1. Batten Down the Hatches: Beyond 20/20 Panelists: Samuel T. Gladding, Ph.D., ACA/AASCB Past President Past Moderator for 20/20 Cirecie West-Olajunti, Ph.D., ACA President Oversight Committee Member to 20/20 William F. Green, MS, LRC, CRC, AASCB Past President Oversight Committee Member to 20/20

2. Our Voyage will… Provide a historical background of the 20/20: A Vision for the Future of Counseling process Describe the outcomes Discuss what is needed now to cross the “sea of “portability”

3. Historical Precedent: ACES 1988 St Louis Conference Three distinguished counselor educators (Garry Walz, George Gazda, & Bruce Shertzer) were asked to speak about the future of counseling. Their remarks were edited into an ERIC/CAPS publication entitled: The Future of Counseling.

4. Historical Precedent CSI 1998 CSI held a 1998 Conference where the following themes were identified: marketplace recognition, inter-professional issues, intra-professional issues, counselor education, research, and client/constituency wellness.

5. 20/20: The Future of Counseling Had to do with vision Had to do with the year 2020 Had to do with Counseling!

6. Beginning of 20/20: Time Line AASCB: February 17, 2005 memo from Barry Mascari to ACA to request the creation of a summit on counselor identity.

7. 20/20: A Breakfast Barry Mascari & Sam Gladding in 2005 at the ACA Conference in Atlanta shared breakfast (provided by David Kaplan) and started a conversation about the future of counseling where it was agreed in principle that AASCB and ACA would work together for the next three years to create unity within the profession of counseling. David Kaplan followed up on the meeting with notes.

8. October 2005 October 2005 ACA President Patricia Arredondo officially appoints David Kaplan to form a committee of as many counseling associations as are interested in exploring the future of the profession. 30 associations ultimately respond. Oversight Committee Formed Invitations to Associations extended

9. Structure of the 20/20 project Oversight Committee – Leadership from AASCB and ACA – Role: limited to the focus on process Organizational Delegate – Appointed by participating organization – Participating organizations – all major organizational stakeholders in the counseling profession – Role: Determine priorities, topics and tasks

10. 30 Participating Organizations AACE AADA AASCB ACA ACA MWR ACA NAR ACA SR ACA WR ACC ACCA ACEG ACES ALGBTIC AMCD AMHCA ARCA ASCA ASERVIC ASGW CACREP C-AHEAD CORE CRCC CSI CSJ IAAOC IAMFC NBCC NCDA NECA

11. January 2006 and April 2006 Phoenix and Montreal ACA – AASCB Summit Meetings - Initial delegates meeting - 29 different associations represented

12. Group Picture of Some of the Phoenix Delegates

13. Group Picture of Montreal Delegates

14. After Meetings 7 Work Groups Formed The Groups focused on: Strengthening Identity Presenting Ourselves as One Profession Improving Public Perception and Advocacy Creating Licensure Portability Expanding and Promoting Research Focusing Upon Students and Perspective Students Promoting Client Welfare and Advocacy

15. AASCB January 2007 Sarasota, FL A Town Hall Meeting on 20/20 at the AASCB Conference in Sarasota 15

16. ACA 2007 Detroit, MI Twenty-two Consensus Items Centered Around 7 Areas Strengthening identity Presenting ourselves as one profession 16

17. ACA 2007 Detroit, MI Improving public perception/recognition and advocating for professional issues Creating licensure portability

18. ACA 2007 Detroit, MI Expanding and promoting the research base of professional counseling Focusing on students and prospective students Promoting client welfare and advocacy

19. 20/20 Principles for Unifying and Strengthening the Profession I.Sharing a common professional identity is critical for counselors. II.Presenting ourselves as a unified profession has multiple benefits. III.Working together to improve the public perception of counseling and to advocate for professional issues will strengthen the profession. IV.Creating a portability system for licensure will benefit counselors and strengthen the counseling profession.

20. 20/20 Principles for Unifying and Strengthening the Profession V.Expanding and promoting our research base is essential to the efficacy of professional counselors and to the public perception of the profession. VI.Focusing on students and prospective students is necessary to ensure the ongoing health of the counseling profession. VII.Promoting client welfare and advocating for the populations we serve is a primary focus of the counseling profession.

21. 29 Organizational Endorsements AACE AADA AASCB ACA ACA MWR ACA NAR ACA SR ACA WR ACC ACCA ACEG ACES ALGBTIC AMCD AMHCA ARCA ASGW ASERVIC CACREP C-AHEAD CORE CRCC CSI CSJ IAAOC IAMFC NBCC NCDA NECA

22. ACA Charlotte 2009 ACA Pittsburg 2010 After a year of work using the Delphi Method, ACA Delegates reach agreement on a consensus definition for counseling. It is 21 words long.

23. 20/20 Consensus Definition of Counseling Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.

24. Building Blocks for Portability In September 2010, following completion of the consensus definition, the delegates were surveyed to identify next steps. Survey results: Focus on counselor license portability.

25. Summary of 20/20 Accomplishments by 2010 28 of 29 participating organizations endorsed the 20/20 Statement of Principles (ASCA) 29 of 31 participating organizations endorsed the 20/20 Consensus Definition of Counseling (ASCA, AMCD) The definition is showing up on independent websites, is being used in state advocacy efforts, and is appearing in textbooks. State licensure boards have been invited to promote the consensus definition and at least two have committed to doing so.

26. Portability Question was addressed using the Delphi Method

27. Building Blocks to the Portability Project Using the Delphi method, the commission’s task: Develop a consensus licensure title to recommend to all state licensing boards Develop a consensus scope of practice to recommend to all state licensing boards Develop consensus education requirements to recommend to all state licensing boards.

28. Subcommittees/ Task Groups: 1. Title – chaired by Dr. Burt Bertram 2. Educational Requirements – chaired by Dr. Carol Bobby 3. Scope of Practice – chaired by Dr. Perry Francis

29. Counselor Title and Education Requirements Important because The Institute of Medicine (IOM) specified that, from state-to-state, mental health professionals vary in amount and types of education, assurance of competencies in discipline-specific and core knowledge, and varying licensure and credentialing requirements ( IOM, 2006). – There is a severe mental health professional shortage in most states (HRSA, 2012).

30.  14 Counselor titles were generated by the delegates of the Licensure Title work group.  This number was 31 less that the number of titles utilized by our state Licensing Boards. Results of the Delphi study: At our San Francisco meeting prior to the March 2012 ACA Conference, the Licensure Title work group recommended, and by a vote, the delegates chose to accept the name or title as Licensed Professional Counselor (LPC). The vote was 22 yes, 2 no, and 0 abstentions.

31. 2. Educational Requirements  Credits vary from no credits specified (simply a masters degree) to 60 credits.  Some utilize the CACREP guidelines (1 state requires a CACREP degree), some include CORE, and other set their own coursework guidelines.  Supervised experience requirements vary from 500-4,500 hours.  There are over a half-dozen exams that can be used for licensure.

32. 2. Educational Requirements (cont.)  Initial Work:  65 items pertaining to Educational Requirements were generated  Top related items were related to CACREP Standards  The incorporation of evidence-based practices was also highly rated  Delphi Results (March 2012):  The delegates endorsed the concept that having a single educational accrediting body would be a clear benefit for the counseling profession.  Delphi Results (July 2012): 3 Recommendations

33. 2. Educational Requirements (cont.) Recommendation #1: Inclusion of graduation from a CACREP accredited mental health counseling or clinical mental health counseling program Recommendation #2: Development of grandparenting language to be applied to graduates of CORE accredited programs and graduates of other CACREP program areas for a limited time (e.g. 5 years). Language will include a minimum curriculum and clinical experience requirements Recommendation #3: Development of rules that could be applied to licensees in good standing, who graduated prior to CACREP’s existence or prior to their program accreditation, but due to a move must acquire a license in a new state of residence.

34. 3. Scope of Practice Delphi Results:  154 original items listed  No clear “top” criteria emerged  Content/frequency analysis of common activities listed in states’ scopes of practice (6 areas: populations served, primary purpose of counseling, assessment, consultation/program evaluation, supervision, limitations)

35. Delphi results: March 2013 The vote was 27 yes (96%), 1 no (4%) and 0 abstentions. The delegates requested that an attorney with expertise in state licensing laws create the narrative. This was completed with the assistance of the National Board for Certified Counselors, Inc (NBCC). The resulting final narrative is presented here; the 20/20 participating organizations are now being asked to approve it.

36. The independent practice of counseling encompasses the provision of professional counseling services to individuals, groups, families, couples and organizations through the application of accepted and established mental health counseling principles, methods, procedures and ethics. Counseling promotes mental health wellness, which includes the achievement of social, career, and emotional development across the lifespan, as well as preventing and treating mental disorders and providing crisis intervention. Counseling includes, but is not limited to, psychotherapy, diagnosis, evaluation, administration of assessments, tests and appraisals, referral and treatment of behavioral, emotional, addiction and mental disorders, and establishment of education and mental health treatment plans. Counseling encompasses consultation and program evaluation, program administration within and to schools and organizations, and training and supervision of interns, trainees, and pre-licensed professional counselors through accepted and established principles, methods, procedures, and ethics of counselor supervision. The practice of counseling does not include functions or practices that are not within the professional’s training or education.

37. So…where do we go from here? We have agreement on a)a consensus licensure title b)a consensus scope of practice We are developing consensus educational requirements But…we also have 50 states with unique statutes that regulate the counseling profession

38. Navigational Issues to be Addressed Reciprocity/portability Endorsement Distance counseling CORE/CACREP merger Interstate compacts State-by-state agreements National Credential Registry

39. 20/20 provides us with a nice yacht, but it’s no good just sitting at the marina… It is time to take it out for a sea trial! All hands on deck!!!!!

40. Let’s begin with some comments/questions…

41. Thanks for Your Attention… Enjoy the Conference!!!