Transcript 2007 Legislative changes in social work licensure

Implications for Field Education
 Increase
in standards for the clinical license
(LICSW) and other licensing levels
 Take effect on August 1, 2011
 Affect all students, supervisors (especially
those who provide post-graduate supervision
for licensure) and licensees
 Revisions
due to pressures both within and
without the social work profession, on both
state and national level
 From within the profession:


Clinical coursework requirements
Expanded knowledge base
 Professional
counselors 2005 efforts for
licensure
 Consumer dissatisfaction
 DHS and federal audits
 Legislative study
 Comparison with other professions
 Governor’s Mental Health Initiative
“Clinical practice” means applying professional
social work knowledge, skills, and values in
the differential diagnosis and treatment of
psychosocial function, disability, or
impairment, including addictions and
emotional, mental and behavioral disorders.
Treatment includes a plan based on a
differential diagnosis. Treatment may include
but is not limited to the provision of
psychotherapy to individuals, couples,
families, and groups. Clinical social workers
may also provide services described in
[SUBD. 12]
1.
2.
3.
4.
5.
6.
108 clock hours (30%) in differential diagnosis and
biopsychosocial development and psychopathology
across the lifespan
36 clock hours (10%) in assessment-based clinical
treatment planning with measurable goals
108 clock hours (30%) in clinical intervention
methods informed by research and current
standards of practice
18 clock hours (5%) in evaluation methodologies
72 clock hours (20%) in social work ethics and
values including cultural context, diversity and
social policy
18 clock hours (5%) in culturally specific clinical
assessment and intervention.
 Clinical
knowledge areas must be completed
through either/or:
1. CSWE MSW graduate degree program
2. Post-graduate coursework
3. Up to 90 CE hours
Note: These apply only to individuals applying
for the new LICSW on or after 8/1/11. All
current students will fall under these new
standards.
 LISW



changed from 75 to 100 hours over 4000 practice
hours
Of the 100 hours, 50 must be individual
May be in-person, by telephone or via eye-to-eye
media (no email)
 LGSW



Non-Clinical Practice
changed from 75 to 100 hours over 4000 nonclinical practice hours
Of the 100 hours, 50 must be individual
May be in-person, by telephone or via eye-to-eye
media (no email)
 LGSW




and LISW Clinical Practice
Increased to 200 hours over 4000 practice hours
of clinical practice
Of the 200 hours, 100 must be individual
May be in-person, by telephone or via eye-to-eye
media (no email)
Of the 4000 total clinical practice hours, at least
1800 must be “direct clinical contact” in order to
apply for the LICSW license
 For


Required CE hours increases from 30 to 40 per 24
month renewal cycle
Consultation with an experienced supervisor can
count toward 10 hours of independent study
 For

Licensing Supervisors only:
At least 6 of 40 CE hours must be in practice of
supervision
 For

all Licensees:
LICSW only:
At least 24 of 40 hours must be in clinical content
 Enhance
the Board of Social Work’s public
protection mission
 Maintains clinical social workers’ parity with
other mental health providers
 Promotes consumer access to clinical social
workers
 Ensures standards for third party insurance
reimbursement
Narrows definition of role of clinical social
workers
 More difficult for post-graduate MSWs to get
required supervision – time, cost and finding
qualified supervisors
 May see decline in students entering advanced
generalist or macro programs social workers as
students move into clinical concentrations to
ensure jobs upon graduation
 Rural and out-state social workers may have
more difficulty finding training and supervision

PDP
A
(F)
175.5 115.5 120
PDPA
(AS)
75.5
60.5
27
12
1. Clinical intervention methods (108 clock hours
required)
168
108
75
15
1. Evaluation methodologies (18 clock hours required)
48.75 45
22.25 18.5
1. Social work ethics and values, including cultural
context, diversity and social policy (72 clock hours
required)
1. Culturally specific clinical assessment and
intervention (18 clock hours required)
170
105
80
72
26
18.5
15
7.5
Clinical Knowledge Content Areas
1. Differential diagnosis and biopsychosocial
assessment including normative development and
psychopathology across the life span (108 clock
hours required)
1. Assessment-based clinical treatment planning with
measurable goals (36 clock hours required)
FP
(F)
FP
(AS)
60
Early proposals included requirement of
minimum number of hours in a clinical
internship, but this was not included in final bill
 Despite this, field instructors play a critical role
in helping students integrate the clinical course
material into their work with clients –
particularly in those settings that are not
thought of as traditional clinical social work
settings (non-psychotherapy settings).
 Learning agendas, learning tasks, supervision
discussions
 Other ideas? Suggestions?
 More discussion in small groups
