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California's new license 2013

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California Association for Licensed Professional Clinical Counselors
California Association for Licensed Professional Clinical Counselors

California has established a new license called the Licensed Professional Clinical Counselor (LPCC). The LPCC license aims to regulate counselors at the master's level, joining existing licenses for marriage and family therapists and clinical social workers. To become an LPCC, one must complete a 60-unit master's program with core content areas in counseling, obtain 3,000 hours of supervised clinical experience, and pass two licensing exams. The LPCC scope of practice involves applying counseling interventions and psychotherapeutic techniques to improve mental health. LPCCs are approved Medi-Cal providers and work in various mental health settings.

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1 Californias New Counselor License Licensed Professional Clinical Counselor LPCC 1
2 Each state now licenses three mental health professions at the Masters level: Licensed Professional Counselors (LPCs) (also named LPCCs, LCPCs, LCMHCs) Over 126,000 nationwide (Only 300 licensed in CA as of 3-19-13) Licensed Marriage & Family Therapists (LMFTs) Over 58,000 nationwide (Over 33,000 in CA) Licensed Clinical Social Workers (LCSWs) Over 224,000 nationwide (Over19,000 in CA) Source: American Counseling Association: 2013 Masters-level Mental Health Professional Counts
3 It has taken many years for these mental health professions to be licensed in every state: LPCs: 34 years (1976 - 2009) LMFTs: 46 years (1963 - 2009) LCSWs: 47 years (1945 1992)
4 Implementation of the LPCC Law 2010: SB 788 became law Jan. 1st BBS developed rules and regulations 2011: Applications became available in July Grandparenting Path for non-BBS-licensed counselors and currently licensed LMFTs and LCSWs in CA Traditional Path for LPCs from other states, PCC Intern registration 2012: First LPCC licenses were issued
LPCCs as providers of Medi-Cal services California LPCCs and PCC Interns: Were approved as providers of Medi-Cal services on December 18, 2012 Will provide services within their scope under state law through the county mental health systems Will abide by procedures and processes parallel to those currently used for LMFTs, MFTIs, LCSWs and ASWs Source: The California State Plan Amendment (SPA) developed by Californias Department of Health Care Services (DHCS) and approved by the Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services.
6 What do LPCCs do? Make up a large percentage of the mental health workforce in the U.S. Are employed in mental health centers, agencies, and organizations across the country Work with individuals, families, and groups Treat mental, behavioral and emotional problems and disorders Are covered by managed care organizations and health plans Work with active duty military personnel and their families, as well as veterans (DoDs TRICARE, VA)
7 Scope of Practice for CA LPCCs Application of counseling interventions and psychotherapeutic techniques to improve mental health The license is not intended to capture other, non- clinical, non-mental health forms of counseling B & P Code 4999.20
8 Exempt from licensure Counselors who do not practice psychotherapy Counselors in educational institutions, government agencies, or non-profit and charitable agencies Clergy, physicians and attorneys B & P Code 4999.22
9 What does the Scope not include? for CA LPCCs The assessment or treatment of couples or families, or the supervision of MFT interns, unless the LPCC has: 6 semester-units (or 9 quarter-units) focused on MFT or A named specialization in MFT and 500 hours supervised experience working with couples, families or children and 6 hours of CEUs in MFT in each renewal cycle
10 What does the Scope not include? for CA LPCCs Projective techniques in the assessment of personality Individually administered IQ tests Neuropsychological testing Utilization of a battery of 3 or more tests to determine presence of psychosis, dementia, amnesia, cognitive impairment or criminal behavior B & P Code 4999.20
11 Comparison of Scopes LPCC from B & P Code 4999 Empowers individuals to deal adequately with life situations, reduce stress, experience growth, change behavior and make well- informed, rational decisions LMFT from B & P Code 4980 Enables individuals to mature and grow within marriage and family. Examines interpersonal relationships to achieve more adequate, satisfying and productive marrriage and family adjustments LCSW from B & P Code 4996 Directed at helping people achieve more adequate, satisfying and productive social adjustments. Provides or arranges for social services, helps communities to organize, improves social or health services. Applies a variety of counseling interventions and psychotherapeutic techniques to identify and remediate cognitive, mental and emotional issues, for the purposes of improving mental health Applies marriage and family therapy principles and methods, including psychotherapeutic techniques, to serve individuals, couples and groups Includes counseling and applied psychotherapy of a non-medical nature with individuals, families and groups
12 LPCC education requirements for those beginning graduate study on or after August 1, 2012 A qualifying masters or doctoral degree that includes: 60 semester-units (or 90 quarter-units) in counseling or psychotherapy from an accredited or approved university with: 13 core content areas: At least 3 semester-units (or 4 遜 quarter- units) 3 of 13 areas may be completed post-degree, but all must be completed before intern registration Supervised practicum/fieldwork: 6 semester-units (or 9 quarter- units) with 280 hours supervised face-to-face clinical experience B & P Code 4999.33
13 2012 LPCC Core Content Areas Counseling & psychotherapy Human Growth & Development Career Development Group Counseling Assessment Multicultural Counseling Diagnostic Process Research & Evaluation Professional Orientation (Law & Ethics) Psychopharm- acology Addictions Counseling Crisis or Trauma Counseling
14 In addition to 13 Core Areas Instruction must include: Methods of service delivery in recovery-oriented practice environments An understanding of various cultures and the social and psychological implications of socioeconomic position Seven contact hours of child abuse assessment & reporting Human sexuality, spousal or partner abuse, aging & long-term care Fifteen semester-units (22.5 quarter-units) of advanced coursework to develop knowledge of specific treatment issues or special populations.
15 LPCC Supervision Supervised experience requires: Completion of education requirements Registration with the BBS Board 3,000 post-degree hours of supervised clinical mental health experience, with an approved supervisor, over a period of not less than two years (104 weeks) and no more than six years to include: Not less than 1,750 hours of direct counseling At least one hour of individual or two hours of group supervision each week that counseling takes place Not less than 150 hours of clinical experience in a hospital or community health setting Not more than 1,250 hours of supervisor contact, test administration, writing progress notes, attending training sessions, client centered advocacy, etc. B & P Code 4999.42, 45, 46, 47, 48
16 Approved Supervisor Has 2 years of clinical experience in CA as a LPCC, LMFT, LCSW, licensed clinical psychologist or licensed physician certified in psychiatry Has received professional training in supervision Has not provided therapeutic services to the trainee or intern Has a current and valid license that is not under suspension or probation
17 LPCC Examinations Licensure requires successful passage of: The California LPCC Law and Ethics Exam Taken during first year of internship The National Clinical Mental Health Counselor Exam Taken when supervision requirements have been met Applicants must attempt an exam at least once each year after eligibility, until exams have been passed.
18 Regulating Agency The California Board of Behavioral Sciences (BBS), which currently regulates MFTs, LCSWs and LEPs <www.bbs.ca.gov> The BBS Board currently includes 13 members: 2 MFTs, 2 LCSWs, 1 LEP, 1 LPCC and 7 public members
19 For Additional Information Visit the CALPCC website Website: <calpcc.org> Email: <info@calpcc.org> 19

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California's new license 2013

  • 1. 1 Californias New Counselor License Licensed Professional Clinical Counselor LPCC 1
  • 2. 2 Each state now licenses three mental health professions at the Masters level: Licensed Professional Counselors (LPCs) (also named LPCCs, LCPCs, LCMHCs) Over 126,000 nationwide (Only 300 licensed in CA as of 3-19-13) Licensed Marriage & Family Therapists (LMFTs) Over 58,000 nationwide (Over 33,000 in CA) Licensed Clinical Social Workers (LCSWs) Over 224,000 nationwide (Over19,000 in CA) Source: American Counseling Association: 2013 Masters-level Mental Health Professional Counts
  • 3. 3 It has taken many years for these mental health professions to be licensed in every state: LPCs: 34 years (1976 - 2009) LMFTs: 46 years (1963 - 2009) LCSWs: 47 years (1945 1992)
  • 4. 4 Implementation of the LPCC Law 2010: SB 788 became law Jan. 1st BBS developed rules and regulations 2011: Applications became available in July Grandparenting Path for non-BBS-licensed counselors and currently licensed LMFTs and LCSWs in CA Traditional Path for LPCs from other states, PCC Intern registration 2012: First LPCC licenses were issued
  • 5. LPCCs as providers of Medi-Cal services California LPCCs and PCC Interns: Were approved as providers of Medi-Cal services on December 18, 2012 Will provide services within their scope under state law through the county mental health systems Will abide by procedures and processes parallel to those currently used for LMFTs, MFTIs, LCSWs and ASWs Source: The California State Plan Amendment (SPA) developed by Californias Department of Health Care Services (DHCS) and approved by the Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services.
  • 6. 6 What do LPCCs do? Make up a large percentage of the mental health workforce in the U.S. Are employed in mental health centers, agencies, and organizations across the country Work with individuals, families, and groups Treat mental, behavioral and emotional problems and disorders Are covered by managed care organizations and health plans Work with active duty military personnel and their families, as well as veterans (DoDs TRICARE, VA)
  • 7. 7 Scope of Practice for CA LPCCs Application of counseling interventions and psychotherapeutic techniques to improve mental health The license is not intended to capture other, non- clinical, non-mental health forms of counseling B & P Code 4999.20
  • 8. 8 Exempt from licensure Counselors who do not practice psychotherapy Counselors in educational institutions, government agencies, or non-profit and charitable agencies Clergy, physicians and attorneys B & P Code 4999.22
  • 9. 9 What does the Scope not include? for CA LPCCs The assessment or treatment of couples or families, or the supervision of MFT interns, unless the LPCC has: 6 semester-units (or 9 quarter-units) focused on MFT or A named specialization in MFT and 500 hours supervised experience working with couples, families or children and 6 hours of CEUs in MFT in each renewal cycle
  • 10. 10 What does the Scope not include? for CA LPCCs Projective techniques in the assessment of personality Individually administered IQ tests Neuropsychological testing Utilization of a battery of 3 or more tests to determine presence of psychosis, dementia, amnesia, cognitive impairment or criminal behavior B & P Code 4999.20
  • 11. 11 Comparison of Scopes LPCC from B & P Code 4999 Empowers individuals to deal adequately with life situations, reduce stress, experience growth, change behavior and make well- informed, rational decisions LMFT from B & P Code 4980 Enables individuals to mature and grow within marriage and family. Examines interpersonal relationships to achieve more adequate, satisfying and productive marrriage and family adjustments LCSW from B & P Code 4996 Directed at helping people achieve more adequate, satisfying and productive social adjustments. Provides or arranges for social services, helps communities to organize, improves social or health services. Applies a variety of counseling interventions and psychotherapeutic techniques to identify and remediate cognitive, mental and emotional issues, for the purposes of improving mental health Applies marriage and family therapy principles and methods, including psychotherapeutic techniques, to serve individuals, couples and groups Includes counseling and applied psychotherapy of a non-medical nature with individuals, families and groups
  • 12. 12 LPCC education requirements for those beginning graduate study on or after August 1, 2012 A qualifying masters or doctoral degree that includes: 60 semester-units (or 90 quarter-units) in counseling or psychotherapy from an accredited or approved university with: 13 core content areas: At least 3 semester-units (or 4 遜 quarter- units) 3 of 13 areas may be completed post-degree, but all must be completed before intern registration Supervised practicum/fieldwork: 6 semester-units (or 9 quarter- units) with 280 hours supervised face-to-face clinical experience B & P Code 4999.33
  • 13. 13 2012 LPCC Core Content Areas Counseling & psychotherapy Human Growth & Development Career Development Group Counseling Assessment Multicultural Counseling Diagnostic Process Research & Evaluation Professional Orientation (Law & Ethics) Psychopharm- acology Addictions Counseling Crisis or Trauma Counseling
  • 14. 14 In addition to 13 Core Areas Instruction must include: Methods of service delivery in recovery-oriented practice environments An understanding of various cultures and the social and psychological implications of socioeconomic position Seven contact hours of child abuse assessment & reporting Human sexuality, spousal or partner abuse, aging & long-term care Fifteen semester-units (22.5 quarter-units) of advanced coursework to develop knowledge of specific treatment issues or special populations.
  • 15. 15 LPCC Supervision Supervised experience requires: Completion of education requirements Registration with the BBS Board 3,000 post-degree hours of supervised clinical mental health experience, with an approved supervisor, over a period of not less than two years (104 weeks) and no more than six years to include: Not less than 1,750 hours of direct counseling At least one hour of individual or two hours of group supervision each week that counseling takes place Not less than 150 hours of clinical experience in a hospital or community health setting Not more than 1,250 hours of supervisor contact, test administration, writing progress notes, attending training sessions, client centered advocacy, etc. B & P Code 4999.42, 45, 46, 47, 48
  • 16. 16 Approved Supervisor Has 2 years of clinical experience in CA as a LPCC, LMFT, LCSW, licensed clinical psychologist or licensed physician certified in psychiatry Has received professional training in supervision Has not provided therapeutic services to the trainee or intern Has a current and valid license that is not under suspension or probation
  • 17. 17 LPCC Examinations Licensure requires successful passage of: The California LPCC Law and Ethics Exam Taken during first year of internship The National Clinical Mental Health Counselor Exam Taken when supervision requirements have been met Applicants must attempt an exam at least once each year after eligibility, until exams have been passed.
  • 18. 18 Regulating Agency The California Board of Behavioral Sciences (BBS), which currently regulates MFTs, LCSWs and LEPs <www.bbs.ca.gov> The BBS Board currently includes 13 members: 2 MFTs, 2 LCSWs, 1 LEP, 1 LPCC and 7 public members
  • 19. 19 For Additional Information Visit the CALPCC website Website: <calpcc.org> Email: <info@calpcc.org> 19

Editor's Notes

  • #4: California was the first state to license LCSWs in the 40s and MFTs in the 60s and the last state to license LPCs in 2009.
  • #9: Many counselors will continue to practice as they have been, for they cannot lawfully practice psychotherapy now. The bill does not define psychotherapy, but it usually means when a client has multiple problems that are interfering with his or her life or work and the counselor needs to go beyond behavioral modification and developmental goal-setting and the issues, such as resistance, anger, anxiety, early abuse are at a diagnosable level.
  • #10: A compromise with the CA Chapter of AAMFT.
  • #11: A compromise with the California Psychological Association.
  • #12: Also see COMPARISON OF THE LICENSURE REQUIREMENTS FOR LPCCs, LMFTs &amp; LCSWs
  • #14: See Descriptions of the LPCC CORE CONTENT AREAS for definitions
  • #16: See OVERVIEW OF POST-DEGREE SUPERVISION REQUIREMENTS FOR LPCCS for more detail
  • #17: LPCCs must be licensed for two years before they can supervise