1. Board Overview and Credentialing Al Greene Institute 2015

2. Today's Facilitators Mike Vannoy, LPC, LCAS, CCSMike Vannoy, LPC, LCAS, CCS Board MemberBoard Member Danny Graves, LCAS, CCS,Danny Graves, LCAS, CCS, Board MemberBoard Member

3. Training Objectives Board’s charter, history and composition Benefits of credentialing Credentials offered Credentialing process Credentialing requirements Questions and comments

4. Board Staff Barden Culbreth, Executive Director Katie Faulkner, Associate Director MaryBeth Rapp, Administrative Assistant Donna Strickland, Administrative Assistant E. Ann Christian, Legal Counsel to the Board

5. Contact Information Website:www.ncsappb.org Email:barden@recanc.com Phone:(919) 832-0975 Fax:(919) 833-5743

6. About the Board…… 25 members (11 elected – 14 appointed) Member board of the International Certification and Reciprocity Consortium (ICRC/AODA, Inc.) Quarterly meetings Annual meeting - NC Summer School, Wilmington

7. Board Officers Bert Wood, President Mt. Airy Helen Wolstenholme, Vice President Cary (Chair, Executive Committee) Carol Hoffman, Secretary Pinehurst Tony Beatty, Treasurer Charlotte

8. Board Members Western Region Tony Beatty, elected Danny Graves, appointed (Governor) Michael Vannoy, elected Flay J. Lee, elected Jane Peck, appointed (Nursing Board) Wrenn Rivenbark, elected

9. Board Members North Central Region Clyde Ebron, elected Fran Gordon, appointed (NBCC) Geri Miller, elected Lynn Inman, appointed (NCSAPPB) Mary Jane McGill, appointed (NAADAC) Laura Veach, elected Bert Wood, appointed (NCSAPPB)

10. Board Members South Central Region Bert Bennett, appointed (DHHS SAS) Worth Bolton, elected Carol Hoffman, elected Lynn Jones, appointed (DHHS SAS) Al Mooney, appointed (President Pro Tem) Helen Wolstenholme, appointed (NCSAPPB)

11. Board Members Eastern Region Johnny Bass, appointed (Speaker of the House) Lidia Bly-Herman, elected Cheryl Gentile, appointed (CRCC) Jessica Holton, appointed (NASW) Phil Mooring, elected Nora Noel, appointed (APA)

12. Historical Board Milestones August 1984 - Board became a duly chartered corporation 1994 - granted statutory status by N.C.G.S. 90-113.30, in order to: - Establish standards for professional practice in the alcoholism and addiction service delivery systems, - Provide a means by which individuals credentialed under these standards may be recognized and identified as possessing the necessary competencies as professionals in the field of alcoholism and addictions counseling, - Establish a means by which alcoholism and addiction professionals may demonstrate their integrity and credibility to the general public and to other health care professionals. August 1997 - legislation added the Certified Clinical Addictions Specialist (CCAS) and specifically established the Board as the sole credentialing body for North Carolina substance abuse professionals September 2005 - legislation mandated practice protection, established licensure and added another credential (CCJP)

13. Historical Board Milestones July 2008 – Senate Bill 2117 amended previous legislation to create the following necessary changes: –Oral examination replaced by a competency-based written examination to conform with standards adopted by the ICRC; –Terminology changed Clinical Addictions Specialist Intern to Provisional Licensed Addictions Specialist; –Several other minor changes related to definitions, Board composition and credentialing.

14. Why Become Credentialed? It’s the Law (SB 705 – September 2005) Professional Membership and Recognition Promotes Public Safety and Welfare Demonstrates Commitment to Professional Growth and Development Portability (in many cases)

15. Why Become Credentialed? International Certification and Reciprocity Consortium –Up to half of all substance abuse professionals in the US hold an ICRC credential –incorporated in 1981 –25 countries –boards are located in 48 states and territories –five Native American territories –all branches of the US military –45,000 credentialed addiction professionals Worldwide

16. Credentials Offered LCASLicensed Clinical Addictions Specialist (1,539) CCS Certified Clinical Supervisor (380) CSAC Certified Substance Abuse Counselor (673) CCJP Certified Criminal Justice Addictions Professional (113) CSAPC Certified Substance Abuse Prevention Consultant (79) CSARFDCertified Substance Abuse Residential Facility Director (3) * ( ) – Number of each credential in NC

17. ICRC Equivalents Alcohol & Drug Counselor (ADC = CSAC) Advanced Alcohol & Drug Counselor (AADC = LCAS) Clinical Supervisor (CS = CCS) Prevention Specialist (PS = CSAPC) Certified Criminal Justice Addictions Professional (CCJP = CCJP)

18. Across the state…….. Over 3,000 active credentials Over 1,880 individuals registered for certification or licensure And a number that is growing everyday is the LCASA---- Licensed Clinical Addiction Specialist Associate (387)

19. Where Do I Start? Create account in LearningBuilder, the online application portal Complete Application Supervision Contract Ethics Training/Code Pay Registration Fee Complete Requirements Examination Fee Pass Examination Ongoing Practice Supervision Contract* CSAC/LCAS 1 2 3

20. Common Credentialing Requirements Education –Formal (high school/GED, college, advanced) –Training (substance abuse specific) Experience –On-the-job work experience –Supervision by a CCS or CSI Demonstrating Competence –Passing a computerized competency-based examination

21. Twelve Core Functions Screening Intake Orientation Assessment Treatment Planning Counseling Case Management Crisis Intervention Client Education Record Keeping Referral Consultation

22. Addiction Counseling Competencies Eight Practice Dimensions –Clinical Evaluation –Treatment Planning –Referral –Service Coordination –Counseling –Client, Family and Community Education –Documentation –Professional and Ethical Responsibilities Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment TAP 21 www.samhsa.gov

23. Certified Substance Abuse Counselor CSAC

24. Education Documentation of high school diploma or GED, bachelor’s, or advanced degree 270 clock hours of Board-approved education / training –at least 190 hours substance abuse specific –up to 80 hours general skill building –must have 6 hours HIV/AIDS, STDs, blood- borne pathogens –must have 6 hours Ethics and 6 from Topics List

25. Admin Rules Approved Training Topic List Nicotine Dependence Psychopathology Evidence-Based Treatment Approaches Substance Abuse Issues In Older Adults Substance Abuse Issues Affecting Veterans

26. Experience Equivalent of three (3) years full time paid or volunteer supervised experience (6,000 hours) 300 hours of Supervised Practical Training –Minimum of 10 hours of supervised practical training in each of the 12 Core Functions (120 hours) –1 hour of supervision for every 10 hours of practice in each of the 12 Core Functions –Remaining 180 hours may be at supervisors discretion –May operate at 1 hour of supervision for every 40 hours of practice after successful completion of supervised practical training and supervisor’s recommendation –Supervision received by a CCS or CSI

27. Examination Computer Based Examination –Offered year round, at testing sites all over the country –150 questions –3 hour time limit

28. CSAC Biannual Recertification Requirements Contract for Practice Supervision –1:40hrs x 2yrs, 1:80hrs x 2yrs, 1:160hrs after 4yrs –Provided by CCS, CSI or LCAS 60 hours of approved continuing education –3 hours of HIV/AIDS, STDs, blood-borne pathogens –3 hours of Ethics –3 hours from Topic’s List Code of Conduct Agreement Payment of fee

29. Certified Clinical Supervisor CCS

30. Scope of Practice: The practice of a CCS is based on knowledge in the performance domains to supervise substance abuse professionals who work to treat, prevent, or reduce the conditions that place individuals at risk of developing addictive disorder or disease and help prevent relapse.

31. Certified Clinical Supervisor Why earn the CCS credential? A CCS is qualified to supervise credentialed substance abuse counselors and counselors who are pursuing a NCSAPPB credential. A CCS is also the only approved supervisor of a CCS applicant and those who have obtained the CSI (Clinical Supervisor Intern) status.

32. CCS Requirements Master’s degree in a human services field with a clinical application from a regionally accredited college or university Currently credentialed as a LCAS 4,000 hours (2 years) experience as a substance abuse clinical supervisor 30 hours of substance abuse clinical supervision specific education/training One reference from applicants’ current supervisor (must be a CCS) Two additional letters of reference IC/RC Computer based exam Payment of all fees

33. Certified Clinical Supervisor Q: What is a Clinical Supervisor Intern? A: A CSI is an applicant who has submitted: 1.An Application 2.Resume 3.Master’s Degree Transcript 4.Proof of LCAS Credentialing 5.Signed Code of Ethical Conduct 6.Documentation of 15 hours of clinical supervision specific training 7.Fingerprint and Authority for Release of Information (and prints have cleared the SBI and the Board’s Standards Committee) 8.Payment of Fees ($125 registration fee plus the $38 background check fee)

34. Certified Clinical Supervisor Q: I’m a CSI, now what? A: A Board designated CSI has 3 years to complete the application process, which involves: 1.Documentation of practice as a clinical supervisor intern 2.Reference from current CCS supervisor (documenting 4,000 hours work experience as a SA Clinical Supervisor) 3.Two references (one from a counselor that the CSI has actually supervised or other professional) 4.Documentation of completed education/training (30 hours total) 5.Payment of Fees ($125 Written Test Fee) 6.Pass the IC&RC computer based examination

35. Certified Clinical Supervisor Clinical Supervisor Interns MUST remain under the supervision of a CCS until they have earned their CCS credential This applies to all CSI designated applicants until they have successfully completed the CCS written exam

36. CCS Biannual Recertification Requirements 15 hours of approved continuing education –Must be substance abuse clinical supervision training Code of Conduct Agreement Payment of fee

37. Certified Criminal Justice Addictions Professional CCJP

38. Designed for addictions professionals who work in one of three settings: – Law Enforcement –Judiciary –Corrections Does not require an active caseload of clients

39. Eight Performance Domains Domain 1: Dynamics of Addiction and Criminal Behavior Domain 2: Legal, Ethical, and Professional Responsibility Domain 3: Criminal Justice System and Processes Domain 4: Clinical Evaluation: Screening & Assessment Domain 5: Treatment Planning Domain 6: Case Management, Monitoring & Participant Supervision Domain 7: Counseling Domain 8: Documentation

40. Education Documentation of high school diploma or GED, bachelor’s or advanced degree 270 hours specific to performance domains –180 hours if the applicant has a master’s degree or higher in a human services field 6 hours HIV/AIDS, STDs, blood-borne pathogens 6 hours Ethics 6 hours from Topic’s List

41. Experience Paid or voluntary professional experience providing direct service to individuals involved in the criminal justice system. –High School/GED- 6,000 hrs (3 years) –AA/AS- 5,000 hrs (2.5 years) –BA/BS- 4,000 hrs (2 years) –MA/MS- 2,000 hrs (1 year) –Master’s Level with other advanced SA credential (NBCC, NASW, MAC, etc) - 1,000 hrs (6 months)

42. Experience 300 Hours of Supervised Practical Training At least 10 hours of supervision in each of the eight Performance Domains Supervision must be received by either a CCS or CSI

43. Examination 150 question IC&RC computerized examination –Domain 1: Dynamics of Addiction and Criminal Behavior (17%) –Domain 2: Legal, Ethical, and Professional Responsibility (12%) –Domain 3: Criminal Justice System and Processes(12% ) –Domain 4: Clinical Evaluation: Screening & Assessment (14%) –Domain 5: Treatment Planning (11%) –Domain 6: Case Management, Monitoring and Supervision(10%) –Domain 7: Counseling: (16%) –Domain 8: Documentation: (8%)

44. CCJP Biannual Renewal Requirements Contract for Practice Supervision (1:40) –Provided by CCS, CSI or LCAS 60 hours of approved continuing education –3 hours of HIV/AIDS, STDs, blood-borne pathogens –3 hours of Ethics –3 hours from Topic’s List Code of Conduct Agreement Payment of renewal fee

45. Certified Substance Abuse Prevention Consultant CSAPC

46. Performance Domains Planning and Evaluation Education and Skill Development Community Organization Public and Organizational Policy Professional Growth and Responsibility

47. Education 270 hours of education / training –170 hours in the area primary prevention –100 hours must be substance abuse specific: Dynamics of Addiction, Relapse Prevention, etc. (must be approved by NCSAPPB) –6 hours HIV/AIDS, STDs, blood-borne pathogens –6 hours Ethics –6 hours from Topic’s List All hours must be in the Performance Domains

48. Experience 5 years of full-time experience –2 years of full-time experience for bachelor’s degree or higher 300 hours of Supervised Practical Training –minimum of 10 hours of supervised practical training in each performance domains –supervision must be provided by a CCS, CSI or a CSAPC with a minimum of three years of professional experience

49. Examination 150 question IC&RC computerized examination –Domain 1: Planning and Evaluation (30%) –Domain 2: Prevention Education and Service Delivery(15%) –Domain 3: Communication (13%) –Domain 4: Community Organization (15%) –Domain 5: Public Policy and Environmental Change (12%) –Domain 6: Professional Growth and Responsibility (15%)

50. CSAPC Biannual Renewal Requirements 40 hours of approved continuing education –3 hours of HIV/AIDS, STDs, blood-borne pathogens –3 hours of Ethics –3 hours from Topic’s List Code of Conduct Agreement Payment of renewal fee

51. Certified Substance Abuse Residential Facility Director CSARFD

52. Requirements Applicant must hold the CSAC or LCAS 50 hours of NCSAPPB approved academic/didactic management specific training Two positive recommendations from a supervisor and co-worker Completion of Application Payment of all fees ($125 registration fee, $125 credentialing fee, $38 background check fee)

53. CSARFD Biannual Renewal Requirements 10 hours of substance abuse specific education Code of Conduct Agreement Payment of renewal fee

54. Licensed Clinical Addictions Specialist LCAS

55. Criteria A (Related Master’s) Master’s Degree with a clinical application in human service field from a regionally accredited university 2 years post-graduate experience (4,000 hours) 3 References from LCAS or CSAC with Master’s degree 300 hour supervised SA practical training Passing score on exam 180 hours substance abuse specific training 6-HIV 6-Ethics 6-Topic’s List 6-Clinical Supervision Attestation to adhere to ethical code of NCSAPPB Not under disciplinary review Payment of fees

56. Criteria B (Previously Certified) Master’s Degree with a clinical application in human service field from a regionally accredited university Current certification as a CSAC 3 references from LCAS or CSAC with Master’s degree Passing score on exam Attestation to adhere to ethical code of NCSAPPB Not under disciplinary review Payment of fees

57. Criteria C (Master’s w/SA Specialty) Master’s Degree in human service field with substance abuse specialty from a pre- approved regionally accredited university that includes 180 SAS hours 1 year post-graduate experience (2,000 hours) 3 references from LCAS or CSAC with Master’s degree Passing score on exam Attestation to adhere to ethical code of NCSAPPB Not under disciplinary review Payment of fees

58. Approved School Curriculums Disclaimer: Some of these schools offer a stand alone addictions certificate in addition to their approved Criteria C Master’s Degree programs. Completion of these certificates does not allow applicants with previously attained non-Criteria C schools to then qualify for Criteria C.

59. Approved School Curriculums NC A&T University—Master of Science in Mental Health Counseling—Clinical Substance Abuse Elective program offered via the Counseling Department, Rehabilitation Studies Appalachian State University—Master’s Degree in Clinical Mental Health Counseling program offered by the Department of Human Development and Psychological Counseling East Carolina University—Master’s degree in Substance Abuse and Rehab Counseling program offered through the Department of Addictions and Rehabilitation Studies East Carolina University—Master of Social Work Substance Abuse Certificate program offered through the School of Social Work Fayetteville State University—Master of Social Work with a Graduate Certificate in Substance Abuse Studies program offered through the Department of Social Work UNC Charlotte—Master of Counseling with a Graduate Certificate in Substance Abuse Counseling program offered by the Counseling Department UNC Wilmington—Master’s in Psychology with the Substance Abuse Treatment Psychology Concentration program via the Department of Psychology WCU—Masters in Clinical Mental Health Counseling Substance Abuse Studies Certificate program offered by the Department of Human Services WCU—Masters in Social Work Substance Abuse Studies Certificate program offered by the Department of Social Work UNC—Master’s in Social Work with a Certificate Program in Substance Abuse Studies offered by the School of Social Work

60. Criteria D (Deemed Status) Be a member of a professional discipline granted deemed status by the Board Be licensed, certified or recognized by that discipline as having met the standards of a substance abuse specialist Hold a substance abuse certification from that professional discipline which has been granted deemed status by the NCSAPPB Payment of fees

61. Deemed Status Organizations International Nurses Society on Addictions (CARN-AP) National Board of Certified Counselors (LPC-MAC) National Association for Addiction Professionals (NAADAC- MAC) National Association of Social Workers (NASW-ATOD) American Psychological Association (Certificate of Proficiency) Commission on Rehabilitation Counselor Certification (MAC)

62. LCAS Biannual Recertification Requirements 40 hours of approved continuing education –3 hours of HIV/AIDS, STDs, blood-borne pathogens –3 hours of Ethics, 3 hours from the Topic’s List Code of Conduct Agreement Payment of fee