What is the difference between clinical supervision and peer collaboration?
Clinical supervision is an ongoing relationship between a senior member of a profession and a more junior member. Clinical supervision involves the regular review and critique of a professional’s skills with the goal of improving these skills. Clinical supervision has the dual goal of client protection and professional development. The clinical supervisor holds ultimate clinical and legal responsibility for the welfare of the client.
Peer collaboration, on the other hand, is a professional relationship between peers for the purpose of professional development. The goal of peer collaboration is professional development and support. There is no legal relationship between members of a peer collaboration group and the clinician maintains clinical and legal responsibility for the welfare of their clients.
What is required in NH?
For individuals seeking licensure in NH, regular clinical supervision is required. In addition, Licensed Alcohol & Drug Counselors (LADCs) must also maintain weekly clinical supervision. MLADCs are not required to maintain clinical supervision, but must participate in 90 minutes of peer collaboration monthly to maintain licensure.
How should I document supervision or peer collaboration?
Each clinician is responsible for documenting their clinical supervision or peer collaboration. Documentation must include the date, time and duration, names and credentials of participants, and signatures of participants. The most expeditious way to ensure proper documentation is to maintain this information for each meeting and obtain signatures at the time.
May 30, 2013
Are you a "grandfathered MLADC" meaning an MLADC who did not have a 60 credit Master's Degree back in September 2010 when the LADC/MLADC licensure legislation passed?
If you fall into this classification, as I do, then you likely received a letter from the NH Board of Licensing for Alcohol & Other Drug Use Professionals. You also have until September 4, 2015 to meet criteria in order to keep you MLADC credential. Those professionals who do not meet the criteria by September 4, 2015 will have their licenses revert to a LADC.
If you are looking to make up credits to bring your master's degree to 60 graduate credits, NHADACA's Education Committee is investigating which Colleges and Universities have programs and courses out there. At the moment, the legislation also leaves the option open to use some co-occurring disorders trainings as offered by the NH Training Institute on Addictive Disorders; however it takes 15 hours of training to equate to one college credit. Over the next two years we will be offering many co-occurring trainings so be watchful of these (you will see me there!).
Another requirement in order to maintain the MLADC is to pass the Co-Occurring Disorders test offered by the LADC Board and created by the International Certification and Reciprocity Consortium (IC&RC). As a study guide the IC&RC recommends "The Basics" by Rhonda McKillip her website ishttp://rhondamckillipandthebasics.com/. But you can also link to it from the IC& RC website. This is a 2 volume set for $100.
The alternative to taking & passing the co-occurring exam is to get licensed by the Board of Mental Health Practice, however each of those licenses requires a 60 credit master's degree in its respective discipline, supervised clinical work experience in that discipline and passage of their own specific credentialing exam. For some of you who have already met those requirements it simply means providing the documentation to the LADC Board.
The primary differences between the LADC and MLADC are the scope of service each is licensed to provide and the type of supervision/collaboration required.
The MLADC is an independent practice license. The MLADC can diagnose and treat mental health disorders when they are co-occurring with substance use disorders. The MLADC is not required to document clinical supervision but may choose the supervision option or document peer collaboration. Many people seem to confuse supervision vs. collaboration but the key difference in knowing which one you need can be found in the answer to this question: “Are you licensed to practice independently?” If the answer is yes, then you may participate in peer collaboration. If no, you must be supervised by a supervisor who is ethically and legally responsible for your work.
The LADC scope of service allows for the diagnosis and treatment of only substance use disorders. The LADC is not an independent practice license which means if you are a LADC you are required by law to practice under the supervision of an MLADC, a qualified LADC or another mental health practitioner who has been pre-approved by the LADC Board. You would need to document clinical supervision (60 minutes per week). There is an exception to this, and that is for the "grandfathered LADCs" who were in private practice prior to September 4, 2010. Because they were already in private practice, in an effort to not legislate them out of the profession, the legislation honors their extensive experience and allows for them to continue practicing independently and participate in peer collaboration as well as provide supervision to other LADCs. This status will be afforded to any MLADC who does not meet the grandfathering requirements by September 4, 2015 and whose license reverts to the LADC.
You are not in this alone. We at NHADACA are here to assist our membership in navigating this process. It is possible over the next two years to meet the criteria to maintain and keep the MLADC if that is what you would like to do.