Supervision Mississippi Board of Examiners for Licensed

Supervision Mississippi Board of Examiners for Licensed Professional Counselors MCA 71st Annual Conference November 2021 Biloxi, MS

LPC Board Members Richard Strebeck, PhD, LPC-S, NCC, CSAT, BC-TMH Chair, Long Beach (District At Large) Kimberly Elam Sallis, PhD, LPC-S, BC-TMH Vice-Chair, Oxford (District I) S. Lynn Etheridge, JD, PhD, LPC-S, RPTS, NCC Port Gibson, (District II) Steven Rollins Stafford, MS, LPC-S Madison (District III) Issac Boose, MEd, LPC-S Hattiesburg (District IV)

Objectives 1. Requirements for Supervisors / Supervision /Supervisees 2. Requirements for Distance Professional Counseling / Supervisor Service Provider 3. Supervision Requirements for Telemental Health / Distance Professional Counseling 4. Ethical Codes Surrounding Telemental Health / Distance Professional Counseling

Supervisor/Supervision Requirements Supervision Requirements to become a PLPC Supervision Agreement between Applicant and LPC-S Supervision Contract between Applicant and LPC-S Declaration of Practice filed * Supervisor must be a MS Board Qualified Supervisor To receive supervision, PLPC can practice in: A governed by agency Private practice setting

Supervision Contract Brief philosophy of supervision Context of services Where supervision will occur How often for how long Expectations of the Supervisor Monitor counseling sessions Challenge supervisee to justify approach and techniques used Review progress notes, treatment plans, discharge plans, interventions Provide sound ethical and professional guidance Maintain supervision notes

Supervision Contract Expectations of the Supervisee Uphold ethical guidelines, legal statutes and agency policy Meet as scheduled with the supervisor Be prepared to discuss client cases, case notes, treatment plans, video tapes Consult with Supervisor in cases of emergency Maintain supervision hours and log and notes Terms of supervision Number of hour of counseling to the number of hours of supervision Fees assessed for supervision Back-up LPC-S for emergencies or absence of LPC-S

Supervision Contract Method of Evaluation How often (should be ongoing but also formally in writing) What evaluation consists of Areas the evaluation will include Signature of Supervisor and Supervisee Dates for beginning and ending of contract If Distance supervision is provided, the contract must include information explaining the use and limits of distance supervision, specify the qualifications of the LPC-S to provide distance supervision, and establish procedures for managing the failure of the video communication system.

Declaration of Practice

Declaration of Practice

Declaration of Practice

Declaration of Practice

Declaration of Practice

Declaration of Practice Supervisee will upload to Board’s web portal. Supervisor will ‘concur’.

Supervisor/Supervision Requirements The MS Board of Examiners will only approve clinical sites located in Mississippi A Mississippi LPC-S cannot practice (supervise hours) in another state .without being appropriately licensed in that state to provide services A P-LPC may not practice independently or hold oneself out as a counselor in independent practice Note that a P-LPC must remain under supervision until full licensure is granted (even if supervision hour requirements are completed).

Supervisor/Supervision Requirements The objective of supervision is to develop the supervisee’s clinical skills and competencies and help them be the best counselor and provide the best services to our clients as possible The supervisor is responsible for assisting the P-LPC/Counselor in: Developing expertise in methods of professional mental health counseling practice Developing self-appraisal and professional development strategies The supervisor is responsible for ongoing evaluation of the supervisee but documented evaluation during renewal

Supervisor/Supervision Requirements What if I live in a “border” town? Example: What if I want to practice in Waveland, MS and also get some supervision hours in Slidell, LA.? As a PLPC, you must follow the Laws and Rules and Regulations for Mississippi and Louisiana For hours accrued in LA using a MS LPC-S, the supervisor must be licensed in both LA and MS If the PLPC has a LA supervisor for hours accrued in LA, the MS Board would consider accepting the hours accrued in LA for a MS LPC if the hours were verified by the LA Board

Supervisor/Supervision Requirements Example: A PLPC, who has an off-site LPC-S, is renting office space at a private counseling practice where there is an LPC onsite. The PLPC provides their own IC, Intake paperwork, billing, scheduling, practice software, and has ownership of the clients’ records. The PLPC is paid directly from the client or through the billing of insurance. The PLPC has their own business cards with his.her future practice name, but their name is not on the outside door of the practice.

Distance Professional Services by an LPC-S Requirements for Service Providers LPC-S must be a certified telemental health provider by completing one of the following: Professional Training (Graduate Level Academic Training or Continuing Education Training) containing 9 clock hours which cover the following: HIPPA compliance for TMH Ethical and Legal issues (confidentially, privacy issues) Crisis planning and protocols Technology Orienting clients to TMH TMH settings and care coordination Appropriateness of the use of TMH

Distance Professional Services by an LPC-S BC-TMH credential via the Center for Credentialing and Education (CCE) Telemental Health credential recognized by CCE PESI: Telehealth for Mental Health Professionals: 2-Day Distance Therapy Training by Joni Gilbertson via Self-Study material Only PESI training approved as documented in the May 2020 Board Minutes ** The Board does not endorse any programs to satisfy the professional training requirement. BC-TMH verification of training must be uploaded to your profile in order to provide these services. The Board will send an email informing of the Board’s approval to provide these services. Distance supervision provided via synchronous video conferencing only No telephone, text, email, chat, etc. These are reserved for only emergency situations

Distance Professional Services by a PLPC Requirements for Service Providers P-LPCs must be a Certified-Telemental Health provider by completing one of the same requirements as the LPC-S P-LPCs can practice TeleMental Health counseling with the approval from his.her LPC-S (who must have the TMH credential) Remember that an LPC must be onsite even if the P-LPC is providing TeleMental Health Services Reminder: The Supervision Contract submitted to the Board must include information pertaining to the use and limits of distance supervision, state the qualifications of the LPC-S to provide distance supervision, and document the established procedures for managing the failure of the TMH equipment.

Ethical Issues for DPS Providers Standard of Care: Professionals practice ONLY in areas where their competence has been demonstrated including training, technology, skills and abilities including the use of technology— must understand the workings of the system you choose to use ACA Code F2C- When using technology in supervision, counselor supervisors are competent in the use of those technologies. Supervisors take the necessary precautions to protect the confidentiality of all information transmitted through any electronic means

Ethical Issues for DPS Providers Secure internet connections for both parties—network requiring the user to agree to legal terms, register and account and have a password before connecting HIPAA secured network for both parties (firewalls, antivirus systems, cloud storage) End to end encryption is an ethical requirement—encryption of data and messaging

Ethical Decision Making Questions to Ask Is the action fair? Would you recommend this action to a peer? How would you feel if this decision was made public? Would you want this action to be applied to your family member? Would others in the field that you respect do the same in this situation? Are there any lingering feelings of uncertainty, concern, doubt, and uneasiness than what might be considered normal?

Suggestions for Starting Supervision Review the supervisee’s General Registration information with the supervisee Review the profile picture to ensure it meets passport requirements and for professionalism Review degree and degree requirements to ensure Applicant meets qualifications for licensure Review the Declaration of Practice to ensure it meets the Board’s requirements Review site where P-LPC will be obtaining hours Guide the P-LPC or supervisee through the licensure process—know the process of becoming licensed and guide the supervisee through that process

Notes Regarding Supervision Supervisor has a responsibility to teach the supervisee and enhance the supervisee’s skills in the areas of Professional relationships Professional ethics Self-evaluation Professional learning Etiology and diagnostics Oral and written communication

Notes Regarding Supervision Evaluation of Supervisee: Individual counseling skills Group skills Diagnostic skills Treatment planning implementation Recording keeping Integrity Consulting skills Ability to work with others Ethical behavior Recognition of limits Confidentiality

Thank you for your time! Questions?