KING COUNTY COLLABORATIVE LAW PROTOCOLS FOR DIVORCE COACHES

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "KING COUNTY COLLABORATIVE LAW PROTOCOLS FOR DIVORCE COACHES"

Transcription

1 KING COUNTY COLLABORATIVE LAW PROTOCOLS FOR DIVORCE COACHES These protocols are intended to set forth general best practices for coach members of King County Collaborative Law, not adapted to particular cases. They are not intended to act as a promise of specific conduct with regard to any client or case. These protocols do not preempt any ethical or legal requirements for any profession. All KCCL members should abide by the Ethical Standards for Collaborative Practitioners adopted by the IACP. I. Qualifications of a Coach a. Coaches must be in good standing with the Department of Health and have at least one of the following credentials: 1. Licensed Clinical Social Workers, LICSW; 2. Licensed Marriage and Family Therapists, LMFT; 3. Until July 1, 2010, to the extent allowed by Washington law for therapists, Registered Counselors who have at least a master s degree in mental health counseling, marriage and family therapy or a similar course of study; 4. Licensed Psychologists, PhD; 5. Licensed Psychologists, Psy. D; 6. Licensed Mental Health Counselors; or 7. Board Certified Psychiatric MH Nurse Practitioners (ARNP). b. Coaches shall have the following basic academic preparation and ongoing professional practice in psychological matters pertaining to families, separation and divorce, and domestic violence screening, including: 1. Family systems theory; 2. Individual and family life cycle development; 3. Assessment of individual and family strengths; 4. Assessment of and intervention in family dynamics regarding separation and divorce; 5. Restructuring families after separation including: Affect management; Resiliency; Stress management Grief and loss Team and group dynamics Crisis management Child development c. Coaches shall have the following additional training related to Collaborative Practice: 1

2 1. Facilitative mediation training, interest-based negotiations or comparable training required for KCCL membership. 2. Collaborative Practice training required for KCCL membership. 3. Coaches shall have an understanding of the roles of attorney, financial specialist, and child specialist in this legal process, and shall remain respectful of the boundaries and limits of each role. 4. Each coach shall strive to master interest-based dispute resolution skills and collaborative law practice. d. Coaches shall have a basic competency in the following areas. Coaches shall work within the limits of their expertise and practical knowledge, and have the ability to refer out after team consultation: 1. Process and substance addictions; 2. Relationship, sexual, and child abuse; 3. Domestic violence; 4. Psychopathology; 5. Trauma; II. Coaching a. Coaches are team members who function within the professional scope of practice, utilizing mental health skills in a legal context. The Role of a Coach is to assist parties with maximizing their functioning within the collaborative process by: 1. Supporting principles of the collaborative process. 2. Assisting parties and team members with understanding and functioning in the family system by: i. Assisting parties to articulate their perspective; ii. Helping parties understand the impact of their behavior iii. Normalizing the emotions of parties iv. Helping parties manage anxiety v. Helping parties hear and understand each other and team members. 3. Educating the parties on communication by modeling, teaching and encouraging parties to: i. Listen actively ii. Be respectful iii. Identify and communicate interests iv. Understand and respect interests of each other v. Maintain two-way communication vi. Explore future outcomes that may impact current decisions 4. Assessing and identifying: i. Emotional readiness for divorce 2

3 ii. Readiness for vocational transitions iii. Psychological issues, processing disorders, and addictive behaviors iv. Power imbalances and domestic violence v. Effective communication styles for parties vi. When appropriate, this assessment should include recommendations to the professional team to make referrals to treatment providers and/or evaluators. 5. Coaches should not meet with minor children without advance agreement of the full interdisciplinary professional team. 6. The coach should not provide legal or financial advice or information. However, coaches may support other team members who provide legal and financial advice. This may include working with the parties to support their emotional needs as they relate to legal and financial matters. 7. Absent a legally-required need for an immediate intervention, the coach should not make referrals without first discussing the matter with the professional team. 8. A coach should at all times be sensitive to maintaining balance between the parties in services and approach, and the potential impact on the process. b. Coaches should engage in a brief, goal-oriented, systemic process that is: 1. Legal-case focused; 2. Focused on problems related to separation and divorce or other family issue (not an open ended exploration of any topics parties may want to explore); 3. Distinguished from therapy: i. Not a process of diagnosing or treating disorders; ii. Touches on the past only to the limited extent it clearly informs the present and future legal case; iii. Inclusive of the professional team, and is therefore not confidential in regards to providing information and intervention strategies to the professional team. c. Communications 1. The collaborative process requires tight coordination between professional team members. Therefore, coaches should promptly communicate all information that may impact the process to other professional team members. Communications may include professional team meetings, telephone conferences, and s. 2. Each coach shall promptly respond to s and telephone calls of participants, and shall make efforts to timely schedule meetings and 3

4 conferences, and make allowance for emergency meetings when reasonably necessary to be responsive to party needs. 3. Coaches should promptly review progress notes from joint sessions circulated by the attorneys. Coaches should promptly provide progress notes and/or oral communications summarizing each meeting with the parties to the other team members, and notify the other team members in advance of scheduled meetings. 4. To ensure coordination and consistency, prior to meeting with the clients for the first time and as needed thereafter, coaches should coordinate with the rest of the team members as to the expected scope of services and the frequency of coach meetings. Coaches should strive to stay within the agreed scope and frequency, and should promptly inform the rest of the team if the situation warrants change. 5. Coaches may temporarily withhold certain information given to them by a party from the other party if such disclosure would significantly compromise the emotional well being of one of the parties, so long as this withholding does not affect the integrity of the Collaborative process and the information (including the coach s recommendation) is immediately disclosed to all other professional team members for a team determination. 6. Coaches should promptly upon engagement read and sign the participation agreement for each case, and provide copies to the attorneys. 7. Coaches should be familiar with the protocols for other professions in the Collaborative Law process. III. Engagement of a Coach a. Coaches should have their own agreement with the party or parties that describes the nature of their engagement with the party(ies) that is consistent with the participation agreement and the work of the coach. b. Each coach should promptly communicate his or her rate and fee structure to the core professional team members. c. Coaches shall sign the participation agreement. d. A therapist for a client shall not serve in the role of coach or child specialist on a Collaborative case involving a client with whom the therapist has acted in a therapeutic role. A Collaborative practitioner who serves in the role of coach on a Collaborative case shall not function as a therapist to the Collaborative practitioner s client after the case has ended. e. At the commencement of their own work with the parties, a coach should inform the parties that information given may be made available to all participants in the Collaborative case and shall be shared with the attorneys. 4

5 IV. Withdrawal/Termination a. The Coach should inform the parties that the parties may terminate the Coach s engagement at any time and for any reason. b. After consultation with other team members, a Coach will terminate his/her professional relationship with parties when it becomes reasonably apparent that the parties are no longer in need of coaching services, or not significantly benefiting from the services. c. When a Coach withdraws from a case, the Coach shall do so by notifying all professional team members and the clients. d. A coach must consult with the professional team if the coach believes either or both parties are not acting in good faith. V. Services Outside the Collaborative Engagement a. Generally, the role of Coach ends when the Collaborative process is successfully completed or terminates. b. If either or both parties wish to engage the Collaborative Law process to assist with post-case developments, then the coach shall contact the professional team, or former professional team, for guidance before committing or commencing services., 5

MCLC MEMBERSHIP STANDARDS FOR COLLABORATIVE PRACTITIONERS

MCLC MEMBERSHIP STANDARDS FOR COLLABORATIVE PRACTITIONERS MCLC MEMBERSHIP STANDARDS FOR COLLABORATIVE PRACTITIONERS Adopted 2013-01-10; Amended 2013-03-14 1. GENERAL REQUIREMENTS: 1.1 The Collaborative practitioner is a member in good standing of Massachusetts

More information

MEMBERSHIP CRITERIA MEMBERSHIP REQUIREMENTS: CCND MINIMUM STANDARDS FOR COLLABORATIVE PRACTIONERS AND MEDIATORS (ADOPTED JUNE 6, 2013)

MEMBERSHIP CRITERIA MEMBERSHIP REQUIREMENTS: CCND MINIMUM STANDARDS FOR COLLABORATIVE PRACTIONERS AND MEDIATORS (ADOPTED JUNE 6, 2013) MEMBERSHIP REQUIREMENTS: MEMBERSHIP CRITERIA CCND MINIMUM STANDARDS FOR COLLABORATIVE PRACTIONERS AND MEDIATORS (ADOPTED JUNE 6, 2013) CCND is the statewide non- profit professional organization of Connecticut

More information

PROTOCOL FOR THERAPEUTIC SUPERVISED VISITATION 1

PROTOCOL FOR THERAPEUTIC SUPERVISED VISITATION 1 Goals PROTOCOL FOR THERAPEUTIC SUPERVISED VISITATION 1 1. To provide a protected visitation and a therapeutic intervention between children and the non-custodial parent so that the child benefits as much

More information

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

R156. Commerce, Occupational and Professional Licensing. R156-60c. Clinical Mental Health Counselor Licensing Act Rule. R156-60c-101. Title.

R156. Commerce, Occupational and Professional Licensing. R156-60c. Clinical Mental Health Counselor Licensing Act Rule. R156-60c-101. Title. R156. Commerce, Occupational and Professional Licensing. R156-60c. Clinical Mental Health Counselor Licensing Act Rule. R156-60c-101. Title. This rule is known as the "Clinical Mental Health Counselor

More information

SENIOR MENTAL HEALTH COUNSELOR I/II

SENIOR MENTAL HEALTH COUNSELOR I/II SENIOR MENTAL HEALTH COUNSELOR I/II DEFINITION To perform a variety of complex professional duties in the provision of outpatient and crisis mental health services to individuals and groups. DISTINGUISHING

More information

Division of Behavioral Health. Requirements for Program Staff

Division of Behavioral Health. Requirements for Program Staff Division of Behavioral Health Requirements for Program Staff Integrated BH Regulations Training 1 Program Staff Program Staff are professionals who render behavioral health services directly to a recipient.

More information

So you Want to be a Counselor, Huh? Professional Identity. Professional Identity. Hagedorn MHS 6702 1

So you Want to be a Counselor, Huh? Professional Identity. Professional Identity. Hagedorn MHS 6702 1 So you Want to be a Counselor, Huh? Training, Licensure, Certification, & Professional Memberships W. Bryce Hagedorn, PhD, LMHC, NCC, MAC What do counselors do? ACA: [apply] mental health, psychological

More information

The Field of Counseling

The Field of Counseling Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

DC ACADEMY OF COLLABORATIVE PROFESSIONALS ( DCACP ) MEMBERSHIP APPLICATION

DC ACADEMY OF COLLABORATIVE PROFESSIONALS ( DCACP ) MEMBERSHIP APPLICATION DC ACADEMY OF COLLABORATIVE PROFESSIONALS ( DCACP ) MEMBERSHIP APPLICATION MISSION STATEMENT Collaborative Practice provides a unique method of dispute resolution for People going through separation, divorce

More information

Private Child Custody Evaluator Requirements

Private Child Custody Evaluator Requirements Private Child Custody Evaluator Requirements Sara Kashing, JD, Staff Attorney November/December 2012 In California, child custody evaluations can be conducted either by court staff or by private professionals,

More information

SCHOOL MENTAL HEALTH RESPONSE GUIDELINES

SCHOOL MENTAL HEALTH RESPONSE GUIDELINES 1 SCHOOL MENTAL HEALTH RESPONSE GUIDELINES The School Mental Health Response Staff may consist of a variety of members of the school s SBSLT (School Based Support Learning Team), including but not limited

More information

Forensic Ethical Guidelines for Therapists. Ron Silikovitz, Ph.D. New Jersey Psychologist. Winter, 2012

Forensic Ethical Guidelines for Therapists. Ron Silikovitz, Ph.D. New Jersey Psychologist. Winter, 2012 Forensic Ethical Guidelines for Therapists Ron Silikovitz, Ph.D. New Jersey Psychologist Winter, 2012 As you know, the primary mission of the reconstituted NJPA Ethics Education and Resource Committee

More information

# Category Standard Provisional Standard Notes/Comments

# Category Standard Provisional Standard Notes/Comments Page1 1 Service Definition/ Required Components Therapeutic Rehabilitation Program is rehabilitative service for adults with SMI and children with SED designed to maximize reduction of mental disability

More information

What To Expect From Counseling

What To Expect From Counseling Marriage Parenting Spiritual Growth Sexuality Relationships Mental Health What To Expect From Counseling a resource from: 515 Highland Street, Morton, IL 61550 v Tel: (309) 263-5536 Fax: (309) 263-6841

More information

Helping You Choose a Counselor or Therapist

Helping You Choose a Counselor or Therapist Helping You Choose a Counselor or Therapist There are times when personal, work, or family problems make it hard to enjoy life. Maybe you're having trouble sleeping or concentrating at work. Perhaps you

More information

Informed Consent for Collaborative Divorce Coach

Informed Consent for Collaborative Divorce Coach Informed Consent for Collaborative Divorce Coach Welcome to my Collaborative Divorce Practice. I am committed to helping you achieve your desired outcome during our time together. A Collaborative Divorce

More information

One Day at a Time Counseling LLC

One Day at a Time Counseling LLC One Day at a Time Counseling LLC PSYCHOTHERAPY DISCLOSURE STATEMENT ABOUT MY PSYCHOTHERAPIST: 1. Angelina R. Cordova M.A. Ed, Doctoral Candidate LMFT, ACS, CACIII, RPT-S, CFI, NCPM 8000 E. Prentice Ave.

More information

MENTAL HEALTH PRACTICE ACT

MENTAL HEALTH PRACTICE ACT 2013 STATE OF NEBRASKA STATUTES RELATING TO MENTAL HEALTH PRACTICE ACT MARRIAGE AND FAMILY THERAPY PROFESSIONAL COUNSELING SOCIAL WORK Department of Health and Human Services Division of Public Health

More information

LG/LCADC (Licensed Graduate or Licensed Clinical Alcohol and Drug Counselor) Pre-Application Credentials Evaluation Instructions

LG/LCADC (Licensed Graduate or Licensed Clinical Alcohol and Drug Counselor) Pre-Application Credentials Evaluation Instructions Maryland Board of Professional Counselors and Therapists 4201 Patterson Avenue Baltimore, MD 21215 410-764-4732 or 410-764-4740 www.dhmh.maryland/bopc/ LG/LCADC (Licensed Graduate or Licensed Clinical

More information

Guidelines for Parenting Coordination FOREWORD

Guidelines for Parenting Coordination FOREWORD BC PARENTING COORDINATORS ROSTER SOCIETY Guidelines for Parenting Coordination FOREWORD These Guidelines for Parenting Coordination in British Columbia ( Guidelines") have been developed from the Guidelines

More information

Client Intake Information. Client Name: Home Phone: OK to leave message? Yes No. Office Phone: OK to leave message? Yes No

Client Intake Information. Client Name: Home Phone: OK to leave message? Yes No. Office Phone: OK to leave message? Yes No : Chris Groff, JD, MA, Licensed Pastor Certified Sex Addiction Therapist Candidate 550 Bailey, Suite 235 Fort Worth, Texas 76107 Client Intake Information Client Name: Street Address: City: State: ZIP:

More information

Page 1 of 6 Fresno County Substance Abuse Treatment and Mental Health Services KEY STAFFING STANDARDS

Page 1 of 6 Fresno County Substance Abuse Treatment and Mental Health Services KEY STAFFING STANDARDS Page 1 of 6 Substance Abuse and Mental Health Services seeks a multidisciplinary team that includes an array of services organized to treat the interaction of mental health and substance use disorders

More information

Practice Guidelines for Custody and Access Assessments

Practice Guidelines for Custody and Access Assessments Practice Guidelines for Custody and Access Assessments Guidelines for Social Work Members of the Ontario College of Social Workers and Social Service Workers Effective September 1, 2009 2009 Ontario College

More information

OUTPATIENT SERVICES. Components of Service

OUTPATIENT SERVICES. Components of Service OUTPATIENT SERVICES Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications. Additionally, providers contracted

More information

STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION

STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE MENTAL HEALTH COUNSELOR V 43* B 10.135 MENTAL HEALTH COUNSELOR IV 41* B 10.137

More information

Andrew Elman LPC ATR PROFESSIONAL DISCLOSURE STATEMENT

Andrew Elman LPC ATR PROFESSIONAL DISCLOSURE STATEMENT Personal counseling is conducted in various ways, depending on the counselor. As my client, you have the right to know my qualifications, methods, and mutual expectations of our professional relationship.

More information

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Limitations on Attachment 3.1-A Page 9 Type of Service Covered for Medi-Cal eligibles under 21 years

More information

HOW TO SELECT A MEDIATOR

HOW TO SELECT A MEDIATOR HOW TO SELECT A MEDIATOR Purpose of This Brochure This brochure is for people in search of a mediator. It can be useful to lawyers or other professionals advising their clients, court systems and mediation

More information

ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION

ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION Rule 1. Definitions 440 IAC 4.4-1-1 Definitions Affected: IC 12-7-2-11; IC 12-7-2-73 Sec. 1. The following definitions apply throughout

More information

Certificate Program in Family and Relationship Therapy. Guidebook. Revised 08/12/14

Certificate Program in Family and Relationship Therapy. Guidebook. Revised 08/12/14 Certificate Program in Family and Relationship Therapy Guidebook Revised 08/12/14 Program Objectives: Certificate Program in Family and Relationship Therapy The Certificate Program in Family and Relationship

More information

Declaration of Practices and Procedures

Declaration of Practices and Procedures LOGAN MCILWAIN, LCSW Baton Rouge Christian Counseling Center 763 North Boulevard, Baton Rouge, Louisiana 70802 Phone: (225) 387-2287 Fax: (225) 383-2722 Declaration of Practices and Procedures I am pleased

More information

HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA (HPCSA) PROFESSIONAL BOARD FOR PSYCHOLOGY

HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA (HPCSA) PROFESSIONAL BOARD FOR PSYCHOLOGY FORM 284 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA (HPCSA) PROFESSIONAL BOARD FOR PSYCHOLOGY SYLLABUS FOR NATIONAL EXAMINATIONS FOR THE CLINICAL, COUNSELLING & EDUCATIONAL PSYCHOLOGISTS 2007 1. Know and

More information

Calgary Counselling Centre

Calgary Counselling Centre Course Descriptions Calgary Counselling Centre Post Graduate Counsellor Residency Training Program CNSG 8001 Entering an Occupation in Mental Health: Beginning One s Counselling Practice Entering a new

More information

Counselor Education Program Mission and Objectives

Counselor Education Program Mission and Objectives Counselor Education Program Mission and Objectives Our Mission The LSU Counselor Education program prepares students to function as professional counselors in a variety of human service settings such as

More information

SOCIAL SERVICE SPECIALIST 1 6612

SOCIAL SERVICE SPECIALIST 1 6612 SOCIAL SERVICE SPECIALIST 1 6612 GENERAL DESCRIPTION OF CLASS The SOCIAL SERVICE SPECIALIST 1 provides counseling, consultation, therapy, and treatment planning or conducts group sessions in effective

More information

COUNSELING. What can I do with this graduate degree?

COUNSELING. What can I do with this graduate degree? COUNSELING What can I do with this graduate degree? MENTAL HEALTH Medication Monitoring Crisis Intervention Program Planning Counseling Therapy and Speciality Areas Include: Eating Disorders Grief Hypnotherapy

More information

Louisiana Licensed Professional Board of Examiners. LPC Guidelines for Conducting Child Custody Evaluations

Louisiana Licensed Professional Board of Examiners. LPC Guidelines for Conducting Child Custody Evaluations Louisiana Licensed Professional Board of Examiners LPC Guidelines for Conducting Child Custody Evaluations Preface: The child custody evaluation process involves a comprehensive compilation of information

More information

Connections Counseling, L.L.C. Couple/Family s Personal Information

Connections Counseling, L.L.C. Couple/Family s Personal Information Name (s): SS#(indicate name): Home Address: Connections Counseling, L.L.C. Couple/Family s Personal Information DOBs/Ages: How were you referred? Specify names of which client for all questions below:

More information

Child Custody and Access Assessments Standards of Practice

Child Custody and Access Assessments Standards of Practice Child Custody and Access Assessments Standards of Practice Child Custody and Access Assesments Standards of Practice 2010 First Edition: September 2002 Reprinted: 2010 British Columbia College of Social

More information

The Many Facets of Social Work

The Many Facets of Social Work The Many Facets of Social Work The scope of social work practice is remarkably wide. Social workers practice not only in the traditional social service agency, but also in elementary schools; in the military;

More information

WHEREAS, children caught in the middle of high parental conflict are more likely to be harmed; and

WHEREAS, children caught in the middle of high parental conflict are more likely to be harmed; and THE ELEVENTH JUDICIAL CIRCUIT MIAMI-DADE COUNTY, FLORIDA CASE NO. 06-1 (Court Administration) ADMINISTRATIVE ORDER NO. 06-03 IN RE: PARENTING COORDINATION IN FAMILY LAW CASES WHEREAS, children caught in

More information

Disclosure Statement

Disclosure Statement Denver Christian School K-12 Counseling Center 3898 S Teller Street Lakewood, CO 80235 1. COUNSELOR INFORMATION Disclosure Statement The following is a disclosure statement for the counseling department

More information

Performance Standards

Performance Standards Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best

More information

When Disputes Continue--Are Parenting Coordinators the Answer? Leah Pallin-Hill

When Disputes Continue--Are Parenting Coordinators the Answer? Leah Pallin-Hill When Disputes Continue--Are Parenting Coordinators the Answer? Leah Pallin-Hill You just completed 16 months of litigation in dissolution proceeding. The financial issues paled in comparison to the emotional

More information

Item 4b: Early and Periodic Screening, Diagnostic and Treatment services for individuals under 21 years of age, and treatment of conditions found.

Item 4b: Early and Periodic Screening, Diagnostic and Treatment services for individuals under 21 years of age, and treatment of conditions found. Page 1a Item 2.a: Outpatient Hospital Services See Supplement to Attachment 3.1-A, page 1, Item 1, #1 and #4. Item 4.a: Nursing Facilities Services If a utilization review team recommends that a recipient

More information

(a) To qualify as a certified supervised counselor alcohol and drug, an applicant shall: (1) BE OF GOOD MORAL CHARACTER;

(a) To qualify as a certified supervised counselor alcohol and drug, an applicant shall: (1) BE OF GOOD MORAL CHARACTER; 2015 -Legislative Proposal 1- BOPCT Statute amendment: 1. Revise the BOPCT Statute to remove barriers Introduce legislation in collaboration with the Board of Professional Counselors and Therapists (BoPCT)

More information

Child Custody Evaluations

Child Custody Evaluations Family Law Education Reform Project ABSTRACT This guide discusses the current issues in child custody evaluation as they pertain to family lawyers. It explains when an evaluation is ordered and by whom

More information

Behavioral Health and Human Services Licensing Board

Behavioral Health and Human Services Licensing Board Behavioral Health and Human Services Licensing Board SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, MENTAL HEALTH COUNSELORS, AND ADDICTION COUNSELORS A compilation of the Indiana Code and Indiana Administrative

More information

Disaster Behavioral Health Capacity Assessment Tool

Disaster Behavioral Health Capacity Assessment Tool What is Disaster Behavioral Health? Disaster behavioral health is the provision of mental health, substance abuse, and stress management services to disaster survivors and responders. Following an emergency

More information

All Saints. Personal Counseling Resources Guide. Episcopal Church & Day School. Pray. Learn. Serve. Connect.

All Saints. Personal Counseling Resources Guide. Episcopal Church & Day School. Pray. Learn. Serve. Connect. All Saints Episcopal Church & Day School Pray. Learn. Serve. Connect. Personal Counseling Resources Guide Patrice Al-Shatti, MSW All Saints Health Ministries 6300 North Central Avenue, Phoenix AZ 85012

More information

Association of Marital and Family Therapy Regulatory Boards (AMFTRB) Evaluating Ongoing Process and Terminating Treatment (7.5%)

Association of Marital and Family Therapy Regulatory Boards (AMFTRB) Evaluating Ongoing Process and Terminating Treatment (7.5%) Association of Marital and Family Therapy Regulatory Boards (AMFTRB) Test Specifications for the Examination in Marital and Family Therapy Practice s 01 The Practice of Marital and Family Therapy (22.5%)

More information

AAMFT MEMBERSHIP GUIDELINES POLICIES, STANDARDS, REQUIREMENTS AND APPLICATION PROCESSES. Last Revised: January 2012

AAMFT MEMBERSHIP GUIDELINES POLICIES, STANDARDS, REQUIREMENTS AND APPLICATION PROCESSES. Last Revised: January 2012 AAMFT MEMBERSHIP GUIDELINES POLICIES, STANDARDS, REQUIREMENTS AND APPLICATION PROCESSES Last Revised: January 2012 1 TABLE OF CONTENTS Standards at a Glance 3 Clinical Fellow Definition and Process 4 Member

More information

4758-6-01 Scope of practice for chemical dependency counselor assistants (CDCA).

4758-6-01 Scope of practice for chemical dependency counselor assistants (CDCA). 4758-6-01 Scope of practice for chemical dependency counselor assistants (CDCA). (A) An individual holding a valid chemical dependency counselor assistant certificate may do both of the following in addition

More information

CLIENT QUESTIONNAIRE

CLIENT QUESTIONNAIRE Leland E. McHatton, MFT Marriage Family Therapist 1430 East Avenue, Suite 4C 530.566.1212 Chico, California 95926 CLIENT QUESTIONNAIRE Client s Name: Spouse s or Parent s Name: Date of Birth: Date of Birth:

More information

ROGER D. BUTNER, PHD, LMFT - Murphy Toerner and Associates, Inc.

ROGER D. BUTNER, PHD, LMFT - Murphy Toerner and Associates, Inc. ROGER D. BUTNER, PHD, LMFT - Murphy Toerner and Associates, Inc. I know you have several pages of paperwork to complete, so I will only take a few moments of your time now to share some important details

More information

2. Five years post-graduate degree experience with child custody issues that may include evaluations, therapy, and mediation.

2. Five years post-graduate degree experience with child custody issues that may include evaluations, therapy, and mediation. I. Role of the Special Master The Special Master is a quasi-judicial role where an expert is given legal authority to make prompt recommendations in high conflict, crisis situations to the court and to

More information

D.Min. in Pastoral Care and Counseling

D.Min. in Pastoral Care and Counseling D.Min. in Pastoral Care and Counseling Guidelines and Strategies for Completing the Program Revised 1/11 Index Section I Curriculum 3 Constructing a Course of Study 3 Areas of Study 3 Core D.Min. Seminars

More information

Financing integrated Healthcare in Washington

Financing integrated Healthcare in Washington Financing integrated Healthcare in Washington as of: April 23. 2012 E & M Codes CPT Code 99201-99205 99211-99215 Est. Pt Diagnostic Code May be used only with physical Federally Qualified Health Centers

More information

Warner Family Counseling

Warner Family Counseling Warner Family Counseling General Policies Insurance: I will file claims on your behalf, provided that I am an in-network contracted provider with your individual plan. Prior to our first meeting contact

More information

Vermont Family Court Mediation Program APPLICATION FOR PARENT COORDINATOR CONTRACT FULL LEGAL NAME MAILING ADDRESS PHYSICAL ADDRESS

Vermont Family Court Mediation Program APPLICATION FOR PARENT COORDINATOR CONTRACT FULL LEGAL NAME MAILING ADDRESS PHYSICAL ADDRESS Vermont Family Court Mediation Program APPLICATION FOR PARENT COORDINATOR CONTRACT FULL LEGAL NAME SOCIAL SECURITY NO MAILING ADDRESS PHYSICAL ADDRESS HOME PHONE NUMBER OFFICE PHONE NUMBER FAX NUMBER EMAIL

More information

From: Odonnell, Mark [mailto:mark.odonnell@dhhs.nc.gov] Sent: Monday, November 24, 2014 3:44 PM To: 'John Shuford' Subject: RE: First Commitment

From: Odonnell, Mark [mailto:mark.odonnell@dhhs.nc.gov] Sent: Monday, November 24, 2014 3:44 PM To: 'John Shuford' Subject: RE: First Commitment LICENSED PROFESSIONAL COUNSELORS AND LICENSED MARRIAGE AND FAMILY THERAPISTS SHOULD BE INCLUDED AS PROVIDERS WHO CAN CONDUCT FIRST EVALUATIONS FOR INVOLUNTARY COMMITMENT In 2011, the North Carolina General

More information

Model Standards of Practice for Family and Divorce Mediation

Model Standards of Practice for Family and Divorce Mediation Association of Family and Conciliation Courts Model Standards of Practice for Family and Divorce Mediation 2000 Association of Family and Conciliation Courts Model Standards of Practice for Family and

More information

Idaho requires that an eligible graduate degree consist of at least sixty (60) semester hours.

Idaho requires that an eligible graduate degree consist of at least sixty (60) semester hours. State Licensure Statutes, Regulations, Forms, and Policies not only change on a regular basis, but may contain contradictory information. It is the responsibility of any individual who may review this

More information

CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION

CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION The New York State Department of Health (DOH) invites interested Hospices and Certified Home Health Agencies (CHHA) meeting

More information

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 SENATE BILL No. 614 Introduced by Senator Leno (Coauthor: Senator Anderson) February 27, 2015 An act to

More information

In-Home Behavioral Services Performance Specifications

In-Home Behavioral Services Performance Specifications Commonwealth of Massachusetts Executive Office of Health and Human Services www.mass.gov/masshealth In-Home Behavioral Services Performance Specifications Providers contracted for this level of care or

More information

TITLE TWENTY-SIX. PROFESSIONS AND OCCUPATIONS CHAPTER 61. CLINICAL SOCIAL WORKERS

TITLE TWENTY-SIX. PROFESSIONS AND OCCUPATIONS CHAPTER 61. CLINICAL SOCIAL WORKERS For 2015 OPR bill October 17, 2014: TITLE TWENTY-SIX. PROFESSIONS AND OCCUPATIONS CHAPTER 61. CLINICAL SOCIAL WORKERS Sec. x 26 V.S.A. 3201 is amended to read: 26 V.S.A. 3201. Definitions As used in this

More information

UNIVERSITY COUNSELING SERVICES SOUTHERN CONNECTICUT STATE UNIVERSITY EN 219-B NEW HAVEN, CT 06515

UNIVERSITY COUNSELING SERVICES SOUTHERN CONNECTICUT STATE UNIVERSITY EN 219-B NEW HAVEN, CT 06515 UNIVERSITY COUNSELING SERVICES SOUTHERN CONNECTICUT STATE UNIVERSITY EN 219-B NEW HAVEN, CT 06515 Dear Applicant: Thank you for your interest in our graduate internship program. The University Counseling

More information

Organizational and Practice Protocols for the Cincinnati Academy of Collaborative Professionals

Organizational and Practice Protocols for the Cincinnati Academy of Collaborative Professionals Organizational and Practice Protocols for the Cincinnati Academy of Collaborative Professionals Introduction These Organizational and Practice Protocols are separate and distinct from the Professional

More information

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE FINAL Maryland Register Issue Date: November 1, 2013 Volume 40 Issue 22 Page 1878 Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 58 BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS 10.58.14 Supervision

More information

ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET

ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET COLLABORATIVE DIVORCE ENGAGEMENT AGREEMENT DIVORCE COACH This document contains important

More information

HOUSE BILL No. 2577 page 2

HOUSE BILL No. 2577 page 2 HOUSE BILL No. 2577 AN ACT enacting the addictions counselor licensure act; amending K.S.A. 74-7501 and K.S.A. 2009 Supp. 74-7507 and repealing the existing section; also repealing K.S.A. 65-6601, 65-6602,

More information

DISCLOSURE AND CONSENT FORM

DISCLOSURE AND CONSENT FORM SCA INTAKE DOCUMENTS Thank you for your interest in Southwest Counseling Associates. This package contains all the documents you would typically receive when you arrive for your first session with an SCA

More information

Model Standards of Practice for Family and Divorce Mediation

Model Standards of Practice for Family and Divorce Mediation Model Standards of Practice for Family and Divorce Mediation Overview and Definitions Family and divorce mediation ("family mediation" or "mediation") is a process in which a mediator, an impartial third

More information

Heartland Human Services Position Description / Performance Evaluation. Job Title: Crisis Counselor Program(s): Outpatient

Heartland Human Services Position Description / Performance Evaluation. Job Title: Crisis Counselor Program(s): Outpatient Heartland Human Services Position Description / Performance Evaluation Job Title: Crisis Counselor Program(s): Outpatient Supervisor: Outpatient Program Director Status: Exempt, Full-time,120hr On-call

More information

Who Can Diagnose R9-20-204. Staff Member and Employee Qualifications and Records

Who Can Diagnose R9-20-204. Staff Member and Employee Qualifications and Records "Behavioral health paraprofessional" means an individual who meets the applicable requirements in R9-20-204 and has: a. An associate's degree, b. A high school diploma, or c. A high school equivalency

More information

CODE OF ETHICS FOR COGNITIVE REHABILITATION THERAPISTS

CODE OF ETHICS FOR COGNITIVE REHABILITATION THERAPISTS The Society for Cognitive Rehabilitation, Inc. PO BOX 928 St. Augustine, FL 32085 www.societyforcognitiverehab.org CODE OF ETHICS FOR COGNITIVE REHABILITATION THERAPISTS 1. Preamble 2. Definition of Terms

More information

Testifying in Court about Trauma: How to Prepare

Testifying in Court about Trauma: How to Prepare Testifying in Court about Trauma: How to Prepare It is critical that therapists willingly go to court to try to impart their knowledge to the judge. The judge will only make a good decision if he or she

More information

Jerry M. Ruhl Ph.D. Clinical Psychologist (Texas #34359) 5200 Montrose Blvd. Houston, TX 77006

Jerry M. Ruhl Ph.D. Clinical Psychologist (Texas #34359) 5200 Montrose Blvd. Houston, TX 77006 Jerry M. Ruhl Ph.D. Clinical Psychologist (Texas #34359) 5200 Montrose Blvd. Houston, TX 77006 CELL (937) 684-7746 PLEASE USE THIS NUMBER TO SCHEDULE OR CHANGE APPOINTMENTS INFORMED CONSENT FOR TREATMENT

More information

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Audiologist Master s degree plus state licensure Specialist Associate Assistant Screening Audiology, Certified Therapeutic

More information

BOULDER COUNSELING COOPERATIVE LICENSED THERAPIST APPLICATION FORM

BOULDER COUNSELING COOPERATIVE LICENSED THERAPIST APPLICATION FORM BOULDER COUNSELING COOPERATIVE LICENSED THERAPIST APPLICATION FORM Please complete and return the Therapist Application Form, the Therapist Partner Membership Agreement, along with a copy of your current

More information

STANDARDS OF PRACTICE (2013)

STANDARDS OF PRACTICE (2013) STANDARDS OF PRACTICE (2013) COLLEGE OF ALBERTA PSYCHOLOGISTS STANDARDS OF PRACTICE (2013) 1. INTRODUCTION The Health Professions Act (HPA) authorizes and requires the College of Alberta Psychologists

More information

2. Can an individual with a temporary certificate for advanced practice social work provide psychotherapy under supervision?

2. Can an individual with a temporary certificate for advanced practice social work provide psychotherapy under supervision? STATE OF WISCONSIN Mail to: Department of Safety and Professional Services PO Box 8935 1400 E Washington Ave. Madison WI 53708-8935 Madison WI 53703 Email: dsps@wisconsin.gov Web: http://dsps.wi.gov Governor

More information

Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07

Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07 All photographs courtesy of Mark Bright and used by permission. COUNTY OF SANTA BARBARA Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07 The

More information

Sincerely, the staff at NVCC.

Sincerely, the staff at NVCC. Thank you for choosing North Valley Christian Counseling. We look forward to working with you. Please take a few minutes to fill out the following forms. We will also take a few moments at the beginning

More information

HOW DO I HELP HIM? Best Practices for Working with Boys and Men in Mental Health Settings

HOW DO I HELP HIM? Best Practices for Working with Boys and Men in Mental Health Settings HOW DO I HELP HIM? Best Practices for Working with Boys and Men in Mental Health Settings Instructors: Dr. Michael Gurian and Gurian Institute Certified Trainers Understand the significant challenges boys

More information

The residency school counselor program does not prepare candidates to design, deliver, and

The residency school counselor program does not prepare candidates to design, deliver, and STANDARD V: KNOWLEDGE AND SKILLS SCHOOL COUNSELORS -Building on the mission to prepare educators who demonstrate a positive impact on student learning based on the Improvement of Student Achievement act

More information

SUBSTANCE ABUSE OUTPATIENT

SUBSTANCE ABUSE OUTPATIENT SUBSTANCE ABUSE OUTPATIENT Service Category Description Substance abuse services - outpatient is the provision of medical or other treatment and/or counseling to address substance abuse problems (i.e.,

More information

http://www.bls.gov/oco/ocos060.htm Social Workers

http://www.bls.gov/oco/ocos060.htm Social Workers http://www.bls.gov/oco/ocos060.htm Social Workers * Nature of the Work * Training, Other Qualifications, and Advancement * Employment * Job Outlook * Projections Data * Earnings * OES Data * Related Occupations

More information

Program Specific Information Packet. Department of Human Services and Behavioral Health (HSBH) Building 9, Room 217 (937) 512-2845 (800) 315-3000

Program Specific Information Packet. Department of Human Services and Behavioral Health (HSBH) Building 9, Room 217 (937) 512-2845 (800) 315-3000 Sinclair Community College 444 West Third Street Dayton, Ohio 45402 Program Specific Information Packet Department of Human Services and Behavioral Health (HSBH) Building 9, Room 217 (937) 512-2845 (800)

More information

ARTICLE ## LICENSED MENTAL HEALTH COUNSELOR

ARTICLE ## LICENSED MENTAL HEALTH COUNSELOR ARTICLE ## LICENSED MENTAL HEALTH COUNSELOR Section #####1. Definitions. Section #####2. Qualifications for Licensure. Section #####3. Exceptions to Licensure. Section #####4. Scope of Practice. Section

More information

6002 Credentialing Mental Health Screeners and Payment for Voluntary Admissions

6002 Credentialing Mental Health Screeners and Payment for Voluntary Admissions 6002 Credentialing Mental Health Screeners and Payment for Voluntary Admissions 1.0 Mental Health Screener Credentialing Title 16, Chapter 51 of the Delaware Code states that only psychiatrists and professionals

More information

Disclosure Statement & Policies

Disclosure Statement & Policies - Medicaid Disclosure Statement & Policies Caitlin Kozicki LLC 7220 W. Jefferson Ave., Ste 218 Lakewood, CO 80235 5661 S. Curtice St. Littleton, CO 80120 303-957-6504 Ckozicki98@gmail.com This disclosure

More information

NATIONAL BIBLICAL COUNSELING ASSOCIATION. Membership Packet

NATIONAL BIBLICAL COUNSELING ASSOCIATION. Membership Packet NATIONAL BIBLICAL COUNSELING ASSOCIATION Membership Packet Dear Applicant: Thank you for your interest in becoming a member of the NBCA. As a member, you will become part of our national referral directory

More information

CURRENT MFT EDUCATIONAL REQUIREMENTS 4980.37. DEGREE PROGRAM; COURSE OF STUDY AND PROFESSIONAL TRAINING

CURRENT MFT EDUCATIONAL REQUIREMENTS 4980.37. DEGREE PROGRAM; COURSE OF STUDY AND PROFESSIONAL TRAINING CURRENT MFT EDUCATIONAL REQUIREMENTS 4980.37. DEGREE PROGRAM; COURSE OF STUDY AND PROFESSIONAL TRAINING (a) In order to provide an integrated course of study and appropriate professional training, while

More information

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Non-PIHP Alcohol and Substance Abuse Community Based Services

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Non-PIHP Alcohol and Substance Abuse Community Based Services KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Non-PIHP Alcohol and Substance Abuse Community Based Services Introduction Section 7000 7010 8100 8200 8300 8400 Appendix Forms PART II BILLING INSTRUCTIONS

More information

Heather Gowin, MA, LPC

Heather Gowin, MA, LPC MANDATORY DISCLOSURE STATEMENT Name: DOB: Date: In accordance with Colorado State Law, the following information is provided to all persons entering or considering entering psychotherapy. I am a Licensed

More information

The Counseling Center at

The Counseling Center at Dear Client, Thank you for choosing Winston Salem First. Please read all of this important information. Ke e p this one s he e t for your information. 1- Please complete all forms in full and bring all

More information

Certified Tobacco Treatment Specialist

Certified Tobacco Treatment Specialist Certified Tobacco Treatment Specialist Applicant Name The CERTIFIED TOBACCO TREATMENT SPECIALIST is not an independent clinical practice credential and should only be used for work within health care or

More information