Transcript Presentation Title - Indiana Psychological Association

Psychology Licensure and Practice in
Indiana
Current Status and New Developments
Frederick W. Unverzagt, PhD, HSPP
Professor of Psychiatry, Indiana University Department of Psychiatry
Linda F Brown, PhD, HSPP
Private Practice
Promoting Psychology….Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Background
• Statues and rules around professional
licensure and practice are promulgated to
protect the public
• Vary by state, evolve over time, best way to
stay abreast is to be a member of your state
psychological association
• Interpretation and enforcement of the practice
of professional psychology by the Indiana
State Psychology Board (SPB)
http://www.in.gov/pla/psych.htm
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
State Psychology Board
• Licensure
– Education/training requirements (graduate program and
quantity/quality of clinical service)
– Application and examination procedures (law exam, EPPP)
– Defines HSPP which is required for diagnosis and treatment of
mental and behavioral disorders
• Practice
– Fees, dual relationships, competence, interventions, testing
• Continuing education
• Disciplinary action
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
Licensure:
April 12, 2016
Educational Qualifications
• Accredited institution (7 different approving bodies)
• Doctoral degree in psychology
• Program - coherent entity, identifiable faculty, integrated
sequence of study, student body
• 75% of doctorate courses are graduate psychology
courses
• 3 years of study with coverage of research design and
methodology, statistics, psychometrics, and biological,
cognitive-affective, and social bases of behavior
• Minimum of 1 year residence – taking classes taught by
psychologists with other students face-to-face
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Supervised Experience
• Internship
– 1 year supervised experience in organized health
service training program
– 1,500 hours within 2 years
– Approved by the academic doctoral program
– Organized, integrated series of training and
educational experiences
– At least 2 full-time psychologist supervisors, at least 2
interns in the program per year, 1 director of training
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
State Jurisprudence Exam
• Format
– 50 items, multiple choice and true false, two hours to complete
• Content
– Title 868, Indiana Code 25-33, Indiana Code 25-1-9, Indiana
Code 16-39, Indiana Code 31-33, and Indiana Code 34-30-16
– Emphasis placed on conduct and index competency
• Passing score: 38/50
• Retake: must wait 30 days to retake
• Must pass jurisprudence exam to sit for EPPP
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Licensure: EPPP
• Format
– 225 items (200 test items and 25 developmental items)
– Multiple choice (4 foils)
– 4 hour and 15 minute time limit
• Content:
biological, cognitive-affective, and social multi-cultural
aspects of behavior; life span development; assessment and
diagnosis; treatment and prevention; research methods and
statistics; legal-ethical-professional
• Passing score: 140/200 (70%)***
• Cost: $600 plus $79.58 for Prometric “seat”
• Retake: up to 4 times in 12 months
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
HSPP Endorsement:
April 12, 2016
Supervised Experience
• Postdoc – “Option 1”
– 1,600 hours within 1-5 years; 900 hours of which are direct
patient contact
– 1 hour per week face-to-face supervision by HSPP
psychologist
– Trainee cannot pay for supervision
– Trainee conducts activities in the office or professional setting
of the supervisor
– Supervisor responsible for trainee’s clinical service
– Teaching and research do not count toward the 900 hours
– Trainee’s personal therapy doesn’t count toward 1,600 hours
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
HSPP Endorsement:
April 12, 2016
Supervised Experience
• Model Sequence of Training Act Approved –
“Option 2”
– Allows graduate-level practica training to count toward
hours needed for licensure (in replacement of postdoc
hours).
– 3100 hours supervised practice over at least 2 years
» 1500 hour internship
» 1600 hours (900 direct patient contact) organized, sequential,
experience outside classroom in a clinic.
» Count starts after master’s and 400 hours of clinical experience
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Practice of Psychology Includes:
• Construction, administration, and interpretation of tests of
intellectual and cognitive abilities, aptitudes, skills, interests,
attitudes, personality characteristics, perception, emotion,
motivation, and opinion
• Diagnosis and treatment of mental and behavioral disorders
• Education and vocational planning and guidance
• Personnel selection and management
• Arrangement of effective learning environments
• Resolution of interpersonal and social conflict
• Techniques used in interviewing, counseling, psychotherapy, and
behavior modification
• Supervision of psychological services
• Teaching of the practices listed above
• Planning and conduct of research on human behavior.
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Exemptions: Practice of Psychology
• Licensed marriage and family therapist, social worker,
mental health counselor, school psychologist
• Licensed health care professional
• Cleric
• Attorney
• Student/trainee in accredited program under supervision
• Employee or volunteer of nonprofit organization
performing charitable functions
• Teaching faculty at university
• Commissioned psychology officer in Armed Services
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Privileged Communication
• No release of patient information without the expressed
consent of the patient or legal representative, except:
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Within employees of the care group in order to provide service
To persons outside the care group to allow continuity of care
To arrange payment for services
Trials for homicide when disclosure relates directly to the facts or
circumstances of the homicide
Proceedings to determine mental competency
Validity of a will
Malpractice actions against the psychologist
To health care worker in an a health care emergency
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Privileged Communication (cont.)
– In legal proceedings when the patient’s mental is health entered as
evidence
– Parent or guardian of a minor
– Guardian of an incompetent person
– To law enforcement when: committed patient is AWOL,
superintendent deems patient a harm to self or others, or if patient in
custody and info is limited to medications; and provider determines
release would be helpful to patient
– To Secret Service under certain circumstances
– Under Court Order (which is different from a subpoena)
– To deceased person’s personal representative; or if no personal rep
exists, the spouse; or if no spouse exists, any responsible family
member; to the coroner
– Department of Child Services if child in an emergency or inquiry
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Competence
• Psychologist shall not render services beyond the scope
of competence as determined by training and
experience
• Training is the equivalent of that granted by a doctoral
degree in psychology
• Experience of broad principles and knowledge of the
claimed area as judged by qualified peers in that area
• Must remain current with generally accepted
developments and able to apply procedures in a
reasonable, effective, efficient, and economical manner
• Must act within generally accepted ethical principles and
maintain awareness of personal limitations
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Professional Practice
• Clinical service only performed within the context of
a professional relationship
• Assessments and recommendations based on
information sufficient to substantiate the findings
• Public advice (lectures, newspaper, radio, internet)
requires the highest level of professional judgment;
individual assessments are not rendered
• Computerized scoring services
– Require specific training
– Psychologist is responsible for the accuracy of the interpretations
– Blind interpretations allowed but must be identified as such in report
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Professional Practice
• No dual relationship with patients
• Discontinue relationship with a patient when
objectivity or competency is compromised
– Prior harmful relationship w/ someone associated with patient
– Bias against the patient (e.g., age, gender, ethnicity, sexual
orientation, language)
• If harmful relationship becomes apparent
psychologist:
– Notify the patient
– Assist in referral
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Psychological Testing
• Domains
– Intellectual
– Personality
– Neuropsychological
• Can be administered by HSPP or a person
supervised by HSPP
• Must be interpreted by HSPP
• Competent interpretation requires
– Academic training in: statistics, test instruction, sampling theory,
testing measurement, individual differences, personality theory,
abnormal psychology, psychopathology, psychodiagnosis
– Supervised training and experience in practicum or internship
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Sexual Misconduct
• No sexual intimacies with current patients
• May not accept a new patient with whom you
have had sexual intimacy
• Sexual intimacies with former patients no
sooner than 2 years after termination of
professional services; Psychologist bears
burden of demonstrating no exploitation
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Relationship with the Public
• Payment to a psychologist is based on services
delivered, not the referral itself
• Psychologist shall not offer services to any person
receiving similar services from another professional
(appropriate collaborative services are not prohibited)
• No in-person solicitation of business from potential
patients
• Advertisements are regulated
• No patient testimonials
• No implied sponsorship by professional associations
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Relationship with Other Professionals
• Terminate services when patient is not benefitting and
assist with referral if needed
• Supervising psychologist facilitates professional
development of trainees and gives timely evaluations
• Employees and trainees engage only in activities
consistent with their training
• Unlicensed providers:
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Receive 1 hour of face-to-face individual supervision per week
All notes, reports, and correspondence cosigned
Psychologist physically present or available by telephone
Written procedures for emergencies
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Relationship with Other Professionals
• File a complaint with the AG when you learn of
violation of statues or rules by another
psychologist – requires written permission of
patient involved
• May not be in a dual relationship with
supervisee
• May not be in a sexual relationship with a
student or supervisee
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Fees
• Financial arrangements are made before
professional contact begins and clearly
understood by patients
• Fees are reasonable and based on:
– Difficulty or uniqueness of service and skill required
– Length of professional relationship
– Experience and ability of the practitioner
• No contingency fees
• No dividing of fees, except in proportion to
actual services performed
• Use of collection agencies is allowed
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Record Keeping
• Clinical records maintained for 7 years
• Records should include
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Identifying data
Dates of service
Types of service
Significant actions taken
Records filed within a reasonable time after service completed
• Records are confidential and only released with
patient’s written permission
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Continuing Education
• 40 hours of CE every 2 years
• Category I, approved organizations, generally paid
programming, at least 20 hours
– Workshops
– Conferences
– Home study (not to exceed 10 hours)
• Category II, no more than 20 hours count
– Journal club
– Colloquial
• 6 hours in Ethics, at least 3 hours Category I
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Closing Practice and Retirement
• Notify all active patients in writing and by
publication once a week for 3 weeks in a
newspaper
• Make reasonable arrangements for transfer
of records to succeeding practitioner
• Active patient = consultation within 2 years
of practice closure or retirement
Promoting Psychology…Supporting Psychologists
Psychology Licensure in Indiana
April 12, 2016
Disciplinary Actions
• Those sanctioned by SPB are responsible for costs
of disciplinary proceedings
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