BBS Supervision Committee Minutes

October 24, 2014

1. Purpose of the Committee
The Supervision Committee was appointed in November 2013. The Committee is in the process of conducting a holistic review of the current requirements for supervised work experience and requirements for supervisors.

The Committee is focusing on the assessment of current requirements for supervised work experience, supervisor’s qualifications, and supervisor’s responsibilities to determine if these requirements adequately prepare candidates to serve California’s diverse population. Stakeholders and interested parties will continue to be given an opportunity to provide input, feedback, and express their concerns regarding supervision.

The Committee, stakeholders, and interested parties will evaluate relevant data and information to establish standards for supervisors and supervision that ensures consumer protection and does not impede the licensure process.

The Committee, as well as stakeholders from CAMFT and AAMFT, met to discuss the current requirements, and possible future changes to the licensure path meeting on April 4, 2014, June 27, 2014, August 29, 2014, and October 24, 2014.

2. Review of Current Supervised Work Experience Requirements for LMFT and LPCC
The Committee reviewed the current breakdown of supervised experience hours LMFTs and LPCCs must accomplish to become licensed in the state of California. The Committee staff prepared an initial draft legislative proposal pertaining only to the hours of supervised experience and the associated minimums and maximums (“buckets”) to possibly make changes to the current system in an attempt to keep standards similar between the licenses as well as expedite the evaluation system. Some of the streamlined revisions include, but are not limited to:

  • Minimum 1,750 direct counseling hours
  • Maximum 1,250 non-clinical experience hours (direct supervisor contact, administering and evaluating psychological tests, writing clinical reports, writing progress/process notes, client-centered advocacy, and workshops, training and conferences)
  • Maximum 750 hours for trainees obtaining direct counseling and direct supervisor contact
  • Removal of tele-health maximum
  • Removal of “conjoint treatment” and personal psychotherapy incentive hours

The Committee discussed the benefits of this overhaul, which include the following: supervisors having additional flexibility when determining type of experience, less complexity facilitating a better understanding of experience and supervision requirements, applicants could better obtain and track hours of experience, the requirements would be more in-line with the other therapy professions, and the BBS could evaluate/process applications quicker. View full proposed draft for public comment.

CAMFT noted that while more discussion and review was necessary, the draft changes overall were acceptable. AAMFT was in concurrence. CAMFT also urged the BBS to move forward and make the effort to introduce legislation in 2015, versus waiting until 2016, expressing continued concerns about the backlog of applicants for licensure. CAMFT further expressed a possible desire to have CAMFT/AAMFT introduce the legislation if the BBS could not get Board approval by 2015.

3. Other Supervision Topics
There was discussion between the Committee and stakeholders on the current six-year limit of hours. While the stakeholders did express concern about some applicants being unable to count all hours towards licensure and/or losing the ability to work in private practice, given the change to the licensure requirements likely being introduced in 2015 or 2016, no change to the six-year limit was decided. However, given the concerns CAMFT, and other stakeholders conveyed, the Committee will recommend to the Board to considering changing the strict requirement, to allowing for possible life event-discretion (i.e., medical life event, serving in the military.)

The Committee discussed the change of individual supervision requirements to a “triadic” supervision requirement. Meaning, that “individual” supervision would include either one-on-one supervision, or two-on-one. After stakeholder input, the Committee will recommend to the BBS to make this statutory change.

The Committee discussed whether to require some LMFT hours to be gained under the direct supervision of an LMFT. After stakeholder input, and review of the BBS breakdown of supervised hours, the decision was made to take no action at this time.
The Committee discussed the current ratios of supervision to client hours and client contact. No action was taken.

4. Public Comment
The Committee allowed for public comment. Observers thanked the Committee for moving forward with this holistic review and proposed changes.