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Trying to summarizestate licensure laws forpsychologists Burial bygrains of saltMollie Herman.
Nathan SharerPresented by Mollie Herman at the annual ACCTAconference Baltimore 2012 Special thanks to Sarah Armstrong Cheryl Blank Cyndy Boyd Cindy.
Bruns Daniela Burnworth Brigid Cahill Maria Carruba Whetstone Paul Castelino Jane Clement Rhandi Clow Julie Corkery Kathlyn Dailey Kristen Davis Johnson Harriet Dickey Chasins Glade Ellingson Pamela Epps Betty Fletcher Mark Forest Tricia Hanley Bruce Herman .
Chris Hogan Merris Hollingsworth Karen Lese Fowler Peter Liggett Jenny Lybeck Brown Keith Magnus JoanMizrahi Rosemary Nicolosi Jennifer Petro Julia Phillips Jeanne Piette Emil Rodolfa Felix Savino Daniel Schulte Andrew Shea Meredith Shefferman Tawa Sina Joy.
Stephens Karen Taylor Jod Taywaditep and Brett Vicario The Tenth Amendment to the USConstitution part of the Bill of Ratified December 15 1791 The powers not delegated to the United States by the.
Constitution nor prohibited by it to the States arereserved to the States respectively or to the people Licensing state power Licensure laws vary on numerousdimensions .
Number of hours of experience required for licensure What proportion of those hours must be predoctoralversus postdoctoral with some states requiring nopredoctoral hours others requiring no postdoctoralhours and still others requiring 2000 hours of each .
Whether internship and or postdoctoral supervisorsneed to have been licensed for a specified amount of Whether interns or postdocs need a certain number ofdirect service hours If and how direct service is defined.
Other professions Lawyers 28 states do not have reciprocity agreements Black 1994 Doctors frustration about licensure mobility esp withnew technologies like telemedicine Silverman 2000 .
Psychology s efforts to easemobility The EPPP ASPPB developed the EPPP first used in 1965 General agreement that licensure requirements should two years of supervised experience.
doctoral degree pass the EPPP But the EPPP does not solve theproblem of Differences in state laws regarding education and.
experience requirements for licensure eligibility Other efforts by ASPPB Agreement of Reciprocity State accepts another state s determination of licensureeligibility regardless of different requirements.
In the 15 years of the Agreement of Reciprocity sexistence only 12 jurisdictions have joined Other efforts by ASPPB The CPQ Certificate of Professional Qualification 1998 1998 ASPPB 2010a .
Meet certain educational and experience qualifications Licensed in the US or Canada In practice for at least five years No history of disciplinary action they can apply for a CPQ.
Can apply for CPQ which facilitates licensure in states thataccept the CPQ so far 52 of ASPPB s 63 jurisdictions Not universally accepted Need 5 years experience Other efforts by ASPPB .
Inter Jurisdictional Practice Certificate IPC temporary care across state lines But doesn t address issue of non face to face treatmentmade possible by technological advances Problems still persist.
Example Maryland allows immediate licensure Pennsylvania requires 1 year of postdoctoral experience Pennsylvania will not count supervision that has been Even ASPPB and APA disagree In their respective model licensing acts .
APA recommends 2 full time years of professionalsupervised experience both of which can occur beforedegree is granted ASPPB recommends that 1 year occur after degree is How the project got started.
Phase I Procedure Recruited ACCTOIDS from the listserv 35 people from numerous states including this paper s authors investigated 50 states plus DC Each researcher was provided with a questionnaire and was asked to.
look at the Handbook of Specific Licensure Requirements by State hosted onthe ASPPB website and state psychology licensure websites contact the state licensing boards for clarification of discrepancies or toprovide information that was omitted email the completed questionnaire to the authors .
Complete a brief Survey Monkey survey Phase I Questionnaire State Total hours required for licensure Minimum maximum years permitted to accrue hours .
Is internship required by law Is there a specific number of hours required from INTERNSHIP Yes No If yes total required from internship APA accreditation requirements for internship Yes No Are there a specific number of POSTDOCTORAL hours required Yes No .
If so total required from postdoctoral experience Can you count non internship predoctoral hours Specific percent of internship experience required to be direct service Definition of direct service If applicable Supervisor requirements e g must supervisor be licensed in the state in which.
the activity occurs must the supervisor have been licensed for a specifiedperiod of time etc Any other particular requirements or important facts Enter Phase II As completed questionnaires came in and authors.
compared them to ASPPB Handbook and state websites quickly became clear that everything was UNCLEAR Many of the regulations were confusing and could beinterpreted in different ways Also some items from the Phase I questionnaire were.
open to interpretation Phase II Procedure Additional volunteers recruited from ACCTA and oneextremely dedicated member stayed on from phase I thanks Sarah .
Also invited TUCC staff to help out Ten researchers investigated 50 states plus DC Repeated the first two steps in phase one and thenchecked their findings against phase one findings Tried to rectify discrepancies with further research.
Completed Survey Monkey survey for each stateresearched Phase II Questionnaire State Total hours required for licensure .
Can you count predoctoral hours including internship toward the licensure hours requirement Yes No What are the minimum number of hours required for internship Total None Not specified How many internship hours can you count toward licensure requirements Total None Not specified How many NON INTERNSHIP PREDOCTORAL hours e g externship practica can you count towardlicensure hours Total None Not specified .
Is there a time limit specified in which to accrue predoctoral hours for licensure Yes Min Max No Is internship required by law Yes No Does internship have to be APA or CPA accredited Yes No If no are other specifications listed e g meet APPIC standards meet standards of state board beacceptable to doctoral program .
Internship supervisor must be licensed in jurisdiction in which supervision takes place Yes No Internship supervisor must have been licensed for a specified amount of time Yes how long No Specific percent of internship experience required tobe direct service Definition of direct service If applicable Are there a specific number of POSTDOCTORAL hours required Yes No .
Postdoctoral experience supervisor must be licensed in jurisdiction in which supervision takes place Postdoctoral experience supervisor must have been licensed for a specified amount of time What percentage of postdoctoral experience must be supervised by a psychologist meeting therequirements stated above Percent Specific percent of postdoctoral experience required to be direct service .
Definition of direct service if applicable Where the direction changed One author me double checked all submissions forconsistency with ASPPB Handbook and state laws About 10 states into this process I gave up.
Endless loop doing research becoming confused seekingclarification making a decision and then upon double checking becoming confused again Mission Impossible This was the point at which the authors decided that gathering.
truly accurate information about state licensure requirementsfor psychologists was impossible Mission changed tell the story Summary of licensure laws Sent around on ACCTA.
Mistakes found within minutes of sharing Mixed feelings about sharing so many inaccuracies Results Responsiveness oflicensing boards 35 in Phase I and 14 in Phase II attempted to contact.
the state board Mostly licensing boards responded quickly but in phase one 19 never heard back from the board in phase two 19 had to wait over two weeks for aresponse and another 19 never heard back.
Some difficulties reaching the board broken links onASPPB website wrong contact provided Results Helpfulness of licensing In phase one 21 and in phase two 72 ofresearchers remained confused after communicating.
with the board Comments about contact with boards quick responses patient listening thorough feedback vague confusing and inconsistent responses My experiences with Maryland.
Results Discrepanciesbetween ASPPB Handbookand state websites Something weird Approximately 50 of the researchers in Phase one found.
discrepancies Approximately 30 of the researchers in Phase two founddiscrepancies They were all looking at the same information There were discrepancies in identifying discrepancies .
Results More discrepancies Nearly 50 of phase two researchers founddiscrepancies between their own findings and those ofthe phase one research What this means Two professionals many with licenses.
in the states they were researching were presented withthe same licensure law data and half the time came to different conclusionsabout what the law stated Places where discrepancies were.
most frequently found betweenphases I and II Number of hours required for licensure Whether pre doctoral hours count toward licensure Whether an internship is required.
State law changes not reflected on ASPBB s website Whether a supervisor needs to be licensed as well aswhere and for how long Time limits to accrue hours Respondent comments about.
doing this research 60 responses overwhelmingly negative most frequent words difficult .
frustrating time consuming Other words tedious unclear .
uncertain But not universally bad Approximately 30 of the respondents who left feedbackreported that the process for their state was not verytaxing and that resources were helpful.
There are clearly differences between states regardingaccuracy and accessibility of information Implications of this mess Costs to the public Restricts availability of mental health services even if you live on.
the border of a state can t necessarily seek help from someone afew miles away Difficulty with emergency resources in case of disasters Obstacles to telepsychology and other new technologies Costs to professionals.
Trainees can go crazy trying to figure this stuff out Training programs can go crazy trying to figure this stuff out Psychologists who wish to relocate or expand their practices canencounter bureaucratic obstacles Seemingly arbitrary differences can have enormous impact on the.
ability of professional psychologists to practice where they want to Recommendations 3 levels Ascend in realism descend in degree of solving the problems 1 Dream would solve the problems but unlikely to happen 2 Improvements could be within reach but not without a lot of work.
3 Coping manages the current problem The DREAM Nationally accepted standard for psychology licensure all states agreed to adopt a common standard forpsychology licensure with each state having option of state.
jurisdictional exam Use evidence to establish this national standard Research regarding the number of hours and what types ofexperiences are needed for minimum competency e g currently Iowa requires 1500 hours of experience Florida.
requires 4000 any differences in their outcomes The Improvement Level State boards provide thorough accurate and up to dateinformation about their licensure laws Consistent and easily navigated design for state board websites.
ASPPB Handbook is also accurate and up to date and expands to Restrictions on eligible supervisors based on their years of licensure Whether a state has particular requirements for the proportion ofexperience that is direct service State board representatives be better informed of the issues.
related to psychologist licensure in their stateTrying to summarize state licensure laws for psychologists: Burial by grains of salt. Mollie Herman. Nathan Sharer. Presented by Mollie Herman at the annual ACCTA conference, Baltimore, 2012

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