Proposed Text
Part I
General Provisions
18VAC140-20-10. Definitions.
A. The following words and terms when used in this chapter shall have the meanings ascribed to them in § 54.1-3700 of the Code of Virginia:
Board
Casework
Casework management and supportive services
Clinical social worker
Practice of social work
Social worker
B. The following words and terms when used in this chapter shall have the following meanings unless the context clearly indicates otherwise:
"Accredited school of social work" means a school of social work accredited by the Council on Social Work Education.
"Active practice" means post-licensure practice at the level of licensure for which an applicant is seeking licensure in Virginia and shall include at least 360 hours of practice in a 12-month period.
"Ancillary services" means activities such as case management, recordkeeping, referral, and coordination of services.
"Clinical course of study" means graduate course work that includes specialized advanced courses in human behavior and the social environment, social justice and policy, psychopathology, and diversity issues; research; clinical practice with individuals, families, and groups; and a clinical practicum that focuses on diagnostic, prevention, and treatment services.
"Clinical social work services" include means
the application of social work principles and methods in performing assessments
and diagnoses based on a recognized manual of mental and emotional disorders or
recognized system of problem definition, preventive and early intervention
services, and treatment services, including psychosocial interventions,
psychotherapy, and counseling for mental disorders, substance abuse, marriage
and family dysfunction, and problems caused by social and psychological stress
or health impairment.
"Exempt practice" is that which means
practice that meets the conditions of exemption from the requirements of
licensure as defined in § 54.1-3701 of the Code of Virginia.
"Face-to-face supervision" means the physical
presence of the individuals involved in the supervisory relationship during
either individual or group supervision or the physical presence of the
supervisee and a client or the use of technology that provides real-time,
visual contact among the individuals involved.
"Nonexempt practice" is that which means
practice that does not meet the conditions of exemption from the
requirements of licensure as defined in § 54.1-3701 of the Code of Virginia.
"Supervisee" means an individual who has submitted a supervisory contract and has received board approval to provide clinical services in social work under supervision.
"Supervision" means a professional relationship between a supervisor and supervisee in which the supervisor directs, monitors, and evaluates the supervisee's social work practice while promoting development of the supervisee's knowledge, skills, and abilities to provide social work services in an ethical and competent manner.
18VAC140-20-50. Experience requirements for a licensed clinical social worker.
A. Supervised experience. Supervised post-master's degree experience without prior written board approval will not be accepted toward licensure, except supervision obtained in another United States jurisdiction may be accepted if it met the requirements of that jurisdiction.
1. Registration. An individual who proposes to obtain supervised post-master's degree experience in Virginia shall, prior to the onset of such supervision, or whenever there is an addition or change of supervised practice, supervisor, clinical social work services, or location:
a. Register on a form provided by the board and completed by the supervisor and the supervised individual; and
b. Pay the registration of supervision fee set forth in 18VAC140-20-30.
2. Hours. The applicant shall have completed a minimum of 3,000 hours of supervised post-master's degree experience in the delivery of clinical social work services and in ancillary services that support such delivery. A minimum of one hour and a maximum of four hours of face-to-face supervision shall be provided per 40 hours of work experience for a total of at least 100 hours. No more than 50 of the 100 hours may be obtained in group supervision, nor shall there be more than six persons being supervised in a group unless approved in advance by the board. The board may consider alternatives to face-to-face supervision if the applicant can demonstrate an undue burden due to hardship, disability, or geography.
a. Supervised experience shall be acquired in no less than two nor more than four consecutive years.
b. Supervisees shall obtain throughout their hours of supervision a minimum of 1,380 hours of supervised experience in face-to-face client contact in the delivery of clinical social work services. The remaining hours may be spent in ancillary services supporting the delivery of clinical social work services.
3. An individual who does not complete the supervision requirement after four consecutive years of supervised experience may request an extension of up to 12 months. The request for an extension shall include evidence that demonstrates extenuating circumstances that prevented completion of the supervised experience within four consecutive years.
B. Requirements for supervisors.
1. The supervisor shall hold an active, unrestricted license as a licensed clinical social worker in the jurisdiction in which the clinical services are being rendered with at least two years of post-licensure clinical social work experience. The board may consider supervisors with commensurate qualifications if the applicant can demonstrate an undue burden due to geography or disability or if supervision was obtained in another United States jurisdiction.
2. The supervisor shall have received professional training in
supervision, consisting of a three credit-hour graduate course in supervision
or at least 14 12 hours of continuing education offered by a
provider approved under 18VAC140-20-105. The graduate course or hours of
continuing education in supervision shall be obtained by a supervisor within
five years immediately preceding registration of supervision.
3. The supervisor shall not provide supervision for a family member or provide supervision for anyone with whom he has a dual relationship.
4. The board may consider supervisors from jurisdictions
outside of Virginia who provided clinical social work supervision if they
the supervisors have commensurate qualifications but were either (i) not
licensed because their jurisdiction did not require licensure or (ii) were not
designated as clinical social workers because the jurisdiction did not require
such designation.
C. Responsibilities of supervisors. The supervisor shall:
1. Be responsible for the social work activities of the supervisee as set forth in this subsection once the supervisory arrangement is accepted;
2. Review and approve the diagnostic assessment and treatment
plan of a representative sample of the clients assigned to the applicant
supervisee during the course of supervision. The sample should be
representative of the variables of gender, age, diagnosis, length of treatment,
and treatment method within the client population seen by the applicant supervisee.
It is the applicant's supervisee's responsibility to assure the
representativeness of the sample that is presented to the supervisor;
3. Provide supervision only for those social work activities
for which the supervisor has determined the applicant supervisee
is competent to provide to clients;
4. Provide supervision only for those activities for which the supervisor is qualified by education, training, and experience;
5. Evaluate the supervisee's knowledge and document minimal competencies in the areas of an identified theory base, application of a differential diagnosis, establishing and monitoring a treatment plan, development and appropriate use of the professional relationship, assessing the client for risk of imminent danger, understanding the requirements of law for reporting any harm or risk of harm to self or others, and implementing a professional and ethical relationship with clients;
6. Be available to the applicant supervisee on a
regularly scheduled basis for supervision;
7. Maintain documentation, for five years post-supervision, of which clients were the subject of supervision; and
8. Ensure that the board is notified of any change in supervision or if supervision has ended or been terminated by the supervisor.
D. Responsibilities of supervisees.
1. Supervisees may not directly bill for services rendered or in any way represent themselves as independent, autonomous practitioners, or licensed clinical social workers.
2. During the supervised experience, supervisees shall use their names and the initials of their degree, and the title "Supervisee in Social Work" in all written communications.
3. Clients shall be informed in writing of the supervisee's status and the supervisor's name, professional address, and phone number.
4. Supervisees shall not supervise the provision of clinical social work services provided by another person.