Licensure Preparation

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Licensure Preparation

  1. 1. Congratulations! You Have a Doctorate! Now What? Pursuing a Successful Career in Psychology PPAGS Spring Conference April 10, 2010 Cheryll Rothery, Psy.D.
  2. 2. Introduction Workshop Overview/Goals Disclaimers Information Sources
  3. 3.  Sent an email survey to 31 graduates of my program  13 respondents = 42% response rate
  4. 4.  What study materials did you use for licensure exam?  What was most helpful to you in preparing for the exam?  What was most helpful to you in finding a job?
  5. 5.  If you have a private practice, what was most helpful to you in getting your practice off the ground?  What are three things you wish you had known with regard to the profession/practice of psychology?
  6. 6.  What advice would you offer current students with regard to preparation for the field, preparing for licensure, finding a job, or setting up a private practice?  What are some creative ways in which you have used your degree (e.g. unique jobs or opportunities)?
  7. 7. PSYCHOLOGY LICENSURE Why get licensed as a psychologist? Purpose of licensure Benefits of licensure Pros and cons of licensure in other fields
  8. 8. PRELIMINARY INFORMATION  Licensure requirements vary by state.  Pennsylvania has lower hours requirements than many other states.  Each state has a web site for licensure information. Go to www.ASPPB.net (Association of State and Provincial Psychology Boards) for further information.
  9. 9. PRELIMINARY INFORMATION  Some states, including PA, require graduation from an APA-accredited program  A few states require completion of an APA- accredited pre-doctoral internship  Some states require specific coursework  Some states have a residency requirement
  10. 10.  Some states have specific hours requirements regarding # of hours of practicum, internship, and post-doc supervised experience  In addition to info from your doctoral program, forms must be completed by your pre-doc primary supervisor and your post-doc internship or supervised professional experience supervisor.
  11. 11. PSYCHOLOGY LICENSURE  APA Model Licensure Act  What is it?  Implications of it  States that have adopted/in process (AL, OH, MD, UT, ND, SD, AZ, VA, NC, IA, WA)  ASPPB’s position on APA Model Licensure Act
  12. 12. CURRENT PENNSYLVANIA LICENSURE REQUIREMENTS Taken from the Commonwealth of Pennsylvania, Pennsylvania Code Title 49. Professional and Vocational Standards 6/07
  13. 13. POST-DOCTORAL EXPERIENCE  (i) Experience acceptable to the Board means experience as a psychology trainee in a professional setting that is organized to prepare the applicant for the practice of psychology consistent with the applicant’s education and training. At least one-half of the experience shall consist of providing services in one or more of the following areas: diagnosis, assessment, therapy, other interventions, consultation.
  14. 14. POST-DOCTORAL EXPERIENCE Supervised teaching and psychology research are other areas that may count toward post-doctoral requirements.
  15. 15. ACCEPTABLE EXPERIENCE DOES NOT INCLUDE THE FOLLOWING:  (A) Independent private practice as a qualified member of another recognized profession under section 3(3) of the act (63 P. S. § 1203(3)).  (B) Independent private practice as a certified school psychologist under section 3(10) of the act.  (C) Practice as an independent contractor.
  16. 16. POST-DOC TRAINING TIMEFRAME One year, which the PA Board defines as 1500 hours (Many other states require 2000 hours.)
  17. 17. POST-DOC TRAINING TIMEFRAME  Supervised work activity will be counted toward satisfying the experience requirement only if it takes place in a single setting for either, first, at least 30 hours per week but no more than 40 hours per week during at least a 3-month period, or, second, at least 15 hours per week for a period of at least 6 months.
  18. 18. POST-DOC TRAINING TIMEFRAME  The experience shall have been obtained within the most recent 10 calendar years, at least half within the most recent 5 calendar years.
  19. 19. SUPERVISOR REQUIREMENTS  (ii) A psychology trainee shall, in every professional setting in which the trainee gains experience, be supervised by a psychologist holding a current license issued by this Board or by a statutory board of psychologist examiners of another state, if, in the opinion of the Board, the requirements for licensure are substantially equivalent to the requirements of the act.
  20. 20. SUPERVISOR REQUIREMENTS  (A) The supervisor shall own, be employed by or be in contract status with the professional setting in which the psychology trainee is employed.  (B) The supervisor shall be responsible for ensuring that the minimum requirements for acceptable supervised experience are met.
  21. 21. SUPERVISOR’S AUTHORITY  (C) Psychological activities of the psychology trainee shall be performed pursuant to the delegation, order and control of the supervisor, who shall accept full professional responsibility for the psychology trainee’s performance. Accordingly, the ultimate responsibility for the welfare of the client/patient shall be in the hands of the supervising licensed psychologist
  22. 22. SUPERVISION  (E) The supervisor shall meet individually with the psychology trainee for an average of at least 2 hours a week. If the supervisor has delegated supervisory responsibilities to other professionals, 1 hour of this minimum may be allocated, at the direction of the supervisor, between or among them.
  23. 23. SUPERVISOR AVAILABILITY  (3) The supervisor shall be accessible to the supervisee for consultation.  (4) The supervisor shall be accessible to clients/patients of the supervisee for the purpose of answering questions and responding to concerns.
  24. 24. SUPERVISOR RESPONSIBILITY  (5) The supervisor shall be responsible for the supervisee’s services to each client/patient.  (6) The supervisor shall be empowered to interrupt or terminate the supervisee’s activities in providing services to a client/patient and, if necessary, to terminate the supervisory relationship.
  25. 25. SUPERVISOR RESPONSIBILITIES  (12) The supervisor shall observe client/patient sessions of the supervisee or review verbatim recordings of these sessions on a regular basis.
  26. 26. SUPERVISOR RESPONSIBILITIES  (15) The supervisor shall prepare written evaluations or reports of progress which shall delineate the supervisee’s strengths and weaknesses. These evaluations or reports shall be discussed with the supervisee on at least a quarterly basis.
  27. 27. DUAL RELATIONSHIP LIMITATIONS  (7) The supervisor may not be a relative of the supervisee by blood or marriage, may not be involved in a dual relationship which obliges the supervisor to the supervisee and may not engage in treatment of the supervisee.
  28. 28. ADJUNCT SUPERVISION  (I) The supervisor may delegate clearly defined areas of the psychology trainee’s supervision to other professionals affiliated with the professional setting whose competence in the delegated areas has been demonstrated by previous education, training and experience.
  29. 29. ADJUNCT SUPERVISION  (II) Although the supervisor shall continue to bear the ultimate responsibility for supervision, those to whom supervisory responsibilities are delegated shall be individually responsible for activities of the psychology trainee performed under their supervision.
  30. 30. COMPENSATION  (17) The supervisor may not accept fees, honoraria, favors or gifts from the supervisee.
  31. 31. EXAMINATION FOR PROFESSIONAL PRACTICE OF PSYCHOLOGY (EPPP)  Required in all states, 3 US territories, 9 Canadian provinces  Measures broad, general, foundational knowledge  225 multiple choice items  Data indicates it is best to take exam within 3 years of graduation  Data suggests that preparation beyond 200 hours yields diminishing returns
  32. 32. OTHER STATE EXAMS  Many states require a local jurisprudence/ ethics exam  Some states require an oral exam, a specific competencies exam or exams, or an interview  Case vignette, diagnostics, case conceptualization, diversity issues, ethics and the law
  33. 33.  Text books  Course materials  Study groups  Test specification materials from ASPPB  Commercial materials  Association for Advanced Training in the Behavioral Sciences (AATBS) (8/14)  PsychPrep (2/14)  Academic Review (2/14)  Combinations of above (2/14)  The Taylor Method (newest)
  34. 34. Eighty-three percent pass the exam the first time! (ASPPB) Most states do not have limits to # of times you can take exam, but some states will issue additional requirements, e.g. additional coursework after 3 failed attempts
  35. 35. Why it is important How ASPPB can help  ASPPB Credentials Bank  www.ASPPB.net/CTPVS “Grandfathering”
  36. 36. QUESTIONS AND DISCUSSION
  37. 37. Getting the most out of your degree
  38. 38. STUDENT LOAN DEBT Loan forgiveness programs  Offer to eliminate some or all of your student loans in returning for working in certain underserved communities for a specified period of time
  39. 39. CAREER OPTION EXPLORATION Clinical/Counseling (assessment, intervention)  Agency setting  College Counseling Center setting  Group Practice  Private Practice  Hospital setting  Inpatient  Outpatient  Partial  Residential
  40. 40. CAREER OPTION EXPLORATION Clinical/Counseling, cont.  Prison  Nursing Home  School (will likely need School Psych certification)
  41. 41. CAREER OPTION EXPLORATION Clinical supervision Teaching  Undergrad, Master’s, Doctoral  Adjunct teaching, Faculty position Administration Consulting Trainer/Workshop Presenter
  42. 42. SPECIALTY AREAS Clinical psychology Counseling psychology Neuropsychology School psychology Health psychology Forensic psychology Sports psychology Divorce mediation Industrial/Organizational psychology
  43. 43. GETTING STARTED What was I trained to do?  With what populations was I trained to work?  In what settings was I trained to work? How does this match with what I want to do at this point in my career?
  44. 44. GETTING STARTED What do I need to do to get where I want to be at this point in my career? How does this fit with my personal goals?
  45. 45. GETTING STARTED What are the obstacles? What/who are the resources? What is my game plan? What is my timeline?
  46. 46. Practicum Supervisors Internship Supervisors Student Colleagues Professional Mentors Networking LinkedIn.com Higheredjobs.com Psyccareer Chronicle of Higher Education
  47. 47. PROFESSIONAL CAREER PLAN GOALS Pre- Graduation 0-2 years 2-5 years 5-10 years STEPS CHALLENGES RESOURCES TIMELINE
  48. 48. MARKETABILITY What specialty do I want to offer?  Anxiety disorders  Autism spectrum disorders  Life transition issues  PTSD
  49. 49. MARKETABILITY  To whom?  Children, Adolescents, Adults  Individuals, Couples, Families, Groups  Step/Blended Families  LGBT populations  Prison populations  Particular ethnic groups  Immigrants
  50. 50. MARKETABILITY How do I develop this specialty?  Post doc training  CE workshops  Additional coursework  Clinical work under supervision  Professional reading
  51. 51. IS PRIVATE PRACTICE FOR YOU?
  52. 52. Why private practice? Hazards of private practice  Part-time vs. full-time options  Solo vs. group options
  53. 53. PRIVATE PRACTICE SKILL SET Initiative – must be a self-starter Creativity – must be able to market what you have to offer Networking skills – many referrals are word-of-mouth
  54. 54. HOW TO GET STARTED Complete post-doc training and get licensed asap Conduct research Consult with other professionals Create a business plan
  55. 55. HOW TO GET STARTED Identify an affordable, prime location Consider accessibility issues, parking, safety, etc. Get on referral lists
  56. 56. HOW TO GET STARTED  Create a memorable but classy business card and have it ready to distribute everywhere you go  Send out announcements of your practice opening; decide where and how you will advertise
  57. 57. HOW TO GET STARTED Offer your expertise to organizations – this can generate referrals Consider splitting an office with a colleague to share expenses and provide each other with peer supervision and support
  58. 58. HOW TO GET STARTED Decide whether or not you will get into the managed care game – if so, start the process early  Network with old and new contacts  Set a fee scale that is comparable to others in the area
  59. 59. HOW TO GET STARTED Engage in pro bono or sliding fee work, but set limits  Identify and collaborate with a psychiatric referral source  Connect with the local CRC/hospital
  60. 60. Consult with or hire an accountant; if necessary, hire a business manager Identify a colleague to serve as your back up To cover for you when you are away To secure your records and contact your clients in cases of emergency or your death
  61. 61. RISK MANAGEMENT Purchase malpractice insurance Maintain good records  Engage in regular clinical or peer supervision/consultation  Don’t practice outside of your area of expertise
  62. 62.  Be thoughtful in how you schedule clients  Beware of boundary issues – private practitioners face high risk of ethical violations because of the isolative nature of the work
  63. 63. RISK MANAGEMENT Beware of radical, controversial approaches and techniques  Don’t take on clients that you cannot manage; if a client becomes unmanageable, make appropriate referrals, but do not abandon client  Be up front with clients about the scope of your practice and of your availability
  64. 64. RISK MANAGEMENT  Continue to hone your craft and keep up with the latest information re: ethics, law, techniques, etc. through workshops, trainings, and professional reading  Engage in and model good self-care
  65. 65. ADDITIONAL RESOURCES (PPA listserv)  Building Your Ideal Private Practice: A Guide for Therapists and Other Healing Professionals,” by Lynn Grodzki  “The Paper Office,” by Edward Zuckerman  Breaking Free of Managed Care: A Step by Step Guide to Regaining Control of Your Practice, by Dana C. Ackley  Saying Good-Bye to Managed Care: Building Your Independent Psychotherapy Practice, by Sandra Haber, Elaine Rodino, & Iris Lipner.
  66. 66. How much managed care can impact the ability to find jobs and get paid a reasonable salary How hard it is to get a job if you are not licensed Level of paperwork and management responsibilities More about the business side of practice
  67. 67. Importance of having a support system of other psychologists How to get funding vs. taking out so many loans More about treatment planning Number of psychologists who feel that ethical principles are negotiable Variety of opportunities in the field
  68. 68. Take care of yourself. Take seriously, understand, apply and respect APA and PPA Codes of Conduct. Do not accept cases that are outside your areas of competency. Expand beyond your niche. Develop and maintain a solid support system.
  69. 69. Understand the level of commitment and time required. Specialize. Network, network, network! Hire a good supervisor. Get involved in professional associations. Be sure your job is structured to meet licensure requirements.
  70. 70. Geropsychology Multiple roles in multiple settings Adjunct teaching, small research projects Presenting at conferences Providing workshops and seminars Foster parenting trainings Consulting Disaster/Crisis Consultant
  71. 71. FINAL THOUGHTS Relationship, Relationship, Relationship! Be professional, but authentic. Protect your public self. Understand that the private can become public. Do your homework/research. Learn negotiation skills to be fairly compensated, financially or otherwise.
  72. 72. FINAL THOUGHTS Dress professionally. Remember that your written materials represent you. Be punctual. Practice your interview skills. Be an advocate for the profession. Know, and practice according to, the ethics code. Give back. Pay it forward.
  73. 73. FINAL THOUGHTS  Stay current in the field  Ethics Code  Mandated reporting requirements  Consent to treat children requirements  Evidence-based therapies  Psychopharmacology  DSM revisions  Multicultural competence  New and updated assessment instruments
  74. 74. QUESTIONS AND DISCUSSION

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