201 KAR 32:035. Supervision of marriage and family therapist associates

Link to law: http://www.lrc.ky.gov/kar/201/032/035.htm
Published: 2015

      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.)
Read Entire Law on www.lrc.ky.gov