August 18, 2016
1. Purpose of the Committee
The Supervision Committee was appointed in November 2013. The Committee is
nearing the end of their three year holistic review of the current requirements
for supervised work experience and requirements for supervisors to determine
if these requirements adequately prepare candidates to serve California’s
diverse population. The Committee, stakeholders, and interested parties have
evaluated relevant data and information to establish standards for supervisors
and supervision that ensures consumer protection and does not impede the licensure
2. Issues Discussed
During August’s meeting, proposed language was submitted to the public
and stakeholders encompassing the changes put forward to date. CAMFT has been
very vocal on the changes discussed, with the BBS accepting most of CAMFT’s
suggestions and critiques. Here are some of the changes moving forward:
Revised Definitions of “Intern” and “Applicant”: The
definitions of “Intern” and “Applicant” have been amended.
The definition of “Intern” now includes either someone who is registered
with the Board, or someone who is in the process of registering within 90 days
of receiving his or her degree. The definition of “Applicant” was
renamed “Applicant for licensure.” This definition now refers to
a person who has completed the education and experience requirements for licensure
and who is no longer gaining supervised experience.
Definition of Supervision: The definition of “supervision” has
been revised to include responsibility for, and control of, the quality of
services being provided. Some of the changes include: reinforcing that consultation
or peer discussion is not supervision; mandating regular feedback to the intern
or trainee; requiring the supervisor to monitor/attend to countertransference,
intrapsychic, and interpersonal issues that may affect the supervisory or the
practitioner-patient relationship; and, a requirement to directly observe or
review recordings of provider/client session (with client consent).
Handling Crises and Emergencies: The American Counseling Association’s
Ethical Code requiring supervisors to establish and communicate to supervisees
procedures for contacting either the supervisor, or an alternate on-call supervisor,
in a crisis was adopted.
Supervisors Licensed for at Least Two Years: An amendment allowing a licensee
to supervise if he or she has a current California license, and has been actively
licensed in California or holds an equivalent license in any other state for
at least two of the past five years immediately prior to commencing any supervision.
Required Training and Coursework for Supervisors: A new requirement that supervisors
commencing supervision for the first time must complete a 15 hour supervision
course covering specified topic areas. Any supervisor who has not supervised
in 2 of the last 5 years, must re-take a 6 hour course.
This new section also specifies that supervisors must complete 6 hours of
continuing professional development in each subsequent renewal period while
supervising. This can consist of a supervision course, or other professional
development activities such as teaching, research, or supervision mentoring.
CAMFT requested additional clarification on what constituted “research” for
purposes of this section.
Amount of Direct Supervisor Contact Required for Applicants Finished Gaining
Experience Hours: Currently, the law does not specifically define how much
direct supervisor contact an MFT intern needs once he or she is finished
gaining experience hours needed to count toward licensure. Amendment was
introduced specifying that interns and applicants who have finished gaining
hours must obtain at least one hour of supervision per week for each setting
in which direct clinical counseling is performed. Supervision for nonclinical
practice is at the supervisor’s discretion.
Definition of “One Hour of Direct Supervisor Contact”; Triadic
Supervision: These revisions provide a specific definition of one hour of direct
supervisor contact. Triadic supervision (one supervisor and two pre-licensees)
is included in this definition.
Supervisory Plan for LMFTs: LCSW and LPCC law requires the supervisor and
the supervisee to develop a “supervisory plan” that describes goal
and objectives of supervision. The registrant is required to submit this form
when applying for licensure. The proposed law will require a supervisory plan
for LMFT applicants as well.
Annual Assessment: LCSW regulations require a supervisor to complete an annual
assessment of the strengths of the registrant and to provide the registrant
with a copy. The proposed law will require this for supervisors of LMFT interns
and trainees as well.
Supervisor Registration: All supervisors will register with the Board, initiated
by a licensee’s submission of a “Supervisor Self-Assessment Report,” signed
under penalty of perjury. This report will include the supervisor’s qualifications,
as well as an acknowledgement of certain responsibilities. For those who qualify
as a supervisor, the Board will add a supervisor status to the licensee’s
record. The effective date of this requirement will be delayed to January 1,
2020 to allow time for the Breeze online system to be modified so that supervisors
will be searchable. In addition, the deadline date for existing supervisors
(those supervising prior to January 1, 2020) is proposed to be March 31, 2020.
Documentation of Supervisor Qualifications and Audits: A new section will
be added allowing the Board to audit supervisor’s records to verify they
meet the supervisor qualifications. It requires supervisors to
maintain records of completion of the required supervisor qualifications for
seven years after the termination of supervision, and to make these records
available to the Board for an audit upon request.
3. Next Steps
The final language of the proposed regulations and statute will be put before
the BBS Policy and Advocacy Committee in September 2016, and then the full
Board in November 2016. After final approval, the BBS will introduce the
full package for legislative and regulatory amendment in 2017.
If a stakeholder, consumer or provider has comment on the proposed language,
there are still ample opportunities to do so during the upcoming BBS meetings
mentioned above, as well as simply reaching out to the BBS directly. To review
the full package, please see: http://www.bbs.ca.gov/pdf/agen_notice/2016/0816_supervisionmtg_material.pdf