CHAPTER Mhp 300 LICENSE,
AND REGISTRATION REQUIREMENTS, APPLICATIONS, AND FEES
REVISION NOTE:
Document
#13786, effective 12-19-23, adopted, readopted with amendment, readopted with
amendment and renumbered, or repealed various rules in Chapter Mhp 300. The
adoptions and repeal by Document #13786 necessitated the renumbering of various
existing rules in Mhp 300 as noted in the source
notes.
Document
#13786 adopted the following rules:
Mhp 302.03 titled “Supervisor Requirement”.
Mhp 302.04 titled “Issuance of a Full License to a
Post-Graduate Supervisee”
Mhp 302.07 titled “Application Process for Those Actively
Licensed in Another
State
for a Period of 5 Years or More In Good Standing”.
Mhp 303.03 titled “Practical Experience for Pastoral
Psychotherapists Who Have a
Mental
Health License in Another State”.
Mhp 303.04 titled “Other Requirements for Pastoral
Psychotherapists”.
Document
#13786 repealed the existing Mhp 303.04 titled “Oral
Examination Requirements for Pastoral Psychotherapists.” The prior filings affecting the former Mhp 303.04 included the following documents:
#7625
eff 1-10-02, EXPIRED: 1-10-10
#9854,
eff 1-25-11 (as Mhp 302.11)
#10857,
eff 6-24-15 (as Mhp 303.04)
PART Mhp 301 DEFINITIONS
Mhp 301.01 Definitions. The following terms shall have the meaning
indicated when used in this chapter:
(a) “Applicant” means a person who seeks
licensure as a mental health practitioner in New Hampshire;
(b) “Candidate for licensure” means a person, not
licensed as a mental health practitioner, who is receiving post-graduate
supervision in mental health practice in New Hampshire in
order to meet the licensing requirements;
(c) “Face-to-face” means being in the physical
presence or synchronous “Health Insurance Portability and Accountability Act
(HIPAA)” compliant virtual presence of individuals involved in the supervisory
relationship during either individual or group supervision;
(d) “Group supervision” means one supervisor in
the physical presence of 2 or more supervisees at the same time;
(e) “Independent solo” means practice which is not performed as an employee
of an employer who assumes full financial responsibility for the actions of
that employee and furnishes the employee with a W-2 form pursuant to US
Internal Revenue Service’s regulations.
This term also includes “solo private mental health practice”;
(f)
“Individual supervision” means one supervisor in the physical or
synchronous virtual presence of one supervisee; and
(g) “Mental
health practitioner” means mental health practitioner as defined in RSA
330-A:2, VII.
Source. (See Revision Note at chapter heading for Psy 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff
6-24-15; ss by #13786, eff 12-19-24 (see Revision Note
at chapter heading for Mhp 300)
PART Mhp 302 APPLICATION
REQUIREMENTS
Mhp 302.01 Pre-Licensure
Supervised Practice.
(a) Student interns
or residents practicing per RSA 330-A:34, I(b) in a mental health discipline
regulated by the board shall submit a completed “Candidate for Licensure:
Supervision Agreement” described in Mhp 302.01(c), to
the board at least 30 days prior to the end of the internship or residency if
they wish to complete their supervised practice in the same location as their
internship.
(b) Upon the board’s
receipt of the student intern or resident’s completed
“Candidate for Licensure: Supervision Agreement” the following shall apply
until the board issues a license for supervised practice:
(1) The applicant waiting for a supervision
agreement shall be permitted to practice under the supervision of an individual
licensed by the board and in good standing;
(2) The applicant waiting for a supervision
agreement shall not work more than the 60 days allotted to obtain licensure;
and
(3) The licensee supervising the applicant shall
adhere to all requirements described in Mhp 302.03.
(c) Prior
to beginning supervised practice as required by RSA 330-A:22, all candidates
for licensed supervised practice and each supervisor shall complete and submit
the “Candidate for Licensure: Supervision Agreement” form requiring the
following:
(1) The
candidate for supervision to complete part I of the application as follows:
a. Indicating
which of the following types of supervision the candidate is applying for:
1. Pastoral
psychotherapist;
2. Clinical
social worker;
3. Clinical
mental health counselor; or
4. Marriage and
family therapist;
b. The
candidate’s full legal name;
c. The
candidate’s home physical address;
d. The
candidate’s home mailing address if different from the physical address;
e. The
candidate’s home or cell phone number;
f. The
candidates e-mail address;
g. The
candidate’s employer’s name;
h. The
candidate’s employer’s address;
i. The
candidate’s employer’s phone number;
j. The
candidate’s title at their place of employment;
k. Supervisor’s
name at the place of employment;
l. List the
college(s) or university(s) attended, the degree awarded, and date(s) of
graduation;
m. Answer yes
or no to the following questions and if applicable attach the requested
document:
1. “Have you
ever been denied a certification or license you applied for?” If yes attach a detailed description
including the denying board(s), date of denial(s), and reason for denial(s);
2. “Have you
ever been convicted of a felony or misdemeanor that has not been
annulled?” If yes attach a detailed
description of the offense(s) including the name of the court(s), date of
conviction(s), and sentence(s) imposed; and
3. “Do you
suffer from any emotional disturbance, mental illness, organic illness, or
addictive disorder which presently impairs your ability to serve as a mental
health practitioner?” If yes attach a
detailed description of how your ability to practice is impaired;
n. Answer yes
or no to the question “Do you have a “Candidate for Licensure: Supervision
Agreement” on file with the Board?; and
o. Answer yes
or no the question “Are you changing
supervisors?” If you answer yes attach a
detailed explanation as to why you are changing supervisors;
(2) The
candidate’s supervisor shall complete part II of the application as follows:
a. The
supervisor’s full legal name;
b. The
supervisor’s employer’s name;
c. The
employer’s address;
d. Employer’s
phone number;
e. Employer’s
e-mail address;
f. Supervisor’s
title at place of employment;
g. The physical
address of where the supervision will take place;
h. Answer yes
or no to the question “Is the location where the supervision is to take place
confidential?”;
i. Answer yes or
no to the question “Does the candidate have a W-2 work relationship with the
employer? (Independent contractor relationship not permitted)”;
j. Check all
that apply to “I hold a current, valid license in NH as:
i. Pastoral
psychotherapist;
ii. Clinical
social worker;
iii. Clinical
mental health counselor; or
iv. Marriage
and family therapist”;
k. List license
numbers;
l. Answer yes
or no to the question “Have you been licensed in New Hampshire for more than 2
years?”
m. Answer yes
or no to the following questions to ensure compliance with Mhp
302.01(c)(9):
1. Did the
supervisor complete a “graduate level course in clinical supervision?”;
2. Was the
“clinical supervision approved by one of the following?
i. Association for clinical pastoral education;
ii. National Association of Social Workers;
iii. American Mental Health Counselors
Association; or
iv. American Association for Marriage and Family
Therapy”; and
3. “Does the
supervisor have twelve continuing education units (CEU’s) in clinical
supervision through participation in a seminar or workshop was approved by a
Category A sponsor listed in Mhp 402.02(a)(1).”;
n. Attach
documentation proving the yes answer checked in response to n. above;
o. Answer yes
or no to the question “Are you an employee of your supervisee’s clinical
site?”;
p. If you
answer no to p. above attach a detailed statement
which addresses the following:
1. Your
relationship to the candidate’s employer or clinical site;
2.
Acknowledging that you will provide supervision at the candidate’s place
of employment or the clinical site where the applicant delivers services, at a
mutually convenient and ethically appropriate site, or using a virtual HIPAA
compliant platform;
3. That you
have knowledge of candidate’s employer’s policies; and
4. How any
disagreements between the contracted supervisor and the agency supervisor will
be resolved;
q. Attach a
copy of the written agreement with the candidate’s employer that allows you to
review records, files, and any other documentation at the supervisee’s place of
employment or clinical site. This
agreement shall be signed and bear the date of the signature; and
r. Certify the
following statement by signing and dating the application:
“I affirm that I have reviewed the candidate’s
education record and it conforms with those outlined in Mhp
303, Mhp 304, Mhp 305, or Mhp 306, whichever refers to the appropriate candidate
license type.
Additionally, I have read and shall conform to the
laws of New Hampshire and the Board of Mental Health Practice Administrative
Rules Mhp 100-500.”
(3) Under part
III of the application the following shall be completed:
a. Answer the
question “What is the frequency of individual supervision? (One hour of supervision is 60 minutes)”;
b. Answer the
question “What is the length of individual supervision?”;
c. The
candidate and supervisor shall complete and attach a description of the goals
of supervision that include at least the following:
1. Ethics;
2. Diagnosis
and assessment;
3. Theoretical
applications;
4. Community
resources;
5. Specific
competence; and
6. Cross
cultural issues; and
(4) Under part
IV of the application the following shall be competed:
a. A candidate
for licensure under this agreement shall certify by signing and dating the
application under the preprinted statement:
“As a Candidate, I
agree to provide my supervisor with all pertinent information concerning all
clients and their care in order to make informed,
ethical, and efficacious decisions for client care. I will inform my supervisor if I engage in
any clinical activities outside of this agreement. I understand that all my clinical activity
must be authorized by my supervisor. I
will resolve all ethical dilemmas and practice issues as directed by my
supervisor to the best of my ability.
This supervision agreement does not remove any legal or civil
responsibilities that I have for my actions related to this role.”;
b. The
supervisor shall certify by signing and dating the application under the
following statement:
“As the Supervisor, I
agree to provide my Candidate with appropriate and efficacious training,
guidance, and direction to assure a valuable training experience to meet
standards for the Candidate’s licensure.
I acknowledge that, at a minimum, under RSA 330-A:22, I will hold
weekly, one-hour face-to-face meetings at the site where the Candidate works, I
will assume professional and legal responsibility for the Candidate, and I will
review and have access to the Candidate’s clinical records. If I cease to supervise the Candidate, if my
license becomes invalid, restricted, or sanctioned in NH or any other
jurisdiction, or if I wish to terminate my legal and professional
responsibility for the Candidate’s acts or omissions, I am responsible to
notify the Board and the Candidate in writing, and that until I do, I remain
responsible.”;
c. In addition
to b. above the supervisor of a marriage and family therapist shall certify by
signing and dating the application a second time under the following statement:
“I
acknowledge that, at a minimum, under RSA 330-A:22, I will hold weekly,
one-hour face-to-face meetings and that I will assume professional and legal
responsibility for the Candidate. I will
review and have access to the Candidate's clinical records. When providing outside Marriage and Family
group supervision under Mhp 303.17 (e)(3), I will
hold group face-to-face meetings with no more than six Candidates.”; and
d. All
candidates and supervisors shall sign and date the application, in addition to
any other signatures already affected to the application, certifying the
following statement:
“All statements and
information contained in this form are true and correct to the best of my
knowledge and belief. I acknowledge that
the provision of false information on this form is a basis for denial of this
application.”
(d) In addition to any attachments required by
(c) above the candidate for licensure shall submit with the first “Candidate
for Licensure: Supervision Agreement” their graduate transcripts in an envelope
sealed and signed by the issuing school.
(e) The “Candidate
for Licensure: Supervision Agreement” form shall:
(1) Be legible;
(2) Have all sections complete or designated as
not applicable to the applicant; and
(3) Be signed by the applicant and the
applicant’s supervisor.
(f) Each “Candidate for Licensure: Supervision
Agreement” shall be accompanied by:
(1) The applicable fee as set forth in Plc
1002.29; and
(2) A copy of the candidates
transcripts described in Mhp 303 through Mhp 306.
(g)
Any “Candidate for Licensure: Supervision Agreement” form shall be
returned to the applicant as incomplete if:
(1) Any portion
of the form is illegible;
(2) Any section
of the form is incomplete;
(3) The form is
not signed where required by the applicant or supervisor who has completed that
section; or
(4) It is not accompanied by the documents
described in Mhp 302.01(f).
(h)
A “Candidate for Licensure: Supervision Agreement” shall be considered
filed with the board as of the
date the board has received:
(1) A fully
completed application form;
(2) An official
graduate school transcript in a signed, sealed envelope; and
(3) The candidate agreement review fee described
in Plc 1002.29.
(i) Within 30 days of the date the “Candidate for Licensure: Supervision
Agreement” is on file with the board, the board shall request the applicant to
provide additional information or documentation determined to be needed to
clarify the application or any materials related to the application.
(j)
The board shall approve or deny the proposed “Candidate for Licensure:
Supervision Agreement” within 60
days of receipt of the application and
all supporting documents.
(k)
The “Candidate for Licensure: Supervision Agreement” shall be denied if:
(1) The
supervisor does not meet the requirements set forth in Mhp
302.01(c);
(2) The
candidate does not meet the educational requirements of:
a. Mhp 303.01 for pastoral psychotherapists;
b. Mhp 304.01 for independent clinical social workers;
c. Mhp 305.01 and Mhp 305.02 for
clinical mental health counselors; or
d. Mhp 306.01 for marriage and family therapists; or
(3) The
candidate is a 1099 employee of an independent private practice.
(l)
If the application is denied, the applicant shall be provided an
opportunity to request a hearing for reconsideration pursuant to Mhp 208.16 on the deficiency issues identified by the
board.
(m)
Any such request for a hearing shall be submitted to the board within 30
days from the date of the board’s notification of denial or return from active
military duty, failing which the denial shall be deemed final.
(n)
Pursuant to RSA 330-A:22, IV, no hours of supervised practice shall be
credited to the candidate until the “Candidate for Licensure: Supervision Agreement” has been
approved by the board.
(o)
The supervisor and the candidate for licensure shall notify the board,
in writing, if any requirements contained in an approved “Candidate for
Licensure: Supervision
Agreement” cannot be met, and may request the board:
(1) To approve
a new supervisor for the candidate, which shall be granted so long as the new
proposed supervisor qualifies under the provision of this rule;
(2) To
terminate the agreement, which shall require the candidate to reinstitute the
process of pre-licensure supervised practice from the beginning; or
(3) Otherwise
change a provision of the “Candidate
for Licensure: Supervision Agreement”, which shall be granted so long as no proposed change results in
a violation of RSA 330-A:22.
(p) A
request to terminate or modify an approved “Candidate for Licensure: Supervision Agreement” shall be
approved or denied within a reasonable time, not to exceed 60 days from the
date the request has been filed with the board.
If denied, the candidate may seek reconsideration or appeal as in (l)
and (m) above.
(q)
Approval of a “Candidate for Licensure: Supervision Agreement” shall not
guarantee licensure.
Source. (See Revision Note at chapter heading for Psy 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff
6-24-15; amd by #11076, eff 4-19-16; ss by #13786,
eff 12-19-2 23 (see Revision Note at chapter heading for Mhp
300)
Mhp 302.02 Character
Qualifications of Applicant for
Supervised Practice.
(a) No application for licensure as a mental
health practitioner shall be approved if the applicant is not of good
professional character and reliability as set forth in RSA 330-A:10, VI.
(b) For the purpose of this subdivision a lack of
good character shall be shown by one or more of the following:
(1) A finding
by the board that the applicant, or someone acting on the applicant’s behalf,
has submitted materially false information to the board in connection with the
applicant;
(2) The
presence of any complaints pending against a license or certificate issued by
another licensing body or professional association, indicating that the
applicant cannot be relied upon to practice competently, safely and honestly,
or adhere to the ethical standards required by Mhp
501.02;
(3) Receipt of
evidence of denial of a requested license or certificate by another licensing
body or professional association or that the applicant is under active
investigation by the board;
(4) Receipt of
evidence that the applicant cannot be relied upon to practice competently,
safely and honestly, or adhere to the ethical standards required by Mhp 501.02 due to:
a. Conviction
of a felony or misdemeanor crime;
b. Any charge
of felony or misdemeanor criminal conduct which has been filed with a court,
but has not yet been finally resolved by a dismissal or judgment of “not
guilty”;
c. Information
from supervisors contained in the “Supervision Confirmation of Clinical
Experience Form – Clinical Mental Health Counselors, Independent Clinical
Social Workers, Pastoral Psychotherapist, or School Social Workers” as
described in Mhp 302.05(b)(2)a. or the “Supervision
Confirmation of Clinical Experience Form – Marriage and Family Therapists
described in Mhp 302.05(b)(2)b.; or
d. Information
provided by references as contained in the “Professional Reference Form”
described in Mhp 302.05(c)(3) and required by Mhp 302.05(c)(3);
(5) Receipt of
evidence of past or pending civil suits alleging malpractice, professional
incompetence, or negligence, indicating that the applicant cannot be relied
upon to practice competently, safely, and honestly; or
(6) Receipt of
evidence of a condition or disorder which presently impairs the ability of the
candidate to serve as a mental health practitioner.
Source. (See Revision Note at chapter heading for Psy 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff 6-24-15
(from Mhp 302.01); ss by #13786, eff 12-19-23 (see
Revision Note at chapter heading for Mhp 300)
Mhp 302.03 Supervisor
Requirements.
(a) The supervisor shall have successfully
completed one of the following:
(1) A graduate
level course in clinical supervision;
(2) A clinical
supervision certificate approved by one of the following:
a. Association
for Clinical Pastoral Education;
b. National
Association of Social Workers;
c. American
Mental Health Counselors Association; or
d. American
Association of Marriage and Family Therapy; and
(3) Twelve
continuing education hours in clinical supervision prior to entering the
supervision relationship meeting the requirements set forth in Mhp 402.02(a)(1).
(b) The applicant for
licensure receiving post-graduate supervision shall be supervised by at least
one mental health practitioner currently licensed in New Hampshire who:
(1) Has been
practicing clinically for a period of at least 2 years;
(2) Is a
non-probationary employee not under disciplinary investigation or pending
disciplinary charges and has not had disciplinary action taken against their
license in any state within the past 5 years;
(3) Is not
related in any of the following ways to the post-graduate applicant to be
supervised:
a. Spouse;
b. Parent,
stepparent, parent-in-law, or step-parent-in-law;
c. Natural,
foster, or adopted child or stepchild; or
d. Sibling,
brother-in-law, or sister-in-law; and
(4) Does not
have a dual relationship with the applicant which may impair their objectivity
as described in Mhp 501.02(c).
Source. #13786, eff 12-19-23 (See Revision Note at
chapter heading for Mhp 300)
Mhp 302.04 Issuance
of a Full License to a Post-Graduate Supervisee. The board shall issue full licensure to an
applicant for licensing receiving post-graduate supervisee when they have:
(a) Met all the requirements required by Mhp 302.02;
(b) Completed the post-graduate supervision
described in Mhp 302.01;
(c) Submitted appropriate “Supervision
Confirmation of Clinical Experience Form” as described in Mhp
302.05 (b)(2)a. and Mhp 302.05(b)(2)b.;
(d) Submitted any documents described in Mhp 302.05 not submitted at the time the board approved the
post-graduate supervision; and
(e) An updated criminal history records check
required by Mhp 302.05(a)(3).
Source. #13786, eff 12-19-23 (See Revision Note at
chapter heading for Mhp 300)
Mhp 302.05 Licensure Application Process.
(a)
Persons wishing to obtain licensure as a mental health practitioner in
New Hampshire shall apply to the board by completing and submitting the
following:
(1) The
information described in Plc 304.03 on the “Universal Application for Initial
Licensure” form and sign and date in accordance with Plc 304.05;
(2) For
clinical mental health counselors, the following information shall be added to
the information required in (1) above:
a. All names
the applicant has ever been known by;
b. Yes or no to
the question “Have you previously taken the National Clinical Mental Health
Counselor Examination from the National Board for Certified Counselors
(NBCC)?”; and
c. Yes or no to
the question “Was your graduate program in clinical mental health counseling
approved by the Council for Accreditation of Counseling or Related Educational
programs (CACREP)?”;
(3) For
pastoral psychotherapists the following information shall be added to the
information required in (1) above:
a. All names
the applicant has ever been known by; and
b. Yes or no to
the question “Have you previously taken the New Hampshire Pastoral
Psychotherapist Association (NHPPA) Pastoral Psychotherapist Licensure
Examination: Clinical Theory and Practice?”;
(4) For
independent clinical social workers, the following information shall be added
to the information required in (1) above:
a. All names
the applicant has ever been known by;
b. Yes or no to
the question “Have you previously taken the American Association of State
Social Worker Boards Clinical Examination?”; and
c. Yes or no to
the question “Was your graduate program in clinical social work approved by the
Council on Social Work Education (CSWE)?”;
(5) For school
social workers, the following information shall be added to the information
required in (1) above:
a. All names
the applicant has ever been known by;
b. Yes or no to
the question “Have you previously taken the American Association of State
Social Worker Boards Clinical Examination?”; and
c. Yes or no to
the question “Was your graduate program in clinical social work approved by the
Council on Social Work Education (CSWE)?”;
(6) For
marriage and family therapist, the following information shall be added to the
information required in (1) above:
a. All names
the applicant has ever been known by;
b. Yes or no to
the question “Have you previously taken the Marriage and Family Therapist
National Examination given by the Association for Marriage and Family
Regulatory Boards?”; and
c. Yes or no to
the question “Was your graduate program in marriage and family therapy approved
by the Commission on Accreditation for Marriage and Family Therapy Education
(COAMFTE)?”;
(7) Supporting
documents required of all applicant’s, as specified in
Mhp 302.05(b);
(8) The documents required for the criminal
history records check required under RSA 330-A:15-a, II-IV, which include:
a. A criminal history record release form, also
known as form DSSP from the department of safety, available at https://www.nhsp.dos.nh.gov/sites/g/files/ehbemt461/files/inline-documents/sonh/dssp2561_vgmedits.pd;
b. A completed fingerprint card or submission of
Live Scan documentation. A fingerprint
card may be obtained by contacting the board offices at (603) 271-2152. Livescan site locations are listed on the
department of safety’s website at https://www.certifixlivescan.com/category/fingerprinting-service-locations/new-hampshire/; and
c. A separate check made payable to “State of
NH, Criminal Records” with the fee, as required by the department of safety;
(9) If the federal
criminal history records check described in (8) above shows the existence of a
criminal record in another state, the applicant shall obtain a detailed
criminal record check directly from that state and provide it to the board;
(10)
The results of one of the
following examinations appropriate for the license the applicant is
applying for:
a. The New Hampshire Pastoral Psychotherapist
Examination;
b. The American
Association of State Social Work Boards, Clinical Level Exam;
c. The National
Clinical Mental Health Counselor Exam; or
d. The National
Exam of the Association of Marriage and Family Regulatory Boards; and
(11) The
initial license fee as required by Plc 1002.29.
(b) Each applicant for licensure shall submit
with the application the following supporting documentation:
(1) One of the
following supervised clinical experience forms:
a. The “Summary
of Supervised Clinical Experience Form – Clinical Mental Health Counselors,
Independent Clinical Social Workers, Pastoral Psychotherapist, or School Social
Workers” requiring the following information:
1. Applicant’s name;
2. Start and end date of each post-graduate
supervised clinical experience;
3. Name of facility for each supervised clinical
experience;
4. Name of supervisor for each supervised
clinical experience;
5. Total hours of each individual supervision
received for each supervised clinical experience;
6. Total hours of clinical experiences for each
supervised experience;
7. Total hours of supervised clinical experience
for all experiences; and
8. The applicant’s signature and date of signing
below the following attestation:
“By signing below, I certify that the
foregoing is correct to the best of my knowledge.”; or
b. The “Summary
of Supervised Clinical Experience Form – Marriage and Family Therapist”
requiring the following information:
1. Applicant’s name;
2. Start and end date of each supervised
clinical experience;
3. Name of facility for each supervised clinical
experience;
4. Name of supervisor for each supervised
clinical experience;
5. Total hours of each individual supervision
received for each supervised clinical experience;
6. Total hours of client contact for each
supervised clinical experience;
7. Total hours of clinical experiences for each
supervised experience;
8. Total hours of supervised clinical experience
for all experiences; and
9. The applicant’s signature and date of signing
below the following attestation:
“By signing below, I certify that the
foregoing is correct to the best of my knowledge.”;
(2) One of the
following supervisor’s confirmation of clinical experience forms:
a. The “Supervisor’s Confirmation of Clinical
Experience Form – Clinical Mental Health Counselors, Independent Clinical
Social Workers, and Pastoral Psychotherapists, or School Social Workers”
requiring the following information:
1. The
applicant’s name, address including city, state, and zip code, signature, and
date of signing under the following statement:
“I am applying for licensure as a clinical
mental health counselor, independent clinical social worker, pastoral
psychotherapist, or school social worker in the State of New Hampshire. The Board of Mental Health Practice requires
confirmation of supervised clinical experience.
This is your authority to release all information you have in your
files.”
2. Name
of facility where the post-masters supervised clinical experience took place;
3.
Address of facility where the post-masters supervised clinical
experience took place;
4.
Applicant’s title at the time of supervision;
5.
Beginning and ending month and year of supervised clinical experience;
6.
Hours per week of face-to-face individual supervision;
7.
Total hours of face-to-face supervision;
8.
Total hours of paid post-master’s supervised clinical work experience,
which is the number of hours worked per week times the number of weeks worked;
9.
Answer yes or not to the question “If the supervision took place in New
Hampshire was an approved “Candidate Licensure supervisor Agreement” on file in
the board’s office prior to the commencement of supervision?”
10.
Attach to this form a description of the supervisor methods and the
types of issues delt with during supervision, a description of the type of work
performed by the applicant, and a description of the quality of work performed
by the applicant completed by the supervisor;
11.
Printed name of supervisor(s);
12.
Title of supervisor at the time of supervision;
13.
Supervisor’s business address;
14.
Highest degree earned by the supervisor;
15.
What is the supervisor licensed as including the state of licensure,
license number, and date the license was issued;
16.
Supervisor’s phone number; and
17.
Supervisor’s signature and date of signing; or
b. The
“Supervisor’s Confirmation of Clinical Experience Form – Marriage and Family
Therapists” requiring the following information:
1. The
applicant’s name, address including city, state, and zip code, signature, and
date of signing under the following statement:
“I am applying for licensure as a marriage and
family therapist in the State of New Hampshire.
The Board of Mental Health Practice requires confirmation of supervised
clinical experience. This is your
authority to release all information you have in your files.”
2. Name
of facility where the supervised clinical experience took place;
3.
Address of facility where the supervised clinical experience took place;
4.
Applicant’s title at the time of supervision;
5.
Beginning and ending month and year of supervised clinical experience;
6. For
the total clinical experience the number of hours per week, the number of
weeks, and total hours;
7. For
the client contact hours the number of hours per week, the number of weeks, and
the total number of hours;
8. The
total hours of individual supervision;
9. The
total number of hours of group supervision;
10.
Answer yes or not to the question “If the supervision took place in New
Hampshire, was an approved “Candidate Licensure supervisor Agreement” on file
in the board’s office prior to the commencement of supervision?”
11.
Attach to this form a description of the supervisor methods and the
types of issues delt with during supervision, a description of the type of work
performed by the applicant, and a description of the quality of work performed
by the applicant completed by the supervisor;
12.
Printed name of supervisor(s);
13.
Title of the supervisor(s) at the time of supervision;
14.
Supervisor(s) address;
15.
Highest degree earned by the supervisor(s);
16.
What is the supervisor(s) licensed as including the state of licensure,
license number, and date the license was issued;
17. Yes
or no to the question “I am an AAMFT” approved supervisor and if no what other
type of approval does the supervisor(s) have;
18.
Supervisor(s) phone number; and
19.
Supervisor(s) signature and date of signing; and
(3) Three
separate and distinct “Professional Reference Forms", each signed by the
person providing the reference, at least one of which is from a supervisor.
(4) The
“Professional Reference Form” shall be provided by the board and require the
following information:
a. The
applicant for initial licensure shall complete the following information on the
form before providing the form to the professional reference:
1. A check mark
next to the type of application being applied for, independent clinical social
worker, clinical mental health counselor, marriage and family therapist, or
pastoral psychotherapist;
2. Their full
legal name;
3. Their
physical address including city, state, and zip code; and
4. Their
signature and date of signing; and
b. After the
applicant for licensure has completed the portion of the form described in a.
above the applicant shall have the professional reference provide the following
information on the form:
1. Their full
legal name;
2. Their
relationship with the applicant;
3. The length
of time they have known the applicant;
4. A brief
description of their knowledge of the applicant’s professional and ethical
behavior;
5. The name of
the organization and the applicant’s title and position at the organization
when the professional reference worked with the applicant;
6. A brief
description of the applicant’s duties and responsibilities at the organization
described in v. above;
7. The area of
the applicant’s specialties;
8. A brief description of any knowledge that the applicant:
a. Has been or is the
subject of any malpractice or civil suit involving the practice of their
profession;
b. Has been charged or convicted of a crime in
any state or country, the disposition of which was other than acquittal or
dismissal;
c. Has been or are any complaints or charges of
violation of the ethical codes, professional misconduct, unprofessional
conduct, incompetence, or negligence made or pending against them;
d. Has ever been required to surrender their
license or certification; or
c. Has been found guilty of, or have entered into a consent decree regarding a violation of
ethics codes, professional misconduct, unprofessional conduct, incompetence or
negligence in any state or county by any licensing board or professional ethics
body;
9. An
attestation and certification that the reference believes that the applicant is
an individual of good professional and moral character, and if the answer is no
to provide an explanation;
10. A check
mark next to the type of endorsement: without reservation, with reservation, or
not recommended;
11. If the
reference indicates with reservation or not recommended then provide a written
explanation of that answer;
12. Their
mailing address, phone number, title, degree, license or certification
specialty, state(s) in which they are licensed, and license number(s); and
13. Signature
and date of signing; and
c. The
professional reference shall provide the “Professional Reference Form” to the
applicant in a sealed envelope signed so it is evident it has not been tampered
with.
(c) The application form and supporting
documentation shall:
(1) Be legible;
(2) Have all sections complete or designated as not
applicable to the applicant; and
(3) Be signed
by the applicant.
(d) Any application form shall be returned to the
applicant as incomplete if:
(1) Any portion
of the form is illegible;
(2) Any section
of the form is incomplete; or
(3) The form is not signed where required by the
applicant or other person who has completed that section.
(e) An application shall be considered completed and filed with the board as of the date the
board has received:
(1) A fully
completed application form;
(2) All
required supporting documentation specified in Mhp 302.03; and
(3) Proof that
the applicant’s check has been deposited and cleared, if applicable.
(f)
Upon receipt of a completed application, the board shall either:
(1) Within 30 days, request additional
information or documentation; or
(2) Within 60 days of receipt of the completed
application and any additional information requested pursuant to (1) above,
approve or deny the application for licensure.
(g) The board shall deny an application if:
(1) The applicant has not passed
the examinations as required by Mhp 302.5(a)(10);
(2) The educational attainment of
the applicant does not meet the standards for the licensure being applied for
as set forth in one of the following:
a. Mhp
303.01 for pastoral psychotherapists;
b. Mhp
304.01 for social workers;
c. Mhp
305.01 for mental health counselors; or
d. Mhp
306.01 for marriage and family therapists;
(3) The prelicensure supervised
practice of the applicant does not meet the requirements for licensure being
applied for as set forth in one of the following:
a. Mhp
303.02 for pastoral psychotherapists;
b. Mhp
304.02 for social workers;
c. Mhp
305.03 for mental health counselors; or
d. Mhp
306.02 for marriage and family therapists;
(4) The applicant does not meet
the character qualifications of Mhp 302.02; or
(5) The applicant has not paid the
fee required by Plc 1002.29.
(h) If the application is denied, the applicant
shall be provided an opportunity to request a hearing for reconsideration
pursuant to Mhp 208.16 on the deficiency issues
identified by the board.
(i) Any such request
for a hearing shall be submitted to the board within 30 days from the date of
the board’s notification of denial or return from active military duty, failing
which the denial shall be deemed final.
Source. (See Revision Note at chapter heading for Mhp 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff 6-24-15
(formerly Mhp 301.03); ss by #13786, eff 12-19-23
(formerly Mhp 302.03)
Mhp 302.06 Application
Process for Those Licensed in Another State for a Period of 5 Years or Less.
(a) Persons who wish to apply for a license as a
pastoral psychotherapist and are already licensed in another state for 5 years
or less shall:
(1) Submit an
application as required in Mhp 302.05 (a)(1) c.;
(2) Pass the
examination required in Mhp 303.05(a);
(3) Meet the
educational requirements in Mhp 303.01;
(4) Meet the
coursework requirements in Mhp 303.01;
(5) Meet the
supervision requirements in Mhp 303.02 if applying with a doctoral degree
in clinical psychology;
(6) Meet the
supervision requirements in Mhp 303.03 ff applying
with a license in mental health from another state;
(7) Provide the
board with the documents to receive a criminal history records check as
described in Mhp 302.05(a)(8); and
(8) Pay the
initial license fee required in Plc 1002.29.
(b) Persons who wish to apply for a license as an
independent clinical social worker and are already licensed in another state
for a period of 5 years or less shall:
(1) Submit an
application as required in Mhp 302.05;
(2) Pass the
Association of Social Work Boards clinical level examination;
(3) Meet the
educational requirements in Mhp 304.01(a):
(4) Meet the
coursework requirements in Mhp 304.01(b);
(5) Meet the
supervision requirements in Mhp 304.02;
(6) Provide the
board with the documents to receive a criminal history records check as
described in Mhp 302.05(a)(8); and
(7) Pay the
initial license fee required in Plc 1002.29.
(c) Persons who wish to apply for a license as a
clinical mental health counselor and are already licensed in another state for a period of 5 years or less shall:
(1) Submit an
application as required in Mhp 302.05;
(2) Pass the
National Clinical Mental Health Counselor Examination;
(3) Meet the
educational requirements in Mhp 305.01;
(4) Meet the
course requirements in Mhp 305.02;
(5) Meet the
supervision requirements in Mhp 305.03;
(6) Provide the
board with the documents to receive a criminal history records check as
described in Mhp 302.05(a)(8); and
(7) Pay the
initial license fee required in Plc 1002.29.
(d) Persons who wish to apply for a license as a
marriage and family therapist and are already licensed in another state for a
period of 5 years or less shall:
(1) Submit an
application as required in Mhp 302.05;
(2) Pass the
exam required in Mhp 306.03;
(3) Meet the
educational or course work requirements required in Mhp
306.01(a)(3) and Mhp 306.01(b);
(4) Meet the
coursework required in Mhp 306.01 (b);
(5) Meet the
supervision required in Mhp 306.02;
(6) Provide the
board with the documents to receive a criminal history records check as
described in Mhp 302.05(a)(8); and
(7) Pay the
initial license fee required in Plc 1002.29.
(e) Complete applications that are submitted
pursuant to (a)-(d) above and received by the board at least 10 business days
prior to a regularly scheduled meeting shall be reviewed by the board at that
meeting.
(f) The board shall review applications submitted
under (a)-(d) above in accordance with Mhp
302.05(f)-(i).
(g) Notwithstanding (f) above, pursuant to RSA
330-A:26, II any applicant seeking licensure under this section shall be allowed to practice in New Hampshire
not more than 30 days after the completed application
is received by the board pending final
approval or conditional denial of the license for other reason by the board.
Source. (See Revision Note at chapter heading for Mhp 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff 6-24-15
(formerly Mhp 301.05); amd
by #12571, eff 7-4-18; ss by #13786, eff 12-19-23 (formerly Mhp
302.04)
Mhp 302.07 Application
Process for Those Actively Licensed in Another State for a Period of 5 Years or
More In Good Standing.
(a) Persons who have been actively licensed as a
mental health professional in another state for 5 or more years in good
standing who wish to apply for a license in the same discipline as a clinical
social worker, clinical mental health counselor, marriage and family therapist,
or pastoral psychotherapist shall:
(1) Submit a “Universal Application for Initial
Licensure” as required in Mhp 302.05, checking the
box marked “Fast Track Application”;
(2) Submit the documents required for a criminal
records check, pursuant to RSA 330-A:15-a, II-IV, as required in Mhp 302.05(a)(8);
(3) Submit either:
a. Proof that the state the applicant is
applying from accepts the same exam listed in Mhp
302.03(a)(10) for the relevant profession at the time the applicant was
licensed by the state; or
b. The
results of the examination to achieve licensure listed in Mhp
302.05(a)(10);
(4) Submit the initial license fee as required by
Plc 1002.29;
(5) The name of the
graduate school attended, and official transcript certified by a school
official showing all coursework, type of degree granted, and date of degree;
and
(6) Provide
verification from all other states in which the applicant is licensed to
practice directly from the issuing state.
(b) Complete applications that are submitted
pursuant to (a) above and received by the board at least 10 business days prior
to a regularly scheduled meeting shall be reviewed by the board at that
meeting.
(c) The board shall review applications submitted
under (a) above in accordance with Mhp 302.05(f)-(i).
(d) Notwithstanding (c) above, pursuant to RSA
330-A:26, II any applicant seeking licensure under this section shall be
allowed to practice in New Hampshire not more than 30 days after the completed
application is received by the board, pending final approval or conditional
denial of the license for other reason by the board.
Source. #13786, eff 12-19-23 (See Revision Note at
chapter heading for Mhp 300)
PART Mhp 303 PASTORAL PSYCHOTHERAPISTS
Mhp 303.01 Educational Requirements for Pastoral
Psychotherapists. All applicants for
licensure for pastoral psychotherapist
shall have completed one of the
following sets of requirements:
(a) Concentration in theological studies, by
demonstrating the following:
(1) Have met the standards as defined by RSA
330-A:17, I – X;
(2) Hold the following degrees:
a. A baccalaureate degree from a regionally
accredited college or university;
b. A Master of Divinity degree from a school of
theology accredited by the American Association of Theological Schools or have
met the theological body of knowledge as defined by the Association for
Clinical Pastoral Educators and approved by the New Hampshire Pastoral
Psychotherapist Association, available as noted in Appendix II; and
c. A doctoral degree in pastoral psychotherapy
or psychology and clinical studies based on a program the content of which was
primarily psychology, pastoral counseling or psychotherapy and clinical
studies, or its equivalent in both subject matter and extent of training;
(3) The following areas of study
shall be included as components of the academic degrees required in (2) above:
a. Theories of personality and
personality development;
b. Interpersonal relations;
c. Marriage and family dynamics;
d. Group dynamics;
e. Personality and culture;
f. Psychopathology;
g. Psychology of religious
experience;
h. Theories of counseling and
psychotherapy;
i. Personality assessment and statistics;
j. Theories of the pastoral
office, including the history and theory of pastoral care;
k. Research methods,
l. Models of integration of
psychology and spirituality; and
m. Orientation to the helping
professions and ethics;
(3) Are a member of and have
maintained active membership in a denomination or faith group; and
(4) Are a member of and have
maintained active membership in the New Hampshire Pastoral Psychotherapist
Association; or
(b) Concentration in multidisciplinary studies by
demonstrating the following:
(1) Hold a
current active license recognized by the NH board of mental health practice or
NH board of psychologists; and
(2) The course
of study has components that study a multidisciplinary core body of knowledge
that includes the following:
a. “Area I:
Core Clinical Theory” shall include but not be limited to:
1. A minimum of
18 semester hours with courses in 2-6 making up the 18;
2. Counseling
and psychotherapy: theory and techniques of at least 6 hours;
3. Group
dynamics: theory and technique of at least 3 hours;
4. Couples and
family systems: theories and techniques of at least 3 hours;
5. Social and
cultural diversity of at least 3 hours;
6. Elective
courses of at least 3 hours shall include but not be limited to:
(i)
Theories of human behavior: learning and personality development;
(ii) Appraisal, evaluation and
diagnostic procedures;
(iii) Abnormal behavior;
(iv) Addictions; and
(v) Foundations of spiritually
integrated psychotherapy; and
7. Specialized
technical studies with a minimum of 6 semester hours that includes the
following topics:
(i)
Psychodynamic psychotherapies;
(ii) Marriage and family
systems;
(iii) Humanistic psychotherapy;
(iv) Transpersonal
psychotherapy;
(v) Cognitive therapy;
(vii) Behavior therapy;
(viii) Grief therapy;
(ix) Group therapy; and
(x) Post-modern and
constructivist therapies; and
b. “Area II:
Pastoral Counseling Foundations” which include but shall not be limited to:
1. Required
graduate courses of a minimum of 21 semester hours with hours in 2 and 4 making
up the 21:
2. Graduate
courses:
(i)
Sacred texts of at least 3 hours required;
(ii) Theology and theological
ethics of at least 6 hours;
(iii) History of pastoral care
and counseling;
(iv) Pastoral diagnosis; and
(v) Basic pastoral care; and
3. Elective
courses of at least 6 semester hours in the following:
(i)
History of one’s faith group; and
(ii) World religions or
comparative religions studies shall include the following:
i. Spirituality
and spiritual formation;
ii. Pastoral
theology;
iii. Faith
development;
iv. Theology of
psychotherapy;
v. Psychology
of religion; and
vi. Clinical
pastoral education or pastoral care specialist training.
Source. (See Revision Note at chapter heading for Mhp 100) #5675, eff 7-22-93; EXPIRED: 7-22-99
New. #7625, eff 1-10-02, EXPIRED: 1-10-10
New. #9854, eff 1-25-11; ss by #10857, eff 6-24-15
(formerly Mhp 302.07); amd
by #12153, eff 3-25-17; ss by #13786, eff 12-19-23 (See Revision Note at
chapter heading for Mhp 300)
Mhp
303.02 Practical Experience for
Pastoral Psychotherapists Who Graduated With a Doctoral Degree in Clinical
Psychology.
(a) Applicants shall have completed 2 years of
supervised experience in pastoral psychotherapy.
(b) A year of experience shall be not less than
1500 hours.
(c) Of the 3000 hours, at least 1375 shall be
clinical counseling hours, with at least 250 hours of individual face-to-face
supervision.
(d) The applicant shall give evidence of
satisfactory completion of one unit of CPE accredited by the Association for
Clinical Pastoral Education or a unit of training approved by the New Hampshire
Pastoral Psychotherapist Association.
(e) Supervision shall be done by at least 2
different New Hampshire state approved supervisors, at least one of whom shall
be a licensed pastoral psychotherapist, pursuant to the requirements set forth in Mhp
302.01(c).
(f) The supervised experience shall begin
following the completion of the academic or coursework portion of the postgraduate studies in pastoral
counseling.
(g) The supervised experience shall be adequately
divided to assure competence in intake and referral consultation, as well as
individual, group, marriage, divorce, and family therapy.
(h) Supervised experience shall not include class
work, practicum experience, or other course-related experiences.
(i) Supervisors shall not be related to the
supervisee in any of the following ways:
(1) Spouse;
(2) Parent,
stepparent, parent-in-law, or step-parent-in-law;
(3) Natural,
foster, or adopted child or stepchild; or
(4) Sibling,
brother-in-law, or sister-in-law; and
(5) Does not
have a dual relationship with supervisee which may impair their objectivity as
described in Mhp 501.02(c).
(j) Independent private mental health practice shall not be considered supervised
professional experience.
(k) If the supervised professional experience was
in a private practice, then and the supervisee shall have a W-2 relationship
with the site. A 1099 independent
contractor relationship with the site shall not meet this requirement.
(l) Additional supervision may be obtained by a
supervisee in order to meet the requirements of Mhp 303.02 (e).
Source. #10857, eff 6-24-15 (formerly Mhp 302.09); amd by #12153, eff
3-25-17; ss bhy #13786, eff 12-19-23 (See Revision
Note at chapter heading for Mhp 300)
Mhp
303.03 Practical Experience for
Pastoral Psychotherapists Who Have a Mental Health License in Another State.
(a) Applicants
applying for pastoral psychotherapist with a concentration in theological
studies shall:
(1) Provide evidence of satisfactory completion
of one unit of CPE approved by the New Hampshire Pastoral Psychotherapist
Association; and
(2) Have supervision completed by at least 2
different New Hampshire state approved supervisors, at least one of whom shall
be a licensed pastoral psychotherapist.
(b) Applicants
applying with multidisciplinary concentration shall:
(1) Have completed 750 hours of supervised
experience in pastoral psychotherapy;
(2) Ensure that all 750 hours are clinical
counseling hours completed through supervision by a board approved licensed
pastoral psychotherapist supervisor;
(3) Have completed 50 hours of face-to-face
supervision by a board approved licensed pastoral psychotherapist supervisor;
(4) Begin following attainment of a license
granted by the NHBMHP or board of psychology and have completed the core body
of knowledge; and
(5) Not have a personal relationship with the
supervisor as described in Mhp 302.03(b)(3).
Source. #13786, eff 12-19-23 (See Revision Note at
chapter heading for Mhp 300)
Mhp 303.04 Other
Requirements for Pastoral Psychotherapists.
All applicants for pastoral psychotherapist
license shall:
(a) Take and achieve a passing grade on the NHPPA
Pastoral Psychotherapist Licensure Examination:
Clinical Theory and Practice; and
(b) Hold an active membership in the New Hampshire Pastoral
Psychotherapist Association.
Source. #10857, eff 6-24-15 (formerly Mhp 302.11); renumbered by #13786 (formerly Mhp 303.03)
PART Mhp 304 CLINICAL SOCIAL WORKERS
Mhp 304.01 Educational
Requirements for Clinical Social Workers.
(a) All applicants for licensure shall have a
2-year clinical graduate degree in social work from a school approved by the
Council on Social Work Education.
(b) Course work for a graduate degree in social
work shall be primarily related to clinical social work in content as evidenced
by at least 5 of the following areas of study:
(1) Theories of
personality development, ego psychology, object relations, human behavior and
social environment;
(2) Methods of
casework or clinical interventions, social work practice and direct practice;
(3) Theories of
cross-cultural development, and race relations;
(4) Marriage
and family dynamics, family systems, and therapy with children;
(5) Group
behavior and dynamics;
(6) Theories of
psychopathology, adaptive, and maladaptive functioning;
(7) Chemical
dependency and substance abuse;
(8) Research
methods, including policy practice evaluation; and
(9) Internship
in a clinical setting, and field placement.
Source. #10857, eff 6-24-15 (formerly Mhp 302.12)
Mhp 304.02 Practical
Experience Requirements for Social Workers.
(a) Applicants shall have completed, at a
minimum, 2 years of post-masters supervised clinical work experience as
follows:
(1) A year of
supervised clinical work experience shall be at least 1500 hours to have been
completed within not less than 12 months and not more than 24 months, for a
total of 3000 hours of work experience;
(2) The
supervision shall have included a minimum of one hour per week of individual
face-to-face supervision between the supervisor and the applicant for a total
of 100 hours; and
(3) The
supervision shall be completed between 2 and 4 years from the date the approved
supervision began.
(b) Notwithstanding (a) above, an applicant
holding a current master licensed alcohol and drug counselor (MLADC) license
issued by the board of licensing for alcohol and other drug use professionals
may, under RSA 330-A:18, III substitute their experience as an MLADC for up to
1500 hours of the work experience requirement under (a)(1) above and shall be
permitted to substitute up to 50 face-to-face supervision hours under (a)(2)
above.
(c)
Acceptable clinical supervised experience shall require face-to-face
contact with a supervisor who is responsible for the clinical development and
guidance of the supervisee and is familiar with the supervisee’s work and
organized setting.
(d)
Acceptable clinical supervised experience shall comply with the
following:
(1) The
supervision shall be from an individual
meeting the specification set forth in Mhp 302.01(c);
(2) The supervisor
shall be licensed in the state where the supervision takes place;
(3) The
supervision shall occur on site where the applicant delivers services, at a
mutually convenient and ethically appropriate site, or using a virtual HIPAA
compliant platform;
(4) Supervised
experience shall not include any hours cumulated prior to the conferral of the
clinical graduate degree;
(5) The supervisee
shall not utilize their own independent private mental health practice as an acceptable setting
for supervised clinical work experience;
(6) If the
supervised professional experience was in a private practice, then the
supervisee shall have a W-2 relationship with the site. A 1099 independent contractor relationship
with the site shall not meet this requirement;
(7) The
supervisor shall not be related to the supervisee in any of the following ways:
a. As a spouse;
b. As a parent,
stepparent, parent-in-law, or step-parent-in-law;
c. As a
natural, foster or adopted child, or stepchild; or
d. As a
sibling, brother-in-law, or sister-in-law; and
(8) The
supervisor shall not have a dual relationship with supervisee which might
impair their objectivity as described in Mhp
501.02(c).
Source. #10857, eff 6-24-15 (from Mhp
302.14); ss by #13786, eff 12-19-23 (See Revision Note at chapter heading for Mhp 300)
Mhp 304.03 Examination
for Social Workers.
(a) All applicants for licensure shall pass the
clinical level exam distributed by the Association of Social Work Boards
(ASWB).
(b) The following shall be submitted as evidence
of a passing score on the ASWB clinical level examination:
(1) Written
verification from ASWB sent to the board office; or
(2) A “Social
Worker Request for Results of Exam Score Form” described in (c) below and
completed by another jurisdiction and sent to the board office.
(c) Applicants wishing to take the clinical level
exam shall complete and submit to the board a “Request To Sit For The
Association of Social Work Boards Clinical Exam” form requiring the following
information:
(1) The
applicant’s name as it appears on the photo ID to be used at the test site;
(2) The
applicant’s mailing address;
(3) The
applicant’s home or cell phone number;
(4) The
applicant’s e-mail address;
(5) The
applicant’s date of birth;
(6) The
applicant’s social security number for the purpose of child support enforcement
pursuant to RSA 161-B:11;
(7) Yes or no
to the question “I have an approved “Candidate for Licensure: Supervision
Agreement” on file with the NH Board of Mental Health Practice;
(8) Yes or no
to the question “Pursuant to Mhp 304.03(d), I have
completed at least 18 months of clinical supervision”; and
(9) The
applicant’s signature and date of signing.
(d) Applicants for
social work licensure shall have worked under board approved supervision for at
least 18 months prior to taking the examination.
Source. #10857, eff 6-24-15 (from Mhp
302.15); ss by #13786, eff 12-19-23 (See Revision Note at chapter heading for Mhp 300)
PART Mhp 305 MENTAL HEALTH COUNSELORS
Mhp
305.01 Educational Requirements for
Mental Health Counselors.
(a)
Applicants shall have a 60 semester hour master’s or doctoral degree in
clinical mental health counseling from a Council for Accreditation of
Counseling and Related Educational Programs (CACREP) accredited institution
pursuant to RSA 330-A:19, I unless approved otherwise in (b) below.
(b)
An applicant who did not attend a CACREP accredited institution may
apply for licensure if:
(1) They have been granted a master’s degree,
with a minimum of 60 credit hours, in clinical mental health counseling, or a
doctoral degree in clinical mental health counseling from a school which is a
regionally accredited institution of education;
(2) The degree granted in (1) above consists of a
course of study, which encompasses a minimum of 2 academic years, 4 semesters, of full time graduate study; and
(3) The master’s or doctoral program shall:
a. Be described
as a complete 60 or more credit hour program in clinical mental health
counseling in catalogues and brochures;
b. Specify the intent to educate and train
counselors in mental health counseling;
c. Have clear
authority and primary responsibility for the core and specialty areas;
d. Have an
integrated, organized, sequence of study;
e. Have an
identifiable body of students who are matriculated in that program for a
degree; and
f. Include at
least 700 hours of supervised practicum or internship appropriate to mental
health counseling.
Source. #10857, eff 6-24-15 (from Mhp
302.16); ss by #13786, eff 12-19-23 (See Revision Note at chapter heading for Mhp 300)
Mhp 305.02 Courses Required for
Mental Health Counselors.
(a)
The 60 semester hour degree in mental health counseling shall include
coursework consisting of at least 33 semester hours consisting of 3 hours in
each of the following 11 areas:
(1)
Human growth and development;
(2)
Abnormal psychology/psychopathology;
(3)
Clinical counseling theories;
(4)
Clinical counseling techniques;
(5)
Social and cultural foundations;
(6)
Group work;
(7)
Professional orientation and ethics of mental health counseling;
(8)
Career and lifestyle development;
(9)
Testing and assessment;
(10)
Research and program evaluation; and
(11)
Addictive behaviors.
Source. #10857, eff 6-24-15 (from Mhp
302.17); ss by #13903, eff 5-14-24
Mhp 305.03 Practical
Experience for Mental Health Counselors.
(a) Applicants shall have completed at least 2
years of post-master’s or doctoral supervised clinical work experience in a
mental health setting.
(b) A year of supervised clinical work experience
shall not be less than 1500 hours, which have been completed within not less
than 12 months and not more than 24 consecutive months.
(c) Notwithstanding
(a) and (b) above, an applicant holding a current MLADC license issued by the
board of licensing for alcohol and other drug use professionals may under RSA
330-A, III, substitute their experience as an MLADC for up to 1500 hours of the
work experience requirement under (a)(1) above and shall be permitted to
substitute up to 50 face-to-face supervision hours under (a)(2) above.
(d)
The supervision shall have provided for a minimum of one hour per
week of individual face-to-face supervision between the supervisor and the
applicant for a total of 100 hours.
(e)
Acceptable clinical supervised experience shall require face-to-face
contact with a supervisor who is responsible for the clinical development and
guidance of the supervisee and is familiar with the supervisee’s work and
organizational setting.
(f)
Supervision shall be provided pursuant
to Mhp 302.01(c).
(g)
The supervisor shall be licensed in the state where the supervision
takes place.
(h)
Supervision shall occur on site where the applicant delivers services,
at a mutually convenient and ethically appropriate site, or using a virtual
HIPAA compliant platform.
(i) Supervised experience shall not include class
work, practicum, or internship experience or other course related experiences.
(j)
Supervisors shall not have a dual relationship with the supervisee such
as a spouse, close relative, or therapist.
(k)
Independent private mental health practice shall not be considered acceptable
supervised professional experience.
(l) If the supervised professional experience was
in a private practice, then the supervisee shall have a W-2 relationship with
the site. A 1099 independent contractor
relationship with the site shall not meet this requirement.
Source. #10857, eff 6-24-15 (from Mhp
302.18); ss by #13786, eff 12-19-23 (See Revision Note at chapter heading for Mhp 300)
Mhp 305.04 Examination
for Mental Health Counselors.
(a) All applicants for licensure shall pass the
National Clinical Mental Health Counselor Exam distributed by the National
Board of Certified Counselors.
(b) The following shall be submitted as evidence
of a passing score on the national clinical mental health counselor
examination:
(1) Written
verification from the national board of certified counselors sent to the board
office; or
(2) A “Request
for Results of Examinations score Form” dated 6/10/2014 completed by another
jurisdiction and sent directly to the board office.
(c) Applicants wishing to take the national
clinical mental health counselor exam shall obtain a test registration form by
contacting the National Board for Certified Counselors.
Source. #10857, eff 6-24-15 (from Mhp
302.19)
PART Mhp 306 MARRIAGE AND FAMILY THERAPISTS
Mhp 306.01 Educational
Requirements for Marriage and Family Therapists.
(a) Applicants for licensure as a marriage and
family therapist shall:
(1) Have a
master’s degree or a doctoral degree in marriage and family therapy from a
program accredited by the Commission on Accreditation for Marriage and Family
Therapy Education (COAMFTE);
(2) Have a
master’s degree or a doctoral degree in a mental health field from a regionally
accredited institution and have completed a post-graduate training program
accredited by COAMFTE; or
(3) Have a
master’s degree or a doctoral degree with a concentration in marriage and
family therapy from a regionally accredited institution.
(b) Applicants that have a degree with a
concentration in marriage and family therapy as noted in Mhp
306.01 (a)(3) shall complete the following coursework:
(1) At least 3
courses in marital and family studies, family development, and family interaction patterns
across the life cycle of the individual as well as the courses or studies
chosen from the following subject areas:
a. Family life
cycle;
b. Theories of
family development;
c. Marriage or
family sociology of the family;
d. Families
under stress;
e. The
contemporary family;
f. Family in a
social context;
g. The cross-cultural family;
h. Youth,
adult, aging, and the family;
i. Family
subsystems; and
j. Individual,
interpersonal relationships, such as marital, parental, and sibling;
(2) The
completion of at least 3 courses in marital and family therapy chosen from the
following subject areas:
a. Family
therapy methodology;
b. Family
assessment;
c. Treatment
and intervention methods; and
d. Overview of major clinical theories of marital and
family therapy such as communications theory, contextual theory, experiential
theory, object relations theory, strategic theory, structural theory, systemic
theory, and transgenerational theory;
(3) The
completion of one course in diagnosis;
(4) The
completion of at least 3 courses in human development chosen from the following
subject areas:
a. Human
development;
b. Personality
theory;
c. Human
sexuality;
d.
Psychopathology; and
e.
Behavior-pathology;
(5) The
completion of at least one course in professional studies chosen from the
following subject areas:
a. Professional
socialization and the role of the professional organization;
b. Legal
responsibilities and liabilities;
c. Independent
practice and interprofessional cooperation;
d. Ethics; and
e. Family law;
and
(6) The
completion of at least one course in research chosen from the following subject
areas:
a. Research
design;
b. Methods;
c. Statistics;
and
d. Research in
marital and family studies and therapy.
(c) The applicant shall have completed at least a
one-year practicum or internship
supervised by an American Association of Marriage and Family Therapy (AAMFT)
approved supervisor prior to the completion of the master’s degree. This experience shall total a minimum of 300
hours of face-to-face client contact hours with individuals, couples, and
families for the purpose of assessment, diagnosis, and treatment. At
least half of these client contact hours shall have been completed with couples
and families.
(d) A minimum of one academic year of full-time
academic graduate study in marriage and family therapy shall be completed in
residence at the institution granting the degree, unless the program is accredited through COAMFTE.
(e) Whether graduate study was completed in
residence shall be determined based on criteria which include the following:
(1) Predominant
modality shall be face-to-face instruction;
(2) Advising
and evaluation shall be done face-to-face;
(3) Students
shall have face-to-face access to a core of marriage and family counseling
faculty whose primary time and employment responsibilities are to the
institution; and
(4) Students
shall have face-to-face access to other students matriculated in the program.
Source. #10857, eff 6-24-15 (formerly Mhp 302.20); ss by #13786, eff 12-19-23 (See Revision Note
at chapter heading for Mhp 300)
Mhp
306.02 Post-Graduate Practical
Experience for Marriage and Family Therapists.
(a)
All applicants for licensure as a marriage and family therapist shall
have completed at least 2 years of supervised experience in the practice of
marriage and family therapy with a minimum of one hour per week of individual
face-to-face supervision by a psychologist, clinical mental health counselor,
independent clinical social worker, pastoral psychotherapist, or marriage and
family therapist licensed in the state where the supervision takes place.
(b)
A year of experience shall not be less than 1500 hours, to have been
completed within not less than 12 and not more than 24 consecutive calendar
months. The post-graduate experience
shall total 3000 hours of experience.
(b) Notwithstanding (a) and (b) above, an
applicant holding a current MLADC license issued by the board of licensing for
alcohol and other drug use professionals may under RSA 330-A:21, III,
substitute their experience as an MLADC for up to 1500 hours of the work
experience requirement under (a)(1) above and shall be permitted to substitute
up to 50 face-to-face supervision hours under (a)(2) above.
(d) As part of the 3000 hours, all applicants
shall have completed 1000 hours of supervised face-to-face
clinical client contact hours with individuals, couples, and families.
(e) For the 1000 hours of face-to-face contact hours required
by Mhp 306.02(d), all applicants shall have 200 hours
of face-to-face supervision from an AAMFT approved supervisor or AAMFT approved
alternate supervisor.
(f) Applicants who do not work under the
supervision of an AAMFT approved supervisor or approved alternate supervisor
may contract for outside supervision in order to meet
the requirements in Mhp 306.02(e) as follows:
(1) The outside supervisor and the supervisee’s
place of employment shall complete a contract stating:
a. The nature of their relationship:
b. The outside supervisor’s regular access to
case documentation;
c. Communication procedures and frequency
between the outside supervisor and the on-site supervisor;
d. Steps to be taken by the supervisee and each
supervisor during client emergency situations;
e. Decision-making authority of supervisors; and
f. That
the approved AAMFT supervisor or approved alternate supervisor shall
visit the candidate’s worksite at least twice annually;
(2) The
contract, in (1) above shall be filed with the “Candidate for Licensure:
Supervisory Agreement”; and
(3) Both individual and group supervision hours
shall be acceptable as follows:
a. Individual supervision shall be face-to-face
contact between one supervisor and up to 2 supervisees; and
b. Group supervision shall be face-to-face
contact between one supervisor and up to 6 supervisees.
(g) Graduates of master’s and doctoral programs
accredited by the COAMFTE may use up to 100 hours of their pre-degree
supervision towards the requirement in Mhp
306.02(e). Graduates of COAMFTE programs
may also use up to a total of 500 face-to-face client contact hours earned
during their graduate program towards the requirement in Mhp
306.02(e). Students in marriage and family therapy doctoral
programs who have a qualifying master’s degree may use practicum and internship
experience and supervision in the doctoral program toward these requirements.
(h) Independent private mental health practice shall not be
considered supervised professional experience.
(i) If the supervised professional experience was
in a private practice, then the supervisee shall have a W-2 relationship with
the site. A 1099 independent contractor
relationship with the site shall not meet this requirement.
(j) Supervisors shall not be related to the supervisee in any of the following ways:
(1) Spouse;
(2) Parent, stepparent, parent-in-law, or
step-parent-in-law;
(3) Natural, foster or adopted child, or
stepchild; or
(4) Sibling, brother-in-law, or sister-in-law;
and
(k)
The supervisor shall not have a dual relationship with supervisee which
may impair their objectivity as described in Mhp
501.02(c).
(l)
Alternative supervisors for both pre-graduation and post-graduate
experience shall meet the following requirements:
(1) Have a graduate degree in couple or marriage and family therapy or
related mental health discipline;
(2) Hold a NH license in a mental health
profession;
(3) Have taken 5 graduate courses or taught
couple or marital and family
therapy within or after the mental health professional degree used to qualify
for licensure in NH as follows:
a. Four of the 5 graduate courses shall be
clinical couples or marriage and
family therapy theory courses or courses applying family therapy to a
population or problem type;
b. One course in ethics; and
c. A course is a 3-credit semester system or a
4-credit quarter system course or 100 continuing education units post graduate
degree taken or taught in marital and family therapy workshops or seminars;
(4) Two years of full-time clinical experience
post-licensure; and
(5) The 30-hour full AAMFT Approved Supervisor
Training Course.
Source. #10857, eff 6-24-15 (formerly Mhp 302.22); ss by #13786, eff 12-19-23 (See Revision Note
at chapter heading for Mhp 300)
Mhp 306.03 Examination
Procedures for Marriage and Family Therapists.
(a) Applicants for licensure as a marriage and
family therapist shall pass the national examination in marital and family
therapy distributed by the Association of Marital and Family Regulatory Boards.
(b)
Applicants for licensure as a marriage and family therapist who wish to
take the exam shall submit to the board the “Request to Sit for the Marriage
and Family Therapy Exam Form” provided by the board requiring the following:
(1) The
applicant’s name as it appears on the photo ID to be used at the test site;
(2) The
applicant’s mailing address;
(3) The
applicant’s home or cell phone number;
(4) The
applicant’s e-mail address;
(5) The
applicant’s date of birth;
(6) The
applicant’s social security number for the purpose of child support enforcement
pursuant to RSA 161-B:11;
(7) Yes or no
to the question “I have an approved “Candidate for Licensure: Supervision
Agreement” on file with the NH Board of Mental Health Practice;
(8) Yes or no
to the question “Pursuant to Mhp 304.03(d), I have
completed at least 18 months of clinical supervision; and
(9) The
applicant’s signature and date of signing.
Source. #10857, eff 6-24-15 (formerly Mhp 302.23); ss by #13786, eff 12-19-23 (See Revision Note
at chapter heading for Mhp 300)
PART Mhp
307 SOCIAL WORKER
Mhp 307.01 Educational
Requirements for Licensed Social Worker.
Applicants for licensure as a social worker shall meet the following
requirements to be eligible for licensure as a licensed social worker:
(a) Be a graduate with a bachelor’s degree in
social work from a college or university approved by the Council on Social Work
Education;
(b) Have completed 300 hours of social work or
mental health education within the degree program or separately;
(c) Have completed 300 hours of supervised
practical training within the degree granting program as part of the supervised
work experience or separately;
(d) Have completed 4,000 hours of supervised work
experience within 2 but no more than 4 years; and
(e) Pass the National Examination Association of
Social Work Board’s (ASWB) bachelors level
examination.
Source. #13903, eff
5-14-24
Mhp 307.02 Supervised
Work Experience for Social Worker.
(a) Applicants shall have completed at least 2
years of post-bachelors supervised work experience in a mental health or social
service setting as required by Mhp 307.01(d).
(b) The supervision shall have provided for a
minimum of one hour per week of individual face-to-face supervision between the
supervisor and the applicant for a total of 100 hours.
(c) Acceptable supervised experience shall
require direct contact with a supervisor who is responsible for the
professional development and guidance of the supervisee and is familiar with
the supervisee’s work and organizational setting.
(d) Supervision shall be provided by a licensed
clinical social worker, licensed marriage and family therapist, licensed mental
health counselor, or licensed pastoral physiotherapist.
(e) The supervisor shall be licensed in the state
where the supervision takes place.
(f) The supervision shall be conducted in the
physical presence or via a Health Insurance Portability and Accountability Act
(HIPAA) compliant synchronous virtual presence.
(g) Supervised experience shall not include class
work, practicum experience, or other course related experiences.
(h) The supervisor shall not have a dual relationship with
the applicant which may impair their objectivity as described in Mhp 501.02(c).
(i) A 1099 employee
of an independent private practice shall not be considered an acceptable
supervised professional experience.
Source. #13903, eff 5-14-24
Mhp 307.03 Examination
for Social Worker.
(a) All applicants for licensure shall pass the
ASWB bachelor’s level examination.
(b) Acceptable evidence of a passing score on the
ASWB bachelor’s level examination shall be written verification sent directly
to the board’s office from the ASWB.
(c) Applicants
wishing to take the bachelor’s level exam shall complete and submit to the
board a “Request To Sit For ASWB Bachelor’s Level Examination” form by
providing the following:
(1) The applicant’s name as it appears on the
photo ID to be used at the test site;
(2) The applicant’s mailing address;
(3) The applicant’s home or cell phone number;
(4) The applicant’s e-mail address;
(5) The applicant’s date of birth;
(6) The applicant’s social security number for
the purpose of child support enforcement pursuant to RSA 161-B:11;
(7) Yes or no to the question “I have an approved
“Candidate for Licensure: Supervision Agreement” on file with the NH Board of
Mental Health Practice”;
(8) If the answer to (7) above is “no”, answer
yes or no to the question “I have completed all supervision during my years of
practice.”
(9) The applicant’s signature and date of
signing.
Source. #13903, eff 5-14-24
PART Mhp
308 SOCIAL WORK ASSOCIATE
Mhp 308.01 Educational
Requirements for Social Work Associate.
(a) Applicants shall meet one of the following
requirements to be eligible for licensure as a social work associate:
(1)
If graduated with a bachelor’s degree in clinical mental health, social
work, psychology, behavioral health counseling, human services discipline, or
equivalent program from an accredited college or university:
a.
Have completed 300 hours of social work or mental health education
within the degree-granting program or separately;
b.
Have completed 300 hours of supervised practical training within the
degree granting program or separately;
c.
Have completed 4,000 hours of supervised work experience within 2 years
but no more than 4 years;
d.
Have pass the national ASWB bachelors level examination; and
e.
During the period of supervised practice, have completed 30 hours of
continuing education, in addition to what is described in (1)a. in all of the following:
i.
Ethical and professional behavior;
ii.
Advancing human rights and social, racial economic, and environmental
justice;
iii.
Anti-racism, diversity, equity, and inclusion in practice;
iv.
Practice-informed research and research-informed practice;
v.
Policy practice;
vi.
Engagement with individuals, families, groups, organizations, and
communities
vii.
Assessing individuals, families, groups, organizations, and communities;
viii.
Intervention with individuals, families, groups, organizations, and
communities; and
ix.
Evaluation of practice with individuals, families, groups,
organizations, and communities; or
(2)
If graduated with an associate’s degree in clinical
mental health, social work, psychology, behavioral health counseling, human
services discipline, or equivalent program from an accredited college or
university:
a.
Have completed 300 hours of social work or mental health education
within the degree-granting program or separately;
b.
Have completed 300 hours of supervised practical training within the
degree granting program as part of the supervised work experience or
separately;
c.
Have completed 6,000 hours of supervised work experience in no fewer
than 3 years;
d.
Have pass the national ASWB bachelors level examination; and
e.
During the period of supervised practice, have completed 30 hours of
continuing education in addition to what is described in (2)a. in all of the following:
i.
Ethical and professional behavior;
ii.
Advancing human rights and social, racial economic, and environmental
justice;
iii.
Anti-racism, diversity, equity, and inclusion in practice;
iv.
Practice-informed research and research-informed practice;
v.
Policy practice;
vi.
Engagement with individuals, families, groups, organizations, and
communities
vii.
Assessing individuals, families, groups, organizations, and communities;
viii.
Intervention with individuals, families, groups, organizations, and
communities; and
ix.
Evaluation of practice with individuals, families, groups,
organizations, and communities.
Source. #13903, eff 5-14-24
Mhp 308.02 Courses
Required for Social Work Associate.
(a) The associate or bachelors degree in accordance with Mhp 301.08(a) shall include areas of study that includes
components of the following:
(1)
Human growth and development;
(2)
Abnormal psychology or psychopathology;
(3)
Clinical counseling theories;
(4)
Clinical counseling techniques;
(5)
Social and cultural foundations;
(6)
Group work;
(7)
Professional orientation and ethics of mental health counseling;
(8)
Career and lifestyle development;
(9)
Screening and assessment;
(10)
Research and program evaluation; and
(11)
Addictive behaviors.
Source. #13903, eff 5-14-24
Mhp 308.03 Supervised
Work Experience for Social Work Associate.
(a) Applicants shall have completed at least 2
years of post-bachelors or post-associate supervised clinical work experience
in a mental health or social service setting as described in Mhp 308.01 and Mhp 308.02.
(b) The supervisor of the associate level
applicant shall have provided a minimum of one hour per week of individual
face-to-face supervision between the supervisor and the applicant for a total
of 150 hours.
(c) The supervision of the bachelors
level applicant shall have provided for a minimum of one hour per week of
individual face-to-face supervision between the supervisor and the applicant
for a total of 100 hours.
(d) Supervision shall be provided by a licensed
clinical social worker, licensed marriage and family therapist, licensed mental
health counselor, or licensed pastoral physiotherapist.
(e) The supervisor shall be licensed in the state
where the supervision takes place.
(f) The supervisor shall be conducted in the
physical presence or via a Health Insurance Portability and Accountability Act
(HIPAA) compliant synchronous virtual presence.
(g) Supervised experience shall not include class
work, practicum experience, or other course related experiences.
(h) The supervisor shall not have a dual relationship with
the applicant which may impair their objectivity as described in Mhp 501.02(c).
(i) A 1099 employee
of an independent private practice shall not be considered an acceptable
supervised professional experience.
Source. #13903, eff 5-14-24
Mhp 308.04 Examination
for Social Work Associate.
(a) All applicants for licensure shall pass the
ASWB bachelor’s level examination.
(b) Acceptable evidence of a passing score on the
ASWB bachelor’s level examination shall be written verification sent directly
to the board’s office from the ASWB.
(c) Applicants
wishing to take the bachelor’s level exam shall complete and submit to the
board a “Request To Sit For ASWB Bachelor’s Level Examination” form by
providing the following:
(1) The applicant’s name
as it appears on the photo ID to be used at the test site;
(2) The applicant’s mailing address;
(3) The applicant’s home or cell phone number;
(4) The applicant’s e-mail address;
(5) The applicant’s date of birth;
(6) The applicant’s social security number for
the purpose of child support enforcement pursuant to RSA 161-B:11;
(7) Yes or no to the question “I have an approved
“Candidate for Licensure: Supervision Agreement” on file with the NH Board of
Mental Health Practice”;
(8) If the answer to (7) above is “no”, answer
yes or no to the question “I have completed all supervision during my years of
practice.”
(9) The applicant’s signature and date of
signing.
Source. #13903, eff 5-14-24
PART Mhp
309 CONDITIONAL LICENSURE
Mhp 309.01 Conditional
Licensure Criteria.
(a) The following shall be eligible for
conditional licensure:
(1)
Clinical social worker;
(2)
School social worker;
(3)
Social worker;
(4)
Social work associate;
(5)
Clinical mental health counselor; and
(6)
Marriage and family therapist.
(b) The clinical social worker applicant for
conditional licensure shall hold a master’s or doctoral degree in social work
or social welfare from a Council on Social Work Education (CSWE) approved
program.
(c) The school social worker applicant for
conditional licensure shall hold a master’s or doctoral degree in social work
or social welfare from a CSWE approved program.
(d) The social worker applicant for conditional
licensure shall hold a bachelor’s degree in social work or social welfare from
a CSWE approved program.
(e) The social work associate applicant for
conditional licensure shall hold an associate or bachelor’s degree in clinical
mental health, social work, psychology, behavioral health counseling, human
services discipline, or equivalent program from an accredited college or
university.
(f) The clinical mental health counselor
applicant for conditional licensure shall hold a master’s or doctoral degree in
clinical mental health counseling from a CACREP accredited institution or its
equivalent which has received regional accreditation from the Association of
Secondary Schools and Colleges.
(g) The marriage and family therapist applicant
for conditional licensure shall hold a master’s or doctoral degree in family
therapy from a program accredited by the Commission on Accreditation for
Marriage and Family Therapy Education, a master’s degree or doctorate degree
with a concentration in the field of marriage and family therapy from a
regionally accredited institution, or has a clinical membership in the American
Association for Marriage and Family Therapy.
Source. #13903, eff 5-14-24
Mhp 309.02 Applying
for a Conditional Licensure.
(a) Each applicant for conditional license shall
apply by submitting the following:
(1)
The information described in Plc 304.03;
(2)
A “Candidate
for Licensure: Supervision Agreement” described in Mhp
302.01(c);
(3)
Documentation shall be transcripts sent directly from the issuing
educational institution showing completion of the appropriate educational
program described in Mhp 309.01(b) through (g); and
(4)
The fee described in Plc 1002.29;
(b) The approval or denial of a conditional
license shall be as described in Plc 304.06 through Plc 304.11.
Source. #13903, eff 5-14-24
Mhp 309.03 Duration
of a Conditional License. The
conditional licensure shall be valid for a period not to exceed 2 years from
the date of issuance and the conditional license holder shall be authorized to
renew the conditional license one time.
PART Mhp 310
FEES
Mhp 310.01 Fee Schedule. The fees required by the board under RSA
330-A shall be as follows:
(a) License
application review |
$150.00 |
(b) Approved
license application fee |
$135.00 |
(c) Renewal
fee for 2 years |
$270.00 |
(d) Renewal
fee for dual license |
$350.00 |
(e) Inactive
fee for one year |
$ 67.50 |
(f) Candidate
Agreement review |
$ 25.00 |
(g) License
replacement |
$ 10.00 |
(h)
Reinstatement fee |
$300.00 |
(i) Letter of good standing |
$ 25.00 |
(j) Bill of
Rights – additional copy |
$ 10.00 |
(k) License
verification |
$ 10.00 |
(l) Wall
license replacement |
$ 10.00 |
(m)
Electronic mailing list of licensees |
$ 25.00 |
Source. #10857, eff 6-24-15 (from Mhp
303.01); ss by #13903, eff 5-14-24 (formerly Mhp
309.01)
APPENDIX I Statutes
Rule |
Specific State Statute the Rule Implements |
|
|
Mhp
301.01 |
RSA
330-A:I |
Mhp
302.01 |
RSA
330-A:22 |
Mhp 302.01 (a), (b), (c), (k), & (q) |
RSA 330-A:22 |
Mhp
302.02-302.03 |
RSA
330-A:17 - 21 |
Mhp 302.04(e)-(g) |
RSA 330-A:26 |
Mhp
303.01-303.04 |
RSA
330-A:17 I-XI |
Mhp 303.01(a) |
RSA 330-A:17, III, XI |
Mhp 303.02 (d)-(e) |
RSA 330-A:17, V |
Mhp
304.01 – Mhp 304.13 |
RSA
330-A:18 I-IV |
Mhp
305.01 – Mhp 305.03 |
RSA
330-A:19 I-III |
Mhp
306.01 – Mhp 306.03 |
RSA-A:21
I-III |
Mhp
307.01 |
RSA 330-A:12 |
Mhp
308 |
RSA 330-A:10, III and IX; RSA
330-A:18-c |
Mhp
309 |
RSA 330-A:10, III and IX; RSA
330-A:18-d |
Mhp 310 |
RSA
330-a:12 |
APPENDIX II: Incorporation by Reference Information
RULE |
TITLE |
OBTAIN AT |
Mhp 303.01 (a)(2) b. |
Educational Requirements for Pastoral Psychotherapists (December 31, 2015) |
Available free of charge at: www.aapcnortheast.org |