SECTION .0800 – LICENSED PROFESSIONAL COUNSELOR SUPERVISOR

 

21 NCAC 53 .0801             LICENSED PROFESSIONAL COUNSELOR

SUPERVISOR

(a)  The credential of licensed professional counselor

supervisor shall be granted by the Board to a licensed professional counselor

who has satisfied the following requirements:

(1)           obtained an independent license that is not

under supervision as defined in G.S. 90-336(d)(4);

(2)           earned the equivalent of three semester

graduate credits in clinical supervision training from a regionally accredited

institution of higher education as documented by an official transcript, or 45

contact hours of continuing education in clinical supervision;

(3)           documented licensed professional counseling

experience as defined in G.S. 90-336(d)(2); and

(4)           submitted a complete application for

licensed professional counselor supervisor.

(b)  The licensed professional counselor supervisor shall

provide supervisees with a copy of a Professional Disclosure Statement specific

to supervision that includes the following:

(1)           business address and telephone number of

the licensed professional counselor supervisor;

(2)           the listing of degrees, credentials, and

licenses held by the licensed professional counselor supervisor;

(3)           general areas of competence in mental

health practice for which the licensed professional counselor supervisor may

provide supervision (e.g., addictions counseling, school counseling,

career counseling);

(4)           a statement documenting training in

supervision and experience in providing supervision;

(5)           a general statement addressing the model of

or approach to supervision, including role of the supervisor, objectives and

goals of supervision, and modalities (e.g., tape review, live observation);

(6)           a description of the evaluation procedures

used in the supervisory relationship;

(7)           a statement defining the limits and scope

of confidentiality and privileged communication within the supervisory

relationship;

(8)           a fee schedule, if applicable;

(9)           the emergency contact information for the

licensed professional counselor supervisor; and

(10)         a statement indicating that the licensed

professional counselor supervisor follows the American Counseling Association's

Code of Ethics and the Center for Credentialing and Education's Approved

Clinical Supervisor Code of Ethics as set forth in Rule .0102 of this Chapter.

(c)  The supervisor shall provide written or electronically

submitted reports, on forms provided by the Board on the website www.ncblpc.org

each quarter that supervision has occurred and shall file a final report upon

termination or completion of supervision. The supervisor shall be available for

consultation with the Board or its committees regarding the supervisee's

competence for licensure.

(d)  A supervision contract form, as provided by the Board

on the website www.ncblpc.org shall document the following:

(1)           the name of the qualified clinical supervisor;

(2)           contact information for the qualified

clinical supervisor;

(3)           the modality of supervision to be provided,

such as live observation, co-therapy, audio and video recordings, and live

supervision, as defined by Rule .0208 of this Chapter;

(4)           the frequency of supervision; and

(5)           the name and physical location of the site

where the proposed supervision will take place.

A separate supervision contract form shall be filed for

each supervisee.

(e)  The licensed professional counselor supervisor, in collaboration

with the supervisee, shall maintain a log of clinical supervision hours that

includes the following:

(1)           the date;

(2)           supervision start and stop times;

(3)           the modality of supervision to be provided,

such as live observation, co-therapy, audio and video recordings, and live

supervision, as defined by Rule .0208 of this Chapter; and

(4)           notes on recommendations or interventions

used during the supervision.

The licensed professional counselor supervisor shall

maintain copies of these logs for a minimum of seven years beyond termination

or completion of supervision and shall provide copies to the Board for

inspection upon request.

 

History Note:        Authority G.S. 90-334(h); 90-336(a);

90-336(d);

Eff. January 1, 2010;

Amended Eff. July 1, 2014.