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Keeping Up With The Counseling Profession: Current Issues on the National Level

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Presentation on theme: "Keeping Up With The Counseling Profession: Current Issues on the National Level"— Presentation transcript:

1 Keeping Up With The Counseling Profession: Current Issues on the National Level

2 David Kaplan ACA Chief Professional Officer Art Terrazas ACA Director of Government Affairs aterrazas 2014 ACA Conference


4 Things we might talk about Professional Identity Counselor Education Accreditation Key legislation Practice Issues Ethical Issues

5 Things we might talk about Professional Identity Counselor Education Accreditation Key legislation Practice Issues Ethical Issues

6 Dr. William Glasser 1925-2013

7 Professional Identity

8 20/20: A Vision for the Future of Counseling

9 The 20/20 consensus definition of counseling

10 Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.

11 The 20/20 Building Blocks to Portability Project

12 Building Blocks to Portability The task was to develop: A consensus licensure title to recommend to all state licensing boards A consensus scope of practice to recommend to all state licensing boards Consensus education requirements to recommend to all state licensing boards

13 The delegates reached consensus on the licensure title!

14 Licensed Professional Counselor

15 And the Scope of Practice! future-of-counseling/current-activities Open the sample endorsement letter future-of-counseling/current-activities

16 Some Key Elements Individual, group, couples, & family counseling Promote mental health wellness, development across the lifespan, crisis intervention and the diagnosis and treatment of mental disorders Consultation and program evaluation Supervision Ability to practice independently

17 TWO OUT OF THREE AIN’T BAD! What about the licensure education requirements?

18 Where does 20/20 go from here?

19 Counselor Education Accreditation

20 The next CACREP standards revision has begun Slated for 2016

21 More evolutionary than revolutionary “Clarify, Simplify, and Unify”

22 Three significant proposals By July 2020, all entry-level programs, including: – career counseling – school counseling – postsecondary counseling be comprised of 60 credit hours

23 Clinical Rehabilitation Counseling added as a specialty Student Affairs and College Counseling specialty becomes Postsecondary Counseling

24 Important accreditation news CACREP and CORE have become corporate affiliates CORE will jointly implement the new CACREP Clinical Rehabilitation Counseling specialty

25 Alternative Counselor Education Credentialing

26 Masters in Counseling Accreditation Council (MCAC)

27 Initial MCAC programs U of Albany - mental health counseling U of Massachusetts - mental health counseling & school counseling U of Missouri – counseling & guidance U of Wisconsin – community counseling

28 THE COUNSELING PSYCHOLOGIST VOL. 41, NO. 5, JULY 2013 Psychology & counselor education accreditation

29 Articles Quality of Master’s Education: A Concern for Counseling Psychology? Looking to the Future – The role of Master’s Programs in Counseling Psychology Integrating Master’s Education in Counseling Psychology for Quality, Viability, and Value Added Legitimizing and Reclaiming Master’s Training and Education in Counseling Psychology: An Urgent Concern

30 Contributing to the ambivalent relationship of counseling psychology to masters training… -Jackson & Scheel, p.676

31 In some situations, the master’s training programs were developed …to help fund the doctoral training program. -Palmer, p.703

32 In some cases, master’s programs help pay the bills for doctoral education…in difficult economic times, counseling psychology doctoral programs without master’s programs may be easier to cut -Jackson & Scheel, p. 687 & 688

33 To maintain CACREP accreditation when budget cuts are required, deans and other administrators…may prioritize master’s over doctoral programs since master’s training is less expensive than doctoral training. -Jackson & Scheel, p.682

34 …such developments do threaten counseling psychology programs… -Jackson & Scheel, p.682

35 The new MCAC accreditation standards may serve to promote a new direction for counseling master’s education…consistent with core values and contributions of counseling psychology -Jackson & Scheel, p. 681

36 It is questionable…whether we will be able to avert eventual professional annihilation…as a profession we are experiencing THE RECKONING -Palmer, p. 701 & 704

37 Legislative Issues

38 VA hiring of LPCs TRICARE certification of mental health counselors Medicare coverage of LPCs Federal education spending “Religious freedom of expression” legislation Major Issues We’re Following

39 On the VA-ACA Has… Written to VA Secretary Eric Shinseki, and met repeatedly with multiple VA staff Met with White House staff Met with members of Congress, and worked with them to draft letters to the VA Our goals: Our goals:   Encourage passage of S. 1982, which includes a provision to open up VA paid traineeships to counselors   Have VA central office light a fire under local VA directors to hire more counselors

40 VA & counselors: What you can do Check if you’re curious about VA positions. If (surprise!) you find one not open to counselors, contact the HR person to ask that it be opened to counselors, and copy us Contact your Senators and ask that they 1) Vote for S. 1982 and 2) write to the VA to direct them to: – –Broaden the eligibility criteria for LPMHC positions, and instruct VA facilities to open more positions to counselors Share copies with/direct Q’s to Art Terrazas at

41 now through 2014 TRICARE requirements: now through 2014 Licensed counselors must: have a master's or higher-level degree “from a mental health counseling program of education and training* and either – Pass the NCE or NCMHCE (for CACREP-accredited degrees) OR – Pass the NCMHCE (for regionally-accredited degrees) have 2 years/3,000 hours of supervised clinical practice, "provided by a mental health counselor” * For at least CACREP degrees, this is interpreted by DoD to mean only degrees with the title of “mental health counseling” or “clinical mental health counseling”

42 beginning 2015 TRICARE independent practice requirements: beginning 2015 Licensed counselors must: have a CACREP degree pass the NCMHCE same 2 years/3,000 hours of supervision as previous slide Independent practice only. Practice under physician referral and supervision will no longer be allowed.

43 TRICARE Mental Health Counselor Certification Requirements: Possible Barriers  Having a degree title other than “mental health counseling” or “clinical mental health counseling”  Not having passed the NCMCHE  Not having 2 years/3,000 hours of supervision under a licensed professional counselor (not psychologist, social worker, etc.)  Not having a CACREP-accredited degree

44 Comparing the federal standards AgencyMaster’s degree…ExamSupervision Dept. of Veterans Affairs …in mental health counseling or related field from CACREP program, Ph.D. not recognized -- TRICARE (after 2014) …from a mental health counseling program of education and training accredited by CACREP NCMHCE2 years/3,000 hrs, 100 hrs face- to-face, meets AMHCA guidelines Army SAP…in counseling from a program accredited by CACREP NCMHCE-- Medicare bill (S. 562 & HR. 3662) In mental health counseling or a related field -- 2 years post- master’s

45 Medicare and Counselors For the first time since 2009, we have TWO Bills! S. 562 and HR.3662 call for Medicare to reimburse Licensed Professional Counselors. We need you to call your Senators and Representatives to ask them to support these bills!

46 Our best hope: Our best hope: getting a lot of cosponsors on S. 562 & HR. 3662, to build momentum for passage.

47 Affordable Care Act – Provider Non-Discrimination Provision takes effect January 1, 2014 “Sec. 2706. * Non-Discrimination in Health Care. (a) P ROVIDERS.—A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider’s license or certification under applicable State law. This section shall not require that a group health plan or health insurance issuer contract with any health care provider willing to abide by the terms and conditions for participation established by the plan or issuer. Nothing in this section shall be construed as preventing a group health plan, a health insurance issuer, or the Secretary from establishing varying reimbursement rates based on quality or performance measures.” * of the Public Health Service Act

48 “Freedom of religion” Legislation Arizona Bill S.B. 1062 – AZ Branch Grassroots Effort – Coalition building – ACA President urged a veto What was the result? A veto by the Governor whose staff actually helped craft the bill!!!

49 Practice Issues

50 DSM-5 Licensed counselors eligible for participation in DSM field trials for the first time

51 Current DSM-5 Issues Adjusting to the disappearance of the multiaxial system Vague wording has increased confusion Autism as a spectrum Expanding criterion into the normal range

52 Current DSM-5 Issues Adjusting to the disappearance of the multiaxial system Vague wording has increased confusion Autism as a spectrum Expanding criterion into the normal range

53 DSM-5 Tools ACA Webinars ( DSM-5: Navigating the New Terrain (6 hours) DSM-5 Specifics, Drilling Down With the New Diagnostic Tools (2 hours) ACA Book ( *DSM-5 Learning Companion for Counselors

54 New HIPPA Regulation Extending HIPPA to billing services, document storage companies & other business associates Clients can now request health records in electronic form Mitigating and informing clients about security breaches

55 Ethical Issues

56 The 2014 ACA Code of Ethics

57 Who is on the ERTF? Jeannette Baca Janelle Disney Perry Francis (Chair) Gary Goodnough Mary Hermann Shannon Hodges Lynn Linde Linda Shaw Shawn Spurgeon Richard Watts Michelle Wade Erin Martz (ACA staff) David Kaplan (ACA staff)

58 Timeline highlights Task force appointed Summer of 2011 Initial call for member input Fall 2011 Draft composed April 2012-2013 Call for draft feedback May 2013 Draft revised based on input June-December 2013 Final draft presented to ACA Governing Council March 2014

59 Driving Forces Raising the Bar Counselor personal values Social media & distance counseling 59

60 Getting up to speed on the 2014 ACA Code of Ethics ERTF session on the 2014 ACA Code of Ethics 10:00am-11:30am tomorrow (Saturday) Room 313C 60

61 ACA Knowledge Center 2014 ethics code resources Conference presentations Podcast Webinar series Interview series Books The code itself 61

62 How ACA can help you keep up with current national issues ACA Connect Read Counseling Today Read CT online Read ACA e-News Subscribe to the ACA blogs Visit affairs/ affairs/public-policy

63 Visit the ACA Facebook page Follow ACA on Twitter!/CounselingViews!/CounselingViews Subscribe to counseling listservs (cesnet, counsgrads, icn, etc.) Use Google alerts Ask Art or David

64 Let’s schmooze!

65 Keeping Up With The Counseling Profession: Current Issues on the National Level

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