201 KAR 34:060. Qualifying experience under supervision.

 

      RELATES TO: KRS 309.130(3), 309.1305(5),

309.1315, 309.133, 309.134

      STATUTORY AUTHORITY: KRS 309.1315(1),

(4), (12), (16), 309.134(1)(b)

      NECESSITY, FUNCTION, AND CONFORMITY: KRS

309.1315(1), (12), and (16) require the board to promulgate administrative

regulations necessary to carry out the provisions of KRS 309.130 to 309.1399,

to approve the level of supervision for a person seeking licensure, and to

establish requirements for supervision and qualifications of supervisors. KRS

309.1315(4) requires the board to process applications. KRS 309.134(1)(b)

requires an applicant to obtain a board-approved supervisor of record. This

administrative regulation establishes the requirements for supervision and the

qualifications necessary to be a supervisor and a supervisor of record.

 

      Section 1. Definitions. (1) "Board-approved

qualified mental health professional" means a licensed marriage and family

therapist, licensed psychologist, licensed psychiatrist, licensed professional

clinical counselor, or licensed clinical social worker.

      (2) "Direct client contact hours"

means hours spent providing art therapy services to a client with services

performed in an individual, couple, family, or group format.

      (3) "Face-to-face supervision"

means supervision that is either:

      (a) Interactive, simultaneous video and

audio media if at least two (2) direct meetings per month are conducted in

person with the supervisor and supervisee physically present in the same room;

or

      (b) All the meetings take place with the supervisor

and supervisee physically present in the same room.

      (4) "Group supervision" means

the supervision of a group of six (6) individuals or less.

      (5) "Individual supervision"

means case consultation between the supervisor and the supervisee that is

restricted to the supervisee's cases.

      (6) "Supervisee" means a

licensed professional art therapy associate who works with clients under

supervision.

      (7) "Supervision" means the

educational process of utilizing a partnership between a supervisor and a

supervisee aimed at enhancing the professional development of the supervisee to

meet the requirements of KRS 309.134.

      (8) "Supervisor" means a board-approved

licensed professional art therapist or qualified mental health professional who

controls, oversees, guides, and takes responsibility for the practice of professional

art therapy of a supervisee in accordance with this administrative regulation.

      (9) "Supervisor of record" means

an approved licensed professional art therapist in the Commonwealth of Kentucky

who meets the requirements established in Section 2 of this administrative

regulation.

 

      Section 2. Requirements to be a

board-approved supervisor. (1) A licensed professional art therapist that is a supervisor

shall have a minimum of four (4) years of experience in the practice of art

therapy. A board-approved qualified mental health professional that is a

supervisor shall have a minimum of four (4) years of independent experience.

      (2) A supervisor shall not have:

      (a) An unresolved citation filed against

him or her by the board;

      (b) A disciplinary action that resulted

in the suspension or probation of a license; or

      (c) A previous or existing personal

relationship with a supervisee.

      (3) In order to

obtain board-approved supervisor status, a supervisor shall complete three (3)

hours of board-approved supervisor training which shall be completed within one

(1) year of the supervisor seeking board approval.

      (a) The board-approved

supervisor training shall cover:

      1. Kentucky law governing the

practice of art therapy contained in both KRS Chapter 309 and 201 KAR Chapter

34, theories of supervision, ethical issues involved in supervision, and

supervisor responsibilities; and

      2. Documentation in a supervision

log that includes supervision times as well as the treatment and planning that

is employed.

      (b) Supervisor training shall

be an onsite or online course which shall be conducted by an instructor who is

a licensed professional art therapist or board-approved qualified mental health

professional and who has demonstrated proficiency in the curriculum established

in this administrative regulation.

      (c) To maintain

board-approved supervisor status, a supervisor shall retake the board-approved

supervisor training every three (3) years.

      (4) Supervisory experience

obtained in Kentucky with a supervisor who has not completed the course

required by subsection (3) of this section shall not be accepted by the board.

      (5) A licensed professional art therapist

shall not serve as a supervisor of record for more than six (6) licensed

professional art therapist associates with whom he or she has a supervisory

agreement at the same time.

      (6)(a) An applicant receiving supervision

outside of Kentucky shall demonstrate that his or her supervisor has been independently

licensed in a clinical practice for four (4) years following licensure as a

professional art therapist or with one (1) of the groups approved by the board

as of the time of the supervision.

      (b) The out of state supervisor shall

have the equivalent qualifications to those prescribed for a supervisor established

in this administrative regulation.

      (7) To be recognized as a supervisor, a

licensed professional art therapist or board-approved

qualified mental health professional who meets the requirements of this section

shall request in writing to become a supervisor in Kentucky and provide a copy

of the supervisory training certificate.

 

      Section 3. Supervisory Agreement for Licensed

Professional Art Therapist Associate Supervision. (1) Prior to beginning supervision,

a supervisee shall enter into a supervisory agreement with a supervisor of

record and submit it to the board for approval.

      (2) At a minimum, the supervisory agreement

shall address the following:

      (a) The name and license number of the

supervisee;

      (b) The name and license number of the

supervisor of record;

      (c) The name and license number of other

supervisors;

      (d) The agency, institution, or

organization where the experience will be received;

      (e) A detailed description of the nature

of the practice including:

      1. The type of clients who will be seen;

      2. An accurate assessment of client

problems leading to proficiency in applying professionally recognized

nomenclature and developing a plan for treatment which meets currently

recognized standards in the profession;

      3. The therapies and treatment modalities

that will be used including the prospective length of treatment;

      4. Problems that will be treated;

      5. The nature, duration, and frequency of

the supervision, including the:

      a. Number of hours of supervision per

week;

      b. Amount of group and individual

supervision;

      c. Ethical considerations for the use of

internet, social networking, and electronic media for the transmission of case

information; and

      d. Number of hours of face-to-face

supervision, including how that supervision shall be obtained;

      (f) The conditions or procedures for

termination of the supervision;

      (g) A statement that:

      1. The supervisor of record understands

that he or she shall be held accountable to the board for the care given to the

supervisee's clients; and

      2. The supervisor of record and other

supervisors shall meet the criteria established in Section 2 of this

administrative regulation;

      (h) An individualized job description that:

      1. Describes in detail how the

requirements of this administrative regulation will be met; and

      2. Is on office or agency letterhead that

is signed by the executive director, the agency director, or the individual who

heads the office; and

      (i) A copy of each supervisor's

supervisory training certificate that is attached to the supervisory agreement.

      (3) Changes to that portion of the

supervisory agreement that describes the nature of the practice and experience

that the supervisee is to obtain as required by this administrative regulation

shall be submitted to the board for approval.

      (4) If the supervisee changes his or her

supervisor of record, a new supervisory agreement shall be submitted to the

board for approval.

      (5) A supervisee shall notify the board

by letter of changes of supervisors who are not the supervisor of record, but

who are identified in the supervisory agreement and attach a copy of the supervisor's

supervisory training certificate.

 

      Section 4. Notice to Client. A licensed

professional art therapy associate practicing under the supervision of a

licensed professional art therapist or a board-approved qualified mental health

professional shall notify in writing each client of the associate or by posting

a notification which shall include:

      (1) The name, office address, telephone

number, and license number of the supervisor of record; and

      (2) A statement that the supervisee is

licensed by the board.

 

      Section 5. Experience under supervision. (1)

Experience under supervision shall consist of:

      (a) At least sixty (60) percent of the

required experience in direct client contact hours;

      (b) Direct responsibility for a specific

individual or group of clients; and

      (c) Broad exposure and opportunity for

skill development with a variety of dysfunctions, diagnoses, acuity levels, and

population groups.

      (2) The board may for extenuating

circumstances beyond the supervisor's or supervisee's control, such as in cases

of disability, illness, or undue hardship, grant a limited waiver from the requirement

of two (2) monthly direct in person meetings to satisfy the face-to-face

supervision requirements upon written request by the supervisor and supervisee.

 

      Section 6. Supervision Requirements. (1) A

minimum of seventy-five (75) percent of the supervision hours shall be provided

by a licensed professional art therapist who has been recognized as a

board-approved supervisor under Section 2 of this administrative regulation.

      (2) A board-approved qualified mental

health professional who has been recognized as a board-approved supervisor

under Section 2 of this administrative regulation may provide up to a maximum

of twenty-five (25) percent of supervision hours.

      (3) Supervision shall relate specifically

to the qualifying experience and shall focus on:

      (a) The accurate assessment of a client

problem leading to proficiency in applying professionally recognized clinical

nomenclature;

      (b) The development and modification of

the treatment plan;

      (c) The development of treatment skills

suitable to each phase of the therapeutic process;

      (d) Ethical problems in the practice of

art therapy; and

      (e) The development and use of the

professional self in the therapeutic process.

      (4)(a) Supervision shall total a minimum

of 100 hours and 1,000 client contact hours which shall include individual

supervision of no less than one (1) hour for every ten (10) hours of client

contact.

      (b) A supervisee shall not obtain more

than twenty-five (25) hours of the required supervision by group supervision.

      (c) Group supervision shall not be

permitted in groups of more than six (6) supervisees.

 

      Section 7. Documentation Requirements.

(1) The board-approved supervisor and licensed professional art therapy

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) Documentation shall identify modality

of supervision.

 

      Section 8. Temporary Supervision. (1) In

extenuating circumstances, if a licensed professional art therapist associate

is without supervision, the associate may continue working for up to ninety

(90) calendar days under the supervision of another clinical supervisor while a

board-approved supervisor is sought and a new supervisory agreement 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) The supervisee shall notify the board

of these extenuating circumstances within ten (10) days of the occurrence and

shall submit, in writing, a plan for resolution of the situation within thirty

(30) calendar days of the change in status of board-approved supervision. The

written plan shall include:

      (a) The name of the temporary supervisor;

      (b) Verification of the credential held

by the temporary supervisor;

      (c) An email address and a postal address

for the temporary supervisor and the supervisee; and

      (d) A telephone number for the temporary

supervisor.

 

      Section 9. Evaluation by the Board. The

period of supervised experience required by KRS 309.133(1) and 309.134 shall be

evaluated by the board according to one (1) of the following methods:

      (1) A candidate who seeks to obtain

experience in the Commonwealth of Kentucky shall submit the supervisory

agreement required by Section 3 of this administrative regulation for the experience

prior to beginning to accrue the required experience; or

      (2) Documentation for an applicant for

licensure as a licensed professional art therapist that

establishes that an individual has been licensed in another jurisdiction at the

clinical level and has been engaged in the active practice of professional art

therapy work in that jurisdiction for at least five (5) years immediately

preceding the filing of an application for licensure as a professional art therapist

with the board pursuant to 201 KAR 34:025 shall meet the requirement for

supervision established in this administrative regulation. (40 Ky.R.

2387; 41 Ky.R. 33; eff. 8-1-2014.)