The Building Blocks to The Building Blocks to Portability ProjectPortability Project

AASCB Conference January 2013

www.counseling.org/kaplan/aascb.aspx

20/20: A Vision for the Future of Counseling

Welcome to the Final Welcome to the Final PlenaryPlenary

Before the introductions…Before the introductions…an overview of AASCB’s role in an overview of AASCB’s role in the the processprocess

AASCB Role in 20/20 AASCB Role in 20/20

Barry Mascari Barry Mascari – Doctoral DissertationDoctoral Dissertation– AASCB Past PresidentAASCB Past President

Co-Sponsor with ACACo-Sponsor with ACA

3 members of Oversight Committee3 members of Oversight Committee– PresidentPresident– Past-PresidentPast-President– President-ElectPresident-Elect

PresentersPresenters

William F. Green President, AASCB

Bradley T. Erford President, ACA

Carol Buchanan Past President,

AASCB

Carrie WildeCarrie Wilde

20/20 Delegate20/20 Delegate

David KaplanDavid Kaplan

20/20 20/20 AdministrativeAdministrative

CoordinatorCoordinator

20/20: The Future of 20/20: The Future of CounselingCounseling

Has to do with visionHas to do with vision

Has to do with the year 2020Has to do with the year 2020

Has to do with Counseling!Has to do with Counseling!

20/20 Principles for Unifying 20/20 Principles for Unifying and Strengthening the and Strengthening the

ProfessionProfessionI. Sharing a common professional identity is

critical for counselors.

II. Presenting ourselves as a unified profession has multiple benefits.

 III. Working together to improve the public

perception of counseling and to advocate for professional issues will strengthen the profession.

IV. Creating a portability system for licensure will benefit counselors and strengthen the counseling profession.

20/20 Principles for Unifying 20/20 Principles for Unifying and Strengthening the and Strengthening the

ProfessionProfession

V.V. Expanding and promoting our research base is Expanding and promoting our research base is essential to the efficacy of professional essential to the efficacy of professional counselors and to the public perception of the counselors and to the public perception of the profession.profession.

VI.VI. Focusing on students and prospective Focusing on students and prospective students is necessary to ensure the ongoing students is necessary to ensure the ongoing health of the counseling profession.health of the counseling profession.

  VII.VII. Promoting client welfare and advocating for Promoting client welfare and advocating for

the populations we serve is a primary focus of the populations we serve is a primary focus of the counseling profession.the counseling profession.

20/20 Consensus Definition 20/20 Consensus Definition of Counselingof Counseling

Counseling is a professional relationship that empowers diverse individuals, families,

and groups to accomplish mental health, wellness,

education, and career goals.

Summary of 20/20 Summary of 20/20 AccomplishmentsAccomplishments

28 of 29 participating organizations endorsed the 20/20 Statement of Principles

29 of 31 participating organizations endorsed the 20/20 Consensus Definition of Counseling

The definition is showing up on independent websites, is being used in state advocacy efforts, and is appearing in textbooks.

State licensure boards have been invited to promote the consensus definition and at least two have committed to doing so.

Building Blocks for Building Blocks for PortabilityPortability

In September 2010, following In September 2010, following completion of the consensus definition, completion of the consensus definition, the delegates were surveyed to identify the delegates were surveyed to identify next steps.next steps.

Survey results: Focus on counselor Survey results: Focus on counselor license portability. license portability.

Building Blocks for PortabilityBuilding Blocks for Portability

The task:The task:Develop a consensus Develop a consensus licensure title to to recommend to all state licensing boardsrecommend to all state licensing boards

Develop a consensus Develop a consensus scope of practice to to recommend to all state licensing boardsrecommend to all state licensing boards

Develop consensus Develop consensus education education requirements requirements to recommend to all state to recommend to all state licensing boards.licensing boards.

So how in blazes do you do this?

Use the Delphi MethodUse the Delphi Method

Subcommittees/ Task Groups:

TitleTitle – chaired by – chaired by Dr. Burt BertramDr. Burt Bertram

Educational Requirements Educational Requirements – chaired – chaired by by Dr. Carol BobbyDr. Carol Bobby

Scope of Practice Scope of Practice – chaired by – chaired by Dr. Dr. Perry FrancisPerry Francis

Counselor Title and Education Counselor Title and Education Requirements are Important!Requirements are Important!

Why?Why?– The Institute of Medicine (IOM) specified The Institute of Medicine (IOM) specified

that, from state-to-state, mental health that, from state-to-state, mental health professionals vary in amount and types of professionals vary in amount and types of education, assurance of competencies in education, assurance of competencies in discipline-specific and core knowledge, and discipline-specific and core knowledge, and varying licensure and credentialing varying licensure and credentialing requirements requirements ( IOM, 2006)( IOM, 2006)..

– There is a severe mental health professional There is a severe mental health professional shortage in most states shortage in most states (HRSA, 2012)(HRSA, 2012)..

Counselor Licensure Titles - Counselor Licensure Titles - Initial Work Initial Work

14 Counselor titles were generated 14 Counselor titles were generated by the delegates of the Licensure by the delegates of the Licensure Title work group.Title work group.

This number was 31 less that the This number was 31 less that the number of titles utilized by our state number of titles utilized by our state Licensing Boards.Licensing Boards.

Delphi Counselor Licensure Delphi Counselor Licensure Titles Work Group ResultsTitles Work Group Results

One title stood above all else, almost One title stood above all else, almost one standard deviation above the one standard deviation above the second ranked title:second ranked title:

Licensed Professional Licensed Professional Counselor Counselor

(LPC)(LPC)

Delphi Counselor Licensure Delphi Counselor Licensure Title Results – March 2012Title Results – March 2012

At our San Francisco meeting prior to At our San Francisco meeting prior to ACA Conference, the Licensure Title ACA Conference, the Licensure Title work group recommended, and by a work group recommended, and by a vote, the delegates chose to accept vote, the delegates chose to accept the name or title as Licensed the name or title as Licensed Professional Counselor. The vote was Professional Counselor. The vote was 22 yes, 2 no, and 0 abstentions.22 yes, 2 no, and 0 abstentions.

Education RequirementsEducation Requirements States require applicants for licensure to obtain a States require applicants for licensure to obtain a

master’s degree in counseling with most requiring master’s degree in counseling with most requiring 60 semester hours, and some states require 60 semester hours, and some states require specific coursework. All states require that specific coursework. All states require that Counselor graduate programs be accredited by Counselor graduate programs be accredited by either a Counselor accrediting organization or their either a Counselor accrediting organization or their regional body for the accreditation of degree-regional body for the accreditation of degree-granting higher education institutions.granting higher education institutions.

Six (6) states require 4000-4500 hours of post-Six (6) states require 4000-4500 hours of post-master’s supervision; thirty-six require 3000-3500 master’s supervision; thirty-six require 3000-3500 hours; six (6) require 2000-2400 hours; two (2) hours; six (6) require 2000-2400 hours; two (2) states require 1000-1500; and Puerto Rico requires states require 1000-1500; and Puerto Rico requires 500 hours. 500 hours.

(American Counseling Association, 2012)(American Counseling Association, 2012). .

Delphi Educational Delphi Educational Requirements - Initial WorkRequirements - Initial Work

65 items pertaining to Educational 65 items pertaining to Educational Requirements were generated;Requirements were generated;

Top related items were related to Top related items were related to CACREP Standards;CACREP Standards;

The incorporation of evidence-based The incorporation of evidence-based practices was also highly rated.practices was also highly rated.

Delphi Educational Delphi Educational Requirements Results – March Requirements Results – March

20122012At our San Francisco meeting prior to ACA At our San Francisco meeting prior to ACA Conference, the delegates reached Conference, the delegates reached consensus that the Educational consensus that the Educational Requirements work group will formulate their Requirements work group will formulate their recommendations within six (6) months (mid-recommendations within six (6) months (mid-September, 2012) and that final decisions September, 2012) and that final decisions will be reached by the delegates at the in-will be reached by the delegates at the in-person meeting at the ACA conference in person meeting at the ACA conference in March 2013. The vote for this timeline was March 2013. The vote for this timeline was 21 yes, 1 no, and 0 abstentions (two 21 yes, 1 no, and 0 abstentions (two delegates were not in the room).delegates were not in the room).

Delphi Educational Delphi Educational Requirements Results – March Requirements Results – March

20122012

Additionally, the delegates endorsed Additionally, the delegates endorsed the concept that having a single the concept that having a single educational accrediting body would be educational accrediting body would be a clear benefit for the counseling a clear benefit for the counseling profession. The vote was 20 yes, 1 no, profession. The vote was 20 yes, 1 no, and three abstentions.and three abstentions.

Education Requirements Work Education Requirements Work Group Draft – July 2012Group Draft – July 2012

Delegates to the Education Requirements Work Group Delegates to the Education Requirements Work Group recommended:recommended:

Inclusion of graduation from a CACREP accredited mental Inclusion of graduation from a CACREP accredited mental health counseling or clinical mental health counseling health counseling or clinical mental health counseling program;program;

Development of grandparenting language to be applied to Development of grandparenting language to be applied to graduates of CORE accredited programs and graduates of graduates of CORE accredited programs and graduates of other CACREP program areas for a limited time (e.g. five (5) other CACREP program areas for a limited time (e.g. five (5) years). Language will include a minimum curriculum and years). Language will include a minimum curriculum and clinical experience requirements;clinical experience requirements;

Development of rules that could be applied to licensees in Development of rules that could be applied to licensees in good standing, who graduated prior to CACREP’s existence good standing, who graduated prior to CACREP’s existence or prior to their program accreditation, but due to a move or prior to their program accreditation, but due to a move must acquire a license in a new state of residence.must acquire a license in a new state of residence.

Scope of PracticeScope of PracticeDelphi ResultsDelphi Results

154 original items listed154 original items listed

No clear “top” criteria emergedNo clear “top” criteria emerged

Content/frequency analysis of Content/frequency analysis of common activities listed in states’ common activities listed in states’ scopes of practicescopes of practice

After the states’ After the states’ analysisanalysis……

1.1. Populations ServedPopulations Served Individuals, groups, families, couples, thru Individuals, groups, families, couples, thru

application of accepted MH principles, methods, application of accepted MH principles, methods, procedures and ethicsprocedures and ethics

Also includes services to organizations & schools Also includes services to organizations & schools

2.2. Primary Purpose of CounselingPrimary Purpose of Counseling Promote MH wellness, including achievement of Promote MH wellness, including achievement of

social, career, emotional development across social, career, emotional development across lifespanlifespan

Preventing/treating mental disorders; providing Preventing/treating mental disorders; providing crisis interventioncrisis intervention

3.3. AssessmentAssessment Administration of assessments (with Administration of assessments (with

training) for appraisal, diagnosis, evaluation, training) for appraisal, diagnosis, evaluation, referral determination, tx of referral determination, tx of emotional/mental disordersemotional/mental disorders

Assist in establishing educational and Assist in establishing educational and mental health tx plans and goalsmental health tx plans and goals

4.4. Consultation/Program Consultation/Program EvaluationEvaluation

Also program administration within and to Also program administration within and to schools/organizationsschools/organizations

5.5. SupervisionSupervision Training/supervision of interns, trainees, pre-Training/supervision of interns, trainees, pre-

licensed professionals using established licensed professionals using established principles, methods, procedures, ethicsprinciples, methods, procedures, ethics

6.6. LimitationsLimitations Does not include practice of medicine, Does not include practice of medicine,

prescribing medications, or anything not prescribing medications, or anything not within training/educationwithin training/education

Structure of the 20/20 Structure of the 20/20 projectproject

Oversight Committee Oversight Committee – Leadership from AASCB and ACALeadership from AASCB and ACA– Role: limited to the focus on processRole: limited to the focus on process

Organizational DelegateOrganizational Delegate– Appointed by participating organizationAppointed by participating organization– Participating organization – all major Participating organization – all major

organizational stakeholders in the organizational stakeholders in the counseling professioncounseling profession

– Role: Determine priorities, topics and Role: Determine priorities, topics and taskstasks

Reflections of a 20/20 Reflections of a 20/20 delegatedelegate

Questions for reflectionQuestions for reflection How long have you been a delegate? How long have you been a delegate? 

– Asked for contextAsked for context

What has been the most rewarding What has been the most rewarding aspect of the 20/20 project?aspect of the 20/20 project?

What has been most challenging about What has been most challenging about the 20/20 project?the 20/20 project?

What has been the “take-away” lesson What has been the “take-away” lesson for you?for you?

Open comments…Open comments…

CURRENT STATUS AND FUTURE DIRECTION

The 20/20 Building Blocks to Portability Project

Let’s Schmooze

The Building Blocks to The Building Blocks to Portability ProjectPortability Project

AASCB Conference January 2013

www.counseling.org/kaplan/aascb.aspx

20/20: A Vision for the Future of Counseling