Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2235 - State Committee of Psychologists › Chapter 2 - General Rules › Section 20 CSR 2235-2.040 - Supervised Professional Experience, Section 337.025, RSMo, for the Delivery of Psychological Health Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the supervised
				  professional experience requirements for the delivery of psychological health
				  services under section
				  337.025,
				  RSMo.
(1) Postdoctoral
				experience for those applicants who have completed a program in one or more of
				the American Psychological Association designated health service provider
				delivery areas, as defined in
				20 CSR
				2235-1.015(10), and who intend to
				seek health service provider certification, or who intend to principally engage
				in the delivery of psychological health services shall be governed by the
				following:
(A) Completion of Educational
				Requirements. All supervised professional experience must be acquired
				subsequent to the completion of all educational requirements as defined in
				section
				337.027,
				RSMo. For the purposes of this rule, an applicant shall be deemed to have met
				the educational requirements when all degree and core course requirements, as
				defined in
				20 CSR
				2235-2.005, have been completed. Degree requirements
				have been met when indicated by conferral of the formal degree or at the time
				when all degree requirements established by the recognized educational
				institution for the degree have been met with the sole exception that the
				degree has not been formally conferred and the institution so certifies in
				writing to the committee;
(B)
				Amount of Time.
1. Postdoctoral supervised
				professional experience shall consist of a minimum of fifteen hundred (1,500)
				hours of professional experience in the delivery of psychological health
				services obtained in no fewer than twelve (12) or more than twenty-four (24)
				calendar months. This experience must be accumulated at a rate of no fewer than
				twenty (20) hours per week nor more than fifty (50) hours per week.
2. The supervisee must obtain the supervised
				experience in the same organized training program unless otherwise approved by
				the committee.
3. Persons under
				supervision to satisfy the postdoctoral supervised professional experience may
				not claim hours obtained through the independent practice nor the supervised
				practice of another profession;
(C) Organized Training Program.
1. Postdoctoral supervised professional
				experience must be obtained in a program that meets one (1) of the following:
A. A postgraduate program designed to train
				the applicant in one or more of the health service provider delivery areas
				which has been accredited, or provisionally accredited by the American
				Psychological Association (herein "APA");
B. A postgraduate program designed to train
				the applicant in one or more of the health service provider delivery areas that
				is a member of the Association of Psychology Postdoctoral and Internship
				Centers (herein "APPIC");
C. A
				postgraduate program designed to train the applicant in one or more of the
				health service provider delivery areas for which the training program certifies
				in writing that it has a predoctoral degree internship program which is
				accredited, or provisionally accredited by APA or is a member of the
				Association of Psychology Postdoctoral and Internship Centers and further
				certifies that the postgraduate training program accorded the applicant
				complied with and met the standards of APA and/or APPIC relative to
				pre-doctoral and/or postdoctoral programs;
D. A postgraduate program designed to train
				the applicant in one or more of the health service provider delivery areas
				which substantially meets or is the equivalent to the standards required for
				accreditation by, or membership in, APA and/or APPIC; or
E. A postgraduate program designed to train
				the applicant in one or more of the health service provider delivery areas that
				meets or includes the following:
(I) Provides
				direct training and experience in the delivery of psychological health
				services. At least ten (10) hours per week must be direct client contact
				time;
(II) Occurs only when the
				supervisor and the applicant are employed by or affiliated with the same
				professional setting; and at least one of the supervisors whether primary or
				designated secondary who is on-site at least fifteen (15) hours per
				week;
(III) Does not include a
				private practice setting in which the applicant operates, manages, has an
				ownership interest or administrative responsibility in the private
				practice;
(IV) Has at least one (1)
				licensed psychologist who is certified as a health service provider or who
				otherwise meets the requirements for health service provider certification and
				one (1) other licensed mental health professional (for example, psychiatrist,
				psychologist, marriage and family therapist, social worker, and/or professional
				counselor) who is employed by or affiliated with that organized training
				program and who is on-site not less than fifteen (15) hours per week;
				and
(V) Provides a minimum of five
				(5) hours per week of professional learning experiences. These professional
				learning experiences must be established clearly and agreed upon by the
				supervisee and supervisor at the initiation of the post-degree supervised
				experience and must include at least three (3) of the following categories:
(a) Treatment team meetings with the
				participation of the supervisor and other health professionals who are employed
				in the organized health training program. Treatment team meetings must involve
				discussion of diagnostic and therapeutic methods, goals and progress of
				clients;
(b) Attendance and
				participation in a structured didactic activity including grand rounds, case
				conferences, lectures, workshops, seminars or peer supervision;
(c) Readings from journals and books relevant
				to the delivery of psychological health service; and
(d) Professional psychological activity which
				contributes to the professional psychological community. These activities may
				include any one (1) or combination of the following:
I. The development, preparation and
				presentation of seminars, workshops, in-services, lectures or papers on topics
				relevant to the practice of psychology;
II. Participation in the administrative
				planning, development and implementation of psychological health services
				within the organized training program. Activities include serving on
				institutional or program committees designed to monitor and advance the
				delivery of psychological health services;
III. Participation in local, state, regional
				or national psychological organizations;
IV. The design, collection, analysis and
				presentation of research relevant to the practice of psychology; or
V. Teaching of a graduate or undergraduate
				course in psychology at a recognized educational institution accredited by one
				(1) of the regional accrediting associations approved by the Council on
				Postsecondary Accreditation;
(D) Clinical
				Supervision. The psychological activities of the applicant shall be performed
				pursuant to the primary supervisor's order, control, and full professional
				responsibility. The primary supervisor shall maintain a continuing relationship
				with the applicant and shall meet with the applicant a minimum of one (1) hour
				per month in face-to-face individual supervision. Clinical supervision may be
				delegated by the primary supervisor to one or more secondary supervisor(s) who
				shall then retain order, control and full professional responsibility for the
				applicant's clinical work under their supervision and who shall then meet with
				the applicant a minimum of one (1) hour per week in face-to-face individual
				supervision. If the primary supervisor is also the clinical supervisor, the
				face-to-face meetings shall be a minimum of one (1) hour per week. Group
				supervision is not acceptable for supervised experience under this
				regulation;
(E) Supervisor
				Requirements.
1. The primary supervisor must
				be a licensed psychologist for at least one (1) year prior to start date of
				supervision and must also be a health service provider or one who otherwise
				meets the requirements for health service provider certification.
2. The secondary supervisor(s) if not a
				licensed psychologist, must be eligible for or otherwise meet the requirements
				for licensure as a psychologist in the state wherein the supervision
				occurred.
3. No supervisor, whether
				primary or secondary, may be a relative of the applicant, such as a spouse,
				parent, child, sibling of the whole- or half-blood, grandparent, grandchild,
				aunt, uncle, stepparent, stepchild, father-in-law, mother-in-law,
				brother-in-law or sister-in-law.
4.
				No supervisor, whether primary or secondary, may be under discipline by any
				licensing board or jurisdiction at any time during the period of supervised
				professional experience.
5. No
				supervisor, whether primary or secondary, shall have more than four (4) persons
				obtaining post-degree supervised professional experience for licensure under
				supervision at any one (1) time. Any supervisor wishing to petition the
				committee for additional supervisees may do so through a written
				request.
6. Must certify to the
				committee at the completion of the applicant's postdoctoral supervised
				professional experience that the supervisee has complied with the requirements
				for supervised professional experience through the use of the attestation forms
				provided by the committee;
7.
				Supervisor shall notify the committee in writing within five (5) business days
				if supervision should cease for any reason prior to established postdoctoral
				supervised professional experience end date. The supervisor shall complete an
				attestation form provided by the committee for the period of supervised
				experience and forward it to the committee within two (2) weeks of the
				cessation of supervision.
(F) Supervisor/Supervisee Relationship.
1. All professional activities and
				psychological services provided by the supervisee must be performed pursuant to
				the supervisor's order, control and full professional responsibility. The
				supervisor, whether primary and/or secondary must be vested with administrative
				authority over matters affecting the provision of psychological health services
				which are being accorded under the supervision of the particular supervisor,
				whether primary and/or secondary, so that the ultimate responsibility for the
				welfare of every client is maintained by the supervising
				psychologist(s).
2. The
				supervisor(s) shall maintain a continuing relationship with the supervisee by
				their employment, affiliation in the same setting, or both. The supervisor(s)
				and supervisee should have frequent professional interactions.
3. Unless otherwise approved by the committee
				for good cause, all written documents, such as case notes, intake assessments,
				test reports, treatment plans and progress reports prepared by the supervisee
				during the period of the supervised professional experience must be reviewed,
				approved and cosigned by the appropriate supervisor;
(G) Variances. Supervisees seeking a variance
				in the acceptance of the supervision requirements shall make application to the
				committee which may be handled on a case-by-case basis;
(H) Prior Review. The committee, upon
				request, will review a supervisee's plan of post-degree supervised professional
				experience to determine if that supervision is acceptable under this rule. All
				requests shall be submitted on the forms provided by the committee and
				accompanied by the prior review fee for post-degree supervision. A prior review
				of educational credentials must be conducted prior to or simultaneously with a
				request of proposed plan of post-degree supervised professional experience. All
				requests must be submitted to the committee thirty (30) days prior to a
				regularly scheduled committee meeting; and
(I) Representation.
1. Throughout the period of postdoctoral
				supervised professional experience, the supervisee must represent him/herself
				to consumers of psychological services consistent with
				20 CSR
				2235-1.015.
2. Any individual, whether such individual be
				provisionally licensed or be unlicensed, who is working under the supervision
				of a licensed psychologist shall not be listed in telephone listings as
				providing psychological services.
3. Any individual, whether such individual be
				provisionally licensed or be unlicensed, who is working under the supervision
				of a licensed psychologist shall list the primary supervising psychologist's
				name and license number on all professional correspondence (for example,
				testing reports and progress reports) and advertisements or notices (for
				example, brochures) of his/her professional services.