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CHAPTER 1180-03 RULES GOVERNING PSYCHOLOGICAL EXAMINERS AND SENIOR PSYCHOLOGICAL EXAMINERS

CHAPTER 1180-03 RULES GOVERNING PSYCHOLOGICAL EXAMINERS AND SENIOR PSYCHOLOGICAL EXAMINERS

1180-03-.01 SCOPE OF PRACTICE.




(1-2)

(1) The scope of practice of Psychological Examiners and Senior Psychological Examiners isprescribed and limited by Tennessee Code Annotated, Title 63, Chapter 11 and the rules setforth in this chapter and Chapter 1180-1. A license issued by the Board specifies licensureas a Psychological Examiner or as a Senior Psychological Examiner.(2) Psychological Examiners and Senior Psychological Examiners shall limit their practices to theuse of those techniques, and to providing services to those populations, for which they haveformal education, formal professional training and supervised experience, and for which theyhold licensure.

1180-03-.01 SCOPE OF PRACTICE.



(3) Psychological Examiners

(3) Psychological Examiners who have had appropriate education, training and supervised practica experience may provide the following psychological services without supervision: (a) Interviewing or administering and interpreting tests of mental abilities, aptitudes, interests and personality characteristics for such purposes as psychological evaluation or for educational or vocational guidance, selection or placement, including establishment of intellectual level of functioning or learning deficit for school placement; or (b) Psychological research services to industrial, business and corporate organizations.

1180-03-.01 SCOPE OF PRACTICE.




(4) Psychological Examiners

(4) Psychological Examiners who have had appropriate education, training, and supervisedpractice experience may provide the following psychological services only under the qualifiedsupervision of a licensed Psychologist designated as a HSP or Senior PsychologicalExaminer:(a) Overall personality appraisal or classification, including assessment and diagnosis ofpsychopathology or mental illness; or(b) Personality counseling, psychotherapy, behavior analysis, or personality readjustmenttechniques.

1180-03-.01 SCOPE OF PRACTICE.




(5) Senior Psychological Examiners

(5) Senior Psychological Examiners are Health Service Providers and may provide the followingpsychological services without supervision:(a) Interviewing or administering and interpreting tests of mental abilities, aptitudes,interests and personality characteristics for such purposes as psychologicalevaluations, or for educational or vocational guidance, selection or placement,including establishment of intellectual level of functioning or learning deficit for schoolplacement; or (b) Psychological research services to industrial, business and corporate organizations; or(c) Overall personality appraisal or classification, including psychological testing, projectivetesting, evaluation for disability or vocational purposes, and diagnosis of nervous ormental disorders; or(d) Personality counseling, psychotherapy, behavior analysis, or personality readjustmenttechniques.(e) Supervision of a Psychological Examiner and/or a Certified Psychological Assistant

1180-03-.01 SCOPE OF PRACTICE.




(6, a) Standards for supervision of Psychological Examiners and Certified Psychological Assistants by Senior Psychological Examiners.

(6) Standards for supervision of Psychological Examiners and Certified Psychological Assistantsby Senior Psychological Examiners.


(a) Supervision must meet minimum standards and a supervisor of record must be madeknown to the Board.1. Before supervision of Psychological Examiners may occur, a Board-suppliedform shall be submitted to the Board’s administrative office. Such form shall besigned by both the supervisor and the supervisee, and shall list(i) A Senior Psychological Examiner must list the Psychological Examinersand/or Certified Psychological Assistants for whom he or she is thesupervisor of record. When a Senior Psychological Examiner renews his orher license, he or she must list those Psychological Examiners and/orCertified Psychological Assistants whom the Senior PsychologicalExaminer supervises and for whom he or she is the supervisor of record(ii) A Psychological Examiner must list his/her primary supervising SeniorPsychological Examiner if engaging in activities requiring supervision.When a Psychological Examiner renews his/her license or certificate, thatindividual must list his/her primary supervisor(s) if engaging in activitiesrequiring supervision.


2. The Board-supplied form may be obtained by contacting the Board’sadministrative office, or by downloading it from the Board’s web page on theInternet.

1180-03-.01 SCOPE OF PRACTICE.




(6, b, c) Qualified supervision

(b) Qualified supervision requires that a licensed Senior Psychological Examiner, qualifiedby experience and training to practice the overall supervised activity or activities,provide supervision on a regular and frequent basis.(c) The supervising Senior Psychological Examiner shall limit the number of supervisees inorder to assure an adequate ratio of supervision hours to practice hours consistent withprofessional standards and guidelines which insure the welfare of the supervisees andtheir clients.

1180-03-.01 SCOPE OF PRACTICE.




(6, d) Qualified supervision

(d) Specific case monitoring and skill training requires significant supervisory contact andmust be in addition to overall administrative supervision. Supervision conducted viaface-to-face video conferencing equipment and/or technology is acceptable, assumingcompliance with subparagraphs (6)(a) through (6)(e) of this rule. “Face-to-face” means(a) can see one’s face and (b) occurring in real time via video conferencing equipmentand/or technology. No more than seventy-five (75) percent of supervision can beobtained through video conferencing.


1. Supervision is to be conducted primarily on a one-on-one basis and shall be inaddition to any group seminar or group consultations which are also deemedappropriate. Thus, adequate supervision will require considerable one-on-onecontact and time with respect to each client. Records of the supervision processmust be maintained by the supervisor covering the number of hours ofsupervision activities, the number and duration of one-on-one supervisorymeetings and documentation of clients discussed at each supervisory session.2. A supervisor, at the time of supervision, must not be in a dual relationship withthe supervisee, e.g., be a spouse, other close relative or therapist.

1180-03-.01 SCOPE OF PRACTICE.




(6, e) Qualified supervision

(e) In all cases the specific terms of the supervisory arrangement are the responsibility ofthe supervising Senior Psychological Examiner upon whom it is incumbent to assuresupervisory time and service delivery. Likewise, it is the responsibility of thesupervisee to obtain supervision. The education, training, experience, ongoingperformance and level of licensure of the supervisee must be considered by thesupervisor. The arrangements for supervision must be agreed to by both thesupervisor and the supervisee. In situations where supervision has been regular andfrequent and one-on-one contact has occurred, the frequency and intensity ofsupervision may, at the discretion of the supervising Senior Psychological Examinerupon determination of the supervisee's competence and readiness, be modified.Normally such supervision will occur weekly. Ultimately, the supervising SeniorPsychological Examiner of record must protect the welfare of the client and assurecompliance with Tennessee law and professional ethics. (Requirements forPsychologists receiving supervision as part of the experience requirement fordesignation as a HSP are contained in 1180-02-.02(2)(d).)1. The standard for supervision of newly supervised (less than five [5] years)Psychological Examiners is one (1) hour per week.2. The standard of supervision for experienced (supervised for at least five [5]years) Psychological Examiners is that it shall occur no less than monthly. If anexperienced Psychological Examiner changes supervisors, the experiencedPsychological Examiner may follow the monthly supervision standard if agreed toby the Senior Psychological Examiner supervisor and the experiencedPsychological Examiner in question

1180-03-.01 SCOPE OF PRACTICE.




(7) The Board shall consider that an individual, either licensed or unlicensed, is violating these limits of practice if his/her conduct includes, but is not limited to, the following:



(7) The Board shall consider that an individual, either licensed or unlicensed, is violating theselimits of practice if his/her conduct includes, but is not limited to, the following:


(a) Claiming expertise or using techniques or procedures of assessment or treatment forwhich the practitioner has not completed appropriate academic course work orsupervised training experience;(b) Knowingly assigning, permitting or hiring any unqualified person(s) to perform functionsof assessment or treatment or delegating the provisions of psychological services tounqualified person(s);(c) Failing to adequately supervise any assigned trainee or employee who is providingpsychological services;(d) Aiding, abetting, assisting, or hiring any individual to violate or circumvent any law orduly promulgated rule intended to guide the conduct of psychological services; or (e) Providing or claiming to provide the services listed in paragraph (4) without supervision,unless licensed as a Senior Psychological Examiner.

1180-03-.02 QUALIFICATIONS FOR UPGRADE.




To become licensed as a Senior Psychological Examiner





To become licensed as a Senior PsychologicalExaminer, completion of one (1) of the following requirements is necessary:(1) Licensed as a Psychological Examiner prior to July 1, 1991, and rendering health-relatedclinical activities or services.(2) Licensed as a Psychological Examiner after June 30, 1991, and rendering health-relatedclinical activities or services; and(a) Completion of five (5) years of applied experience from the date of original licensure orfrom the date of issuance of a temporary permit; and(b) Completion of two hundred (200) hours of post-licensure continuing education, asprovided in Rule 1180-1-.08, including documentation of completion of forty-five (45)Type I hours, forty-five (45) Type I or II hours, and a log of the one hundred-ten (110)Type I, II, or III hours. The log of Type I, II, or III continuing education should includetype of activity, nature of the training, and number of hours assigned to specific activity.

1180-03-.03 PROCEDURES FOR UPGRADE.




(1) To become licensed as a Senior Psychological Examiner in Tennessee

(1) To become licensed as a Senior Psychological Examiner in Tennessee, a person who waslicensed as a Psychological Examiner prior to July 1, 1991 must submit a written request forapplication to be licensed as a Senior Psychological Examiner.(a) The written request and the subsequent application will be accepted throughout theyear.(b) When necessary, all required documents shall be translated into English and thetranslation and original document certified as to authenticity by the issuing source.Both versions must be submitted to the Board’s administrative office.(2) To become licensed as a Senior Psychological Examiner in Tennessee, a person who waslicensed as a Psychological Examiner after June 30, 1991 must comply with the followingprocedures and requirements:(a) A Senior Psychological Examiner application form shall be requested from the Board'sadministrative office or downloaded from the Department of Health’s website, and(b) Applications will be accepted throughout the year, and(c) The applicant shall complete and have notarized, as part of the application, a Board provideddocument attesting to the rendering of health-related clinical activities or services as a Psychological Examiner for five (5) years under supervision with namesof the supervisor(s) provided; and(d) The applicant shall provide verification of completion of two hundred (200) hours ofpost-licensure continuing education, as provided in Rule 1180-03-.02 (2) (b); and(e) When necessary, all required documents shall be translated into English and thetranslation and original document certified as to authenticity by the issuing source.Both versions must be submitted to the Board’s administrative office.