MSW programs do not generally require a substance use course in order to reach graduation and LCSW in VA also does not require this education for initial licensure. Substance use counseling requires specialized training which an LCSW may not have and the SW exam does not cover. The LPC in VA requires a substance use course for licensure. Additionally, the LPC exam in VA is scenario based which is significantly different than the exam for social workers. I am not in favor of waiving the requirement of the MAC exam for LCSW applicants to earn the LSATP.