Psychology license & professional mobility


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By Alex M. Siegel

Psychology license & professional mobility

  1. 1. Alex M. Siegel, J.D., Ph.D.Association of State and Provincial Psychology Boards (ASPPB) 1
  2. 2.  Requirements for Licensure or Registration Tips for Obtaining Initial Registration or License Licensure Mobility Helpful Resources 2
  3. 3.  Canada - by province/territory ◦ 10 Provinces ◦ Northwest Territories United States - by state/territory ◦ 50 States ◦ Virgin Islands, Puerto Rico, Guam ◦ District of Columbia 3
  4. 4.  Association of State and Provincial Psychology Boards ◦ State/provincial/territorial psychology regulatory boards/colleges in the United States and Canada ◦ 64 member jurisdictions ◦ Services to licensing boards, applicants for licensure/registration, licensed psychologists ◦ Goal is to be the international source of information and offer model programs on regulation of psychologists 4
  5. 5.  Graduate degree in psychology Supervised professional experience (SPE) ◦ 1500 to 6000 hours of SPE Examinations ◦ Examination for Professional Practice in Psychology (EPPP) ◦ Jurisprudence and/or Ethics Exam ◦ Oral Examination Requirements vary across jurisdictions 5
  6. 6. Academic Program Practicum Dissertation/Thesis… Internship GraduationPostdoctoral Experience Testing Licensure 6
  7. 7.  Most (49) states require a doctoral degree for licensure as a Psychologist One (1) state (West Virginia) requires a masters degree for licensure as a Psychologist Two (2) jurisdictions also license at masters level for independent practice, different title:  Oregon: Psychological Associate  Vermont: Psychologist - Master 7
  8. 8.  Three jurisdictions (BC, MB, ON) ◦ Psychologist: doctoral degree ◦ Psychological Associate: masters degree Six jurisdictions (AB, SK, NS, PE, NL, NWT) ◦ Psychologist: doctoral or masters degree Two jurisdictions (QC, NB) have changed from masters to doctoral degree ◦ QC currently requires doctoral degree ◦ NB will require doctoral degree in 2011 8
  9. 9.  Must be a recognized psychology program (accredited or designated) Specific courses may be required CPA/APA accredited doctoral program may meet all degree requirements 9
  10. 10.  41.31(5) First time applicants who were enrolled in doctoral program prior to March 23, 1991will have their educational credentials evaluated under regulations in effect at that time. If apply under 41.42(b)[reapplication] will have credentials evaluated under regulations in effect at time of reapplication 10
  11. 11.  Old 41.31(b) prior to June 30, 2008 REQUIREMENTS Education 1) Program Director completes the Verification of Doctoral Program Approval Status reflecting APA or CPA Accreditation or 2) Program has ASPPB/NR Designation or Within 1 year from the award of Doctoral Degree 11
  12. 12.  Must demonstrate applicant’s satisfactory completion of core, specialty, practicum and internship: 1)Recognized Sequence within the overall program or department 2) Comprises Integrated, Organized Sequence of Study Ethics Research Design and Methodology Statistics and Psychometrics 12
  13. 13.  Competence in 4 Substantive Content Areas: Biological Bases of Behavior Cognitive-Affective Bases of Behavior Social Bases of Behavior Individual Differences Specialty Courses, Practicum, Internship At least 60 graduate hours of above 13
  14. 14.  Each degree candidate complete a minimum of two consecutive academic semesters as a matriculated student physically present at the institution grating the degree 14
  15. 15.  If apply under 41.42(b) will have their credentials evaluated under the regulations in effect at the time of reapplication 15
  16. 16.  41.31(4) First time applicants who enrolled in a graduate degree program in psychology or field related to psychology on or after July 1, 2008 will be evaluated under theses regulations. MUST BE FROM APA or CPA ACCREDITED OR ASPPB/NR DESIGNATED PROGRAM 16
  17. 17.  Two years (3,000 hours) of supervised experience typically required, usually one of these must be postdoctoral 17
  18. 18.  Some states include APPIC most don’t Some states include APA most don’t Advantage of APPIC Member/APA accredited is program has been peer reviewed and said to meet minimal standards Have some recourse if problems 18
  19. 19. Hours Number of Jurisdictions•2000 11•1900 2•1800 6•1750 5•1600 1•1500 14 19
  20. 20.  Practicum Hours NOT Counted (OLD)Predoc Internship: supervised training for at least 450 hours learning activities for an average of 2 hours a week Interact formally and informally with psychologist and other trainees For 1 year and include at least 1500 hours with 25% (375 hours) in direct patient contact and no more than 25% in research Part time for two year half time 20
  21. 21.  New Regs do not define internship requirements since it is part of the doctoral program requirements. 21
  22. 22. Hours Number of Jurisdictions•3000-4000 3•2000 9•1900 2•1800 6•1750 4•1600 3•1500 15•1000 1•1 year 6•None 3 22
  23. 23.  POST DOC (old) 1500 hours is defined as a year (37.5 weeks) At least one half of experience in direct services MUST BE SUPERVISED BY A PSYCHOLOGIST HOLDING CURRENT LICENSE SUPERVISOR MEETS INDIVIDUALLY FOR AN AVERAGE OF TWO HOURS A WEEK MAY DELEGATE 1 HOUR 23
  25. 25.  New 41.32 Shall complete 1 year of acceptable post doc supervised experience First time applicants who commence post doc as of December 6, 2010; 1) 1 year is calculated as at least 12 months consisting of 1750 hours 2) no more than 45 hours and no less than 15 hours may be counted each week 3) At least 50% direct services 25
  26. 26.  1) experience is obtained for each entity for a minimum of 6 consecutive months 2) experience occurs for a minimum of 15 hours per week at each setting 3) total experience for all settings does not exceed 45 hours 26
  27. 27.  Acceptable Experience 1) practice at entity consistent with psychologist’s education and training 2) No experience may be obtained if psychology resident acts independently 27
  28. 28.  All experience must be obtained under supervision of a primary supervision Primary – if obtained from more than 1 supervisor, hall have a primary supervisor at each entity. Delegated- may delegate supervision for up to 1 hour per week 28
  29. 29.  Examination for Professional Practice in Psychology (EPPP) ◦ Published by ASPPB; copyright ◦ 200 multiple choice items on knowledge base essential for independent practice 225 total questions 25 are pretest ◦ Computer administered at local site throughout calendar year, 4 hour and 15 min ◦ Candidate must be approved by regulatory board/college to take exam 29
  30. 30.  Jurisprudence and/or ethics examination required in several jurisdictions (may be oral or written) PPLE in PA. 30 questions on law and regs Oral examination of practice competence required by less than half of the jurisdictions (Competency-Laws-Interview) 30
  31. 31.  Measures broad general, foundational knowledge for all psychologist Content validity supported by periodic Practice Analyses criteria for item inclusion: Entry level knowledge Protection of the Public 31
  33. 33.  Numerous studies have supported reliability & content validity of EPPP Data suggest preparation beyond 200 hours yields diminishing returns Data suggest best time to take EPPP within 3 years of graduation In PA, regs now will allow applicant’s to take EPPP after doctoral degree and during post year. Do not have to wait until after post doc anymore 33
  34. 34.  There are easy and hard version“The Monster” Items not related to what psychologist do Pretest questions are clumped at the beginning Majority of candidates fail See Myths vs. Reality of EPPP brochure At 34
  35. 35.  Doctoral degree first-time takers: 83% APA/CPA accredited graduates: 78% NON APA/CPA graduates: 53% APA/CPA/APPIC internship: 80% No APA/CPA accredited/APPIC: 54% My impression for the last 12 years in PA are similar to the national numbers 35
  36. 36.  The process of licensure ◦ Licensing differences in jurisdictions ◦ Resources EPPP and other examinations ◦ Resources Ways to practice without a license ◦ SPE ◦ Clinical Research Accessing Information ◦ Be careful with listserv information 36
  37. 37.  Select a recognized/accredited training program Follow standard/prescribed curriculum (don’t seek waivers, special considerations) Select recognized internship/post doctoral placement with established history, multiple supervisors, etc. 37
  38. 38.  Identify jurisdiction(s) of interest & research licensure requirements (note variations and seek to meet most stringent) Deposit your credentials in recognized credentials bank Prepare to take the EPPP (content outline, practice tests, retired questions, review courses, study groups) 38
  39. 39.  On-line Practice EPPP Practice EPPP at Prometric Sites Information for Candidates Brochure (includes content outline & weightings) Handbook of Licensure Requirements & Directory of Member Jurisdictions & their laws & regulations Items from Previous EPPP Exams 39
  40. 40. Electronically Stored record of: University transcripts Supervised experience Work experience Examination Performance Reference lettersASPPB provides primary source verification so you should never have to retrieve these materials again. 40
  41. 41.  Apply to State Board of Psychology for licensure at Go to Board Applications Complete application if all requirements met OR if taking EPPP prior to post doc Board reviews credentials If Board approves credentials then it will give you the ASPPB email to use PsyIMS to register for the EPPP. 41
  42. 42.  Series of form to collect applicant background and contact information For accommodation, submit documentation Candidates either pay on line with credit card or can mail certified check or money order Cost $450, plus administrative fees 42
  43. 43.  PES sends Pa Board letter that candidate completed forms and fees. Board approves PES sends Authorization to Test letter to candidate to schedule exam at Prometric location of candidate’s choice Must sit for exam within 60 days Bring ID to test site Results twice a month to Board then to candidate 43
  44. 44.  Board sends candidates name to test service (PSC) and PSC sends out application to take the PPLE Candidate pays fee Candidate schedules the exam 44
  45. 45.  If pass both exams and completed all requirements Board sends LICENSE TO THE NEW PSYCHOLOGIST If take EPPP and PPLE during post doc year then when complete post doc have post doc supervisor complete form and send letter of recommendation LICENSE TO NEW PSYCHOLOGIST 45
  46. 46.  For those already licensed/registered with no disciplinary sanctions Mechanisms to facilitate mobility: ◦ Certificate of Professional Qualification ◦ Reciprocity Agreement ◦ Mutual Recognition Agreement Interview and jurisprudence exam may be required 46
  47. 47.  Most new practitioners will relocate at least once in their career Slight variations in registration and licensure requirements can become huge obstacles later (e.g. intern hrs) Documenting supervised experience, course content, etc. becomes more difficult over time Licensing/registration boards can not accept personal copies of documents because of possible fraud Training programs, internship sites close, supervisors and their records disappear 47
  48. 48.  Program of ASPPB Individual must meet requirements for CPQ Includes credentials bank feature Low cost to obtain & maintain Licensure Mobility 48
  49. 49.  Accepted by 39 jurisdictions in Canada & United States 7 more jurisdictions in the process of accepting the CPQ for licensure 9 more jurisdictions recognize the CPQ for licensure 49
  50. 50.  Jurisdictions in Canada: AB, BC, MB, NS, ON, QC Jurisdictions in the United States: AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, K Y, LA, MI, MS, MO, ND, NV, NE, NH, NM, N C, OH, OK, OR, PA, RI, SC, UT, VT, VA WV, WI, WY 50
  51. 51.  These jurisdictions have “voted” to accept the CPQ, and are in the process of making legislative or administrative changes necessary for implementation. Jurisdictions in Canada NB, PEI, SK Jurisdictions in the United States AK, ME, MN, SD 51
  52. 52.  These jurisdictions may waive at least one licensure requirement for applicants who hold an active CPQ for a minimum time period as specified by the licensing board. Jurisdictions in Canada: NL Jurisdictions in the United States IA, MD, MA, MT, NJ, TN, TX, WA 52
  53. 53. 53
  54. 54.  11 jurisdictions (2 provinces, 9 states) Jurisdiction must meet requirements of Agreement to participate Psychologist licensed with no disciplinary sanctions in one participating jurisdiction may seek registration/licensure in another participating jurisdiction 54
  55. 55.  Jurisdictions in Canada MB, ON Jurisdictions in the United States AR, KY, MO, MS, NV, NH, OK, TX, WI 55
  56. 56.  National Register  ABPP 56
  57. 57.  Canada: ◦ 10 provinces and Northwest Territories Various recognition mechanisms Principal recognition mechanism is registration or licensure based on: ◦ evaluation of core competencies ◦ evaluation of foundational knowledge 57
  58. 58. ◦ Information about the Licensing Exam◦ Practice Examinations & Sample Items◦ Information about Licensure Requirements  Handbook of Licensing and Regulations  Contact Information for Registration Boards  Links to Laws & Regulations in Every Jurisdiction◦ ASPPB Credentials Verification Program◦ Mobility Mechanisms 58
  59. 59. Legal Issues and Legislative UpdatesHandling Legal and Ethical Dilemmas &Avoiding Disciplinary Action Professional Conduct & Discipline in Psychology (APA Books)Trends in the Profession Prescription Privileges Tele-practice Distance Education 59
  60. 60. Website: www.asppb.netTelephone: 1-800-448-4069E-mail: 60
  61. 61.  61
  62. 62.  Good luck on yourjourney to licensure Questions, Comments,Concerns 62