201 KAR 32:035. Supervision of marriage and
family therapist associates.
RELATES TO: KRS 335.300, 335.320(6), 335.330,
335.332
STATUTORY AUTHORITY: KRS 335.320(4), (5),
(9)
NECESSITY FUNCTION AND CONFORMITY: KRS
335.320(9) requires the board to promulgate administrative regulations to implement
KRS 335.300 to 335.399. KRS 335.320(4) requires the board to license applicants
who satisfy the experience and educational requirements and who have paid the
fee. KRS 335.320(5) requires the board to review and approve supervision
contracts between marriage and family therapy associates and their approved
supervisors. This administrative regulation establishes the supervision requirements
for marriage and family therapy associates and their board-approved supervisors.
Section 1. Definitions. (1) "Group
supervision" means supervision of three (3) to six (6) supervisees with
the supervisor.
(2) "Individual supervision"
means supervision of one (1) or two (2) supervisees with the supervisor.
(3) "Qualified mental health
professional" means a licensed marriage and family therapist, licensed
psychologist, licensed psychiatrist, licensed professional clinical counselor,
or licensed clinical social worker.
(4) "Raw data" means video
recorded sessions, live observation, or co-therapy with a board-approved
supervisor.
Section 2. Qualifications for
Board-Approved Supervisors Status. (1) Until December 31, 2015, a
board-approved supervisor shall be:
(a) An American Association of Marriage
and Family Therapists (AAMFT) approved supervisor in good standing;
(b) An AAMFT supervisor in training;
(c) A marriage and family therapist
licensed in Kentucky and in good standing with a minimum of five (5) years of
experience in the practice of marriage and family therapy; or
(d) A person licensed and in good
standing with a minimum of five (5) years of experience as a marriage and
family therapist in another state, and who meets the licensure requirements for
Kentucky.
(2) Effective January 1, 2016, a
board-approved supervisor shall be:
(a) An American Association of Marriage
and Family Therapists (AAMFT) approved supervisor in good standing, who has
been licensed in Kentucky for a minimum of five (5) years;
(b) An AAMFT supervisor in training who
has been licensed in Kentucky for a minimum of five (5) years; or
(c) A marriage and family therapist
licensed in Kentucky and in good standing with a minimum of five (5) years of
experience in the practice of marriage and family therapy with the last eighteen
(18) months of experience being in Kentucky.
(3) To obtain initial board-approved
supervisor status, an applicant who is not an AAMFT supervisor or supervisor in
training in good standing shall provide proof of completion of six (6) hours of
board-approved continuing education courses in supervision.
(a) The course shall be taken within the
two (2) years preceding the date of application to become a board-approved
supervisor.
(b) This requirement shall be in addition
to the hours of continuing education required for licensure renewal.
(c) Each approved course shall be live or
online and shall include:
1. Kentucky law governing the practice of
marriage and family therapy, both in KRS 335.300 to 335.399 and 201 KAR Chapter
32;
2. Theories of supervision;
3. Ethical issues involved in
supervision; and
4. Supervisor responsibilities such as
logs, treatment planning, and recording.
(4) To maintain board-approved supervisor
status, a non-AAMFT approved supervisor shall complete at least two (2) hours
of continuing education in supervision every year. These two (2) hours shall be
included in the hours of continuing education required for licensure renewal.
(a) Each approved course shall be live or
online and shall include:
1. Kentucky law governing the practice of
marriage and family therapy, both in KRS 335.300 to 335.399 and 201 KAR Chapter
32;
2. Theories of supervision;
3. Ethical issues involved in
supervision; and
4. Supervisor responsibilities such as
logs, treatment planning, and recording.
(5) To renew as a board-approved
supervisor, an AAMFT approved supervisor or supervisor in training shall
complete at least one (1) hour of continuing education every year in Kentucky
law governing the practice of marriage and family therapy found both in KRS
335.300 to 335.399 and 201 KAR Chapter 32. The course shall be attended live or
on-line. The one (1) hour shall be included in the hours of continuing
education required for licensure renewal.
Section 3. Clinical Supervision. (1)
Clinical supervision shall:
(a) Be equally distributed throughout the
qualifying period and shall average at least four (4) hours per month as
specified in the supervision contract;
(b) Be clearly distinguishable from
psychotherapy, didactic enrichment, or training activities;
(c) Focus on raw data from the
supervisee’s clinical work within in the last twelve (12) months;
(d) Be direct, face-to-face contact
between the supervisor and supervisee, unless an alternative form of
supervision has been approved by the board based on undue burden for the supervisor
or supervisee such as in cases of serious illness or injury; and
(e) Continue until the supervisee is
licensed by the board.
(2) The supervision process shall focus
on:
(a) Accurate diagnosis of client problems
leading to proficiency in applying professionally recognized nomenclature and
developing a plan for treatment as established in DSM-IV-TR: Diagnostic and
Statistical Manual of Mental Disorders, 4th Edition (2000), or DSM-V:
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
(2013);
(b) Development of treatment skills
appropriate to the therapeutic process;
(c) Development of sensitivity to context
and issues relating specifically to the family or individual being counseled;
(d) Acknowledgment of an awareness of the
use of the professional self of the therapist in the process of therapy;
(e) Increased theoretical and applied
knowledge for the therapist;
(f) Acquisition of a greater depth of
knowledge and range of techniques in the provision of marriage and family
therapy; and
(g) Awareness of ethical issues in
practice, in order to safeguard and enhance the quality of care available to
marriage and family therapy clients.
Section 4. Standards for Raw Data Used
for Supervision. The use of raw data in a supervision session shall constitute
a minimum of fifty (50) hours of the 200 hours of required supervision.
Section 5. In a therapy session involving
a board-approved supervisor and supervisee:
(1) The role of the board-approved
supervisor as a supervisor or co-therapist shall be clearly defined prior to
beginning a therapy session; and
(2) The supervisees shall receive credit
for client contact hours and supervision hours.
Section 6. Documentation Requirements.
(1) The board-approved supervisor and marriage and family therapist associate
shall maintain copies of the completed Supervision Log, which shall document:
(a) The frequency and type of supervision
provided; and
(b) The method of supervision utilized,
such as observation, dialogue and discussion, and instructional techniques
employed.
(2) No more than 100 hours of supervision
shall take place in group supervision.
(3) At least 100 hours shall take place
in individual supervision.
Section 7. Number of Supervisees. (1) A
board-approved supervisor shall not supervise more than six (6) marriage and
family therapist associates at the same time, unless approved by the board.
(2) A request to supervise more than six
(6) marriage and family therapist associates shall be submitted to the board
for approval and shall demonstrate in writing the supervisor’s plan and ability
to supervise additional marriage and family therapist associates.
Section 8. Temporary Supervision. (1) In
extenuating circumstances, if a marriage and family therapist associate is
without supervision, the associate may continue working up to ninety (90) calendar
days under the supervision of a qualified mental health professional while an
appropriate board-approved supervisor is sought and a new supervision contract
is submitted to the board. Extenuating circumstances include situations such as
death or serious illness of the board-approved supervisor, a leave of absence
by the supervisor, or the termination of the supervisor’s employment.
(2)(a) Within thirty (30) calendar days
of a change in status of board-approved supervision, the supervisee shall:
1. Notify the board of these
circumstances; and
2. Submit, in writing, a plan for
resolution of the situation.
(b) The written plan shall include:
1. The name of the temporary supervisor;
2. Verification of the credential held by
the temporary supervisor;
3. An address for the temporary
supervisor; and
4. A telephone number for the temporary
supervisor.
Section 9. Board-approved Supervisor's
Responsibilities to Clients and Supervisees. (1) A board-approved supervisor
shall be responsible for ensuring the proper and appropriate delivery of marriage
and family therapy services to clients.
(2) A board-approved supervisor shall be
responsible for fostering the professional competence and development of the
marriage and family therapist associates under his or her supervision.
(3) A board-approved supervisor shall be
responsible for compliance with the code of ethics established in 201 KAR
32:050 and take steps to ensure that supervisees comply with the code of ethics
as well.
Section 10. Incorporation by Reference.
(1) "Supervision Log", 8/2014, is incorporated by reference.
(2) This material may be inspected,
copied, or obtained, subject to applicable copyright law, at the Kentucky Office
of Occupations and Professions, 911 Leawood Drive, Frankfort, Kentucky 40601,
Monday through Friday, 8 a.m. to 4:30 p.m. (35 Ky.R. 1956; Am. 2416; eff. 6-5-2009; 36
Ky.R. 1097; 2049-M; eff. 4-2-2010; 38 Ky.R. 1372; 1555; eff. 3-12-2012; 38
Ky.R. 1877; 39 Ky.R. 12; eff. 8-6-2012; 558; 1044; eff. 11-19-2014.)
