MFT Fieldwork Packet - sjsu.edu · The degree program includes instruction in California law and...

MSinClinicalPsychology

FieldworkPacket

2019-21

San Jose State University MS Clinical Psychology Program

Fieldwork Placement Contract

Instructions to student and placement coordinator: This form should be completed in consultation after the SJSU student has received verbal site approval from the fieldwork coordinator. Name: _______________________________________ Phone: ___________________ Address: __________________________________________________________________ Agency Information Placement: ___________________________________ Phone: ___________________ Placement Address: _________________________________________________________ Name of Supervisor: ___________________________ Phone: ___________________ Supervisor Credentials Degree: _________ Date Degree Granted: ________ Institution: ______________________ License: ________ Year Granted: _________ Years of Supervisory Experience: ________ Clinical Responsibilities and Training

1. Supervision Format(s) (Individual, Group, etc.): ______________________________

2. _____ hour(s) of individual supervision each week per _____ client contact hours.

3. Theoretical Orientation of the Supervisor: ___________________________________ Clinical Responsibilities and Training

1. Clientele served by the agency: ___________________________________________

2. Description of clinical problems trainee is likely to address: _____________________

____________________________________________________________________ ____________________________________________________________________

Continued on other side

San Jose State University MS Clinical Psychology Program

Fieldwork Placement Contract

3. Total hours per week at placement: _________

Individual Client load: _________ clients/week Group therapy: __________ hours/week Family Therapy: __________ hours/week Other therapy responsibilities (please describe): ____________________________________________________________________ ____________________________________________________________________

Administrative Responsibilities

1. Testing/Report Writing (describe): ____________________________________________________________________ 2. Staff Meetings _______ hours/week 3. Other Responsibilities (please describe): _________________________________ ____________________________________________________________________ 4. In-service or other training available to trainee: ____________________________ ____________________________________________________________________

� I understand that trainees at SJSU will not transport any clients in their car. SIGNATURES MS Clinical Student: _________________________________ Date: _______________ Supervisor of Training: ______________________________ Date: _______________ Title of Supervisor: _________________________________

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Online License / Registration Verification

NOTICE TO LICENSE VERIFICATION USERS

The Board's Breeze Online Service provides you with accurate, up-to-date license verification information. The licensing or registration information on the Board's websitecomes directly from the Board's licensing records. The Board allows a screen print of the license or registration to be used for verification purposes.

The following licenses and registrations are issued by Board of Behavioral Sciences:Registrant LicenseeAssociate Clinical Social Workers (ASW) Licensed Clinical Social Workers (LCSW)Marriage and Family Therapist Interns (IMF) Licensed Marriage and Family Therapists (LMFT)Professional Clinical Counselor Intern (PCCI) Licensed Professional Clinical Counselor (LPCC)Continuing Education Providers (PCE) Licensed Educational Psychologists (LEP)

STATEMENT REGARDING "PRIMARY SOURCE" DATA ON THE BOARD OF BEHAVIORAL SCIENCES WEB SITE

The California Board of Behavioral Sciences (BBS) has an intradepartmental contract with the Department of Consumer Affairs (DCA) to provide the license lookup Website and the actual operation thereof. The license lookup Web site is the property of DCA and system security concerns are ultimately their responsibility. The informationthat the BBS provides to DCA is a true and accurate reflection of our license records that are derived from primary source documents. We are informed that while theDepartment believes the information to be reliable, human or mechanical error remains a possibility, as does delay in the posting or updating of information. Accordingly,DCA's license lookup reflects the BBS' primary source information. The license lookup information is updated on a daily basis; therefore the information is current as to thedate indicated on the site.

Your organization is responsible for any decision it may make based on our Web site information. However, it is our intent to provide accurate licensee information and toallow users the ability to verify licenses.

The Board also processes official certifications.

LICENSE STATUS INFORMATION

Our License Status Definitions provide a description of the various license status' a licensee or registrant may hold.

If the license or registration verified has any pending or final disciplinary actions, the information will be included. The Board posts official documentation on citations,accusations, and disciplinary actions.

Disciplinary actions taken by the Board become operative on the effective date except in situations where the licensee obtains a court-ordered stay. This may occur afterthe publication of the information in this website.

For updated information on stay orders and appeals, or for further information on specific discipline for a person listed, you may contact the Board's Enforcement Unit at(916) 574-7890.

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BOARD ACTIVITY CONSUMERS APPLICANTS LICENSEES FORMS/PUBS

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Track Your Hours is up-to-date with the most cur-

rent BBS regulations and automatically applies

the appropriate rules based on the date your

hours were earned.

Whether your hours were earned yesterday or sev-

en years ago, Track Your Hours will apply the ap-

propriate rules and generate the correct forms.

Enter your hours and you will instantly be able

to see how many you can actually claim. You

can even log hours on your phone!

Visual progress reports keep you on track. Alerts

keep you informed. Your weekly logs and experi-

ence verification forms are generated with one

click.

Track Your Hours is currently available for Califor-

nia Trainees and Interns seeking licensure as an

MFT, LCSW or LPCC. We offer a 30-day free trial

with no credit card required.

Why have over 15,000 MFT Trainees & Interns chosenTrack Your Hours?

Free Trial

TrackYourHoursSimply the best way to track and reportyour professional training hours

Log In Free Trial

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Supervision Ratios Monitored

Your supervision ratios are calculated across all su-

pervisors at each site and you receive an alert

whenever there is an issue. The appropriate su-

pervision requirements are applied based on your

status as a Trainee or Intern.

Category Multipliers Applied

Conjoint couples & family and personal psy-

chotherapy multipliers are applied so you know

how many hours you can claim.

Weeks of Supervision Tracked

Your weeks of supervision and individual supervi-

sion are tracked automatically. Only weeks where

you meet the minimum requirement are counted.

Summary Report

Your summary report provides an overview of your

progress toward meeting each of the licensure re-

quirements including category minimums and

weeks of supervision.

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MFT Specific Documents

LMFT Education Requirements - Effective August 1, 2012New LMFT education requirements take effect August 1, 2012, and apply to the following individuals:

Applicants for licensure or registration who began graduate study on or after August 1, 2012.Applicants who began graduate study before August 1, 2012, and who graduated from a degree program that meets the requirements stipulated inBusiness and Professions Code Section 4980.36; orApplicants who began graduate study before August 1, 2012, and did not complete that study on or before December 31, 2018.

Degree Program Requirements

The degree program must contain no less than 60 semester or 90 quarter units of instruction.The degree program does the following:

1. Throughout its curriculum, integrates marriage and family therapy principles, the principles of mental health recovery-oriented care and methods of servicedelivery in recovery-oriented practice environments, and an understanding of various cultures and the social and psychological implications ofsocioeconomic position, and an understanding of how poverty and social stress impact an individual's mental health and recovery;

2. Allows for innovation and individuality in the education of marriage and family therapists;3. Encourages students to develop the personal qualities that are intimately related to effective practice;4. Permits an emphasis or specialization that may address any one or more of the unique and complex array of human problems, symptoms, and needs of

Californians served by marriage and family therapists; and5. Provides students with the opportunity to meet with various consumers and family members of consumers of mental health services to enhance

understanding of their experience of mental illness, treatment, and recovery.

The degree program includes no less than 12 semester or 18 quarter units of coursework in theories, principles, and methods of a variety ofpsychotherapeutic orientations directly related to marriage and family therapy and marital and family symptoms approaches to treatment and howthese theories can be applied therapeutically with individuals, couples, families, adults, including elder adults, children, adolescents, and groups toimprove, restore, or maintain healthy relationships, as stipulated in BPC Section 4980.36(d)(1)(A).The degree program includes no less than six semester or nine quarter units of practicum that involves direct client contact in a supervised clinicalplacement that provides supervised fieldwork experience, and adheres to the requirements stipulated in BPC Section 4980.36(d)(1)(B)(iv).The practicum in the degree program includes a minimum of 150 hours of face-to-face experience counseling individuals, couples, families, orgroups (BPC Section 4980.36(d)(1)(B)(ii)).In addition to the 150 hours of face-to-face experience, the practicum must include 75 hours of either of the following:

Client-centered advocacy, as defined in Section 4980.03; orFace-to-face experience counseling individuals, couples, families, or groups (BPC Section 4980.36(d)(1)(vi)).

The degree program includes instruction in diagnosis, assessment, prognosis, and treatment of mental disorders (Psychopathology), as specifiedin BPC Section 4980.36(d)(2)(A).The degree program includes instruction in developmental issues from infancy to old age and all areas of study specified in BPC Section4980.36(d)(2)(B).The degree program includes instruction in the broad range of matters and life events that may arise within marriage and family relationships andwithin a variety of California cultures and includes instruction in all areas of study specified in BPC Section 4980.36(d)(2)(C).The degree program includes instruction in cultural competency and sensitivity and the areas of study specified in BPC Section 4980.36(d)(2)(D).The degree program includes instruction in multicultural development, cross-cultural interaction, and the areas of study specified in BPC Section4980.36(d)(2)(E).The degree program includes instruction in the effects of socioeconomic status on treatment and available resources, as specified in BPC Section4980.36(d)(2)(F).The degree program includes instruction in resilience and the areas of study specified in BPC Section 4980.36(d)(2)(G).The degree program includes instruction in human sexuality and the areas of study specified in BPC Section 4980.36(d)(2)(H).The degree program includes instruction in substance use disorders, co-occurring disorders, addiction, and the areas of study specified in BPCSection 4980.36(d)(2)(I).The degree program includes instruction in California law and professional ethics for marriage and family therapists and the areas of studyspecified in BPC Section 4980.36(d)(2)(J).The degree program includes instruction in case management, systems of care for the severely mentally ill, public and private services andsupports available for the severely mentally ill, community resources for persons with mental illness and for victims of abuse, disaster and traumaresponse, advocacy for the severely mentally ill, and collaborative treatment, as specified in BPC Section 4980.36(e).

Please refer to BPC Section 4980.36 for the exact education requirements effective August 1, 2012.

How Are the Education Requirements Changing August 1, 2012?

The main difference in the requirements that go into effect August 1, 2012, is the separation of the additional coursework requirements, such as human sexuality andpsychopharmacology. The new requirements integrate these areas into the degree program requirements, rather than treating them as separate courses that may becompleted outside of the degree program. Applicants that fall under the requirements effective August 1, 2012, must meet the qualifying degree program requirements inorder to be registered as an MFT Intern. Under the previous requirements, some of the additional coursework could be completed outside of the degree program and afterbeing issued an intern registration number.

A list of schools with MFT programs is provided on the BBS Web site. Please contact the school for more information on whether or not the degree meets the necessaryrequirements.

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BOARD ACTIVITY CONSUMERS APPLICANTS LICENSEES FORMS/PUBS

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BBS Requirements for Pre-Degree Hours for 2012 and After

From SJSU MS Clinical Student Handbook “The Board of Behavioral Sciences requires that students accrue a minimum of 150 hours of face-to-face counseling experience during the practicum experience (before graduation), a requirement that is typically met without difficulty in the normal course of the program. In addition, there are 75 required hours engaged in client centered advocacy or face-to-face experience counseling individuals, couples, families, or groups.” Note that the total is 225 hours. 75 hours can be client centered advocacy (CCA), but the other 150 hours must be face-to-face hours (individuals, couples, families, groups). If you have 225 hours face to face, that is great. If it is less, you can fill it with CCA, as long as you have the 150 hour minimum. Note, that as far as can be determined, supervisors may sign off on CCA at their discretion. This means, they may or may not endorse these. They MUST be signed off to hit the 225 hour pre-degree minimum to graduate. It may be helpful to discuss the BBS definition of CCA and the requirement for pre-degree hours.

From BBS

http://www.bbs.ca.gov/pdf/publications/mft_sup-exp_changes_sb33_faq.pdf

Client Centered Advocacy

What is client centered advocacy (CCA)?

CCA is defined in Business and Professions Code (BPC) Section 4980.34(h) as including, but not limited to “researching, identifying, and accessing resources, or other activities, related to obtaining or providing services and supports for clients or groups of clients receiving psychotherapy or counseling services.”

FAQ’s for Weekly Summary of Hours of Experience

& MFT Experience Verification Form

When completing these forms, be sure to complete all necessary fields. The Weekly Summary of Hours of Experience and the MFT Experience Verification form are the two forms used to document supervised work experience requirements.

1. How do I log/get credit for the conjoint couples and family incentive hours? When completing the Weekly Summary of Hours of Experience form and the MFT Experience Verification form, you will document the total couples, families and children hours gained on or after 1/1/2010 on the form item titled “Couples, families, and children.” In the subsection below, record the amount of actual conjoint couples and families hours. This subsection is only for recording purposes and will not affect your supervision requirements or increase your weekly totals. Please only document actual hours. Do not double count the hours on your forms. Once your application is received by the Board, those hours will be evaluated, and up to the first 150 hours of conjoint couples and family hours will be double counted to a maximum of 300 hours. For example: If Allison completed 10 couples, families and children hours, and 6 of those hours were conjoint couples and family, Allison would record 10 hours in the couples, families and children category and 6 hours below in the conjoint couples and family subsection.

2. If I have already gained conjoint couples and family hours before 1/1/2010, can I count those prior hours towards the incentive?

No. Only the first 150 hours of conjoint couples and family hours gained on or after 1/1/2010 will be double counted.

3. How do I know when to stop using the old forms and start using the new forms? For any hours gained on or after 1/1/2010 the Board of Behavioral Sciences (BBS) encourages all Trainees and Interns to start using the new Weekly Summary of Hours of Experience form and MFT Experience Verification form. Any hours gained prior to 1/1/2010 should be documented on the previous versions of the forms. The current version and prior version of the Weekly Summary of Hours of Experience and the MFT Experience Verification are available on the “Forms and Publications” section of the BBS Web site (http://www.bbs.ca.gov/forms.shtml).

http://www.bbs.ca.gov/forms.shtml�

4. Can I combine pre-degree and post-degree work experience on the same form? The BBS advises separating pre- and post-degree experience on separate Weekly Summary of Hours of Experience and MFT Experience Verification forms. As long as your application for Intern registration is submitted within 90 days of your degree conferral date, you may count experience gained during this time and log these as post-degree hours. If you do not submit your application within 90 days, you will not be able to count hours until your Intern registration number is issued.

5. Now that W-2s or a letter verifying volunteer status are required for MFT Interns, do I have to locate all past employers when I was employed before 1/1/2010 to get documentation?

No. Only Interns must submit a W-2 or letter from the employer verifying voluntary status for hours gained on or after 1/1/2010. This is not required for any hours gained before this date or for Trainees.

6. How do I fill out the forms if I have more than one supervisor in the same work setting?

If you are receiving supervision from two individuals in an employment setting, you can document this on separate forms. As long as the time periods on the two forms overlap and the employment setting is the same, the BBS will lump the experience and supervision together upon evaluation of the forms.

7. As a Trainee, can I count administering and evaluating psychological tests of counselees, writing clinical reports and progress and process notes?

Yes. Starting 1/1/2010 Trainees can now count these hours up to the maximum of 250 hours. Any hours gained as a Trainee in this category prior to 1/1/2010 will not be able to count.

FREQUENTLY ASKED QUESTIONS

CLIENT-CENTERED ADVOCACY FOR LICENSED MARRIAGE AND FAMILY THERAPY (LMFT) APPLICANTS

1) How has the law changed regarding gaining hours of client-centered advocacy experience for LMFT applicants?

The change in law limits the maximum amount of client centered advocacy that can be gained as experience for licensure to 500 hours.

Below is a summary of how the law has changed:

2) When does this law go into effect?

The new law becomes effective on January 1, 2012.

New Law

Effective January 1, 2012

1. No more than 1,000 hours of experience in the following areas: • Direct Supervisor

Contact; and, • Professional Enrichment

Activities

2. For hours gained on or after January 1, 2012, no more than 500 hours of experience in the following areas: • Administering/evaluating

psychological tests; • Writing clinical reports,

progress notes, and/or process notes; and,

• Client centered advocacy

Previous Law

1. No more than 1,250 hours of experience in the following areas: • Direct Supervisor

Contact; • Professional Enrichment

Activities; and, • Client Centered Advocacy

2. No more than 250 hours of

experience in the following areas: • Administering/evaluating

psychological tests; and, • Writing clinical reports,

progress notes, and/or process notes

3) Why was this law passed?

The law was passed due to concerns that applicants for LMFT licensure could potentially gain a large number of client centered advocacy hours to use toward the experience hours required for licensure. However, future clients, as well as the public, would be better protected if the applicants were gaining experience through a wider variety of training activities.

4) I’m an LMFT applicant with more than 500 client centered advocacy hours. What if I sent my application in to the Board before January 1, 2012 but I am waiting for the Board to review my application?

As long as the hours were gained prior to January 1, 2012, the new requirements do not apply to you.

5) I have more than 500 client centered advocacy hours. What if I send in my application after January 1, 2012?

If the hours were gained prior to January 1, 2012, then the requirements of the new law do not apply to you.

6) I have 750 hours of client centered advocacy. Of that amount, 700 hours were gained prior to January 1, 2012, and 50 hours were gained after January 1, 2012. Can I count all of those hours?

No. The 700 hours gained prior to January 1, 2012 would count. However, the 50 hours gained after January 1, 2012, are above and beyond the 500 hours allowed under the new law and will not count.

NEW OPTION FOR SUPERVISED EXPERIENCE CATEGORIES

AVAILABLE JANUARY 1, 2016

FOR LMFT AND LPCC APPLICANTS

A new streamlined option for the categories of supervised experience that can be claimed will be available effective January 1, 2016* for LMFT and LPCC applicants.

Hours gained after January 1, 2010 can now qualify under either Option 1 (new streamlined categories) or Option 2 (pre-existing categories), as described below. Applicants must fully qualify under Option 1 OR Option 2. There is no “mixing and matching” between the two categories.

Individuals who wish to qualify under Option 2 must submit an Application for Licensure and Examination postmarked no later than December 31, 2020. Otherwise the applicant must qualify under Option 1.

*Per Senate Bill 620, Chapter 262, Statutes of 2015

LMFT OPTION 1 (new streamlined categories)

Under the new option, the supervised work experience categories break down into just two overall types:

• Direct counseling experience (minimum 1,750 hours) o A minimum of 500 of the above hours must be gained diagnosing and

treating couples, families and children.

• Non-clinical experience (maximum 1,250 hours) o May consist of direct supervisor contact, administering and evaluating

psychological tests, writing clinical reports, writing progress or process notes, client centered advocacy, and workshops, seminars, training sessions, or conferences

LMFT OPTION 2 (pre-existing multiple categories)

a. Individual Psychotherapy (No minimum or maximum hours required) b. Couples, Families, and Children (Minimum 500 hours - up to 150 hours may be

double-counted) c. Group Therapy or Counseling (Maximum 500 hours) d. Telehealth Counseling (Maximum 375 hours) e. Workshops, seminars, training sessions, or conferences directly related to

marriage, family, and child counseling (Maximum 250 hours) f. Personal Psychotherapy Received (Maximum 100 hours, triple counted)

2010 & 2011 2012 & Later g. Administering and evaluating psychological tests of

counselees, writing clinical reports and progress or process notes

Max 250 hours Max 500 hours

combined h. Client-Centered Advocacy Max 1,250 hours

i. Direct Supervisor Contact Combined Max

1,250 hours Max 1,000

hours

LPCC OPTION 1* (new streamlined categories)

Under the new option, the supervised work experience categories break down into just two overall types:

• Direct counseling experience (Minimum 1,750 hours) o Must include minimum of 150 hours of clinical experience in a hospital or

community mental health setting

• Non-clinical experience (Maximum 1,250 hours) o May consist of direct supervisor contact, administering and evaluating

psychological tests, writing clinical reports, writing progress or process notes, client centered advocacy, and workshops, seminars, training sessions, or conferences

LPCC OPTION 2* (pre-existing multiple categories)

a. Direct Counseling with Individuals, Groups, Couples or Families (Minimum 1,750 hours)

b. Group Therapy or Counseling (Maximum 500 hours) c. Telehealth Counseling (Maximum 375 hours) d. Maximum 1,250 hours that include all of the following:

• Workshops, seminars, training sessions, or conferences directly related to professional clinical counseling (Maximum 250 hours)

• Administering and evaluating psychological tests of counselees, writing clinical reports and progress or process notes (Maximum 250 hours)

• Client-Centered Advocacy

• Direct Supervisor Contact

*NOTE FOR BOTH LPCC OPTIONS

A minimum of 500 hours of supervised experience working directly with couples, families, or children is required if the applicant wishes to assess or treat couples or families after being issued a LPCC license.

__________________

STATE OF CALIFORNIA – BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY Gavin Newsom, Governor

Board of Behavioral Sciences 1625 North Market Blvd., Suite S200, Sacramento, CA 95834

(916) 574-7830 www.bbs.ca.gov

LICENSED MARRIAGE AND FAMILY THERAPIST

IN-STATE EXPERIENCE VERIFICATION

OPTION 1 –STREAMLINED METHOD

This form is to be completed by the applicant’s California supervisor and submitted by the applicant with his or her Application for Licensure and Examination. All information on this form is subject to verification.

• Use this “Option 1” form to report hours under the streamlined method The hours • Use separate forms for pre-degree and post-degree experience reported on this

• Use separate forms for each supervisor and each employment setting form were earned • Ensure that the form is complete and correct prior to signing (mark one): • Provide an original signature and have the supervisor initial any changes Pre-Degree

Post-Degree • Do not submit Weekly Summary forms unless specifically requested

APPLICANT NAME: Last First Middle Associate Number

AMF

SUPERVISOR INFORMATION: Supervisor’s Last Name First Middle

Business Phone Email Address (OPTIONAL)

License Type License Number Date First Licensed*

• Physicians: Were you certified in Psychiatry by the American Board of Psychiatry and Neurology during the entire period of supervision? N/A No Yes: Date Certified: __________ Cert. #: ____________

• LPCCs: Did you meet the qualifications to treat couples and families during the entire period of supervision, as specified in California law? N/A No Yes: Date qualifications were met:

*If licensed in California for less than two years on the first date of experience claimed, provide out-of-state license information.

APPLICANT’S EMPLOYER INFORMATION: Name of Applicant’s Employer Business Phone

Address Number and Street City State Zip Code

37A-301 (Revised 01/2019) 1 of 2

www.bbs.ca.gov

Applicant: Last First Middle

EMPLOYER INFORMATION (continued):

1. Was this experience gained in a setting that lawfully and regularly provides mental health counseling or psychotherapy?

2. Was this experience gained in a private practice setting?

3. Was this experience gained in a setting that provided oversight to ensure that the applicant’s work meets the experience and supervision requirements and is within the scope of practice?

4. For hours gained as an Associate ONLY: Was the applicant receiving pay?

If YES, attach a copy of the applicant’s W-2 statement for each year experience is claimed. If a W-2 has not yet been issued for this year, attach a copy of the current paystub. If applicant volunteered, submit a letter from the employer verifying volunteer status.

EXPERIENCE INFORMATION:

Yes No

Yes

Yes

No

No

Yes

N/A

No

(pre-degree experience)

1. Dates of experience being claimed: From: __________________ mm/dd/yyyy

To: _____________________ mm/dd/yyyy

2. How many weeks of supervised experience are being claimed? __________ weeks

3. Hours of Experience: Logged Hours

a. Total Direct Counseling Experience (Minimum 1,750 hours)

• Of the above hours, how many were gained diagnosing and treating Couples, Families and Children? (Minimum 500 of the 1,750 hours)

b.Total Non-Clinical Experience (Maximum 1,250 hours)

• Of the above hours, how many were Face-to-Face Supervision? Hours Per Week Logged Hours

Individual or Triadic

Group (group contained no more than 8 persons)

NOTE: Knowingly providing false information or omitting pertinent information may be grounds for denial of the application. The Board may take disciplinary action on a licensee who helps an applicant obtain a license by fraud, deceit or misrepresentation.

Supervisor Signature: _______________________________________ Date: ______________

37A-301 (Revised 01/2019) 2 of 2



(916) 574-7830 www.bbs.ca.gov

LICENSED MARRIAGE AND FAMILY THERAPIST

IN-STATE EXPERIENCE VERIFICATION

OPTION 2 –MULTIPLE CATEGORY METHOD

This form is to be completed by the applicant’s California supervisor and submitted by the applicant with his or her Application for Licensure and Examination. All information on this form is subject to verification.

• Use this “Option 2” form for reporting hours under the multiple category method

• Use separate forms for pre-degree and post-degree experience

• Use separate forms for each supervisor and each employment setting The hours on this

• Make sure that the form is complete and correct prior to signing form were earned (mark one):

• Provide an original signature and have the supervisor initial any changes Pre-Degree

• For your hours to qualify under “Option 2,” your Application for Licensure and Post-Degree

Examination MUST be postmarked by December 31, 2020.

APPLICANT NAME: Last First Middle Associate Number

AMF

SUPERVISOR INFORMATION: Supervisor’s Last Name First Middle

License Type License Number Date First Licensed* Business Phone

• Physicians: Were you certified in Psychiatry by the American Board of Psychiatry and Neurology during the entire period of supervision? N/A No Yes: Date Certified: __________ Cert. #: ____________

• LPCCs: Did you meet the qualifications to treat couples and families during the entire period of supervision, as specified in California law? N/A No Yes: Date qualifications were met: __________________

*If licensed in California for less than two years on the first date of experience claimed, provide out-of-state license information.

APPLICANT’S EMPLOYER INFORMATION: Name of Applicant’s Employer Business Phone

Address Number and Street City State Zip Code

37A-302 (Revised 01/2019) 1 of 2

www.bbs.ca.gov

Applicant: Last First Middle

EMPLOYER INFORMATION (continued): 1. Was this experience gained in a setting that lawfully and regularly provides mental health Yes No

counseling or psychotherapy?

2. Was this experience gained in a private practice setting? Yes No

3. Was this experience gained in a setting that provided oversight to ensure that the applicant’s Yes No work meets the experience and supervision requirements and is within the scope of practice?

4. For hours gained as an Associate ONLY: Was the applicant receiving pay? Yes No If YES, attach a copy of the applicant’s W-2 statement for each year experience is claimed. N/A If a W-2 has not yet issued for this year, attach a copy of the current paystub. If applicant (pre-degree volunteered, submit a letter from the employer verifying volunteer status. experience)

EXPERIENCE INFORMATION:

1. Dates of experience being claimed: From: ___________________ mm/dd/yyyy

To: _____________________ mm/dd/yyyy

2. How many weeks of supervised experience are being claimed? __________ weeks

3. Show only those hours logged on the Weekly Summary of Experience Hours form*: Logged Hours

a. Individual Psychotherapy (No minimum or maximum hours required)

b. Couples, Families, and Children (Minimum 500 hours**)

• Of the hours recorded on line 3.b, how many actual hours were gained providing conjoint couples and family therapy?

c. Group Therapy or Counseling (Maximum 500 hours)

d. Telehealth Counseling (Maximum 375 hours)

e. Workshops, Seminars, Training sessions, or Conferences*** (Maximum 250 hours)

f. Administering and evaluating psychological tests of counselees, writing clinical reports and progress or process notes

g. Client-Centered Advocacy

4. Face-to-Face Supervision***: Hours Per Week Logged Hours

a. Individual or Triadic

b. Group (group contained no more than 8 persons)

NOTE: Knowingly providing false information or omitting pertinent information may be grounds for denial of the application. The Board may take disciplinary action on a licensee who helps an applicant obtain a license by fraud, deceit or misrepresentation.

Supervisor Signature: _____________________________________________ Date: ______________

* Do not submit your “Weekly Summary” forms unless specifically requested by the Board

** Up to 150 hours treating couples and families may be double-counted toward the 500 total required

*** These categories when combined with credited Personal Psychotherapy shall not exceed 1,000 hours

37A-302 (Revised 01/2019) 2 of 2

37A-525 (Revised 01/2019)



Telephone: (916) 574-7830 TTY: (800) 326-2297 www.bbs.ca.gov

MARRIAGE AND FAMILY THERAPIST TRAINEE / ASSOCIATE

WEEKLY SUMMARY OF EXPERIENCE HOURS

OPTION 1 – NEW STREAMLINED METHOD

Name of Trainee/Associate: Last First Middle

Supervisor Name Date enrolled in graduate degree program

Name of Work Setting (use a separate log for each) Address of Work Setting

Indicate your status when the hours below are logged: Trainee Post-Degree / Associate Application Pending - BBS File No (if known): ________________ Registered Associate - AMFT Number: _______________

YEAR __________ WEEK OF: Total Hours

A. Direct Counseling with Individuals, Groups, Couples or Families*

A1. Diagnosis and Treatment of Couples, Families, Children**

B. Non-Clinical Experience***

B1. Supervision, Individual or Triadic**

B2. Supervision, Group**

C. Total Hours Per Week (A + B = C) (Maximum 40 hours / week)

Su

perv

iso

r

Sig

natu

re

* Includes telehealth counseling.

** Line A1 is a sub-category of “A” and Lines B1 and B2 are subcategories of “B.” When totaling weekly hours do NOT include the subcategories - use the formula found in box “C.”

*** Non-Clinical Experience includes: Supervision, psychological testing, writing clinical reports, writing progress or process notes, client-centered advocacy, and workshops, seminars, training sessions or conferences.

37M-803 (Rev. 1/11)

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G. Brown Jr.



MARRIAGE AND FAMILY THERAPIST TRAINEE AND INTERN SUPERVISION INFORMATION

General Qualifications Licensed mental health professionals interested in providing supervision to Marriage and Family Therapists (MFT) Trainees and Interns must meet certain minimum qualifications in order to supervise. The qualifications differ depending on the license type of the potential supervisor. Listed below are the licensed mental health professionals authorized to supervise MFT Trainees and Interns and some of the general qualifications needed to provide supervision to a MFT Trainee or Intern. For further specific information, please review sections 1833 – 1833.2 of Title 16 of the California Code of Regulations. This information only applies to those supervising MFT Trainees and Interns. Marriage and Family Therapist – MFTs must possess

• a current and valid California license for at least two years prior to the commencement of supervision, • complete a 6-hour supervision training within 60 days of commencement of supervision and every renewal period

thereafter, • and practiced psychotherapy or provided direct supervision of ASWs, Marriage and Family Therapist (MFT) Trainees

or Interns who performed psychotherapy in two of the past five years immediately preceding the commencement of supervision.

Licensed Clinical Social Worker (LCSW) – LCSWs must possess

• a current and valid California license for at least two years prior to the commencement of supervision, • complete a 6 hour supervision training within 60 days of commencement of supervision and every renewal period

thereafter, • and practiced psychotherapy or provided direct supervision of ASWs, Marriage and Family Therapist (MFT) Trainees

or Interns who performed psychotherapy in two of the past five years immediately preceding the commencement of supervision.

Six Hour Supervision Training LCSWs and MFTs supervising MFT Trainees and Interns must complete a minimum of six hours of supervision training or coursework (usually one course) prior to commencement of supervision and every renewal period thereafter. MFT Trainee and Intern Supervised Experience Requirements The Board has several resources relating to the supervision and experience requirements, including:

BBS Home page – www.bbs.ca.gov Forms and Publications (download forms, FAQs, etc) - www.bbs.ca.gov/forms.shtml MFT Licensure Walk-Through (refresh your memory on the required steps to obtain licensure) -

www.bbs.ca.gov/app-reg/mft_part1.shtml Experience Calculators (use a pre-formatted spreadsheet to calculate information relating to experience

requirements) - www.bbs.ca.gov/app-reg/exp_calc.shtml Online License/Registration Verification (verify licenses and registrations instantly) - www.bbs.ca.gov/app-

reg/mft_part1.shtml BBS Subscriber List (stay up to date on the latest BBS related news and laws) -

www.bbs.ca.gov/quick_links/subscribe.shtml Board Meetings Calendar (check for meetings in your area; attend and be heard!) -

www.bbs.ca.gov/bd_activity/bd_mtgs.shtml Outreach Events (keep up on upcoming outreach events) - www.bbs.ca.gov/bd_activity/outreach.shtml

http://www.bbs.ca.gov/�

37A-523 (Revised 08/2018) 1

STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY Gavin Newsom, Governor


Telephone: (916) 574-7830 www.bbs.ca.gov

RESPONSIBILITY STATEMENT FOR SUPERVISORS OF A MARRIAGE AND FAMILY THERAPIST TRAINEE OR ASSOCIATE

Title 16, California Code of Regulations (16 CCR) section 1833.1 requires any qualified licensed mental health professional who assumes responsibility for providing supervision to those working toward licensure as a Licensed Marriage and Family Therapist to complete and sign, under penalty of perjury, the following statement prior to the commencement of any counseling or supervision, and to provide the associate or trainee with the original.

Name of MFT Trainee/Associate: Last First Middle

Name of Qualified Supervisor: Qualified Supervisor's Daytime Telephone Number:

As the supervisor: 1) I am licensed in California and have been so licensed for at least two years prior to commencing this supervision.

(16 CCR § 1833.1(a)(1) and Business and Professions Code (BPC) § 4980.03(g))

A. The license I hold is: Licensed Marriage and Family Therapist…………………..……….

License # Issue Date

Licensed Clinical Social Worker……………………………..……… License # Issue Date

*Licensed Professional Clinical Counselor…………………...…….License # Issue Date

**Licensed Psychologist…………………………………………...… License # Issue Date

**Physician certified in psychiatry by the American Board of Psychiatry and Neurology………………………………….………

License # Issue Date

***B. I have had sufficient experience, training, and education in marriage and family therapy to competently practice marriage and family therapy in California. (16 CCR § 1833.1(a)(2))

C. I will keep myself informed about developments in marriage and family therapy and in California law governing the practice of marriage and family therapy. (16 CCR § 1833.1(a)(3))

2) I have and maintain a current and valid license in good standing and will immediately notify any trainee orassociate under my supervision of any disciplinary action taken against my license, including revocation orsuspension, even if stayed, probation terms, inactive license status, or any lapse in licensure, that affects myability or right to supervise. (16 CCR § 1833.1(a)(1), (a)(4))

3) I have practiced psychotherapy or provided direct supervision of trainees, associates, associate clinical socialworkers, or associate professional clinical counselors who perform psychotherapy for at least two (2) years withinthe five (5) year period immediately preceding this supervision. (16 CCR § 1833.1(a)(5))

4) I have had sufficient experience, training, and education in the area of clinical supervision to competentlysupervise trainees or associates. (16 CCR § 1833.1(a)(6))

5) I have completed six (6) hours of supervision training or coursework within the renewal period immediatelypreceding this supervision, and must complete such coursework in each renewal period while supervising. If Ihave not completed such training or coursework, I will complete a minimum of six (6) hours of supervision trainingor coursework within sixty (60) days of the commencement of this supervision, and in each renewal period whileproviding supervision. (16 CCR § 1833.1(a)(6)(A)&(B))

* LPCCs must meet the requirements to assess and treat couples and families per BPC § 4999.20(a)(3) and 16 CCR § 1820.7** Psychologists and Physicians certified in psychiatry are not required to comply with #5.

*** Applies only to supervisors NOT licensed as a Marriage and Family Therapist.

http://www.bbs.ca.gov/

37A-523 (Revised 08/2018) 2

6) I know and understand the laws and regulations pertaining to both the supervision of trainees and associates and the experience required for licensure as a marriage and family therapist. (16 CCR § 1833.1(a)(7))

7) I shall ensure that the extent, kind, and quality of counseling performed is consistent with the education, training, and experience of the trainee or associate. (16 CCR § 1833.1(a)(8))

8) I shall monitor and evaluate the extent, kind, and quality of counseling performed by the trainee or associate by

direct observation, review of audio or video tapes of therapy, review of progress and process notes and other treatment records, or by any other means deemed appropriate. (16 CCR § 1833.1(a)(9))

9) I shall address with the trainee or associate the manner in which emergencies will be handled. (16 CCR § 1833.1(a)(10))

10) I agree not to provide supervision to a TRAINEE unless the trainee is a volunteer or employed in a setting that

meets all of the following: (A) lawfully and regularly provides mental health counseling or psychotherapy; (B) provides oversight to ensure that the trainee’s work at the setting meets the experience and supervision requirements and is within the scope of practice for the profession as defined in BPC section 4980.02; (C) is not a private practice owned by a licensed marriage and family therapist, a licensed professional clinical counselor, a licensed psychologist, a licensed clinical social worker, a licensed physician and surgeon, or a professional corporation of any of those licensed professions. (BPC § 4980.43(e)(1))

11) I agree not to provide supervision to an ASSOCIATE unless the associate is a volunteer or employed in a setting

that meets both of the following: (A) lawfully and regularly provides mental health counseling or psychotherapy; (B) provides oversight to ensure that the associate’s work at the setting meets the experience and supervision requirements and is within the scope of practice for the profession as defined in BPC section 4980.02. (BPC § 4980.43(f)(1))

12) If I am to provide supervision on a voluntary basis in a setting which is not a private practice, a written agreement will

be executed between myself and the organization in which the employer acknowledges that they are aware of the licensing requirements that must be met by the associate or trainee, they agree not to interfere with my legal and ethical obligations to ensure compliance with these requirements, and they agree to provide me with access to clinical records of the clients counseled by the associate or trainee. (16 CCR § 1833(b)(4))

13) I shall give at least (1) one week's prior written notice to a trainee or associate of my intent not to sign for any further

hours of experience for such person. If I have not provided such notice, I shall sign for hours of experience obtained in good faith where I actually provided the required supervision. (16 CCR § 1833.1(c))

14) I shall obtain from each trainee or associate for whom supervision will be provided, the name, address, and

telephone number of the trainee’s or associate’s most recent supervisor and employer. (16 CCR § 1833.1(d))

15) In any setting that is not a private practice, I shall evaluate the site(s) where a trainee or associate will be gaining hours of experience toward licensure and shall determine that: (1) the site(s) provides experience which is within the scope of practice of a marriage and family therapist; and (2) the experience is in compliance with the requirements set forth in 16 CCR section 1833 and section 4980.43 of the Code. (16 CCR § 1833.1(e))

16) Upon written request of the Board, I shall provide to the board any documentation which verifies my compliance with

the requirements set forth in 16 CCR section 1833.1. (16 CCR § 1833.1(f))

17) I shall provide the associate or trainee with the original of this signed statement prior to the commencement of any counseling or supervision. (16 CCR § 1833.1(b))

I declare under penalty of perjury under the laws of the State of California that I have read and understand the

foregoing, that I meet all criteria stated herein, and that the information submitted on this form is true and correct.

_______________________________________ _____________________________________________ ____________ Printed Name of Qualified Supervisor Signature of Qualified Supervisor Date

__________________________________________________________________________________________________________________________________

Mailing Address: Number and Street City State Zip Code

THE SUPERVISOR SHALL PROVIDE THE ASSOCIATE OR TRAINEE BEING SUPERVISED WITH THE ORIGINAL

OF THIS SIGNED STATEMENT PRIOR TO THE COMMENCEMENT OF ANY COUNSELING OR SUPERVISION.

THE TRAINEE OR ASSOCIATE SHALL SUBMIT THIS FORM TO THE BOARD UPON APPLICATION FOR LICENSURE.

Board of Behavioral Sciences LMFT Experience Information for Hours Gained on or after January 1, 2012

MIS

CELL

AN

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T CO

UN

SELI

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EXPERIENCE TYPE MINIMUMS AND MAXIMUMS NOTES

1. Individual Counseling or Psychotherapy (performed by you) No Minimum or Maximum No pre- or post-degree hours are required performing individual psychotherapy, though many people gain hundreds of hours in this area due to the limitations of other categories.

2. Couples, Family and Child Psychotherapy (performed by you) Minimum 500 hours May be completed pre- or post-degree or a combination of both. Up to 150 hours of conjoint couples and family therapy may be double-counted

3. Group Therapy or Counseling (performed by you) Maximum 500 hours May be completed pre- or post-degree or a combination of both.

4. Telehealth Counseling (performed by you) Maximum 375 hours May be completed pre- or post-degree or a combination of both.

NOTE - PRE-DEGREE HOURS: A maximum of 750 hours of clinical experience (1-4 above), including direct supervisor contact (7, 8, next page), can be counted pre-degree. EXAMPLE: A trainee earns 625 hours of clinical experience comprising a combination of categories 1, 2, 3 and 4. In addition, the trainee earns 125 hours of individual supervision pre-degree, for a total of 750 hours.

5. Non-Counseling Experience (A-C below) Maximum 1,000 hours combined Categories 5A and 5B have their own maximums within the 1,000 combined maximum.

A. Attending Workshops, Seminars, Training Sessions or Maximum 250 hours May be completed pre- or post-degree or a combination of both. Conferences

B. Personal Psychotherapy (received by you) Maximum Up to 100 hours may be earned. These hours are triple-counted by the Board 100 hours X 3 for a total of 300. Hours may be completed pre- or post-degree or a

combination of both.

C. Direct Supervisor Contact Maximum 1,000 hours Completed both pre- and post-degree. For more information see “Supervision” Minimum 52 weeks/hours section.

6. Administering and Evaluating Psychological Tests, Writing Maximum 500 hours May be completed pre- or post-degree or a combination of both. Clinical Reports, Progress Notes, or Process Notes, and Client Centered Advocacy

Revised 1/12

Board of Behavioral Sciences LMFT Experience Information for Hours Gained on or after January 1, 2012

Revised 1/12

EXPERIENCE TYPE MINIMUMS AND MAXIMUMS NOTES

SUPE

RVIS

ION

7. Supervision, Individual (One-on-One) Minimum 52 Weeks/Hours May be completed pre- or post-degree or a combination of both. Note: These may be non-consecutive weeks.

8. Supervision, Group No Minimum or Maximum No pre- or post-degree hours are required in this area. Not more than eight (8) supervisees are permitted per group. Must be provided in one two-hour session or two one-hour segments.

NOTE: A TOTAL MINIMUM of 104 hours/weeks of supervision is required. Persons gaining hours pre- or post-degree must have a minimum of one (1) hour of individual supervision, OR two (2) hours of group supervision during each week in which experience is claimed, for each work setting (see ratios required below). A maximum of five (5) hours of supervision may be credited per week.

SUPERVISION RATIOS REQUIRED FOR DIRECT COUNSELING EXPERIENCE

Ratio - Hours of Clinical Experience to Units of Supervision (One unit of supervision is equal to one (1) hour of individual or two (2) hours of group supervision)

Trainees: Minimum one (1) unit of supervision for every five (5) hours of

client contact in each setting

Post-degree: Minimum one (1) unit of supervision each week in each setting;

AND one additional unit during any week in which more than ten (10) hours of client

contact is gained in each setting

For trainees, ratios can be calculated based on the average number of hours gained over the entire period of time a trainee works in a particular setting.

Supervision ratios cannot be averaged for persons gaining hours post-degree.

For examples of how to apply supervision ratios, see “Answers to Most Frequently Asked Questions Relating to MFT Interns and Trainees.”

TOTA

LS

WEEKS OF EXPERIENCE REQUIRED Minimum 104 weeks Completed pre and post degree.

TOTAL HOURS OF EXPERIENCE REQUIRED

PRE-DEGREE Maximum 1,300 hrs

POST-DEGREE Minimum 1,700 hrs

1,300 maximum pre-degree hours = 750 maximum counseling and supervision (categories 1-4, 7, 8) + all remaining hours categories

TOTAL Minimum 3,000 hours

The information provided in this publication is general and intended to serve as a quick answer guide for common questions. The Statutes and Regulations Relating to the Practice of Professional Clinical Counseling, Marriage and Family Therapy, Educational Psychology, and Clinical Social Work contains the official legal code sections and language. The Board of Behavioral Sciences encourages you to thoroughly read the Statutes and Regulations and refer to it in cases that require official legal language.

Important

Answers to

Frequently

Asked

Questions

for Associate

Marriage

& Family

Therapists

& MFT Trainees

1625 N Market Blvd Suite S-200

Sacramento CA 95834

(916) 574-7830

TDD: (800) 326-2297

www.bbs.ca.gov

(Revised 01/2019)

STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY Gavin Newsom, Governor



Associate Marriage and Family Therapists and MFT Trainees

Frequently Asked Questions

The information provided in this publication is supplemental and is intended to serve as a quick answer guide for common questions for those pursuing licensure as a Licensed Marriage and Family Therapist. The Board’s Statutes and Regulations contain the official legal code sections and language. The BBS encourages you to thoroughly read the Statutes and Regulations pertaining to the marriage and family therapy profession. For information about the examination process and requirements for registered Associates, see the Board’s website.

A. TRAINEE FAQs

1. Am I required to register as a Trainee with the Board?....................................................... 4

2. What types of settings are Trainees allowed to work in? .................................................... 4

3. As a Trainee, when can I begin counting pre-degree hours of work experience?.................. 4

4. What types of hours can I count as a Trainee? ................................................................. 4

5. Are Trainees required to be enrolled in practicum in order to counsel clients?...................... 5

B. ASSOCIATE REGISTRATION; LAW AND ETHICS EXAM

6. Can I count hours of experience after I graduate but before I receive an Associate registration number? What is the “90-day rule”? .............................................................................. 5

7. When can I begin working in a private practice setting? ..................................................... 6

1 Revised 01/2019

http://www.bbs.ca.gov/http://www.bbs.ca.gov/pdf/publications/lawsregs.pdfhttp://www.bbs.ca.gov/pdf/publications/lawsregs.pdfhttp://www.bbs.ca.gov/http:www.bbs.ca.govhttp:www.bbs.ca.govhttp:www.bbs.ca.gov

8. Are there any limitations on working in a private practice? ................................................. 6

9. Now that my Associate registration has been issued, can I start practicing independently or open my own office?..................................................................................................... 6

10. When am I required to renew my Associate registration? ................................................. 6

11. Are Associates required to take an exam to renew? ........................................................ 6

12. What happens if I don’t pass the California Law and Ethics Exam?................................... 6

13. Where can I take the 12-hour California Law and Ethics course?...................................... 7

14. What happens if I haven’t passed the Law and Ethics Exam by my registration’s 6-year time limit? .................................................................................................................... 7

15. How do I obtain a second or third Associate registration number?..................................... 7

16. Can I work in a private practice under a subsequent Associate registration number?.......... 7

17. What happens once I pass the Law and Ethics Exam? .................................................... 7

C. EXPERIENCE HOURS, SUPERVISION & EMPLOYMENT

18. What is the breakdown for the required hours of experience to become a Licensed Marriage and Family Therapist (LMFT)?......................................................................... 8

19. What is triadic supervision?........................................................................................... 9

20. I’m gaining hours under Option 2.How do I log or get credit for the conjoint couples and family incentive hours? ................................................................................................. 9

21. What is the definition of “telehealth counseling”? ........................................................... 10

22. How many telehealth hours can I gain? ........................................................................ 10

23. How far back can experience hours be counted? What is the 6-year rule?...................... 10

24. How do I determine the amount of supervision I need each week? ................................. 11

25. What is the difference between the supervision requirements for MFT Trainees and Associates? ............................................................................................................... 11

26. What is the required ratio of supervision to client contact hours? .................................... 11

27. Can I be paid as a 1099 / independent contractor while a Trainee or Associate?.............. 12

28. Can I be employed as a volunteer?.............................................................................. 12

29. Who can supervise MFT Trainees or Associates? ......................................................... 12

30. How many supervisees can participate in a session of group supervision? ...................... 13

31. Can group supervision be broken into one-hour increments? ......................................... 13

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32. Can I receive supervision via videoconferencing or over the telephone?.......................... 13

33. Do my supervisor and I have to be employed by the same employer?............................. 13

34. Does my supervisor need to be on site? ....................................................................... 13

35. Where can I find more information about supervision? ................................................... 15

36. What forms must I use to record my experience hours and supervision? ......................... 15

37. Where do I record Personal Psychotherapy hours received under Option 2? ................... 15

38. Must I be under supervision while receiving Personal Psychotherapy?............................ 15

39. Do I need to report hours gained pre-degree separately from hours gained postdegree? .. 15

40. How do I fill out Experience Verification forms or Weekly Log forms if I have more than one supervisor in the same work setting? ..................................................................... 16

41. When do I need to send in supervision-related forms?................................................... 16

D. APPLYING FOR LICENSURE

42. Should I be concerned about abandonment of my Application for Licensure and Examination?............................................................................................................. 16

43. What type of employment documentation does the Board require with my Application for Licensure and Examination? ....................................................................................... 17

44. Do I need to send in originals of my W-2s or most recent pay stub?................................ 17

45. What additional coursework do I need to complete? ...................................................... 17

46. Do I need to take my additional coursework at a university? ........................................... 20

47. Is my additional coursework too old? Can the coursework be gained at the undergraduate level? .................................................................................................. 20

48. How can I provide verification of my experience if my supervisor is deceased or incapacitated?............................................................................................................ 20

49. Do I need to resubmit fingerprints with my Application for Licensure and Examination? .... 20

50. What happens once I submit my Application for Licensure and Examination? .................. 21

51. Do I need to maintain a current Associate registration number to participate in the clinical exam? ............................................................................................................ 21

52. Must I continue to have supervision after my experience hours have been approved? ...... 21

53. Once I pass my exams, can I start practicing independently? ......................................... 22

3

A. TRAINEE FAQs

(See section C for more information on supervised experience requirements for Trainees)

1. Am I required to register as a Trainee with the Board?

No, the Board does not register MFT Trainees.

2. What types of settings are Trainees allowed to work in?

Trainees are prohibited from working in a private practice setting. All other settings must comply with all of the following:

• The school in which the Trainee is enrolled must approve the site and have a written agreement with the site that details each party’s responsibilities.

• The setting must lawfully and regularly provide mental health counseling or psychotherapy.

• The setting must provide oversight to ensure that the Trainee’s work at the setting meets the experience and supervision requirements, and is within the scope of practice for the profession.

Statutes cited: Business and Professions Code (BPC) sections 4980.42 and 4980.43.3

3. As a Trainee, when can I begin counting pre-degree hours of work experience?

Trainees can only begin counting hours of experience if the student has completed a minimum of 12 semester or 18 quarter units of coursework in a qualifying MFT degree program, and is enrolled in a practicum course.

However, there is one exception for individuals who plain to gain their experience under “Option 2” (see page 8 for information on the two options). Personal psychotherapy hours may be counted beginning on the date you begin your degree program.

Statutes cited: BPC sections 4980.03 and 4980.43

4. What types of hours can I count as a Trainee?

A Trainee is permitted to earn a maximum of 1,300 hours of experience overall prior to the degree being awarded. Up to 750 hours of counseling (including diagnosing and treating couples, families and children, and individual or group psychotherapy) and supervision are permitted within the 1,300-hour maximum. The remaining 550 hours may only consist of non-clinical experience. For more information about supervised experience types and requirements, see section C.

Statute cited: BPC section 4980.43

4

5. Are Trainees required to be enrolled in practicum in order to counsel clients?

A Trainee may provide counseling while not enrolled in practicum if BOTH of the following are met:

• The period of time is less than 90 calendar days AND

• The 90-day (or shorter) period is immediately preceded by enrollment in practicum and immediately followed by enrollment in practicum (or completion of the degree program).

For example, if your practicum course ended on May 29, and you are not taking a summer practicum course, you may see clients for the next 90 days PROVIDED you are enrolled in another practicum course that starts by August 27, or you graduate by August 27.

If a Trainee’s practicum break is 90 days or greater, the Trainee cannot count any hours gained during that time period.


B. ASSOCIATE REGISTRATION; LAW AND ETHICS EXAM

6. Can I count hours of experience after I graduate but before I receive an Associate registration number? What is the “90-day rule”?

If the Board receives your application for an Associate registration within 90 days of your degree award date, and you are thereafter issued an Associate registration, all postdegree hours of supervised experience may be credited. Hours gained under this “90-day rule” must comply with all experience and supervision requirements in order to count toward licensure.

For applicants completing graduate study on or after January 1, 2020: Hours may only be accepted under the “90-day-rule” described above IF the hours are obtained at a workplace that, prior to the applicant gaining hours, required live scan fingerprinting. The applicant must provide documentation to the Board consisting of a copy of the processed “State of California Request for Live Scan Service” form. This form must be submitted with the application for licensure in order for the hours gained between graduation and registration issuance to be accepted. There are no exceptions.


5

7. When can I begin working in a private practice setting? 8. Are there any limitations on working in a private practice?

You may not work in a private practice until your Associate registration has been issued by the Board. You may work in private practice for a maximum of six (6) years, until your first Associate registration has met its maximum length. There are no exceptions.

Statutes cited: BPC sections 4980.43 and 4984.01; Regulation cited: Title 16, California Code of Regulations (CCR) section 1833

9. Now that my Associate registration has been issued, can I start practicing independently or open my own office?

No. Independent practice cannot begin until you have completed all licensure requirements and the Board issues you a license as a LMFT. Independent practice (or opening your own office) is considered unlicensed practice and is subject to disciplinary action by the Board. Additionally, you are prohibited from billing clients directly until you are licensed.

Statutes cited: BPC sections 4980, 4980.10 and 4982

10. When am I required to renew my Associate registration?

Registrations expire annually and have a total six (6)-year time limit. Your registration’s expiration date will be printed on your registration certificate. You will be mailed a courtesy renewal notice 90 days prior to your expiration date. The Board encourages renewing online because it takes effect instantly as long as all renewal requirements are met.


11. Are Associates required to take an exam to renew?

Yes. Associates who have not yet passed the LMFT California Law and Ethics Exam MUST have taken this exam during their renewal cycle in order to renew. There are no exceptions. To apply for the exam, download the exam application from the Board’s website and mail it in with the required fee. Allow 4-6 weeks for processing. See the FAQs about the Law and Ethics Exam for more information.


12. What happens if I don’t pass the California Law and Ethics Exam?

You do not need to pass the exam in order to renew your registration; you just need to have taken it. You may retake the exam after at least 90 days have passed from the date you last took the exam. The Application for Re-Examination is available on the Board’s website.

6

https://www.bbs.ca.gov/exams/https://www.bbs.ca.gov/pdf/publications/law_ethics_faq.pdfhttps://www.bbs.ca.gov/exams/

If you don’t pass the exam prior to your registration’s expiration date, you must complete a 12-hour course in California Law and Ethics before you will be allowed to retake the exam during your NEXT renewal cycle. You will not be allowed to retake the exam after your registration expires until you submit proof of course completion. See the FAQs about the Law and Ethics Exam for more information.

Statute cited: BPC section 4980.399; Regulation cited: Title 16, CCR section 1805.05

13. Where can I take the 12-hour California Law and Ethics course?

The course must be taken through a school that holds a regional or national institutional accreditation recognized by the U.S. Department of Education, a school approved by the California Bureau for Private Postsecondary Education, or an acceptable continuing education provider.


14. What happens if I haven’t passed the Law and Ethics Exam by my registration’s 6-year time limit?

California law permits a registration to be renewed a maximum of five (5) times before being cancelled. Associates may then apply for a subsequent (second or third) registration number. You cannot be issued a subsequent number unless you have passed the LMFT Law and Ethics Exam. There are no exceptions.


15. How do I obtain a second or third Associate registration number? 16. Can I work in a private practice under a subsequent Associate registration

number?

Download the AMFT Subsequent Registration application from the Board’s website and submit it with the required fee. Be sure to submit it in advance of your registration’s expiration date to allow time for processing. Only those who have been issued a first Associate registration number may work in a private practice. Associates issued a subsequent registration may NOT work in a private practice setting. There are no exceptions. All other work settings are permissible.


17. What happens once I pass the Law and Ethics Exam?

If you are still earning hours of supervised experience, you will continue as a registrant until you have completed your hours. No further exams are required until you apply for licensure. You may submit your Application for Licensure and Examination once you have met all education and experience requirements. Upon approval of your Application for Licensure and Examination, you will be required to take and pass the California Clinical LMFT Exam.


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https://www.bbs.ca.gov/pdf/publications/law_ethics_faq.pdfhttps://www.bbs.ca.gov/applicants/

C. EXPERIENCE HOURS, SUPERVISION AND EMPLOYMENT

18. What is the breakdown for the required hours of experience to become a Licensed Marriage and Family Therapist (LMFT)?

California law currently requires 3,000 hours of supervised professional experience, including 104 supervised weeks, in order to qualify for LMFT licensure.

Applicants have two different options for gaining supervised experience. Hours can qualify under either Option 1 (streamlined categories) or Option 2 (multiple categories) as described below.

Applicants must fully qualify under either Option 1 OR Option 2. There is no “mixing and matching” between the two categories. Individuals who wish to qualify under Option 2 must submit an Application for Licensure and Examination postmarked no later than December 31, 2020. Otherwise the applicant must fully qualify under Option 1.

OPTION 1 – STREAMLINED CATEGORIES Under Option 1, the supervised work experience categories break down into just two overall types:

• Direct counseling experience (Minimum 1,750 hours)

o A minimum of 500 of the above hours must be gained diagnosing and treating couples, families and children.

• Non-clinical experience (Maximum 1,250 hours)

o May consist of direct supervisor contact, administering and evaluating psychological tests, writing clinical reports, writing progress or process notes, client centered advocacy, and workshops, seminars, training sessions, or conferences directly related to marriage, family, and child counseling.

OPTION 2 – MULTIPLE CATEGORIES This option expires on December 31, 2020

A. Individual Psychotherapy (No minimum or maximum hours required)

B. Couples, Families, and Children (Minimum 500 hours - up to 150 may be double-counted)

C. Group Therapy or Counseling (Maximum 500 hours)

D. Telehealth Counseling (Maximum 375 hours)

E. Administering and evaluating psychological tests of counselees, writing clinical reports and progress or process notes; client-centered advocacy (Maximum 500 hours)

F. Workshops, seminars, training sessions, or conferences directly related to marriage, family, and child counseling (Maximum 250 hours*)

G. Personal Psychotherapy received (Maximum 100 hours, triple counted*)

H. Individual, Triadic and Group Supervision*

* Hours earned in categories F, G and H are limited to a total combined maximum of 1,000 hours

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IMPORTANT INFORMATION APPLICABLE TO BOTH OPTIONS

Limitations on Experience Hours: • Maximum 1,300 hours gained pre-degree

• Maximum 750 hours of counseling and direct supervisor contact gained pre-degree

• Maximum 40 hours of experience earned in any week between all settings

• Maximum six (6) hours of individual, triadic or group supervision in any week

104 Supervised Weeks Required: These 104 weeks must contain:

• One (1) hour of individual or triadic supervision, or two (2) hours of group supervision during any week in which experience is claimed

• 52 weeks in which the applicant received at least one (1) hour of individual or triadic supervision

An applicant for licensure cannot be approved to sit for the clinical exam without completing both the 3,000 hours of experience AND 104 supervised weeks.

Statutes cited: BPC sections 4980.43 and 4980.43.2; Regulation cited: Title 16 CCR section 1833

19. What is triadic supervision?

Triadic supervision is defined as face-to-face supervision consisting of one supervisor and two supervisees. It is counted under the law as equivalent to individual supervision.

Statute cited: BPC section 4980.43.2

20. I’m gaining hours under Option 2. How do I log or get credit for the conjoint couples and family incentive hours?

When completing Weekly Log forms and Experience Verification forms, document the total couples, families and children hours on the category titled “Couples, families, and children.” In the subsection below, record the amount of actual conjoint couples and families hours. This subsection is only for recording purposes and will not affect your supervision requirements or increase your weekly totals.

Only document actual hours. Do not double count the hours on your forms. Once your application is received by the Board, those hours will be evaluated, and up to the first 150 hours of conjoint couples and family hours will be double counted to a maximum of 300 hours.

For example: If you completed 10 couples, families and children hours, and 6 of those hours were conjoint couples and family, you would record 10 hours in the couples, families and children category and 6 hours below in the conjoint couples and family subsection.

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21. What is the definition of “telehealth counseling”? 22. How many telehealth hours can I gain?

Telehealth refers to the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site. Trainees and Associates are encouraged to familiarize themselves with the “Standards of Practice for Telehealth,” available in the Board’s Statutes and Regulations.

Experience Option 1: There is no limit on the number of telehealth hours.

Experience Option 2: Up to 375 hours of supervised experience may be gained providing personal psychotherapy, crisis counseling, or other counseling services via telehealth. This may include telephone counseling.

Statutes cited: BPC sections 2290.5 and 4980.43; Regulation cited: Title 16, CCR section 1815.5

23. How far back can experience hours be counted? What is the 6-year rule?

The Board cannot accept hours of experience (including personal psychotherapy and workshops, training or conferences) that are older than six (6) years from the date the Board receives your Application for Licensure and Examination. The only exception is up to 500 hours of supervised experience obtained as a Trainee while enrolled in practicum – these 500 hours can be older than six (6) years.

For example, the Board receives an Application for Licensure and Examination on 03/24/2018. The Board can only accept hours earned by this applicant between 03/24/2012 and 03/24/2018 (except that up to 500 counseling and supervision hours obtained while a Trainee will be accepted even if they are older than 03/24/2012).

It is important to note that if your Application for Licensure and Examination is abandoned, you will be required to re-apply. Your six-year period will be recalculated to six years back from the date your new application is received. For more information on abandonment, see question 42.


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http://www.bbs.ca.gov/pdf/publications/lawsregs.pdfhttp://www.bbs.ca.gov/pdf/publications/lawsregs.pdf

24. How do I determine the amount of supervision I need each week?

25. What is the difference between the supervision requirements for MFT Trainees

26. What is the required ratio of supervision to client contact hours?

“One unit” of supervision = one (1) hour of individual or triadic supervision OR two (2) hours of group supervision.

Trainees and Associates must receive at least one (1) unit of supervision, as defined

above, during any week in which experience is gained in each work setting. In addition:

Trainees: One (1) additional unit of supervision is required if the Trainee provides more

than five (5) hours of direct clinical counseling in a single week in a work setting.

Trainees must receive one (1) additional unit of supervision for every five (5) hours of

direct clinical counseling provided in a single week in a work setting.

Associates: If an Associate provides more than 10 hours of direct clinical counseling in

a single week in a work setting, the Associate must receive one (1) additional unit of

supervision in that setting.

The above supervision ratios only apply to direct clinical counseling hours (under Option

2, this includes Individual Psychotherapy; Couples, Family, and Children; Group

Psychotherapy; and Telemedicine/Telehealth Counseling).

Note that Trainees can calculate ratios based on the average number of hours gained

over the entire period of time a Trainee works in a particular setting. Supervision ratios

cannot be averaged for individuals gaining hours postdegree.

TRAINEE - EXAMPLE #1: A Trainee works one job and provides 16 hours of direct clinical counseling during a single week. This Trainee must receive four (4) units of supervision during that week.

TRAINEE - EXAMPLE #2: A Trainee works two jobs, and provides 4 hours of direct clinical counseling at Job A,

and 7 hours at Job B during a single week. This Trainee must receive three (3) units of

supervision during that week (one (1) unit at Job A and two (2) units at Job B).

ASSOCIATE - EXAMPLE #1: An Associate works one job and provides 25 hours of direct clinical counseling during a single week. This Associate must receive two (2) units of supervision during that week.

ASSOCIATE - EXAMPLE #2: An Associate works two jobs, and provides 12 hours of direct clinical counseling at Job A and nine (9) hours at Job B during the same week. This Associate is required to receive a total of three (3) units of supervision during that week (two (2) units at Job A and one (1) unit at Job B).

Statute cited: BPC section 4980.43.2

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27. Can I be paid as a 1099 / independent contractor while a Trainee or Associate? 28. Can I be employed as a volunteer?

All Associates and Trainees must either be a paid W-2 employee or a volunteer employee. Trainees and Associates may also not bill clients directly. There are limited circumstances under which you may be paid under a 1099. If you work as a volunteer in any setting other than a private practice, and receive reimbursement for expenses actually incurred, receiving a 1099 for those reimbursements is acceptable. If you have received a stipend or educational loan repayment from a program designed to encourage demographically underrepresented groups to enter the profession, or to improve recruitment and retention in underserved regions or settings, a 1099 for the stipend or loan repayment is acceptable. Those paid under a 1099 may be audited by the Board to ensure the payment was for one of the above purposes.

Statute cited: BPC section 4980.43.3; Regulation cited: Title 16, CCR section 1833

29. Who can supervise MFT Trainees or Associates?

Only licensed mental health professionals can supervise Trainees, Associates, and Associate applicants. Licensed mental health professionals include any of the following:

• Licensed Marriage and Family Therapists (LMFTs)

• Licensed Clinical Social Workers (LCSWs)

• Licensed Professional Clinical Counselors (LPCCs) (must have met education and experience requirements that allow the LPCC to treat couples and families)

• Licensed Clinical Psychologists

• Licensed Physicians certified in Psychiatry by the American Board of Psychiatry and Neurology

Additionally, the supervisor must meet all of the following:

• Maintain a current and active California license that is not under suspension or probation. (You can check your supervisor’s status any time here).

• Have been licensed in California or any other state for at least two (2) years out of the last five (5) years prior to the commencement of supervision.

• Have practiced psychotherapy during at least two (2) years out of the last five (5) years prior to the commencement of supervision OR

• Provided direct supervision to Marriage and Family Therapist Trainees, Associate Marriage and Family Therapists,

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