic governors, January WY WI WV◊ WA VA VT UT TX TN SD SC RI PA.
Share of Births Covered by Medicaid, 2006
Non-Citizen Population, by State, 2011
Status of State Medicaid Expansion Decisions
Share of Women Ages 18 – 64 Who Are Uninsured, by State,
Coverage of Low-Income Adults by Scope of Coverage, January 2013
Populations included in States’ SIMRs for Part C FFY 2013 ( )
WY WI WV WA VA VT UT TX TN1 SD SC RI PA1 OR OK OH ND NC NY NM NJ NH2
WY WI WV WA VA VT UT TX TN1 SD SC RI PA OR OK OH1 ND NC NY NM NJ NH NV
WY WI WV WA VA* VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
WY WI WV WA VA VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
WA –16.9% NH: –18.8% ME –14.1% MT –23.7% ND –22.0% VT: –12.6% OR
Mobility Update and Discussion as of March 25, 2008
Current Status of the Medicaid Expansion Decision, as of May 30, 2013
IAH CONVERSION: ELIGIBLE BENEFICIARIES BY STATE
WAHBE Brokers / QHPs across the country as of
619 Involvement in State SSIPs
State Health Insurance Marketplace Types, 2015
State Health Insurance Marketplace Types, 2018
HHGM CASE WEIGHTS Early/Late Mix (Weighted Average)
Status of State Medicaid Expansion Decisions
Status of State Participation in Medicaid Expansion, as of March 2014
Percent of Women Ages 19 to 64 Uninsured by State,
Status of State Medicaid Expansion Decisions
United States of America.
Medicaid Income Eligibility Levels for Parents, January 2017
State Health Insurance Marketplace Types, 2017
S Co-Sponsors by State – May 23, 2014
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Seventeen States Had Higher Uninsured Rates Than the National Average in 2013; Of Those, 11 Have Yet to Expand Eligibility for Medicaid AK NH WA VT ME.
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Average annual growth rate
Market Share of Two Largest Health Plans, by State, 2006
Uninsured Rate Among Adults Ages 19–64, 2008–09 and 2019
Percent of Children Ages 0–17 Uninsured by State
Current Status of State Medicaid Expansion Decisions
Current Status of State Medicaid Expansion Decisions
How State Policies Limiting Abortion Coverage Changed Over Time
Post-Reform: Projected Percent of Adults Ages 19–64 Uninsured by State
United States: age distribution family households and family size
Status of State Medicaid Expansion Decisions
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Percent of Adults Ages 18–64 Uninsured by State
Uninsured Nonelderly Adult Rate Has Increased from Percent to 20
States including quality standards in their SSIP improvement strategies for Part C FFY 2013 ( ) States including quality standards in their SSIP.
Status of State Medicaid Expansion Decisions
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
States including their fiscal systems in their SSIP improvement strategies for Part C FFY 2013 ( ) States including their fiscal systems in their.
Current Status of State Individual Marketplace and Medicaid Expansion Decisions, as of September 30, 2013 WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK.
Status of State Medicaid Expansion Decisions
Income Eligibility Levels for Children in Medicaid/CHIP, January 2017
WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NJ NH NV
Presentation transcript:

Annual Meeting 2018

Post-degree Supervision Across the U.S.A.: Licensees and Supervisors Rick Bruhn, Ed.D., LMFT-S, LPC-S, Member TSBEMFT, Professor, Sam Houston State University, TX Lindsay McCarthy, M.S., LMFT Associate, Doctoral Student, Sam Houston State University, TX AAMFTRB, September 26, 2018

Researching Supervision for MFT Licensure Research team at Sam Houston State University Use of a “content analysis” approach to analyzing the data. Krippendorff, K. (2004). Content analysis: An introduction to its methodology (2nd ed.). Thousand Oaks, CA: Sage. Interest in studying the similarity and differences in MFT post-degree supervision for licensure in 50 states and the District of Columbia We are presenting our first look at the data we have collected. (We will gratefully receive feedback!) I want to acknowledge the work of SHSU graduate assistants, Lindsay McCarthy and Elizabeth Cox in collecting the information from state websites.

Post-Degree Supervised Experience Total Hours

Post-Degree Supervised Experience Total Hours 8 States allow for hours to be carried over from graduate experience 5 states differentiate experience hours needed based on education level Range 4,000 – 1,000 Total 2,200 – 1,000 Direct 1,000 – 250 Relational

Required Hours of Supervision

Frequency of Supervision Not mentioned for 21 states Trends in Frequency: 20 states define frequency of supervision by X number of supervision hour(s) per X direct client contact hour(s) (i.e. 1 hour of supervision per every 20 hours of direct client contact) 10 states define frequency of supervision by meeting within a certain time period (i.e. once a week, four times a month, etc.)

Minimum Time Frame for the Experience All states require 2 years as a minimum time frame for post degree experience with the exception of: 8 States never mentioned minimum time: Arkansas, Alaska, Michigan, Montana, Nebraska, North Carolina, Washington, and Wyoming 3 States differentiated between masters and Ph.D. (or 60 advanced graduate study hours) minimum time; Colorado, New Jersey, and West Virginia require 1 year for post PhD Oregon and require 3 years Virginia requires 21 months Connecticut requires 1 year

Type of Supervision: Individual or Group

Individual Supervision Defined

Group Supervision Defined

Number of Supervisees Allowed per Supervisor Not mentioned/known: 33 states 3 X CA 4 X WV 5 XXX DC, NY, WY* *unless more approved 6 XXXXXXX HI, ID*, KY, NE, NV*, NJ, PA* * unless more approved 7 X VA 8 XX MS, SC 10 X LA 12 XX AR, OK, TX

Themes in Supervisor Credentials The MFT license is a qualifying credential in 46 states, 3 mention only AAMFT Approved Supervisor (A/S), 1 accepts any mental health (MH) license, 1 accepts any MH license and qualifying experiences Broad view: 35 states accept multiple MH degrees or licenses for credentialing, 16 states mention only MFT or AAMFT A/S or AAMFT supervisor in training (AL, AK, GA, KY, LA, MN, MS, NC, ND, OK, RI, SC, SD, TN, TX, UT) 16 states accept AAMFT A/S as qualifying; another 16 states also accept AAMFT supervisor in training

More Themes in Supervision Credentials 15 states mention “good standing” or a similar status (no restrictions, etc.) Post-license experience as a qualifying credential: 2 yrs: 10 CA, HI, KA, LA, NH, OH, OK, UT, VA, WA 3 yrs: 13 AR, FL, IA, MD, MT, NE, NV, NM, ND, OR, SD, TX, VT 4 yrs: 4 AL, MI, MN, WY 5 yrs: 15 AK, GA, ID, IL, IN, KY, ME, MD, NJ, PN, RI, SC, DC, WV, WI Not clear: 9 AZ, CO, CT, DE MA, MI, NY, NC, TN Least complex?: 12 states: CT, MI, NY, HI, MA, SD, MT, NM, PN, DC, WI, WY Most rigorous?: 3 states: AL, GA, LA, MN

Supervisor Training in Supervision Graduate Course or Equivalent Hours of Training in Supervision (27 states) 15: ID, KS, MO, NE, WA 20: MT, UT, VA 24/25: MI (24), NC (25) 30: AL (+36 hrs. sup./sup.+180 hrs. sup.), IN, LA (+36 hrs. sup./sup.), OH, ME, MN, NH, ND 36: GA (+6/9 telehealth, +180 hrs. sup./sup.) 40: TX 45: AR (18 hrs. sup./sup.), GA (grad course+36 hrs. sup./sup.), MD (+6 hrs. MFT theories), OK (+30 hrs. sup./sup.), CEUs: NM=3, FL=4, AK=6, KY=6, AZ=12+Family Law, WV=ALPS training

Amount of Technologically Assisted Supervision Allowed [video, audio, electronic] Not identified: 26 states Percentage of hours: 0% CA, 25% SC, 50% AR, DE, SD, 75%: IA (50% on phone), OR Maximum hours: 25- LA, 50- MN(50%*), TX, 75- ME, OK (50%), 90- AZ (15 via phone), 100- ND Unlimited after 100 supervision hrs. (master)/50 sup. hrs. (doc) - KA Unlimited: AL (video), CO, FL, ID, MO, MS (video), NE (msp), NJ, OH, VA, DC (lpc sup.), WV, WY (video)

Titles of Supervisor’s License Not identified: 25 states Board approved supervisor: AL, GA, KS, MD, MN, MI, ND, SD, DC Approved supervisor: AK, KY, LA*, ME, MA, NE, OK, OR, WA Registered MFTS: ID, MO Qualified supervisor: FL, IN, NJ, WY MFT-Supervisor: AR, TX; Licensed MFT-Supervisor: SC, Approved professional supervisor: WV; Supervisor: OH; Licensed Supervisor: MS

Consumer’s Viewpoint Portability Search for information

Discussion Contact Information Rick Bruhn edu_rab@shsu.edu (936) 294-1132 Lindsay McCarthy llm033@shsu.edu (936) 294-4148