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Chapter Fourteen (14)
Professional Issues: Supervision, Licensure, & Professional Development as a MFT
27
Psychology
Graduate
04/24/2013

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Term

The primary means by which our transition into a professional status occurs; the transformational link to various stages in our professional acculturation. Guides, informs, regulates, and expands a supervisee's professional worldview through dissonance and reintegration.

 

Extends one's conceptual knowledge in graduate school to readiness for practice as a degree recipient and one's competency as a novice to readiness for licensure and independent practice.

Definition

Supervision

Term
The primary goal of supervision is to achieve change. 5 common goals of supervision in achieving change include:
Definition
  1. Acculturation in Procedure and Law
  2. Advanced Practice
  3. Applied Decision Making for Ethical Care
  4. Competence in Due Care
  5. Preparation for Independent Practice
Term
Supervision is distinguished from a variety of other professional interaction, where the focal points of each supervision session which are pertinent in serving to establish and reinforce the interactive nature of competence and due care may include: (6)
Definition
  1. Research & Best Practices
  2. Skills Development
  3. Collaboration
  4. Review of Ethical & Legal Obligations
  5. Procedural Compliance
  6. Person-of-the-Therapist
Term
Supervisors have 3 main duties towards their supervisees:
Definition
  1. Developmental Duties
  2. Evaluative Duties
  3. Protection Duties through Vicarious Liability
Term
Supervision is like therapy in that it occurs in an ecological framework. The supervisor-supervisee relationship can emphasize/feature: (2)
Definition

1.  Institutional, Professional, & Personal Layers of Values

2.  Legitimate, Expert, & Referent Forms of Power

Term
The professional acculturation of supervision can enhance or inhibit a supervisee's: (3)
Definition
  1. Professional Identity
  2. Insight for Client Care
  3. Maturation for Interaction w/ Peer Professionals
Term
Good and effective supervision has attributes common to good and effective therapy, including: (4)
Definition

1.  Informed consent, confidentiality, and protection in a qualitatively different relationship

 

2.  Cultural sensitivity and respect, honesty, and respect for difference

 

3.  Documentation, goal-setting, monitoring of progress, and adjustment when needed

 

4.  Appropriate termination, follow-up, and launching

Term
Supervision research and literature emphasize a wide variety of professional issues affecting the supervisory relationship. An argument can be made that the most significant of these issues is the __________________.
Definition

Professional Identity of the Supervisor

Term
Magnuson et al (2000) discussed identity conflict and other critical matters in an article that emphasized the rights and obligations of supervisees in their choice of a supervisor. Other issues of professional concern in this publication included: (5)
Definition

a)  Transparency and informed consent w/ clients served by supervisee

 

b)  Limits and special considerations of liability insurance for the supervisor and supervisee

 

c)  Confidentiality in supervision

 

d)  Interruption in supervision and emergency supervision needs

 

e)  Concerns about role changes when a faculty member agrees to serve as a supervisor to a former student

Term

Established in 1983, regulates requirements for approved supervisor designation w/in the AAMFT where the approved supervisor is one who has received

  • advanced recognition for clinical skills
  • special training
  • experience in supervision of prospective MFTs
  • meets the highest standards of clinical education and practice
Definition

Commission of Supervision

(now the Supervision Committee)

Term

Taylor et al (2007) observed the need for integrating diversity dimension in supervision as an issue of significance for AAMFT-approved supervisors. In this regard, the authors noted that the continued professional development of supervisors is essential for identifying and expanding gaps in knowledge and skills.

 

Therefore, in order to retain their status, AAMFT requires that approved supervisors...

Definition
...complete continuing education specific to supervision issues and practices every 5 years
Term
A statutory process of an agency of government, usually of a state, which legally prescribes the qualifications of those who engage in a given occupation or profession and usually limits the use of a particular title or the practice of the profession.
Definition

Licensure

Term

Established professions are self-regulating, through which they gain public acceptance and respectability. However, professions are also regulated through legal processes assigning licensure as a symbol of competence to practice the profession.

 

________ in all states controls the practice of medical and legal professionals.

Definition

Statutory Law

Term
There are 5 major premises supporting licensure efforts which state that a licensure:
Definition

1.  is designed to protect the public by establishing minimum standards of service


2.  is designed to protect the public from ignorance about MH svcs


3.  increases the likelihood that practitioners will be more competent and their services better distributed and thus more available


4.  upgrades a profession


5.  allows a profession to define for itself what it will and will not do

Term
One significant distinction in the nature of licensure legislation is whether the licensure establishes: (2)
Definition
  • a unique designation

OR

  • a unique array of actions 
Term
In a state with ________, the designation or title of "licensed MFT" may be the primary, possibly the only, matter over which the licensure board has jurisdictional authority, meaning it could protect the public only relative to the designation the practitioner uses to identify himself.
Definition

Title Law

Term
In a state with ________, the array of activities in which the practitioner is engaged, regardless of the title he has employed, is specified in the statute, and the board has jurisdiction to protect the public relative to the behaviors.
Definition

Practice Law

Term

In some states, "omnibus" legislation has been enacted so that MFTs are licensed along w/ social workers, MH counselors, school psychologists, art therapists, and/or other MF professions w/in the same law.

 

Such legislation often leads to the establishment of ___________, composed of public members as well as members representing the various disciplines authorized under the legislature.

Definition

Composite Licensure Boards

Term
Often composed of public members along with practitioners and educators from a specified discipline for which the license exists; historically favored by AAMFT.
Definition

Autonomous or Discipline-Specific Licensure Boards

Term
Sporakowski (1982) noted 3 significant issues that MFTs should be knowledgeable about regarding state licensure:
Definition
  1. what and who are covered
  2. what the requirements are to qualify for licensure
  3. how the licensure process works
Term
Most licensure legislation negatively defines the coundaries of practice by identifying: (2)
Definition
  1. Prohibitions
  2. Exemptions
Term
In Prohibited Acts it states: Except as specifically provided elsewhere in the Act...no person who is not licensed under this act shall: (3)
Definition

a)  advertise the performance of MFT or couseling service by him/her

b)  use a title or description denoting that the person is a MFT

c)  practice MFT

Term
Exemptions states: A person shall be exempt from the requirements of this Act if the person: (3)
Definition

1) is practicing MFT as part of his duties as an employee of

  • a recognized academic insitution or a federal, state, county, or local government institution/agency
  • an organization which is nonprofit and determined by the Board to meet community needs

2) is a MFT intern or person preparing for practice of MFT under qualified supervision

 

3)  has been issued a temporary permit by the Board to engage in the activity for which licensure is required

Term
The Model Marriage and Family Therapy Licensure Act identified the following education and experience requirements in section 11: (2)
Definition

1.  Educational requirements: a Masters or Doctoral degree in MFT from a recognized educational insitution, or a graduate degree in an allied field from a recognized educational institution and graduate level coursework equivalent to a Master's degree in MFT, as determined by the Board

 

2.  Experience requirements:  successful completion of two calendar years of work experience in MFT under qualified supervision following receipt of a qualifying degree

Term

The AMFTRB has developed and provides the Examination in Marital and Family Therapy (EMFT) to assist in licensure boards and agencies in evaluating the extent to which applicants possess the knowledge for entry-level professional practice.

 

The specific practice domains assessed by the EMFT include: (5)

Definition
  1. The Practice of MFT
  2. Assessing, Hypothesizing, and Diagnosing
  3. Designing and Conducting Treatment
  4. Evaluating Ongoing Process and Terminating Treatment
  5. Maintaining Ethical, Legal, and Professional Standards
Term

MH professionals are part of the upper strata of the social structure of US society. Their status is partly due to the fact that they are among the best-educated members of society. However, their status is also partly due to their assumption of responsibility for public welfare.

 

Such responsibility begins with a commitment to ethical principles that support social values such as: (2)

Definition
  1. Justice
  2. Autonomy
Term
Maintenance of professional credibility is a multidimensional process involving: (2)
Definition

1.  active participation in on'es professional development

2.  actions to enhance the status and support base of the profession through

  • research
  • continuing education
  • intraprofessional relationships and service
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