LICENSURE & CREDENTIALING GUIDEBOOK
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- Eunice Wade
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1 LICENSURE & CREDENTIALING GUIDEBOOK Graduate School of Counseling & Psychology Naropa University 2130 Arapahoe Ave Boulder, CO, (303) The information contained in this guidebook is accurate as of July 2015.
2 CONTENTS ABOUT THIS GUIDEBOOK... 3 THE PROCESS OF CREDENTIALING... 5 Why Should I Seek Credentials?... 5 Getting Credentialed As A Naropa Graduate... 5 GSCP Accreditation And The Credentialing Process... 6 Obtaining Academic References & Education Verification for Applications... 6 PROFESSIONAL COUNSELOR LICENSURE... 8 What Is Professional Counselor Licensure?... 8 The Structure Of Licensure... 8 Licensure Titles In The U.S Do I Need To Become Licensed?... 8 Do I Need To Pursue Licensure Immediately Following Graduation?... 9 Considerations In Seeking Licensure Licensure And Graduate Field Placement Experience Licensure Process And Requirements Licensure Requirements: The Three E s Of Licensure Transferring Post-Graduate Supervised Hours Between U.S. States Transferring Licensure Between U.S. States: Endorsement & Reciprocity Licensure & Telemental Health Licensure & Screening For Legally Documented Events And Significant Health Diagnoses OBTAINING CREDENTIALS & WORKING OVERSEAS Transferring Credentials Overseas Transferring Overseas Credentials To The U.S Obtaining Credentials In The U.S. As An International Student / Alum OTHER CREDENTIALS AND REGISTRATION What Is The Difference Between Becoming A Counselor Vs Marriage & Family Therapist Vs Psychologist Vs Social Worker? CREDENTIALING RESOURCES AND SUPPORTS Appendix A: GSCP Student Credentialing Checklist Appendix B: Listing Of Licensure Titles By U.S. State Appendix C: CACREP Eight Core Curricular Areas Appendix D: Guide to Researching Licensure Requirements Appendix E: Examination Summary for the U.S Appendix F: Before Meeting with the GSCP Credentialing Coordinator Appendix G: Worksheet for Researching Credentialing Requirements Appendix H: Applying for Registered Psychotherapist in Colorado Appendix I: Applying for Licensed Professional Counselor Candidate (LPCC) in Colorado Appendix J: Applying for Licensed Professional Counselor (LPC) in Colorado Naropa University Page 2
3 ABOUT THIS GUIDEBOOK This Guidebook is for prospective students, current students, and alumni of Naropa University s graduate counseling degree programs. The Graduate School of Counseling & Psychology (GSCP) currently offers a Master of Arts degree in Clinical Mental Health Counseling (MA (CMHC)) with concentrations in: Contemplative Psychotherapy and Buddhist Psychology Body Psychotherapy Dance/Movement Therapy Mindfulness-based Transpersonal Counseling Mindfulness-based Transpersonal Art Therapy, and Transpersonal Wilderness Therapy. This Guidebook provides an introduction to the credentialing process and some of the counseling credentials that you may wish to pursue during or following graduate studies in counseling at Naropa. The majority of this guidebook pertains to the post-graduate credential of Professional Counselor Licensure in the United States (U.S.). You are encouraged to familiarize yourself with the Appendices and the MyNaropa GSCP Credentialing page before going through this Guidebook. It is also recommended you take your time going through the information presented and integrating what is provided here with any current studies, your personal process, and your professional path as a Counselor. Alumni: Please note that the information and guidance here is given with respect to the current structure and content of Counseling programs in the GSCP, and will therefore be most directly applicable to current and future students, and more recent graduates. Disclaimer: The information in this guidebook is accurate at time of print. Changes however, to credentialing processes and requirements can and do change, thus it is each individual s responsibility to refer to the relevant credentialing board s website to obtain the most up-todate information. Note that many websites detailing summaries of U.S. state licensure requirements contain information that is not up to date, thus always refer to the official website of regulatory boards. Naropa University Page 3
4 QUICK REFERENCE NAROPA RELATED GSCP Credentialing Webpage GSCP Credentialing Assistance CP_Credentialing.jnz Please contact your programs Academic Advisor to complete any official documentation. Alumni can contact Chris Miguel-Nathan for the appropriate contact. Naropa Online Course Catalog For course descriptions - Syllabi Requests Official Graduate Transcripts Change to Official Graduate Transcripts (see page 14) Naropa Career Services course code and name, semester and year of study to the GSCP Credentialing Coordinator [email protected] U.S. LICENSURE State Counseling Board Listing Colorado Registered Psychotherapist, DORA Colorado LPCC / LPC, DORA Colorado Education Equivalency Review CACREP (Council for Accreditation of Counseling and Related Education Programs) Reg/CBON/DORA/ Reg/CBON/DORA/ Naropa University Page 4
5 THE PROCESS OF CREDENTIALING Credentialing refers to the process of reviewing the qualifications and current competence of an individual in relation to a field of work, in this case counseling. There are a number of state-based, nationwide, and modality-specific credentials commonly pursued by GSCP graduates. Graduates from the different GSCP concentrations have also pursued and successfully obtained counseling-related credentials internationally. Importantly, in the U.S. not all credentials you may pursue give you legal permission to call yourself or practice as a Professional Counselor. In almost all cases you will be required to pursue and obtain Professional Licensure in order to work in the counseling field. Other credentials may certify you as proficient in a specialty area or with a particular population, but do not necessarily grant you legal permission to practice as a Professional Counselor. WHY SHOULD I SEEK CREDENTIALS? Following are some reasons for pursuing credentials in addition to a Master s degree in Counseling. Credentials: Are one way to support the development of professional identity; Are a statement about your commitment to being a helping professional; Build credibility with peers and other professionals, potential clients, and the community at large; Can contribute to client s sense of safety and confidence in you and therapeutic work; May lead to greater employment options and salary potential; Provide structure for post-graduate professional development; Are required for eligibility to some professional associations. There are other considerations when deciding whether to pursue a particular credential, depending on the credential in question. The motivations and intentions for pursuing credentials are unique to each individual. Clarifying these factors for yourself is part of the personal process of credentialing. GETTING CREDENTIALED AS A NAROPA GRADUATE Graduating from a counseling-related Master s degree program does not automatically grant you any type of certification or Professional Licensure. However, the Counseling degree you will receive or have received is necessary for Professional Licensure, as well as many counseling-related certifications. You may need to complete extra educational or fieldwork experience in order to gain particular credentials, depending on the credential in question. Current and incoming students are encouraged to be aware of the credentialing process from the outset of studies in order to sufficiently prepare. See Appendix A: GSCP Student Credentialing Checklist for initial guidance. Naropa University Page 5
6 GSCP ACCREDITATION AND THE CREDENTIALING PROCESS Accreditation refers to the setting of minimal standards that an individual, program, or institution must meet in order to be deemed as proficient in a particular field. As an educational institution Naropa University is accredited by the Higher Learning Commission (HLC) ( and is a member of the regional association, the North Central Association of Colleges and Schools (NCACS) ( Naropa was first accredited by the HLC in 1986 and gained it s last successful accreditation in The counseling programs in the GSCP are currently in a multi-year process of becoming accredited with the Council of Accreditation of Counseling and Related Educational Programs (CACREP; kay-krep) ( CACREP is a leading body that accredits masters and doctoral counseling degree programs in the U.S. and internationally. Importantly, CACREP does not accredit individuals. In order to become accredited, a counselor education program must fulfill certain requirements or standards with regard to institutional settings, program mission and objectives, program content, practicum experiences, student selection and advising, faculty qualifications and workload, program governance, instructional support, and self-evaluation. In order to be certified, counselors must meet certain levels of education and training in counseling, they must follow the code of ethics, and they are held accountable to show competent and ethical performance in practice. ( Licensure applications, along with applications for many other credentials across U.S. states, ask if applicants graduated from a CACREP-accredited program. Where applicants have not graduated from a CACREP-accredited program they are required to show that their completed coursework is equivalent to the CACREP coursework requirements. In Colorado, for example, this process entails completing the Colorado Education Equivalency Review application ( Other U.S. states have similar processes. CURRENT STATUS OF CACREP ACCREDITATION FOR THE GSCP (FALL 2015) The GSCP is currently in a multi-year process towards becoming accredited by CACREP. The current timeline for this accreditation process means that current second-year students, along with any incoming students for Fall 2015 will graduate with a CACREP-accredited degree. This however is subject to change. Importantly, whether or not an individual s degree is CACREP-accredited does not ensure that no further education or experience will be needed for particular credentials. Credentialing bodies may still have educational or experience requirements beyond those standards set by CACREP. Naropa University Page 6
7 Alumni: All individuals who graduate or graduated from Naropa with an MA in Counseling or Counseling prior to this time did not and will not have graduated with a CACREPaccredited degree. Some alumni may have been present for the restructuring of curriculum to align with CACREP, however the programs were not yet accredited. Students should look out for news and updates regarding changes to the status of CACREP of the GSCP. See the CACREP website for more information on CACREP, and GSCP updates regarding CACREP on the MyNaropa GSCP Credentialing page, around campus, and in the GSCP Monthy Newsletter. OBTAINING ACADEMIC REFERENCES & EDUCATION VERIFICATION FOR APPLICATIONS There are two main types of documentation applications for licensure or other credentials may require. The first is an Academic Reference from a Faculty member or someone who supervised clinical field placement (i.e. practicum or internship). Only a few of the applications for common credentials GSCP students pursue, ask for these. In these instances you are directed to the relevant Faculty, staff or supervisor you wish to obtain a reference from. Please note it is at their discretion whether they wish to provide you with a reference. In your outline: What credential you are pursuing The scope of the documentation you need or the form they need to provide the reference on Instructions as to what format you need the completed document in (sometimes credentialing bodies will ask for the reference to be sent directly to them). The second type of document credentialing bodies, particularly national or out-of-state (i.e. not Colorado) ask for are documents verifying your education, both coursework and field placement experiences. Forms will typically ask for verification by, for example, a University Offical, Graduate School Representative, Chief Academic Officer or Authorized Designee. In these instance the GSCP Credentialing Coordinator can complete these forms for you. Please the same information and documents as listed above to the Credentialing Coordinator. If forms state they need verification by your Supervisor, you will need to contact them directly. Alumni: For alumni who are no longer in contact with their supervisor from their graduate studies, contact the GSCP Credentialing Coordinator. Please allow at least one to two weeks for any documentation you request. Naropa University Page 7
8 PROFESSIONAL COUNSELOR LICENSURE WHAT IS PROFESSIONAL COUNSELOR LICENSURE? Professional Counselor Licensure is one post-graduate credential counselors pursue. As with any credentialing process, the licensure process assesses whether an individual has received appropriate academic preparation and clinical experience to treat clients competently. Unlike some other credentials Professional Licensure is the credential that gives an individual legal permission to call oneself a Licensed Professional Counselor in the U.S. and to practice counseling. THE STRUCTURE OF LICENSURE In the U.S. each state has their own requirements to obtain licensure and their own legislation governing individuals who become licensed. The purpose of state licensure is to protect the public by defining practitioners who can legally use the title of a licensed counselor and/or who can provide counseling services in a particular state ( Some other countries also operate by a state/province-based credentialing structure. LICENSURE TITLES IN THE U.S. The names of licenses vary state-to-state. In Colorado, as well as a number of other states, the title you would receive with professional licensure is Licensed Professional Counselor (LPC). Examples of equivalent titles in other states are Licensed Mental Health Counselor (LMHC), Licensed Clinical Professional Counselor (LCPC), and Licensed Professional Clinical Counselor (LPCC). Furthermore, whilst an individual is completing licensure requirements, they may be registered under a different title reflecting, for example, their candidate or intern status. See Appendix B: Listing of Licensure Title by U.S. State for a listing of the various titles across the U.S. DO I NEED TO BECOME LICENSED? In Colorado. The state of Colorado does not require individuals to pursue or have full licensure in order to practice in the counseling field. Colorado does require however that individuals, in the very least, be registered as a Registered Psychotherapist (previously Unlicensed Psychotherapist ) with the Colorado State Board of Registered Psychotherapists Department of Regulatory Agencies (DORA), if practicing in any counseling-related capacity. Practicing in Colorado without being registered or licensed makes one subject to criminal and/or regulatory sanctions. See Appendix H: Applying for Registered Psychotherapist in Colorado. All GSCP concentrations are moving towards, if not already requiring Registration as a Psychotherapist as part of the degree course. Naropa University Page 8
9 Whilst you may practice without a Professional Licensure in Colorado, most places of employment, other than private practice, will require their employee to have obtained or be in the process of obtaining Professional Licensure. Most position descriptions will outline this requirement (e.g. Must be eligible for licensure ), however it is best to check at time of first contact with a potential employer or volunteer site etc. Once you have graduated, to legally work as a counselor in Colorado you MUST be either registered as a Registered Psychotherapist, a Licensed Professional Counselor Candidate (LPCC) or a Licensed Professional Counselor (LPC) with DORA. Note that some agency jobs do not require any form of registration with DORA. It is your responsibility to check with your employer if you are exempt from this. In Other U.S. States & Countries. The majority of other U.S. states do require individuals to seek and obtain licensure in order to practice in the counseling field and call oneself a Professional Counselor. Currently, only Kansas ( Professional Counselor, no supervised hours required ) and Vermont ( Non-licensed, non-registered, Rostered psychotherapist ) have non-license registration equivalent to Colorado s Registered Psychotherapist, which allow individuals to work in the field without having to pursue Professional Licensure. Again, practicing in another state without being registered to complete post-graduate requirements, or fully licensed makes one subject to criminal and/or regulatory sanctions. Licensure requirements also vary interntionally, and need to be investigated on a case-bycase basis. DO I NEED TO PURSUE LICENSURE IMMEDIATELY FOLLOWING GRADUATION? You do not need to pursue licensure immediately following graduation. Some alumni seek licensure many years following graduation. One thing to consider is that licensure, along with other credentialing requirements change with time, as the overall field of counseling evolves. This may mean you have more difficulty with meeting requirements for licensure the longer you wait. Many states however do recognize this and have alternate forms and graduate education requirements for older applicants who graduated a considerable number of years prior to application. This is often referred to as being grandfathered in. Alumni who are pursuing licensure for the first time a considerable number of years following graduation should inquire with the relevant state counseling board about alternate requirements for licensure. Naropa University Page 9
10 CONSIDERATIONS IN SEEKING LICENSURE Following are some points to consider when deciding if and when it is right time to pursue licensure: Time commitments. Short-term time commitments include going through the application process, including finding suitable work and a supervisor. Long-term time commitments include considering the location/s you are likely to be living and life/family commitments you may have in the years you will be completing licensure requirements, supervision hours, ongoing paperwork, and professional development hours. Monetary considerations. This refers to both fees (application fees and possibly for supervision), and income considerations in the immediate and future. Continued professional development. Maintaing licensure requires completion of Continuing Professional Development (CPD) / Continuing Education (CE). Ongoing Other professional benefits. Obtaining licensure may mean eligibility for particular professional associations, ease of transfer of license across some states, and allows access to benefits such as Colorado s Peer Health Assistance Program. Other qualifications and practice modalities. Some individuals will possess existing professional licensure or certification in other modalities such as massage therapy or life coaching. Counseling licensure or other counseling-related credentials may not be wanted or needed to engage in the work you wish to undertake. It is important to have some idea of those issues important to you with respect to seeking licensure. The GSCP Credentialing Coordinator and Naropa Career Services is available for consultation around these issues. LICENSURE AND GRADUATE FIELD PLACEMENT EXPERIENCE In Colorado graduates students are not required by law to be a Registered Psychotherapist to take part in Field Placement experience (i.e. Practicum and Internship); some sites, however, may recommend or require this. All GSCP concentrations are moving towards requiring students to be registered as a Registered Psychotherapist in order to undertake their Practicum placement, if not already required by particular concentrations. Becoming a Registered Psychotherapist prior to graduation has benefits in that you will be prepared to legally start working in the field immediately upon graduation. Were you not yet registered at time of graduation, you would have to wait for your Registered Psychotherapist or Licensed Professional Counselor Candidate (LPCC) application to be processesd and approved, in order to start working. Naropa University Page 10
11 LICENSURE PROCESS AND REQUIREMENTS State-to-state and country-to-country, there are some similarities in the licensure process. For most U.S. states you: First apply for an intermediate status in order to complete post-graduate requirements. Examples of such intermediary titles are candidate (e.g. LPCC in Colorado), intern (e.g. Licensed Professional Clinical Counselor Intern (PCI) in California), or associate (e.g. Mental Health Counselor Associate (MHCA) in Washington State). When researching licensure in a particular state look for applications related to these intermediate titles. These titles give you legal permission to practice counseling in order to complete requirements for full licensure. When post-graduate requirements are completed you would submit a second application for full licensure (e.g. LPC in Colorado, Licensed Professional Clinical Counselor (LPCC) in California, and Licensed Mental Health Counselor (LMHC) in Washington State). See Appendix B: Listing of Licensure Title by U.S. State for a listing of intermediary and full counselor titles. Complete education requirements for relevant state (if not already complete). Apply as Intern/Candidate/Temporary Permit etc. relevant to the state you are applying to. Receive approval from state board. Find work and a supervisor, start accruing hours, and complete examination requirements. Apply for full Professional Licensure once all requirements are completed. Naropa University Page 11
12 Common variations to this timeline to look out for in state rules and regulations, and policies and procedures are: State examination requirements need to be completed before applying as Intern etc. You can remedy educational gaps whilst accruing post-graduate supervised hours. You need to have found a qualified supervisor prior to applying as an Intern etc. They need to be approved by the board. You may need to show evidence of your intended place of work when applying as an Intern etc. LICENSURE REQUIREMENTS: THE THREE E S OF LICENSURE The requirements for obtaining licensure fall into three categories: Educational requirements Graduate (& post-graduate) Experience requirements Graduate (practicum/internship supervised hours) & postgraduate supervised hours Examination requirements NCE or NCMHCE & Jurisprudence (& other) 1. Educational Requirements Assessment of educational experience includes looking at graduate coursework. Each state lists core coursework that graduate studies must include. For the most part these align with CACREP core curricular areas (see Appendix C), but some states may require other courses beyond these categories. (e g. coursework/training in addictions, spouse/couple work, human sexuality, crisis counseling, or psychopharmacology). GSCP graduates can take additional courses at or external to Naropa to fulfill these requirements for relevant states; in certain cases it may also be possible to complete an Independent Study within your program (see your Academic Advisor). When you would need to complete additional courses depends on the application process of the credential you are pursuing. Students are to research educational requirements while completing studies in the GSCP. See Appendix A: GSCP Student Credentialing Checklist and Appendix D: Guide for Researching Licensure Requirements for steps to do this, and guidance around how to fill any gaps in coursework that are identified in that process. Naropa University Page 12
13 2. Experience Requirements U.S. Licensure applications are interested in graduate and post-graduate clinical experience. Graduate Field Placement Experience: Practicum and Internship. Licensure applications require a particular number of Field Placement hours and/or Field Placement related coursework to have been completed as part of graduate studies. States will typically specify: Total number of Practicum/Internship hours (most states require 600 or 700 hours of Practicum/Internship). Minimum number of direct client contact hours, within the total hours. Type of work e.g. milieu work, conducting group therapy, private practice versus agency work,. and the minimum or maximum number of hours of each. Minimum number of supervision hours. Type of supervision (individual or group). Supervisor qualifications. Some states only ask for, for example, six credit/semester hours of Internship coursework with no stated hour requirements. Each of the GSCP concentrations has requirements around these areas (see the GSCP Field Placement Handbook), however these do not necessarily align with the state you are looking to gain licensure in, thus you are responsible for researching that state s requirements and completing their requirements within your Practicum/Internship placement. Seek support from your Practicum/Internship Coordinator around this. Post-Graduate Experience. For full licensure, you are then required to complete a particular number of post-graduate supervised hours. The number of hours varies state-tostate, commonly 2000 or 3000 hours over a minimum of 2 or 3 years, respectively, are required; some states do require 4000 hours. There are conditions and limits on these hours as listed above; these conditions, again, vary state-to-state. You are encouraged to research requirements for each state you are interested in pursuing licensure. See Appendix D: Guide for Researching Licensure Requirements. When Can I Start Counting Hours Towards Licensure? You can start counting hours towards licensure from the date your Master s degree is conferred; the conferral date is the date that is documented on your Official Naropa Transcript. Note however, that your conferral date on your Official Transcript, and the date you receive your Official Transcript can be one to two months after the date you finish classes and walk at Commencement Ceremony; this is due to administrative processes that take time. Going by this date, you cannot count any relevant hours obtained between Commencement and that date on your transcript towards licensure. Naropa University Page 13
14 An exception to this rule in Colorado is if the alum can provide a letter from the school registrar stating that all degree requirements were completed on (date), and that due to whatever processes, the degree could not be conferred until (date). This letter would be submitted with your final licensure application (Original Licensure by Examination). In other U.S. states and countries, inquire with the relevant counseling boards to ask how they work with this situation. Requesting a Letter from Naropa s Registrar. the Registrar at [email protected], and include the following information: A statement about your current need with respect to pursuing Professional Counselor Licensure and your wish to count hours between finishing classes and the conferral date on your transcript. Request for a statement declaring that all degree requirements were completed on [include date you finished classes/all degree requirements], and that due to administrative processes, the degree could not be conferred until [conferral date on Official Transcript]. The program you graduated from and the year you graduated. Your full name, at time of study/graduation. If you contact another U.S. state and they require other documentation to be completed, or statement to be written by the university, please forward detailed instruction of what is needed and any forms to the Registrar s Office. The Registrar s Office is aware of this need of some Counseling alumni. Prepare ahead of time when nearing submission of final licensure application, and please be patient with your request. 3. Examination Requirements The final requirement for full licensure relates to examinations. Each U.S. state requires you to complete a counseling exam, either: the National Counselor Examination (NCE) or the National Clinical Mental Health Counseling Examination (NCMHCE). The majority of states will also require you to take an examination related to counseling law i.e. the Jurisprudence, in that state. When you need to take these exams, differs state-to-state. For some states graduates need to have taken and passed these exams prior to starting post-graduate supervised hours/ applying for candidate/intern/associate status. In other states graduates have the entire period they are completing post-graduate supervised hours to take and pass the required exam. There are study guides and considerable information available on the Internet to assist you with these examinations, also see Appendix E: Examination Summary for more information about the different exams. Naropa University Page 14
15 TRANSFERRING POST-GRADUATE SUPERVISED HOURS BETWEEN U.S. STATES If you have acquired some post-graduate supervised hours in none state and then wish to move states it is possible to transfer these hours between states, you must however ensure the type of work and supervision meets the requirements of the state you are moving to. You are encouraged to keep detailed records of your supervised hours, including the contact details and qualifications of your supervisor, to assist in this process. TRANSFERRING LICENSURE BETWEEN U.S. STATES: ENDORSEMENT & RECIPROCITY In general, if you are licensed and moving interstate you will still have to apply for Professional Licensure in the state you are going to reside and work in. Such applications are termed Licensure by Endorsement or Licensure by Reciprocity. With respect to reciprocity, each U.S. state typically has reciprocity agreements with a few, often neighbouring states or those with similar requirements and standards. In either instance however, these applications will often still require you to document the three E s (education, experience, examination). You may also be required to meet that states education, experience, and examination requirements. If, for example, you gained licensure in a state that only asked for 2000 hours of post-graduate supervised experience, and the state you are moving to requires 3000 hours for licensure you may be required to do some supervised hours in-state or work under a provisional license before being granted full licensure. Individuals are encouraged to research endorsement and reciprocity within the states them may be interested to move to in the future, if and when known. LICENSURE & TELEMENTAL HEALTH With the growth and advancement of information technology, conducting therapy online or via communication mediums other than in the physical presence of and face-to-face with the client (e.g. phone, , text, chat, video conferencing, virtual reality) has become feasible, and is rapidly on the rise. Telemental Health is also referred as, or encapsulates, Telepsychology, E-therapy, E-counseling, E-psychotherapy, Telepsychiatry, and Internet based psychotherapy, to name a few. The ability to conduct Telemental Health means that you can provide counseling to individuals present in other states and countries to which you do not reside or work in. At this time, the field of Telemental Health in the U.S. is unregulated. Tackling the ethical and legal issues that arise with e-therapy is complex. Very few states have addressed the area of Telemental Health, and as such have not set guidelines and laws around its provision; Colorado is one state that does make reference to Telemental Health in its Policies. A broad and unofficial statement around the provision of Telemental Health, is that a counselor should not provide services in states or countries, which they are not legally permitted to work in i.e. licensed or registered in. As an example of the complexity that may arise, if a Licensure Professional Counselor resides and works in Colorado, and has a client who resides officially in Texas, will that client Naropa University Page 15
16 be able to receive insurance reimbursements in Texas? If there happens to be legal difficulties with that client, is the counselor protected by their Regulating Body in Colorado? (The likely answer is no, given that Licensure and the legal permission to work as a Professional Counselor is state-based). Other issues about client confidentiality across programs such as Skype or Google Hangout also arise. Such considerations are the same if you are providing services via e-platforms, across country borders. This is not to say there are not considerable benefits to the provision of Telemental Health services. For example, individuals who are in remote areas can access services that they may otherwise not be able to, and e-counseling may also cost less for clients with counselors having less overheads regarding a physical office space. Also, if a client moves interstate the therapeutic relationship may not need to be terminated, if that is appropriate for that client s process. If Telemental Health is an area you are interested in or wish to have available to you, you are encouraged to learn about the legal and ethical complexities of the provision of such services, in some way, and stay up-to-date on any advancements in regulation of this area of practice. For one, communicating the limitations and difficulties, as well as acknowledging the benefits of Telemental Health to clients is an important element of creating and maintaining the therapeutic relationship and container over e-mediums. Professional development courses dedicated to Telemental Health are available online or at community colleges, some with certification. LICENSURE & SCREENING FOR LEGALLY DOCUMENTED EVENTS AND SIGNIFICANT HEALTH DIAGNOSES Licensure applications, along with many other credential applications include a section asking about past or currently active legally documented difficulties with past certification/licensure, other non-counseling related events/offenses, or mental or physical health conditions that have or could significantly impact practicing as a counselor. Such questions are sometimes referred to as YES questions ; licensing boards on the lookout for yes answers from applicants. Having such a history or active charge or condition does not definitively prevent an individual from obtaining licensure or other counseling-related certification. The relevant board will consider each case on a case-by-case basis. If you have such a background you will need to provide documentation with your application; the documentation required may differ slightly across U.S. states. The Colorado applications for both Registered Psychotherapist and Licensure state the following: Naropa University Page 16
17 You must provide the following for each YES response to the screening questions below: An explanation, signed and dated by you, of your behavior or practice that led to the occurrence, including: Date(s) of event/offense Description of event/offense Location/court, and Current status/outcome. You may be required to provide the following: Copies of legal documents relating to the event/offense and copies of legal documents indicating your compliance with any requirements imposed upon you. You may also be asked to, for example, meet with Board Officials or take a mental health examination or drug test, depending on the charges or condition. When familiarizing yourself with application forms, if you answer YES to any such screening question pay particular attention to the documentation you will be required to submit and consider speaking with the GSCP Credentialing Coordinator to gain support and guidance around this part of the application process. Individuals are encouraged to be prepared, and to file applications as soon as possible. Naropa University Page 17
18 OBTAINING CREDENTIALS & WORKING OVERSEAS The requirements and processes for obtaining credentials and working as a Professional Counselor overseas, must be researched on a case-by-case basis. Some considerations when researching the counseling profession in other countries are: Does the country have some regulating body that oversees counselors or, what may be termed, allied mental health professionals? If there is some regulation over the field, is there a national body that overseas this, or is it state-bystate, as in the U.S.? Is there a path equivalent to that of Professional Licensure, or do they only require registration with no further postgraduate requirements? Are you a foreigner or citizen/resident of the country you wish to work in? If you are a foreigner does the country require a work VISA? Are there limitations on what type of work you can engage in (e.g. private practice, agency work)? Are you looking to travel, live and work independently, or is there possibility of gaining employment with a U.S.-based agency/ organization/ practice that operates in other countries? In this case they would provide support and guidance, and have structure around permitting you to work overseas. What is the length of time you wish to stay and work in the country? Are you looking to live somewhere long-term or are you looking for short-term opportunities to work overseas? It is your responsibility as a student or alum to do initial research of the counseling profession in countries of interest to you, this may involve contacting the relevant counseling/mental health board/organization, and looking into work VISA requirements for the country of interest. The GSCP Credentialing Coordinator is then available to assist you to clarify and confirm any findings and application processes. Naropa Career Services is also available for consultation, and may be able to provide information around volunteering and working overseas, and organizations and bodies that may offer such opportunities. TRANSFERRING CREDENTIALS OVERSEAS There is no set process or ruling about transferring any credential overseas. You would need to research the country in question, as with looking to work overseas, and follow any application processes the country may have. For guidance around researching licensure/credentials overseas, see Appendix D: Guide to Researching Licensure Requirements. Naropa University Page 18
19 TRANSFERRING OVERSEAS CREDENTIALS TO THE U.S. For alumni who have obtained credentials overseas and wish to obtain or reinstate licensure in the U.S. as above, there is no set process or ruling about directly transferring credentials in this way. You will need to contact the appropriate Professional Counseling State Board for information about whether this is possible and the process for this. In all overseas scenarios, you are encouraged to keep detailed documentation of your educational, Field Placement experience, examination results, and any other relevant work/ volunteer experience you have engaged in, in the U.S. or overseas. OBTAINING CREDENTIALS IN THE U.S. AS AN INTERNATIONAL STUDENT OR INTERNATIONAL ALUM International Students and International Alum are able to pursue Professional Licensure or other credential in the U.S., as long as you possess the necessary work VISA to stay and work in the U.S. in order to complete any post-graduate requirements to obtain the credential in question. Things to consider for International Students: If you are on a F-1 Student VISA you are eligible to undertake Optional Practicum Training (OPT) once you have completed studies. If your application is approved, you then have a maximum of 12 months to obtain work experience within the field. These experiences can count towards any credential permitting that your work aligns with the requirements of the credential in question, and OPT requirements. To obtain Professional Licensure in the U.S. however, it would take a minimum of two to three years (depending on the state in question) to complete post-graduate requirements. This means that you would need to find employment that would allow you to obtain a work VISA (e.g. H-1B, E-3), following your OPT year. Part of this process is finding an employer who would be willing to sponsor you in order to obtain a work VISA (sponsorship, amongst other things, requires the employer to pay a number of fees in order to employ the foreign individual). One suggestion for International Students: If you are considering staying in the U.S. and pursuing credentials, particularly licensure, plan ahead. Network and establish connections with agencies, organizations, and individuals where there may be a possibility of employment and sponsorship postgraduation or following OPT year. Some internship sites are known to offer employment to interns post-placement. Your Practicum/Internship Advisor in your program can assist you in selecting appropriate sites with this in mind. Naropa University Page 19
20 If you have queries or concerns about OPT speak to Naropa s International Student Advisor. The GSCP Credentialing Coordinator is also available to consult around these issues, and assist you in planning and preparing for pursuing credentials post-graduation. For alumni situated overseas, who are not U.S. nationals looking to return to work and pursue credentials in the U.S: You need to find employment and obtain the appropriate work VISA. Once leaglly admitted to the U.S., you are permitted to pursue licensure and other credentials. OTHER CREDENTIALS AND REGISTRATION Other credentials and registration are sometimes required to work in a particular modality or with particular populations. An additional benefit of obtaining other credentials and professional registration is that it connects you to professional community with same interests and professional development opportunities. The most commonly inquired about U.S. credentials from students and graduates are: National Certified Counselor (NCC) Certified Addictions Counselor (CAC, Colorado) Art Therapy (ATR, ATR-BC) Dance/Movement Therapy (R-DMT, BC-DMT) Mindfulness Instructor As with licensure, other credentials and registration are subject to educational, experience, and examination requirements in relation to specific modality/field. Graduate coursework (including Field Placement) can be used towards some credentials whilst also being used towards Professional Licensure. You may also be able to pursue certain credentials whilst undertaking graduate studies. Appendix D: Guide to Researching Licensure Requirements & Appendix G: Worksheet for Researching Credentialing Requirements can also be used to document requirements regarding other credentials. WHAT IS THE DIFFERENCE BETWEEN BECOMING A COUNSELOR VS MARRIAGE & FAMILY THERAPIST VS PSYCHOLOGIST VS SOCIAL WORKER? Professional Counseling, Marriage and Family Therapy (MFT), Psychology and Social Work are distinct professional fields that are regulated by distinct regulatory boards within each state and nationally. Each of these professional paths involves particular education that differs in focus in relation to theory and technique and often target populations or work settings, however in practice individuals within each of these fields may work in similar roles on some level. As the fields stand now individuals with Counseling degrees can often apply for MFT licensure and vice versa, as the coursework is most similar. If you are wishing to work with Couples and Families in a particular state it is important to check the counseling and MFT regulations to see who you are legally allowed and prohibited from working with with, in that state under the coverage or those regulatory boards. Individuals with counseling degrees cannot pursue professional certification/licensure in areas of psychology or social work. Naropa University Page 20
21 CREDENTIALING RESOURCES AND SUPPORTS A number of resources exist for students and alumni of GSCP programs at Naropa in relation to pursuing Professional Licensure and other credentials. GSCP Credentialing MyNaropa web page. This page houses documents, such as this one, and provides direct links to relevant/ important websites and online resources, as well as commonly requested applications. MyNaropa > Alumni tab > Under Alumni Resources: GSCP Credentialing GSCP Credentialing Coordinator. The GSCP Credentialing Coordinator is available to consult with students and alumni. The GSCP Credentialing Coordinator, along with your Academic Advisor, can help you establish an individualized plan to work towards aligning with particular state licensure or other credential requirements. The GSCP Credentialing Coordinator can also provide any official Naropa support, advocacy, and documentation needed for applications. They are also responsible for designing and developing informational resources and tools, and providing any on-campus workshops. For students and alumni see Appendix F: Before Meeting with the GSCP Credentialing Coordinator. Course Syllabus Needs. If you are asked for full course syllabi and you have not kept clean (i.e. unmarked) copies, you can request these via through the GSCP Credentialing Coordinator. In the include: Your full name (as at time of study) Program (e.g. TCP, Somatic Body Psychotherapy) Course Name and Number (as documented on your transcript) Year and semester you took the course (e.g. Fall 2003). Course Descriptions from Naropa Online Course Catalog. Naropa course catalogs (from 1977 till current) are available on Naropa.edu. To obtain course descriptions for applications download the course catalog from the year you entered studies in the GSCP: Professional Development coursework. Each of the Counseling programs in the GSCP provides courses on Professional Orientation, it is here that licensure issues are raised and addressed. Increasingly the aim is for licensure information, processes, and support to be more thoroughly integrated, where appropriate, into curriculum from the outset of student s journey. Academic Advisors & Field Placement Coordinators. Your Academic Advisor and Practicum/Internship Coordinator can also provide assistance with determining which classes you should take, and the most appropriate Practicum and Internship placement for you, in order to meet requirements for any credentials you are looking to pursue. You will need to have researched those credentials or states for licensure you are interested in, prior to meeting with your Advisor and/or Coordinator to gain such assistance. Naropa University Page 21
22 Career Services. The Naropa Career Services and Community Engagement (CSCE) Center provides career counseling and coaching services to both students and alumni. With respect to licensure they can provide a place to explore and plan what your future may look like post-graduation. For those interested in counseling-related work and/or volunteer experiences overseas, CSCE is a good place to gain some guidance around this. Alumni network. The Alumni network with respect to licensure is one portal where GSCP Credentialing news is communicated. The network also provides opportunities for alums to connect with others who are familiar with or undertaking credentialing process. Social media. For those students and alumni on social media sites such as Facebook, unofficial groups are usually formed by program or for all graduates from GSCP counseling programs. This also offers a place to connect and gain support around credentialing issues. Please note that information shared on these forums is however, not necessarily accurate. The Alumni Relations and Career Services have Official Facebook pages where GSCP credentialing news may appear periodically. Be on the look out! Naropa University Page 22
23 APPENDIX A: GSCP STUDENT CREDENTIALING CHECKLIST FIRST-YEAR CHECKLIST Review the Credentialing Guidebook. Familiarize yourself with the GSCP Credentialing page at MyNaropa. Keep an unmarked, i.e. clean, electronic or hard copy of the syllabus for each course. Syllabi are required for some credentialing application processes. Consider which state/s or country you may wish to pursue licensure in, take note of particular licensure requirements. See Appendix D: Guide to Researching Licensure Requirements for guidance around this process, and utilize Appendix G: Worksheet for Researching Credentialing Requirements to record your findings. Consider other specialist credentials you may wish to pursue e.g. Certified Addictions Counselor (CAC): consider topics and populations of interest to you and research related credentials; ask peers, mentors and teachers about credentials they have pursued; and/or search counselor credentials online. Select any state licensure application form (try Colorado s Licensed Professional Counselor Candidate Registration (Temporary Permit) (LPCC) application as default) and familiarize yourself with what this looks like and entails. It is a good idea to have this as an accessible reference whilst going through this guidebook. When familiarizing yourself with the application form, if you answer YES to any screening question (i.e., questions regarding difficulties with past certification/licensure, criminal history, or mental or physical health issues) pay particular attention to the documentation you will be required to submit. Consider speaking with the GSCP Credentialing Coordinator to gain support and guidance around this area. In Spring semester take guidance from your Practicum Coordinator around Registering as a Psychotherapist in Colorado. SECOND-YEAR CHECKLIST See First-Year Checklist. Keep a copy or record of your final Practicum hours (particularly direct client content hours and supervision hours), dates of Practicum, and site supervisor information. This information will be required for most Professional Counselor License applications, and other credential applications. THIRD-YEAR CHECKLIST See First- and Second-Year Checklists. Keep a copy or record of your final Internship hours (particularly direct client content hours and supervision hours), as with Second Year Practicum. Naropa University Page 23
24 POST-GRADUATION CHECKLIST Ensure you have all syllabi from the courses you took. If not, connect with peers from your program year. If syllabi are still not obtainable the GSCP Credentialing Coordinator with your syllabi requests, include in your your full name, program name, year of graduation, course names/codes, and course year and semester. Look out for credentialing related news and events via the Alumni e-newsletter and communications, and on MyNaropa. Naropa University Page 24
25 APPENDIX B: LISTING OF LICENSURE TITLES BY U.S. STATE State Alabama (AL) Initial Title (You will apply for if this is the first time you are pursuing licensure, in any state) Associate Licensed Counselor (ALC) Full Professional Licensure Title (You will apply for this once all requirements are completed or you are transferring ) Licensed Professional Counselor (LPC) Alaska (AK) Professional Counselor (PC) Licensed Professional Counselor (LPC) Arizona (AZ) Arkansas (AR) California (CA) Colorado (CO) Licensed Associate Counselor (LAC) Licensed Associate Counselor (LAC) Licensed Professional Counselor Intern (LPCI) Licensed Professional Counselor Candidate (LPCC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Conneticut (CT) Professional Counselor (PC) Licensed Professional Counselor (LPC) Delaware (DE) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Associate Counselor of Mental Health (ACMH) Registered Mental Health Counselor Intern (RMHCI) Associate Professional Counselor (APC) Mental Health Counselor (MHC) Licensed Professional Counselor (LPC) Professional Counselor of Mental Health (PCMH) Licensed Mental Health Counselor (LMHC) Licensed Professional Counselor (LPC) Mental Health Counselor (MHC) Licensed Professional Counselor (LPC) Illinois (IL) Professional Counselor (PC) Licensed Clinical Professional Counselor (LCPC) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Licensed Mental Health Counselor (LMHC) Select Temporary License on MHC application. Licensed Professional Counselor (LPC) Licensed Professional Counselor Associate (LPCA) Licensed Mental Health Counselor (LMHC) Mental Health Counselor (MHC) Licensed Clinical Professional Counselor (LCPC) Licensed Professional Clinical Counselor (LPCC) Louisiana (LA) Counselor Intern (CI) Licensed Professional Counselor (LPC) Naropa University Page 25
26 State Initial Title Full Professional Licensure Title Maine (ME) Professional Counselor (PC) Licensed Professional Counselor (LPC) Maryland (MD) Massachusetts (MA) Licensed Graduate Professional Counselor (LGPC) Mental Health Counselor (MHC) Licensed Clinical Professional Counselor (LCPC) Licensed Mental Health Counselor (LMHC) Michigan (MI) Limited Licensed Counselor Full Professional Counselor Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Licensed Professional Counselor (LPC) Select "Candidacy" on LPC application. Professional Counselor (PC) Provisional License (submit "Registration of supervision" form) Only apply once you have completed hours; see application for requirements. Provisionally Licensed Mental Health Practitioner (PLMHP) Clinical Professional Counselor Intern (CPCI) (can apply for this status 2 months before graduation) Candidate for Licensure Licensed Associate Counselor (LAC) Licensed Mental Health Counselor (LMHC) Mental Health Counselor (MHC) - Limited Permit (forms 1 and 5) Licensed Professional Counselor Associate (LPCA) Licensed Associate Professional Counselor (LAPC) Professional Counselor (PC) and Clinical Resident (CR) (submit both applications to complete supervised hours) Licensed Professional Clinical Counselor (LPCC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Licensed Clinical Professional Counselor (LCPC) Clinical Professional Counselor (CPC) Clinical Professional Counselor (CPC) Clinical Mental Health Counselor (CMHC) Licensed Professional Counselor (LPC) Licensed Clinical Mental Health Counselor (LCMHC) Mental Health Counselor (MHC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) *three stages to full licensure Professional Clinical Counselor (PCC) Naropa University Page 26
27 State Initial Title Full Professional Licensure Title Oklahoma (OK) Licensed Professional Counselor Candidate (LPCC) Licensed Professional Counselor (LPC) Oregon (OR) Professional Counselor Intern Professional Counselor (PC) (PCI) Pennsylvania (PA) Professional Counselor (PC) Professional Counselor (PC) Rhode Island (RI) TBD Licensed Mental Health Counselor (LMHC) South Carolina (SC) Professional Counselor Intern (PCI) Licensed Professional Counselor (LPC) South Dakota (SD) Licensed Professional Counselor (LPC) (must submit Licensed Professional Counselor (LPC) "Plan of Supervision" in order to complete hours) Tennessee (TN) Temporary Licensed Professional Counselor Licensed Professional Counselor (LPC) Texas (TX) Select "Temporary License" on LPC application. Licensed Professional Counselor (LPC) Utah (UT) Associate Clinical Mental Clinical Mental Health Counselor Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) Health Counselor (ACMHC) Non-licensed and Nonregistered/Rostered Psychotherapist Licensed Professional Counselor (LPC) - Registration Mental Health Counselor Associate (MHCA) Licensed Professional Counselor (LPC) - Registration (must submit "Supervisor Registration" form) Professional Counselor (PC) (select "Training License" on PC application) Provisional Professional Counselor (PPC) (CMHC) Clinical Mental Health Counselor (CMHC) Licensed Professional Counselor (LPC) Mental Health Counselor (MHC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Licensed Professional Counselor (LPC) Naropa University Page 27
28 APPENDIX C: CACREP EIGHT CORE CURRICULAR AREAS The following are the eight core curricular areas set by CACREP. For accreditation graduate programs must address these areas: Professional Orientation & Ethical Practice Social & Cultural Diversity Human Growth & Development Career Development Helping Relationships Group Work Assessment Research & Program Evaluation In addition to this CACREP requires Practicum and Internship placements. For more details see CACREP Standards 2009 document (available on and the GSCP Field Placement Handbook. Naropa University Page 28
29 APPENDIX D: GUIDE TO RESEARCHING LICENSURE REQUIREMENTS This document is to assist you in researching licensure requirements for states or countries of interest. It can also be used as a guide to research particular non-licensure credentials. WHAT YOU NEED GSCP Credentialing Guidebook (ideally hard-copy for ease of reference). Appendix G: Worksheet for Researching Credentialing Requirements (hard-copy). Access to the Internet (browser window open to search; and one window open at Naropa s Course Catalog) Syllabi (ideally; hard-copy or electronic version) Up-to-date Naropa transcript. Transcripts are accessible online through MyNaropa for current students and recent graduates; older alumni can order transcripts here. Something to write with. A reasonable amount of time, environmental conditions conducive to focusing, and a relative amount of patience. PROCESS #1: RESEARCHING STATE/COUNTRY LICENSURE REQUIREMENTS Step 1: Step 2: Step 3: Step 4: Step 5: Step 6: Determine what state/country you are researching. Look at Appendix B: Listing of Licensure Titles by U.S. state to determine which title you are first pursuing. If you are a new licensee in the U.S. you are looking for information about the title in the first column of Appendix B. For U.S. states go to the appropriate state boards website, for other countries search some combination of counseling, mental health professional, board, licensure, regulations etc. Locate on the relevant website, documents titled Laws or Statutes, Rules & Regulations, and/or Policies & Procedures. Also find the Application for the particular credential and title in question. Download all of these for your reference, if they are available in that format; some state boards have this information only online and not in a document form. Look at the Application form first for information about the three E s: Educational, Experience, and Examination requirements. Note down what you can find on Appendix G: Worksheet for Researching Credentialing Requirements. To be thorough, or where application forms have little information, look at the Laws, or Rules & Regulations of that state/country to find the information listed on Appendix G. Use the FIND function in Word or PDF to make this easier. Search for either the title you are researching or education requirements etc. Naropa University Page 29
30 PROCESS #2: COMPARING STATE/COUNTRY REQUIREMENTS TO YOUR GRADUATE PATHWAY Step 1: Step 2: Compare the courses on your transcript, to the course requirements you documented on Appendix G, and fill in what you can in the third to fifth columns. Given some of the unique course titles at Naropa you may need to look at the course descriptions from courses to see if they align (use the online course catalog or your syllabi for this information). For example: Counseling Theory or Counseling Skills are found in many courses, for example Helping Relationship I and II in the Transpersonal concentrations, or Lineages in the Contemplative Psychotherapy & Buddhist Psychology concentration. Note/Highlight on the Worksheet whether you have taken the required course of not, or any difference in credits etc. that you can identify. PROCESS #3:TAKE A BREAK & REPEAT! Step 1: Repeat these two processes, to the best of your ability, for other states or countries you are interested in. WORKING WITH GAPS IN GRADUATE EDUCATION If you have identified courses you need to take, first meet with your Academic Advisor to see if these courses are available at Naropa, and whether you can take these as Electives or additions to your course load. If there remains difficulty in finding suitable courses you may consult with the GSCP Credentialing Coordinator to find alternative paths to completing these requirements. This may mean taking coursework at an external online or on-campus provider. It is your responsibility to have started the research process around this prior to meeting with the GSCP Credentialing Coordinator. See Appendix F: Before Meeting with the GSCP Credentialing Coordinator. For alumni with gaps in education, most states allow some coursework deficiencies to be made up post-graduation. Please note that having gaps in education or experience does not automatically mean older graduates cannot gain licensure; licensing boards take into account changes to requirements of the field in general, and consider individuals entire application. Additionally, for those who graduated a significant number of years ago, licensing boards may have alternate requirements and application processes. See page 9 DO I NEED TO PURSUE LICENSURE IMMEDIATELY AFTER GRADUATION? Naropa University Page 30
31 WORKING WITH GAPS IN GRADUATE EXPERIENCE If there are Field Experience (Practicum/Internship) requirements that are more than what is set by GSCP programs, plan ahead by first speaking with your program s Practicum and/or Internship Coordinator. You are not restricted on the number of hours you can complete during your Practicum or Internship placement in the GSCP. For alumni with gaps in experience. For those who graduated a significant time ago, first contact the relevant state board to see of any alternate requirements they may have. The GSCP Credentialing Coordinator is also available to provide support. Naropa University Page 31
32 APPENDIX E: EXAMINATION SUMMARY FOR THE U.S. 1. STATE-BASED LAW EXAMINATION States will require you to take and pass a state-based mental health law i.e. jurisprudence examination, at some point in the licensure process. Exam format: Each state has their own law, and thus own examination. The form of the examination varies across states and may be open- or closed book, online or at a testing center, with a discrete examination period (e.g. 1 hour) versus more open (e.g. 60 days). There is a testing fee. When to take it: Some states will require you to take this exam prior to applying for intern/candidate or equivalent status, i.e. before starting to accrue postgraduate supervised hours, whilst most other states allow you the time period you are accruing post-graduate supervised hours to take and pass the exam. How to study: Validity: Result transfer: Test retake: The documents you will need in order to study for a state-law exam can be found on each Counseling Boards website. These documents will include such terms as Laws, Rules & Regulations, Policies, Statues, and/or Mental Health Act. There are also study guides for jurisprudence exams of many states; please note these can be out-ofdate. Test results are valid between two to five years, depending on the state. Sometimes they will specify you need to have taken the version of the exam that is current, at time of application. As each state has their own law, you will be required to take and pass that state s examination in order to practice in that state. Failure of these examinations is not uncommon; test retake is allowed typically after a nominal waiting period (e.g. 10 days). Naropa University Page 32
33 2. COUNSELING EXAMINATIONS As part of the Examination requirements for licensure, each state requires candidates to take and pass with the National Counselor Examination (NCE) or the National Clinical Mental Health Counselor Examination (NCMHCE). Which examination you need to take varies between states. Exam format: Both exams are closed-book and take place at a testing center. For locations go to: When to take it: Some states will require you to take this exam prior to applying for intern/candidate or equivalent status, i.e. before starting to accrue postgraduate supervised hours, whilst most other states allow you the time period you are accruing post-graduate supervised hours to take and pass the NCE/NCMHCE. If you have not taken and passed one of these exams at the time you apply to begin the licensure process in a particular state, they will send you a letter after you have applied, approving you to register and take the exam. How to study: You are encouraged to be diligent about preparation for taking one of these exams. A range of study guides are available at: Additionally workshops, study groups and a good number of books (search Amazon for study guides) are available to guide you specifically around taking either of these exams. Result validity/ And transfer: Test retake: Your examination results are valid for a five-year period, and are transferable between states. The NCE and NCMHCE are not, however exchangeable, i.e. if a state requires for one exam and you have passed the other, you will still be required to take the second one; some states do accept both exams towards licensure. You are able to retake these exams. For the NCE you are allowed up to three unsuccessful attempts within the one application round (your application remains open for two years). Naropa University Page 33
34 a. The NCE Summary The National Counselor Examination (NCE) tests knowledge derived from CACREP s eight core content areas (see Appendix C) and the work behaviors determined by NBCC s job analysis (Fundamental counseling issues, Counseling process, Diagnostic and assessment services, Professional practice, and Professional development, supervision and consultation). Together this content ensures the test covers both academic knowledge and current professional practice. How Is the NCE Scored? The NCE is a 200-item multiple-choice examination, but only 160 items are used to determine if you meet the minimum passing (criterion) score. The other 40 items are undergoing field testing, to determine suitability for future use. The maximum possible score on the NCE is 160, and NBCC determines the minimum passing score, which varies between versions. The NCE is not scored on a curve, so your passing score is not influenced by other examinees results, but you can compare your score to national results with the NCE statistical summary. b. The NCMHCE Summary The National Clinical Mental Health Counseling Examination (NCMHCE) consists of 10 simulated clinical mental health counseling cases. The simulations assess clinical problemsolving ability, including identifying, analyzing, diagnosing and treating clinical issues. Each simulation is divided into approximately five to eight sections that are classified as either information gathering or decision-making. Information gathering sections assess your ability to gather appropriate clinical data required to evaluate a situation or to make a decision. Decision-making sections assess your ability to solve clinical problems by utilizing data to make judgments and decisions. The simulations in the NCMHCE cover three content areas. Each content area includes a number of work behaviors: Assessment & diagnosis Integrate client assessment and observational data Identify precipitating problems or symptoms Identify individual and/or relationship functioning Identify relevant family issues. Counseling & psychotherapy Inform client about ethical standards and practice Clarify counselor/client roles Implement individual counseling in relation to a plan of treatment Evaluate referral information. Administration, consultation & supervision Maintain case notes, records and/or files Determine if services meet client s needs Correspond orally with others to maintain professional communications Assist clients with obtaining social service. How Is the NCMHCE Scored? Each simulation option on the NCMHCE is assigned a weight ranging from +3 to -3 based on the level of appropriateness for effective client care. Your score will be determined for both information gathering and decision making sections. To pass the examination, you must obtain total scores equal to or greater than the minimum passing score for both information gathering and decision-making. Naropa University Page 34
35 Example Simulation Question for the NCMHCE Marta, a Colombian woman who comes to your office seeking therapy. Marta's 96-year-old mother recently moved into the home after having open-heart surgery six months ago. Marta's mother does not speak English and requires assistance with medical appointments, financial dealings, etc. Marta also has a newborn son, a five-year-old daughter, and a 20- year-old stepdaughter. Marta's mother is constantly advising her on how to handle her children and her husband, complains about her cooking, etc., which has caused frequent arguments between Marta and her husband. They are also arguing over her mother's input as she has strong opinions about his daughter's sexual activity and clothing. Marta has been experiencing irritability, muscle tension, fatigue, difficulty sleeping, and poor concentration over the family situation and is seeking your advice on how to resolve the constant stress. For each section you may select multiple responses. On the test there is also an open text box for each question where you explain your choices (what you did and did not select). Section A (Information Gathering) Section C (Decision Making) What would you need to determine before making a provisional DSM-5 diagnosis? a. Why does Martha seek treatment? b. What is Marta's husband's relationship with his ex-wife? c. How is Marta's relationship with her mom? d. Does Marta have a history of anxietyrelated illnesses? e. Does Marta's mother have any history of mental illness? f. Do Marta and her husband have a history of marital problems? g. What was Marta's childhood like growing up in Colombia? h. What is Marta's parenting style? Section B (Decision Making) As part of the intake process, what referrals or suggestions would you make? a. Couples therapy b. Remove the mother and have her placed in a nursing home c. Support group for caregivers d. Asking other family members to share the responsibility e. Individual therapy for Marta's mother f. Involve a home nurse service g. Individual therapy for Marta's stepdaughter Your client can only see you for four sessions because of insurance considerations. What might benefit the client most? a. Increase Marta's ability to ask for assistance when she is overwhelmed b. Alleviate her symptoms of anxiety c. Improve the communication between Marta and her husband (more on next page ) d. Explore Marta's childhood and its impact on her family e. Improve Marta's parenting skills f. Improve Marta's ability to communicate with her mother g. Improve Marta's relationship with her father Section D (Decision Making) What interventions might be beneficial for the client? a. Hypnosis b. Relaxation/breathing exercises c. Rehearsal d. Dream analysis e. Cognitive restructuring f. Modeling g. Confrontation h. Contracts i. Stress Management Naropa University Page 35
36 Section E (Decision Making) With the additional information you have gathered, what DSM diagnosis might you consider? a. Generalized Anxiety Disorder b. Anxiety Disorder Due to Another Medical Condition c. Other Specified Anxiety Disorder d. Panic Disorder e. Acute Stress Disorder f. Post-traumatic Stress Disorder g. Adjustment Disorder with Anxiety h. Other Specified Depressive Disorder Section F (Information Gathering) What might be the most appropriate sources to help you monitor the client's progress? a. Input from her husband b. Observations in session c. Zung Self-Rating Anxiety Scale d. Marta's self-report e. Videotape f. Journaling g. Heart rate monitor h. Audiotape Section G (Decision Making) What are your treatment outcomes for this client? a. Improve Marta's parenting techniques b. Decrease Marta's symptoms of anxiety c. Improve Marta's ability to communicate with her mother d. Improve Marta and her husband's sex life e. Improve Marta's ability to communicate with her husband f. Increase Marta's ability to utilize her resources g. Assist Marta with living a more traditional lifestyle h. Explore Marta's relationship with her father Section H (Decision Making) What might be the most appropriate and beneficial treatment modality for the client? a. Case management b. Psychiatric c. Hypnosis d. family therapy e. Individual therapy f. Group therapy g. Behavior analysis Section I (Decision Making) During the termination phase, what recommendations might you make? a. Continue support group for caregivers b. Send Marta's mother back to Colombia where she would have the support of an extended family c. Psychiatric care for Marta's mother d. Day program for Marta's mother e. Psychiatric care for Marta Section J (Information Gathering) What data would be important in tracking the client's progress? a. How often does Marta discipline her stepdaughter? b. How frequently do Marta and her husband have sexual relations? c. What is the frequency of Marta's symptoms of anxiety? d. What is the frequency of conflicts between Marta and her mother? e. How is Marta's ability to resolve her own stressors? f. What is the frequency of conflicts between Marta and her husband? g. How often does Marta contact her extended family? h. How often is Marta's mother attending her day program? Naropa University Page 36
37 APPENDIX F: BEFORE MEETING WITH THE GSCP CREDENTIALING COORDINATOR Please note the GSCP Credentialing Coordinator is not available Summer Please refer to the Quick Reference at the beginning of this document for directions on gaining credentialing assistance. The following steps still apply. FOR CURRENT STUDENTS The GSCP Credentialing Coordinator is available to collaborate with students to research and plan for pursuing and obtaining credentials, most prominently Professional Licensure. Naropa Career Services is also a good contact for general guidance and discussion around career planning. Before meeting with the GSCP Credentialing Coordinator students ideally have: Read the GSCP Credentialing Guidebook. Reviewed the resources and information available at the MyNaropa GSCP Credentialing page. Worked through relevant steps on Appendix A: GSCP Student Credentialing Checklist Consulted with relevant Professional Counselor Licensure State Boards or credentialing bodies concerning your areas of interest. Filled out Appendix G: Worksheet for Researching Credentialing Requirements to the best of your ability, for licensure/credentials of interest to you. Consulted with your Academic Advisor and/or Practicum/Internship Coordinator where appropriate. What To Bring: Appendix G filled out to the best of your ability. Any other documentation that you have been utilizing and reviewing (the GSCP Credentialing Coordinator has access to transcripts, course catalog information, and syllabi). FOR ALUMNI Similarly the GSCP Credentialing Coordinator is available to assist alumni in pursuing credentials in the U.S. or overseas. As with current students, alumni are asked to have consulted the Credentialing Guidebook and MyNaropa Credentialing page prior to meeting. What To Bring: Appendix G filled out to the best of your ability. Naropa University Page 37
38 A copy of your transcript (particularly for those who graduated prior to 2005). Information or any documentation related to any current licensure or relevant credentials, and work experience you have acquired. FOR PROSPECTIVE STUDENTS The GSCP Credentialing Coordinator is also available to speak with prospective students about Professional Counselor Licensure in relation to studies in the GSCP. Naropa s Graduate Admissions ([email protected]) is also available to answer questions about the GSCP programs. Naropa University Page 38
39 APPENDIX G: WORKSHEET FOR RESEARCHING CREDENTIALING REQUIREMENTS This form is to help you research and track completion of graduate and post-graduate education, experience, and examination requirements for credentials you wish to pursue. It is most relevant for the Professional Licensure requirements in the U.S. The first two tables contain an example, using current (2015) information relevant to Professional Licensure in Colorado. It lists the eight content areas and Practicum/Internship information required for the Colorado Education Equivalency Review Coursework Verification Form, for those individuals who graduated with a non-cacrep accredited degree. Columns three and four allow you to track your graduate coursework (or coursework completed with an external education provider) and other experience and examinations that you complete, in relation to Colorado requirements. Note that each graduate course you take may only be used once, in relation to the categories listed. The second two tables are blank to allow you to research graduate and post-graduate requirements from other states where you may wish to seek licensure, or requirements for other credentials. The table is not comprehensive to account for all specifications set by various credentialing bodies, but does cover the information consistently referred to in applications. See Appendix C: Guide to Researching Licensure Requirements for further assistance. Note: When researching Hour/Credit requirements, 1 credit hour = 1 semester hour = ¾ quarter. Naropa University Page 39
40 WORKSHEET COLORADO (CO) GRADUATE REQUIREMENTS State: Example COLORADO (CO) Initial title and application: Licensed Professional Counselor Candidate (LPCC) Professional License Title: LPC Education Requirements Total Credit Hours for Degree 48 My total credit hours: Course Requirements List graduate education courses this state requires Hours/ Credits Naropa or Other Course/s & Course Code Date Hours/ Credits EXAMPLE: Human Growth and Development 2 credits PSYT 610: Human Growth & Dev. Through the Lifespan FA14 3 Human Growth and Development 2 credits Social and Cultural Foundations 2 credits Helping Relationships 2 credits Groups 2 credits Lifestyle & Career Development 2 credits Appraisal & Assessment 2 credits Naropa University Page 40
41 Course Requirements Cotinued Hours/ Credits Naropa or Other Course/s & Course Code Date Hours/ Credits Research Evaluation 2 credits Professional Orientation 2 credits Experience Requirements Document the number of practicum/internship hours/credits this state requires. Hours/ Credits Naropa or Other Course/s & Course Code Date Hours/ Credits Practicum Total Hours (direct client contact hours) Practicum Supervision (minimum individual, face-to-face hours; group hour specifications) Internship Total Hours (direct client contact hours) 700 hrs Internship Supervision (minimum individual, face-to-face hours; group hour specifications) Naropa University Page 41
42 POST-GRADUATE REQUIREMENTS Education Requirements List graduate education courses this state requires (Colorado does not require any additional courses to those above, to apply for licensure) Hours/ Credits n/a Naropa or Other Course/s & Course Code/s Date Hours/ Credits Credits Experience Requirements Document the number of postgraduate hours this state requires, including hours for supervision. Total hours (direct client contact hours) *Up to 600hrs may be teachings experience and 35 related supervision hours. Supervision (minimum individual, face-to-face hours; group hour specifications) **reasonably spaced across 2 years Minimum years for completion: Maximum years for completion: Hours Completed (where / when) Hours 2000* Min 100** (min 70 indi) 2 years 5 years Examination Requirements National Counselor Examination (NCE) Y/N Y/N Yes Completed (where / when) Applicants are to apply directly to NBCC.org to take exam. National Clinical Mental Health Counselor Examination (NCMHCE) Jurisprudence No Yes Applicants apply and complete this online. Naropa University Page 42
43 WORKSHEET FOR RESEARCHING CREDENTIALING REQUIREMENTS GRADUATE REQUIREMENTS State: Initial title and application: Professional License Title: Education Requirements Total Credit Hours for Degree My total credit hours: Course Requirements List graduate education courses this state requires Hours/ Credits Naropa or Other Course/s & Course Code/s Date Hours/ Credits EXAMPLE: Human Growth and Development 2 credits PSYT 610: Human Growth & Dev. Through the Lifespan FA14 3 Naropa University Page 43
44 GRADUATE REQUIREMENTS - Continued Education Requirements Course Requirements List graduate education courses this state requires Hours/ Credits Naropa or Other Course/s & Course Code/s Date Hours/ Credits Experience Requirements Document the number of practicum/internship hours/credits this state requires. Some states may only specify one or the other. Hours/ Credits Naropa or Other Course/s & Course Code/s Date Hours/ Credits Practicum Total Hours (direct client contact hours) Practicum Supervision (minimum individual, face-to-face hours; group hour specifications) Internship Total Hours (direct client contact hours) Naropa University Page 44
45 Internship Supervision (minimum individual, face-to-face hours; group hour specifications) POST-GRADUATE REQUIREMENTS Education Requirements any additional post-graduate courses this state requires; examples would be training in Child & Elder Abuse Training, Crisis Counseling Training. Not all states have postgraduate educational requirements. Hours/ Credits Naropa or Other Course/s & Course Code/s Date Hours/ Credits Naropa University Page 45
46 POST-GRADUATE REQUIREMENTS - Continued Experience Requirements Document the number of postgraduate hours this state requires, including hours for supervision. Hours Completed (where / when) Hours Total hours (direct client contact hours) Supervision (minimum individual, face-to-face hours; group hour specifications) Minimum years for completion: Maximum years for completion: Further Notes Examination Requirements National Counselor Examination (NCE) National Clinical Mental Health Counselor Examination (NCMHCE) Y/N Y/N Completed (where / when) Naropa University Page 46
47 Jurisprudence Further Notes Naropa University Page 47
48 APPENDIX H: APPLYING FOR REGISTERED PSYCHOTHERAPIST IN COLORADO WHAT IS THE REGISTERED PSYCHOTHERAPIST TITLE? And, what is the difference to the Licensed Professional Counselor Candidate (LPCC)? Registered Psychotherapist is a title specific to Colorado that permits individuals to legally practice counseling. The database of individuals who are registered is unregulated, in that it does not have significant structure, monitoring, or laws governing those individuals. Any individual practicing in some therapeutic capacity can apply, for example, individuals practicing massage therapy, life coaching, or allied health professionals can register as a Registered Psychotherapist; it is not limited to those with counseling backgrounds or training. In the past, to obtain licensure, individuals would have to register as a Registered Psychotherapist in order to work and complete licensure requirements. The LPCC track was created to distinguish individuals with formal training in counseling from all other individuals working in a therapeutic capacity that would be registered as a psychotherapist. The LPCC was part of efforts to develop the counseling profession as a whole, providing recognition, regulation, and support for counselors in particular. CAN I COMPLETE LICENSURE REQUIREMENTS AS A REGISTERED PSYCHOTHERAPIST? Or do I have to apply for LPCC status? You can complete post-graduate licensure requirements as either Registered Psychotherapist or LPCC; you do not need to switch over to LPCC if you are a Registered Psychotherapist, although you can if you wish. The benefit of LPCC is mostly in relation to credibility and obtaining employment, in that it indicates to employers and prospective clients that you are working towards full licensure, and already have significant training in counseling, which is not necessarily indicated by the Registered Psychotherapist title. Some jobs may want someone that is fully licensed but will hire someone working towards licensure; often job postings will state Must be eligible for licensure. LPCC status indicates you are working towards this, the Registered Psychotherapist title does not, on the surface, assure potential employers of this. Important Notes Remember, if you are practicing on your own, you HAVE to be on this database; if you are working in an agency setting you may be exempt from this check with your employer. You can apply for Registered Psychotherapist BEFORE you graduate; it is likely from Spring 2015 all students will be required to Register in preparation for Practicum placement. It typically takes 4-6 weeks for your application to be completed; longer at busier times of the year (e.g. around graduation) plan accordingly. Naropa University Page 48
49 APPLICATION PROCESS Step 1: Search on the Internet for Colorado State Counseling Board Registered Psychotherapist or go to Reg/CBON/DORA/ Step 2: Step 3: Select Application for Registration Read the Application. Page 2 is the Application Checklist to help you with this process: i. Complete and sign the Affidavit of Eligibility form, and organize any supporting documentation required. ii. Gather any Documentation of name change iii. Provide documentation of highest educational degree completed If you are applying for Registered Psychotherapist prior to completing your graduate degree send in you undergraduate transcript, or any other graduate or post-graduate coursework you have completed; it is advisable to send in an unofficial transcript of your Naropa degree, whatever year you are in. iv. Follow the links to complete the Colorado Jurisprudence Exam. Print out your p assing mark (once you have passed the exam), to include in your application. v. Follow the template in the application and write up your Mandatory Disclosure Statement. Follow the template exactly; you do not need to write up a more thorough one. If however if you have a mandatory disclosure statement you already use at Internship, or from other work, you may include this information. It is advisable you integrate the information from the template into that document, again using exactly the wording provided by the template. vi. Statement of Therapeutic Orientation & years of experience. This can be extremely brief e.g. a simple listing or a few sentences. Step 4: Review the Application Checklist. Write a check or organize a money order for the application fee. Gather the application and supporting documents and mail it to: Division of Professions and Occupations Office of Licensing Registered Psychotherapist 1560 Broadway, Suite 1350 Denver, CO Naropa University Page 49
50 Step 5: Step 6: Step 7: Complete the Healthcare Professions Profile (HPP). A few days after submitting this application go to the DORA website and complete a Healthcare Professions Profile (HPP). If the website does not recognize you, or have you listed yet, check back in another day or two. Even if DORA processes your paper application, your application will not be considered complete, and you will not receive your NLC number until you have complete your HPP online. Congratulations! You receive a letter from DORA with a card and NLC number. Maintaining your HPP. If there are any changes to information in the HPP, you MUST go online and change this information within 30 days of changes/reportable events. If you are working towards full licensure (Licensed Professional Counselor) as a Registered Psychotherapist, once you have completed requirements you need to submit the Original Licensure by Examination aplicaton. Review this application process in Appendix J as soon as possible to know what you have to complete in the time you are accruing hours. Naropa University Page 50
51 APPENDIX I: APPLYING FOR LICENSED PROFESSIONAL COUNSELOR CANDIDATE (LPCC) IN COLORADO Note: The LPCC can only be applied for once your degree has been conferred (see page 13 WHEN CAN I START COUNTING HOURS TOWARDS LICENSURE? ); LPCC is not available to individuals still studying. APPLICATION PROCESS Step 1: Search on the Internet for Colorado State Counseling Board LPCC or go to Reg/CBON/DORA/ Step 2: Step 3: Select LPCC Candidate Registration (Temporary Permit) Read the Application. Page 2 is the Application Checklist to help you with this process: i. Organize Official graduate transcript. ii. iii. iv. For all Naropa MA Counseling Graduates prior to 2017 you will need to get your transcript reviewed for Educational Equivalency (as outlined in checkbox 5 on the application), as your degree is not CACREP-accredited. The Colorado Educational Equivalency Review (CEER) form is available here: All responses to question 8 on the CEER are Yes. The answer to the state in the first row regarding the accrediting agency is: HLC / NCASC (Higher Learning Commission / North Central Association of Schools and Colleges). v. You must wait until you receive an approval letter for the CEER before sending in your LPCC application; this approval letter needs to be included in your application package. vi. vii. viii. ix. Importantly, take time to make a copy of this approval letter you will need to resubmit it when you put in your final application for Licensure following completion of post-graduate requirements. Process times for CEER vary from 3 to 6 weeks, on average. Complete and sign the LPCC Application Affidavit of Eligibility form, and any supporting documentation required.. Gather any Documentation of name change Naropa University Page 51
52 Step 4: Review the Application Checklist. Write a check or organize a money order for the application fee. Gather the application and supporting documents and mail it to: Division of Professions and Occupations Office of Licensing Registered Psychotherapist 1560 Broadway, Suite 1350 Denver, CO Step 6: Congratulations! You receive a letter from DORA with a card and NLC number. If If you are working towards full licensure (Licensed Professional Counselor), once you have completed requirements you need to submit the Original Licensure by Examination aplicaton. Review this application process in Appendix J as soon as possible to know what you have to complete in the time you are accruing hours. Naropa University Page 52
53 APPENDIX J: APPLYING FOR LICENSED PROFESSIONAL COUNSELOR (LPC) IN COLORADO Once you have completed your requirement for post-graduate supervised hours, you can look to apply for Licensure. APPLICATION PROCESS Step 1: Search on the Internet for Colorado State Counseling Board LPC or go to Reg/CBON/DORA/ Step 2: Step 3: Select Original Licensure by Examination Read the Application. Page 2 is the Application Checklist to help you with this process. i. Organize Official graduate transcript. ii. iii. iv. For all Naropa MA Counseling Graduates prior to 2017 you will need to get your transcript reviewed for Educational Equivalency (as outlined in checkbox 5 on the application), as your degree is not CACREP-accredited. The Colorado Educational Equivalency Review (CEER) form is available here: All responses to question 8 on the CEER are Yes. The answer to the state in the first row regarding the accrediting agency is: HLC / NCASC (Higher Learning Commission / North Central Association of Schools and Colleges). v. You must wait until you receive an approval letter for the CEER before sending in your LPCC application; this approval letter needs to be included in your application package. vi. vii. viii. ix. Importantly, take time to make a copy of this approval letter you will need to resubmit it when you put in your final application for Licensure following completion of post-graduate requirements. Process times for CEER vary from 3 to 6 weeks, on average. Complete and sign the LPCC Application Affidavit of Eligibility form, and any supporting documentation required.. Gather any Documentation of name change Naropa University Page 53
54 Step 4: Step 5: Step 6: Step 7: x. Confirmation of passing score on the NCE. You can contact the NBCC to have a copy of your score sent directly to the Board. xi. xii. f. Complete and pass the Jurisprudence You must include a print out of your passing score in your application. You need to have taken and passed a reasonably, ideally most recent version of the Jurisprudence. Completed Post-Degree Experience and Supervision forms. Available at Reg/CBON/DORA/ Review the Application Checklist. Write a check or organize a money order for the application fee. Gather the application and supporting documents and mail it to: Division of Professions and Occupations Office of Licensing Registered Psychotherapist 1560 Broadway, Suite 1350 Denver, CO Completing the Healthcare Professions Profile (HPP). A few days after submitting this application go to and complete a Healthcare Professions Profile (HPP). If the website does not recognize you, or have you listed yet, check back in another day or two. Even if DORA processes your paper application, your application will not be considered complete, and you will not receive your NLC number until you have complete your HPP online. Congratulations! You receive a letter from DORA with a card and your LPC Number. Maintaining your HPP. If there are any changes to information in the HPP, you MUST go online and change this information within 30 days of changes/reportable events. Naropa University Page 54
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