PROPOSED RULES
Original Notice.
Preproposal statement of inquiry was filed as WSR 08-14-142.
Title of Rule and Other Identifying Information: Chapter 246-811 WAC, Chemical dependency professionals (CDP), amending the chapter to include requirements for a chemical dependency professional trainee (CDPT), clarify and define current standards, and establish fees for the CDPT.
Hearing Location(s): Department of Health, Point Plaza East, Room 152/153, 310 Israel Road S.E., Tumwater, WA 98501, on May 11, 2009, at 9:00 a.m.
Date of Intended Adoption: May 15, 2009.
Submit Written Comments to: Betty J. Moe, P.O. Box 47852, Olympia, WA 98504-7852, web site http://www3.doh.wa.gov/policyreview/, fax (360) 236-2901, by May 11, 2009.
Assistance for Persons with Disabilities: Contact Betty Moe by May 6, 2009, TTY (800) 833-6388 or 711.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: 2SHB 2674 (chapter 135, Laws of 2008) amended credentialing standards for registered counselors (RC). The legislation created eight new professions, abolished the RC credential, and added a CDPT as one of the new professions.
The change in statute makes it necessary for the department to develop rules for the new CDPT profession. Rules are needed to clearly define licensing requirements for CDPs and CDPTs.
Reasons Supporting Proposal: The proposed rules are required to implement legislation and will ensure only qualified individuals are credentialed in the chemical dependency profession.
Statutory Authority for Adoption: Chapter 18.205 RCW.
Statute Being Implemented: Chapter 18.225 RCW.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Department of health, governmental.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Betty J. Moe, 310 Israel Road S.E., Tumwater, WA, (360) 236-4912.
No small business economic impact statement has been prepared under chapter 19.85 RCW. The proposed rule would not impose more than minor costs on businesses in an industry.
A cost-benefit analysis is required under RCW 34.05.328. A preliminary cost-benefit analysis may be obtained by contacting Betty J. Moe, Program Manager, Department of Health, P.O. Box 47852, Olympia, WA 98504-7852, phone (360) 236-4912, fax (360) 236-2901, e-mail Betty.Moe@doh.wa.gov.
March 30, 2009
Mary C. Selecky
Secretary
OTS-2155.3
CHEMICAL DEPENDENCY PROFESSIONALS AND CHEMICAL DEPENDENCY PROFESSIONALS TRAINEES
(1) ((Approved supervisor is an individual who meets the
education and experience requirements described in WAC 246-811-030 and 246-811-045 through 246-811-049 and who is
available to the person being supervised.
(2))) Approved school means any college or university accredited by a national or regional accrediting body recognized by the commission on recognition of postsecondary accreditation, at the time the applicant completed the required education.
(((3))) (2) Certified chemical dependency professional
(CDP) means an individual certified in chemical dependency
counseling under chapter 18.205 RCW.
(3) Certified chemical dependency professional trainee (CDPT) means an individual working toward the education and experience requirements for certification as a chemical dependency professional, and who has been credentialed as a CDPT under chapter 18.205 RCW.
(4) Core competencies of chemical dependency counseling means competency in the following nationally recognized areas:
• Knowledge;
• Skills;
• Attitudes of professional practice, including assessment and diagnosis of chemical dependency;
• Chemical dependency treatment planning and referral;
• Patient and family education in the disease of chemical dependency;
• Individual and group counseling with alcoholic and drug addicted individuals; and
• Relapse prevention counseling, and case management.
All oriented to assist alcohol and drug addicted patient to achieve and maintain abstinence from mood-altering substances and develop independent support systems.
(5) Direct supervision means the supervisor is on the premises and available for immediate consultation.
(6) Enrolled means the ability to demonstrate current enrollment in an approved school and progress toward, or completion of the coursework to be certified as a chemical dependency professional as described in WAC 246-811-030 (2)(a) through (w).
(7) Individual formal meetings means a meeting with an approved supervisor, involving one approved supervisor and no more than four supervisees.
(8) Official transcript ((is defined as)) means the
transcript from an approved college or ((university)) school,
in an envelope readily identified as having been sealed by the
school.
(((4) Individual formal meetings is defined as a meeting
with an approved supervisor, involving one approved supervisor
and no more than four supervisees.
(5) Addiction counseling competencies means the knowledge, skills, and attitudes of chemical dependency counselor professional practice as described in Technical Assistance publication No. 21, Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services 1998.
(6))) (9) Related field ((is defined as)) means health
education, behavioral science, sociology, psychology, marriage
and family therapy, mental health counseling, social work,
psychiatry, nursing, divinity, criminal justice, and
counseling education.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-010, filed 6/14/99, effective 7/15/99.]
(2) A chemical dependency professional or a chemical dependency professional trainee shall never engage, or attempt to engage, in the activities listed in WAC 246-16-100(1) with a former patient, former client or former key party.
[Statutory Authority: RCW 18.155.040, 18.19.050, 18.225.040, 18.205.060, 18.130.050. 08-07-090, § 246-811-020, filed 3/19/08, effective 4/19/08.]
(a) An associate's degree in human services or related field from an approved school; or
(b) Successful completion of ninety quarter or sixty semester college credits in courses from an approved school.
(2) At least forty-five quarter or thirty semester credits must be in courses relating to the chemical dependency profession and shall include the following topics specific to alcohol and drug addicted individuals:
(a) Understanding addiction;
(b) Pharmacological actions of alcohol and other drugs;
(c) Substance abuse and addiction treatment methods;
(d) Understanding addiction placement, continuing care, and discharge criteria, including American Society of Addiction Medicine (ASAM) criteria;
(e) Cultural diversity including people with disabilities and its implication for treatment;
(f) Chemical dependency clinical evaluation (screening and referral to include comorbidity);
(g) HIV/AIDS brief risk intervention for the chemically dependent;
(h) Chemical dependency treatment planning;
(i) Referral and use of community resources;
(j) Service coordination (implementing the treatment plan, consulting, continuing assessment and treatment planning);
(k) Individual counseling;
(l) Group counseling;
(m) Chemical dependency counseling for families, couples and significant others;
(n) Client, family and community education;
(o) Developmental psychology;
(p) Psychopathology/abnormal psychology;
(q) Documentation, to include, screening, intake, assessment, treatment plan, clinical reports, clinical progress notes, discharge summaries, and other client related data;
(r) Chemical dependency confidentiality;
(s) Professional and ethical responsibilities;
(t) Relapse prevention;
(u) Adolescent chemical dependency assessment and treatment;
(v) Chemical dependency case management; and
(w) Chemical dependency rules and regulations.
(3) A person who receives a certification of completion from the Washington consortium of addictions substance abuse educators (WACASE), as long as they meet department standards, is considered to have met the requirements of WAC 246-811-030 pertaining to the forty-five quarter or thirty semester credits in courses covering the subject content described in WAC 246-811-030(2). Official verification of the additional forty-five quarter or thirty semester credits will be required upon application to the department.
(4) All applicants, including individuals who are licensed under chapter 18.83 RCW, Psychologists; and chapter 18.79 RCW, Advance nurse practitioner, must also meet the requirements in subsection (2) of this section.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-030, filed 6/14/99, effective 7/15/99.]
(a) Submits an application on forms the department provides;
(b) Includes written documentation to meet the eligibility criteria;
(c) Declares that he or she is enrolled in an approved school and gaining the experience required to receive a CDP credential;
(d) Submit evidence of completion of four clock hours of AIDS education. The requirement of WAC 246-811-030 (2)(g) will satisfy this requirement.
(2) A CDPT must submit a signed declaration with their annual renewal that states they are enrolled in an approved education program and are obtaining the experience requirements for a CDP credential.
(3) A CDPT certificate can only be renewed four times.
[]
(2) Accumulation of the experience hours is not required to be consecutive. Experience that will count toward certification must meet the requirements outlined in WAC 246-811-046 through 246-811-049.
(3) Supervised experience is the practice as referred to in RCW 18.205.090 (1)(c) and is the experience received under an approved supervisor. A practicum or internship taken while acquiring the degree or semester/quarter hours is applicable.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-045, filed 6/14/99, effective 7/15/99.]
(1) Two thousand five hundred hours of chemical dependency counseling as defined in RCW 18.205.020(3), for individuals who possess an associate degree; or
(2) Two thousand hours of chemical dependency counseling for individuals who possess a baccalaureate degree in human services or a related field from an approved school; or
(3) One thousand five hundred hours of chemical dependency counseling for individuals who possess a master or doctoral degree in human services or a related field from an approved school; or
(4) One thousand ((five hundred)) hours of chemical
dependency counseling for individuals who are licensed as
advanced registered nurse practitioners under chapter 18.79 RCW((;)), marriage and family therapists, mental health
counselors, advanced social workers, and independent clinical
social workers under chapter 18.225 RCW or
(((5) One thousand five hundred hours of chemical
dependency counseling for individuals who are)) licensed as a
psychologist under chapter 18.83 RCW.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-046, filed 6/14/99, effective 7/15/99.]
(2) Individuals must have experiences to gain the addiction counseling competencies listed in (a) through (i) of this subsection.
(a) Two hundred hours of clinical evaluation. One hundred hours of the two hundred must be face-to-face patient contact hours.
(b) Six hundred hours of face-to-face counseling to include:
Individual counseling;
Group counseling;
Counseling family, couples, and significant others.
(c) Fifty hours of discussion of professional and ethical responsibilities.
(d) Transdisciplinary foundations:
Understanding addiction;
Treatment knowledge;
Application to practice;
Professional readiness.
(e) Treatment planning.
(f) Referral.
(g) Service coordination.
(h) Client, family, and community education.
(i) Documentation, to include, screening, intake, assessment, treatment plan, clinical reports, clinical progress notes, discharge summaries, and other client related data.
(3) Eight hundred fifty hours of experience ((are
designated to)) must be divided among subsection (2)(a)
through (c) of this subsection, the remaining experience hours
must be divided among subsection (2)(d) through (i) of this
subsection as determined by the supervisor.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-047, filed 6/14/99, effective 7/15/99.]
(2) A chemical dependency professional trainee (CDPT) can provide chemical dependency assessment, counseling, and case management to patients consistent with their education, training, and experience as documented by the approved supervisor.
(a) The first fifty hours of any face-to-face ((client))
patient contact must be under direct observation of an
approved supervisor or a chemical dependency professional.
((Supervision shall be based on assisting the person being
supervised in acquiring proficiency in the addiction
counseling competencies as defined in WAC 246-811-010(5).
(2))) (b) An approved supervisor or designated certified chemical dependency professional must provide direct supervision when a CDPT is providing clinical services to patients until the approved supervisor documents in the employee file that the CDPT has obtained the necessary education, training, and experience.
(3) Approved supervisors ((shall)) must attest to the
department of the supervised person's satisfactory progress in
becoming proficient in the addiction counseling competencies
as listed in WAC 246-811-047 (2)(a) through (i) on forms
provided by the department.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-048, filed 6/14/99, effective 7/15/99.]
(2) An approved supervisor has at least four thousand hours of experience in a state approved chemical dependency treatment agency in addition to the supervised experience hours required to become a CDP.
(((a) The four thousand hours are in addition to the
supervised experience hours required to be eligible to become
a chemical dependency professional.
(b))) (3) Twenty-eight clock hours of recognized
supervisory training may be substituted for one thousand hours
of experience((; and
(3))).
(4) An approved supervisor is not a blood or legal
relative, significant other, cohabitant of the supervisee, or
someone who has acted as the ((person supervised's))
supervisee's primary counselor.
(5) A chemical dependency professional trainee (CDPT) must receive documentation of their approved supervisor's qualifications before training begins.
(6) An approved supervisor or other certified CDP must review and sign all CDPT clinical documentation.
(7) An approved supervisor is responsible for all patients assigned to the CDPT they supervise.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-049, filed 6/14/99, effective 7/15/99.]
(2) The department will accept the passing score
((established)) set by the testing company.
(3) The application and application fee must be submitted to the department at least ninety days prior to the scheduled examination date. All other supporting documents, including verification of education and experience, must be submitted at least sixty days prior to the examination date.
[Statutory Authority: RCW 18.205.060(7). 00-01-122, § 246-811-060, filed 12/17/99, effective 1/17/00.]
(2) A person who is certified through NAADAC or ICRC is considered to have met the requirements of WAC 246-811-030 pertaining to the forty-five quarter or thirty semester credits in courses covering the subject content described in WAC 246-811-030(2). Verification of the additional forty-five quarter or thirty semester credits will be required upon application to the department.
(3) Verification of certification must be sent directly to the department from NAADAC or ICRC.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-070, filed 6/14/99, effective 7/15/99.]
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-075, filed 6/14/99, effective 7/15/99.]
(2) If a CDP certification has lapsed for more than five
years, the applicant ((will be required to)) must demonstrate
continued competency and ((shall be required to take)) must
pass an examination, if an examination was not ((taken and))
successfully passed for the initial certification. In
addition, the requirements of chapter 246-12 WAC, Part 2, must
be met.
(3) If a CDPT certification has lapsed for more than five years, the applicant must meet the requirements of chapter 246-12 WAC, Part 2.
[Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-080, filed 6/14/99, effective 7/15/99.]
CHEMICAL DEPENDENCY PROFESSIONAL RETIRED ACTIVE CREDENTIAL
[Statutory Authority: RCW 18.130.250. 02-07-083, § 246-811-081, filed 3/19/02, effective 4/19/02.]
[Statutory Authority: RCW 18.205.060(15). 00-12-102, § 246-811-090, filed 6/7/00, effective 7/8/00.]
(a) Name of firm, agency, business, or chemical dependency professional's practice.
(b) ((Chemical dependency professional's business address
and telephone number.
(c) Washington state certified chemical dependency professional number.
(d) The chemical dependency professional's name with credentials.
(e))) Employment address and telephone number.
(c) Name, credential, and credential number.
(d) Billing information, including:
(i) Client's cost per each counseling session;
(ii) Billing practices, including any advance payments and refunds.
(((f))) (e) A list of the acts of unprofessional conduct
in RCW 18.130.180 including the name, address, and contact
telephone number within the department of health.
(2) The ((chemical dependency professional)) CDP or CDPT
and the client must sign and date a statement indicating that
the client has been ((provided)) given a copy of the required
disclosure information, and the client has read and
understands the information provided.
[Statutory Authority: RCW 18.205.060(15). 00-12-102, § 246-811-100, filed 6/7/00, effective 7/8/00.]
[Statutory Authority: RCW 18.205.060(15). 00-12-102, § 246-811-110, filed 6/7/00, effective 7/8/00.]
CONTINUING COMPETENCY (((2) Professional development activities means addiction competencies as outlined in WAC 246-811-047, including: Clinical evaluation, individual counseling, group counseling, counseling family, couples, and significant others, professional and ethical responsibilities, understanding addiction, treatment knowledge, application to practice, professional readiness, treatment planning, referral, service coordination, client, family, and community education, screening, intake, assessment, clinical reports, clinical progress notes, discharge summaries, and other client related data.
(3) Industry recognized is any local, state, national, international organization, or institution of higher learning, including, but not limited to, the following organizations:
(a) National Association of Alcoholism and Drug Abuse Counselors (NAADAC);
(b) National Association of Addiction Treatment Providers (NAATP);
(c) International Certification and Reciprocity Consortium (ICRC);
(d) Northwest Indian alcohol/drug specialist certification board;
(e) Chemical dependency counselor certification board;
(f) Institutions of higher learning that are accredited by a national or regional accrediting body recognized by the Commission on Recognition of Postsecondary Accreditation; or
(g) Division of alcohol and substance abuse (DASA).
(4) Distance learning is industry recognized education obtained to enhance proficiency in one or more of the professional development activities as outlined in subsection (2) of this section, through sources such as, internet coursework, satellite downlink resources, telecourses, or correspondence courses.
(5) Agency sponsored training is training provided by an agency that is not limited to people working within that agency and is a professional development activity as outlined in subsection (2) of this section.
(6) In-service training is training provided by an agency that is limited to people working within that agency and is a professional development activity as outlined in subsection (2) of this section.
(7) Continuing competency enhancement plan is a plan showing the goals the CDP will develop to continue proficiency in their profession. The plan will be based on core competencies as listed in WAC 246-811-047. The plan will be developed on forms provided by the department.
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-200, filed 3/19/02, effective 4/19/02.]
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-210, filed 3/19/02, effective 4/19/02.]
(2) ((CDPs must complete)) Twenty-eight hours of
continuing education, as described in WAC 246-811-240; and
(3) ((CDPs must complete)) Twelve hours of other
professional development activities as ((outlined)) described
in WAC 246-811-047 and 246-811-200(2).
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-220, filed 3/19/02, effective 4/19/02.]
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-230, filed 3/19/02, effective 4/19/02.]
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-240, filed 3/19/02, effective 4/19/02.]
(2) Distance learning programs;
(3) Agency sponsored trainings;
(4) Course work at institutions of higher learning that are accredited by a national or regional accrediting body recognized by the commission on recognition of postsecondary accreditation; or
(5) In-service training programs limited to seven hours per reporting period.
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-250, filed 3/19/02, effective 4/19/02.]
(a) Practicum;
(b) Peer-review including serving on a formal peer review panel or committee, or individual review of a sole provider, where the purpose of the review is to determine whether appropriate treatment was rendered;
(c) Public presentation including preparing and presenting lectures or education that contribute to the professional competence of a CDP. The CDP may accumulate the same number of hours obtained for continuing education purposes by attendees as required in WAC 246-12-220. The hours for presenting a specific topic lecture or education may only be used for continuing education credit once during each reporting period;
(d) Publication of writings;
(e) Other activities as determined by the CDP's supervisor;
(f) Continuing education; these continuing education hours are in addition to the twenty-eight hours of continuing education as listed in WAC 246-811-240.
(2) All documentation must include the dates the
continuing competency activity ((occurred)) that took place,
and if appropriate, the title of the course, the location of
the course, and the name of the instructor.
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-260, filed 3/19/02, effective 4/19/02.]
(a) Transcripts, letters from course instructors, or certificate of completion;
(b) Written report by the CDP explaining how they achieved the competencies in WAC 246-811-047; or
(c) Signed agreement between parties involved.
(2) ((CDPs)) A chemical dependency professional must
comply with the requirements of chapter 246-12 WAC, Part 7.
[Statutory Authority: RCW 18.205.060(12). 02-07-084, § 246-811-270, filed 3/19/02, effective 4/19/02.]
(2) A chemical dependency professional trainee (CDPT) certificate must be renewed every year to correspond with issuance date.
(3) The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs to administer the program and maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required fee shall remain in place for the duration of the renewal cycle.
(4) The following nonrefundable fees will be charged for a certified chemical dependency professional:
Title of Fee | Fee |
Application | $200.00 |
Initial certification | 225.00 |
Renewal | 230.00 |
Renewal retired active | 115.00 |
Late renewal retired active | 57.50 |
Late renewal penalty | 115.00 |
Expired certification reissuance | 115.00 |
Duplicate certification | 10.00 |
Certification of certificate | 10.00 |
Title of Fee | Fee |
Application | $110.00 |
Renewal | 90.00 |
Late renewal penalty | 50.00 |
Expired certification reissuance | 50.00 |
Duplicate certification | 15.00 |
Certification of certificate | 15.00 |
[Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, § 246-811-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, § 246-811-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 18.130.250. 02-07-083, § 246-811-990, filed 3/19/02, effective 4/19/02. Statutory Authority: RCW 18.205.060(1). 99-13-084, § 246-811-990, filed 6/14/99, effective 7/15/99.]
The following section of the Washington Administrative Code is repealed:
WAC 246-811-082 | What is the retired active credential renewal fee? |