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 2235-2.080 - Non-Licensed Persons Engaging in Activities Defined as the Practice of Psychology

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the restrictions of
				  non-licensed persons engaging in activities defined as the practice of
				  psychology and any licensee associated with the practice of such
				  person.
(1) A person who does
				not hold a license to practice as a psychologist but who nonetheless may engage
				in activities defined as the practice of psychology under the provisions of
				section
				337.045(3),
				RSMo, and any licensee associated with the
				practice of such a person, shall abide by the following restrictions:
(A) Psychological Trainee. A trainee shall
				neither deliver psychological services nor be requested to deliver
				psychological services, but may participate in the delivery of services by a
				licensed psychologist. Patient records shall document disclosure of the
				psychological trainee's status and reflect the activities of the psychological
				trainee. Training is part of the educational process and not an alternative to
				licensure;
(B) Psychological
				Intern. A psychological intern may deliver psychological services, in
				accordance with the requirements of a degree program, under the immediate
				supervision of a licensed psychologist who has complete responsibility for the
				needs of the patient and the actions of the psychological intern. Patient
				records must reflect the activities of the intern and be signed by the
				responsible psychologist. Patient records must document disclosure of the
				psychological intern's status and the responsibility of the supervising
				psychologist. Internships are part of the educational process, and are not an
				opportunity to practice psychology without a license;
(C) Psychological Resident. A psychological
				resident may deliver psychological services under the supervision of a licensed
				psychologist who has complete responsibility for the needs of the patient and
				the actions of the psychological resident. Patient records must reflect the
				activities of the resident, and be signed by the responsible psychologist.
				Patient records shall document disclosure of the psychological resident's
				status and the responsibility of the supervising psychologist. The practice of
				psychology by a resident is done under close supervision to ensure the
				protection of the public and to permit the profession to judge the
				qualifications of the resident. It is done to determine fitness for licensure,
				and is not intended to allow the practice of psychology without a
				license;
(D) Psychological
				Assistant. A psychological assistant's practice shall be under the supervision
				of a licensed psychologist. Patient records must reflect the activities of the
				assistant, and be signed by the responsible psychologist. Patient records shall
				document disclosure of the psychological assistant's status and the
				responsibility of the supervising psychologist. The assistant's practice is for
				the benefit of the patients treated during a brief period of time between
				residency and licensure. Continuity of patient care is the sole purpose of
				allowing a psychological assistant to deliver psychological services. New
				patients should not be accepted during this brief time period. Practice as a
				psychological assistant is not an alterative to licensure. A psychological
				assistant who is not provisionally licensed shall file a Supervision Agreement
				with the committee prior to acting as an assistant. A person working in the
				capacity of psychological assistant who is not provisionally licensed may do so
				for up to two (2) years from the date of formal approval of the Supervision
				Agreement by the committee;
(E)
				Qualified Assistant. The activities and functions of the qualified assistant
				are the full responsibility and liability of the licensed psychologist.
				Qualified assistants may not diagnose, interpret psychological tests, or
				perform psychotherapy. Patient records shall document disclosure of the status
				of the qualified assistant and reflect the activities of the qualified
				assistant. Nothing in this rule shall be construed to require a person who is
				otherwise exempt from licensure pursuant to section
				337.045,
				RSMo, to act or otherwise serve as a qualified assistant; and
(F) Provisionally Licensed Psychologist. The
				scope of practice of a provisionally licensed psychologist is limited by
				section 337.020.5, RSMo, and the applicable limitations placed on either
				psychological residents or psychological assistants, whichever classification
				applies to the provisional licensee.