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Supporting Arizona’s Marriage and Family Therapists
Caring for Arizona’s Families
A Division of the American Association for Marriage and Family Therapy

 
 


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Fall 2007 Newsletter

TABLE OF CONTENTS:

President's Message
New! New! New! Fundraising Committee
Advocacy Committee - Proposed Licensure Changes
Ethics Corner
2007 Fall Conference
2008 Spring Conference
Kids Corner
AAMFT is Coming to Long Beach!
Strategic Planning Committee
     AzAMFT Philosophy
     Mission Statement
     AzAMFT Annual Strategic Planning Report - July 13, 2007 Meeting of the Board
     Accomplishments From July 2007 Until July 2008
     Special Task Forces Addressing Membership Development
    

President's Message

Thanks to Everyone for Your Support
We Can’t Do Without Our Volunteers!!!

After eight months in office, I feel ready to move forward with the current mission of AzAMFT.  We have gone through a number of changes in a very short period of time, which have demanded a considerable amount of energy and attention from many of our tireless volunteers.  I want to express my gratitude to all of you who have responded to requests for involvement with such great enthusiasm.

Many thanks to Luella Terry for producing our Newsletter for the past several years.  We will miss your wise and astute observations and input at the board meetings.  Your guidance, support, encouragement, inspiration and perseverance in getting everyone to meet production deadlines has been very much appreciated.  Thank you for your willingness to stay on until the end of the year to train our new Newsletter manager, Erica Cover.  Erica has had experience in producing a newsletter in the past and comes to us with enthusiasm and lots of great ideas.  Many thanks to Erica for taking over this huge and very important task. 

Many thanks to Anne Serrano, our past Treasurer, and to Steve LeGendre for volunteering to act as Interim Treasurer during the period of transition, in addition to his duties as President Elect.  Anne has performed heroic feats by stepping in and updating our financial records after computer failures lost significant amounts of data.  This has only been possible because Anne has recently retired and has made her newly found time available to volunteer to prepare the financial records so that the new Treasurer can start with the correct and current financial status of the Association.  Anne has already trained two people for the position, both of whom had to resign due to unforeseen circumstances.  Now Anne will be traveling from Tucson to Phoenix as often as necessary to teach Karen Gage, our new Treasurer, the demanding duties and details of the position.  Karen is eager to be involved and will also be chairing the Finance Committee as part of her duties.  Many thanks to Karen and welcome aboard.

We also have a new chair of the Public Relations Committee, Linda Travis, who is also the coordinator of Strategic Plan Goal 2 – Public Awareness.  Thanks to our former, long standing PR Committee who have done a wonderful job for many years and finally decided to disband.  And thanks to Linda and her newly, revitalized PR committee for moving forward with this important area.  Volunteers are still needed to work with Linda on PR and the Speaker’s Bureau.

Many thanks are also due to Anne Mann, who has agreed to be the Chairperson of the newly established Fundraising Committee.  The Association’s Finances are a top priority and are addressed in Goal 3 – Administrative Support - of the Strategic Plan.  Anne will be a member of the Financial Committee along with Dale Hansen, Auditor and Statutory Agent, Steve LeGendre, President Elect, Linda Travis, Chair of the Public Relations Committee, Katie Keuth, Spring Conference Committee Chair, Kay Lesh and Beth Darland, Fall Conference Committee co-chairs.  According to this goal of the Strategic Plan, an ongoing and secure source of funding will be needed in order to hire a part time Executive Director to manage the day-to-day operations of the organization so that the volunteers can focus on policy and decisions.  We will be needing volunteers to serve on this new and vital committee. 

Many thanks to all of our many new and long standing volunteers; chairs of committees, heads of task forces, legislative advocates, student mentors, supervisors, BBHE liaisons and the list goes on…It is amazing to me that an organization with only 366 members has such a large percentage of active and involved volunteers and leaders.  “Small but Mighty” comes to mind.  Everyone should be proud to be an integral part of our common endeavors. 

Volunteer work is vital to our organization’s accomplishments.  There are many personal rewards for the work that is done, knowing that we have made even a small difference.  Not the least of the personal rewards is to get to know and work with so many wonderful, dedicated and capable people.  There are opportunities for everyone, from occasionally making a few phone calls to initiating a completely new program.  Thanks to our volunteer coordinator, Kathleen Conrad who keeps a list of willing volunteers who graciously respond to her requests when the need arises.

In addition there is a need for volunteers for

·         the Fundraising Committee, which will be taking us to the next stage of our organizational development

·         the Advocacy Committee to lobby for legislation at the State level

·         an Advocacy Committee to lobby for legislation at the national level

·         an “Ombudsman” to report to the AzAMFT Board on the activities of the BBHE and State Legislature                     

·         Website assistance for updating and entering changes from time to time

Contact Kathleen Conrad at 520-282-0135, freedomplus@sedona.net if you are interested any of these positions. 

- Frances Bernfeld, Preisdent

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NEW! NEW! NEW!
Fundraising Committee

We are proud to announce that we have formed a fundraising committee to be headed by Anne Mann.  This committee was formed to address goal 3 of our strategic plan, which states “fundraising to establish an ongoing source of income sufficient to enable the organization to hire and maintain a half-time executive director.”  By hiring an executive director, our President‘s time will be available to attend to other issues such as licensure, third party payments, legislative lobbying, etc.

If you have fundraising experience or would just like to work on this committee, please contact Anne Mann at 480/558-9441 or annevmann@earthlink.net.

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advocacy committee
proposed licensure changes

AzAMFT is working with the Therapeutic Practitioners Alliance of Arizona and the Board of Behavioral Health Examiners to recommend statutory changes within the Licensure laws and the Board of Behavioral Health Examiners to the Arizona Legislature.  The Therapeutic Practitioners Alliance of Arizona, comprised of representatives from Social Work, Professional Counselors, Substance Abuse Counselors and Marriage and Family Therapists, meets monthly to discuss a variety of concerns effecting behavioral health practitioners. At the most recent meetings, three concerns with proposed statutory language were discussed that have direct relevance to MFTs:  1) a Confidential Impaired Professional Program, 2) the development of a Provisional License, and finally (3) the issue of fee increases.

At present, professionals impaired by substance abuse, either through self report or as a complaint, are subject to the public disciplinary process by the Board of Behavioral Health Examiners.  The Board of Behavioral Health Examiners and the Therapeutic Practitioners Alliance have developed draft regulatory language similar to that used by the Medical Board and the Nursing Board.  The proposed change would allow a behavioral health professional to enter into a confidential monitoring program.  The behavioral health professional would develop and participate, through the Board of Behavioral Health Examiners, in a rehabilitation and relapse prevention plan.  All information regarding the behavioral health professional’s participation in the program will remain confidential and would not be a part of the public record.

Secondly, a number of MFTs seeking behavioral health license reciprocity in Arizona can only practice under a Temporary License while attempting to meet Arizona licensure requirements.  The majority of applicants applying for license via reciprocity are able to meet the current Arizona requirements. Unfortunately, a minority of applicants applying via reciprocity are denied because they cannot document that their qualifications meet the substantial equivalent standards for Arizona’s current requirements.  The Therapeutic Practitioners Alliance is working with the Board of Behavioral Health Examiners to develop a provisional license that would allow the MFTs to practice up to two years under direct supervision while correcting any deficiencies.

Finally, AzAMFT along with other members of the Therapeutic Practitioners Alliance is reviewing the Board of Behavioral Health Examiner’s request to the legislature for a fee increase.  The Board of Behavioral Health Examiners is a 90/10 regulatory agency which means that Board’s operational revenues are collected through fees.  The Board is allowed to keep 90% of the revenue while the remaining 10% is remitted to the State’s general fund.  The maximum allowable fee charged by the Board is set in statute. The current maximum fee structure of $250 was set by the legislature in 1989. Furthermore, it is projected that the Board will run out of operational funds by 2010 unless the legislature raises the maximum fees allowed.  The Office of Strategic Planning and Budget through the Governor’s office is reviewing and analyzing potential fee increase amounts. As of yet, no proposed fee structures are recommended. 

The AzAMFT leadership will keep you, the membership appraised of these and other proposals as they develop.  If there are any questions or comments about these proposals or the Board of Behavioral Health Examiners, please contact me at legendre4@cox.net.

- Steve LeGendre, President-Elect

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ethics corner

Over the summer I had time to reflect on many recent events including the passing of some important figures in the development of modern Marital and Family Therapy: De Shazer, Berg, Watzlawick, Bozormenyi-Nagy, Haley and others. As I reread Robyn Dawes’ “House of Cards” I am reminded of the importance to use informed empirical  approaches; as I reread the Ethics of Psychoanalysis of Thomas Szasz I am reminded of the importance to assist the constellation of people we work with and insure that we work on their goals. This brief discussion highlights the Szasz statements.

While his discussion was directed to physicians learning analysis, the major points may serve us well. (For those wishing to read the original, consult pages 217-220, in the meantime, I shall liberally redact.)

1) DON’T FORGET WHO YOU ARE: if you trained as a psychologist, work as a psychologist; if you trained as a social worker, work as a social worker; if you are trained in substance abuse, work in substance abuse; if you trained as a therapist, work as a therapist; if you trained as a cyberneticist, incorporate that training into your practice … competence in one discipline does NOT mean that you are necessarily competent in other disciplines

2) YOU ARE HELPFUL AND THERAPEUTIC IF YOU FULFILL YOUR CONTRACTING WITH THE CLIENT: you are not responsible for providing services outside the domain of therapy that you initiated with the client.

3) YOU MUST GET TO KNOW YOUR CLIENT: analysis often calls on practitioners to see clients 3, 4, 5 or 6 times weekly … WOW,  I am not sure this is actionable in many settings, but I (Mike) would suggest we employ an intake and ongoing process that builds relationship and rapport; personally, I subscribe to Bowenian emotional process and genogram to accomplish this and many other avenues are available within the domain of MFT to accomplish this.

4) DO NOT GET COERCED BY EMERGENCIES: in promoting autonomy, client emergencies may best be settled by the client themselves; Szasz states that by being too involved in emergencies, we run the risk of becoming advice-givers, and good, bad or indifferent, advice-giving may not serve the contracting of therapy services.

5) DO NOT MISINTERPRET THE CLIENT’S EMOTIONS AND REACTIONS ABOUT YOU.

6) YOUR LIFE AND WORK MUST BE COMPATIBLE WITH YOUR STYLE OF THERAPY AND THE SETTING IN WHICH YOU WORK: enough said.

7) DO NOT TAKE NOTES: WOW, Szasz indicates the therapeutic relationship is a very unique personal encounter and should not be shrouded by clipboards and note taking that prevents the clinician from noting metacommunicative nuances; in my opinion, and not to ruffle anyone’s feathers, we should not allow note taking to interfere with the fullest understanding of the client.

8) YOU ARE RESPONSIBLE FOR YOUR CONDUCT ALONE, NOT YOUR CLIENT’S: Szasz’ discussion centers on issues of transference; applicable to the practice of MFT we can be finely attuned to issues of rapport and relationship building while holding allegiance to Szasz’ exhortation to not misrepresent or dissimulate client behavior … the client alone is responsible for her or his actions.

-Mike Strangstalien, Ethics

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2007 FALL CONFERENCE

Tucson Convention Center
260 S. Church Street
Tucson, Arizona

 

Hosted by the
Arizona Association of Marriage and Family Therapy

Friday, October 5, 2007
8 am to 4:30 pm

“Men in Therapy…The View From Both Sides of the Couch”
Presenter: Carlton “Perk” Clark, LCSW

Perk is a respected therapist and dynamic speaker who has presented frequently on the topic of "Why Men Hate Therapy and How to Engage Them in the Therapeutic Process". The morning session will focus on this topic to set the stage for the afternoon's session. 

 

The afternoon program will feature a panel discussion by professionals in the field who will address the issues facing men as therapists and as clients. The impact of gender, ethnicity and minority status will be discussed. A case presentation and opportunity for feedback and supervision will also be included in the afternoon session.

 

Early Registration (by 9/22/07): Members $115; Non-members $130

Registration after 9/22/07: Members $125; Non-members $140

Lunch will be included.

 

7 CEUs (These CEUs are applicable to the cultural competency requirement)

 

Registrations can be sent to:      Marguerite Hamburger

                                                        8601 E. Old Spanish Trail, #623

                                                        Tucson, AZ 85710

 

If you have additional questions, please contact Kay Lesh at (520) 670-9121 or by email at klesh1@mindspring.com.

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2008 Azamft Spring Conference

February 29th and March 1st, 2008

Janis Abrahms Spring

Presenting

HOW CAN I FORGIVE YOU?  A RADICAL APPROACH TO HEALING INTIMATE WOUNDS

This conference will feature a cultural speaker rather than ethics to meet all your licensure needs.

The Phoenix Conference Committee is planning a breakfast meeting featuring ethics.

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KIDS CORNER
"my teen story"

What I have listed below is a list of questions that might help a parent think about and attend to his/her relationship with his/her teenager. I have used these questions both in therapy and in workshops, and they seem to provide for rich and meaningful conversation about people’s teen years, how they impact the parenting of their teenagers, and how those years have an overall impact on who they are today.  Although “times have changed”, it might be helpful for parents to reconnect with this chapter of their lives and revisit the many changes and challenges of being a teenager…….what is their teen story?

                                               

1.        When did you know that you had entered your “teen” years? What significant experience or event do you recollect that defined this stage for you? OR, what feelings came about that marked significant changes in your emotional and physical development?

 

2.     What do you remember being the most important aspect of your life during this time period?   Friends, family, schoolwork, etc? And how did this important part of your life influence you as a teenager?

 

3.        What was your biggest struggle as a teenager? Did you work through it, and if so, what helped you? If not, is it still an issue today?

 

4.        Who were the significant people in your life during this time? Any role models? How did they impact your relationships at the time? And now?

 

5.        What was your greatest accomplishment as a teenager? What did this do for your mental/emotional/spiritual growth?

 

6.        What were the cultural and generational influences in your life?

 

7.        What role did siblings play? How did gender differences amongst siblings play out?

 

8.        What was your relationship like with your parents? How do you define your relationship with your parents?

 

9.        Did your parents use any form of discipline, and if so, what did they do/say? How has this impacted your parenting today?

 

10.     What were the boundaries like in your immediate and extended family?  Any similarities in your relationship with your children? What is different now?

 

11.     What would you like your children to know concerning your experiences as a teenager? How do you think this could be helpful to them?

 

12.      If you could give a title to this particular (teen) chapter of your life, what would you call it and why?

 

- Eleni Paris, MS, LMFT
eplmft@att.net

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The AAMFT is Coming to Long Beach!

The 6th AAMFT Annual Conference will be held October 11 – 14, 2007 at the Long Beach Convention Center.  Earn up to 23 hours of continuing education and network with MFTs from around the world.  For more information, visit the Web site at http://www.aamft.org/LongBeach.asp.

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STRATEGIC PLANNING

AzAMFT PHILOSOPHY

The AzAMFT provides the community with a relational, contextual and systemic understanding of human behavior.  This approach transcends historical models which view individuals as separate from their context, like islands unto themselves.  This philosophy and body of knowledge respects and recognizes multiple perspectives of human identity and family structure.  The work of Marriage and Family Therapists fills a gap that is not addressed by other disciplines.

MFT’s are committed to the highest standards of ethics, education, integrity and professional development. 

The AzAMFT values and promotes lifelong learning, innovative professional practices and research.

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MISSION STATEMENT

The Mission Statement is the Strategic Plan of AzAMFT. It is dynamic and adjusts to the Association’s needs. The Strategic Planning Committee maintains a current working version of the Mission Statement at all times. A current version of the strategic planning goals will be published in every newsletter.

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AzAMFT Annual Strategic Planning Report
July 13, 2007 Meeting of the Board

Arizona AMFT should be proud that we are one of the AAMFT Divisions with an active and working Strategic Plan.  The Strategic Planning process that began in 2004 has become the guide for the work of the Association.  It is now an integral part of the Association’s operations and relevant to the current concerns of our members with a focus on their expressed needs.

In accordance with AzAMFT’s Philosophy, the Strategic Plan sets forth the Goals and Objectives which provide the working plan that drives our efforts.  The Strategic Plan offers a constantly changing process, which brings up new goals when needed and places the already accomplished goals into an Operational Plan which consists of active programs already in place.

Our Fall and Spring State Conferences and committees are already part of our Operational Plan, along with many other services provided to the members.  These include a well-established quarterly Newsletter, an active and interactive Website that is updated regularly, three annual area breakfasts in Tucson and all of the standing committees whose tasks change and develop according to the needs that arise.

The past year has seen some projects, such as the establishment of a Supervision Community, move from the Strategic Plan to the Operational Plan. The first (and we hope to be annual) retreat for the board, committee chairs and members at large was held in January, 2007.  Michael Bowers, AAMFT Executive Director spent an evening and a full day with about thirty of our member volunteers.  The dedicated and hardworking group was able to identify the core areas of most importance that are vital to our Association’s growth in the next few years.  Three task forces were formed as a result of the retreat.  The task forces are addressing issues that are vital to Goal 4  - Membership Development. 

It is clear that recruitment and retention of not only members of AzAMFT but also of Licensed Marriage and Family Therapists is first and foremost on everyone’s list at this time.  Other related and pressing concerns include finding positions for employment in agencies and other settings where supervision is available for recent graduates and those seeking reciprocity to work towards Arizona licensure.

This report will address the accomplishments of the past year and look forward to what we need to do in the year to come.

TABLE OF CONTENTS

ACCOMPLISHMENTS
FROM JULY 2007 UNTIL JULY 2008

The strategic plan has developed a format for goals and objectives with a coordinator from the Strategic Planning Committee to provide oversight for each goal.  This allows for a flow of information between committees working on the objectives and the Strategic Planning Committee and the AzAMFT Board.

STATUS OF CURRENT GOALS AND WHAT IS NEXT

Goal 1     GROWTH OF THE PROFESSION.  Coordinator – Alan Asher

                • To ensure the continued growth of the profession of Marriage and Family Therapy in Arizona

               

                Objective 1: To re-establish and/or support a dedicated MFT clinical training program in Arizona

                Accomplishments: This objective has been accomplished and will become a part of AzAMFT’s Operational Plan

 

                Objective 2: To provide excellent clinical supervision resources to students seeking licensure in Arizona and maintain a robust AzAMFT Supervision Education Community

                Accomplishments:

                • AzAMFT has an established Supervision Education Community that is part of our ongoing operational plan. 

                • There is now a list of Arizona approved supervisors on the AzAM|FT website

 

                What’s next?

                • Further develop the website to be interactive and provide a place for peer support among supervisors

 

Goal 2     PUBLIC AWARENESS.  Coordinator – Linda Travis

                •To increase the public’s awareness of the specialty of Marriage and Family Therapy

 

                Objective 1: To increase professional recognition of LMFTs through legislative advocacy

 

                Objective 2:   (a) To increase professional recognition of LMFTs through education of the general public through a PR Committee by providing Relational Health Checks at community organized             health fairs and other endeavors

                                        (b) To re-establish a speaker’s bureau which can respond to requests from the media, schools,                         professional groups, community organizations, etc. as well as carry the committee’s plans for    offering these services on an ongoing basis

 

                Objective 3: To increase professional recognition of LMFTs through education of the other MH professions

 

                Objective 4: To keep a minimum of 5 committee members on the BBHE MFT committee, one representative on the BBHE board

                Accomplishments:

                • We now have a coordinator for this goal who is in the process of prioritizing the focus of the objectives.

                • Applicants to the BBHE’s MFT committee have been identified.

 

                What’s next?

                • Find committee chairs and members to focus on each of the objectives

                • Develop specific interventions to address Objective 3.

 

Goal 3     ADMINISTRATIVE SUPPORT.  Coordinator – Frances Bernfeld

                • To be efficient administratively in order to more effectively carry out the goals and mission of the organization

 

                Accomplishments:

                Objective 1: Fundraising to establish an ongoing source of income sufficient to enable the organization to hire and maintain a half time Executive Director

                • A clinical member has volunteered to chair the Fundraising Committee.  This person will also be a member of the Finance Committee

                • A search is underway for members of this committee

                • A Finance Committee headed by the Treasurer has been established to include:

                - Chairs of the Spring and Fall conference committees

                - Chair of the PR Committee

                - Chair of the Fundraising Committee

                - President-Elect

                - Internal Auditor/Statutory Agent

 

                What’s next:

                • The finance committee needs to explore and implement ongoing fundraising resources

 

                Objective 2: To involve the 60 new volunteers in the many tasks needed to staff the committees and other projects of the strategic plan and that support a vibrant organization

                Accomplishments:

                • Volunteers from the membership responded well to a request for a new Treasurer.  So many people responded that one individual among them was found to replace the outgoing Newsletter Editor.

 

Goal 4     MEMBERSHIP DEVELOPMENT. Coordinator – Steve Legendre; Assistant Coordinator – Patrick Gilliland

                • Recruitment and Retention of AAMFT Membership               

 

                Objective 1: To support other professional communities in Arizona to establish and maintain similar gatherings of AAMFT and other professionals in their areas

 

                Objective 2: Maintain the AzAMFT website to provide robust membership support and reference materials

 

                Objective 3: Strive to achieve 70% penetration rate

 

                Objective 4: Provide support in obtaining licensure for prospective LMFTs who are students, new Arizona residents from other states, and therapists with licenses from other disciplines

 

                Objective 5: Maintain a strong involvement in the activities of the BBHE to monitor rules, procedures and processes and advocate for change if necessary

 

                Objective 6: To facilitate reciprocity for licensure for licensed professionals moving to Arizona

 

                Objective 7: Maintain an “Ombudsman” to monitor the board’s activities and report to AzAMFT in order to address the problems that prospective members may have in obtaining licensure

 

                What’s next?:

                • An Ombudsman needs to be identified

                • Explore area meetings relevant to the Phoenix area and other communities such as Flagstaff and Prescott

TABLE OF CONTENTS

Special Task Forces Addressing Membership Development

 

Objectives:

1.     Job development and availability of supervision in order for new graduates to complete their training and obtain the hours required for licensure.

2.     Mentorship and availability of supervision to assist those seeking reciprocity when needed

 

Strategy:

1.   Agency – Fran Harris, Chair    

Key Events

Responsibility

Target Date

Resource Requirements

Develop a list of agencies which employ LMFT’s.

K. Keuth will develop a list for Phoenix. 

N. Rybski will develop a list for Tucson.

3/31/07

Phone, email

Ongoing support group for students, associates and those seeking reciprocity. Fran Harris and Ryan Poulson

3/31/07

Convenient location

* * Supervisor locator for interns and employees. To be determined

TBA

Research want ads, on line job sites.

* * Ideally this information would be available on the AzAMFT web site.  There should be an employment page with links to applications and agencies.  This information would also appear in the newsletter.  AAMFT has a job connection service on the web site and only one job in Arizona was posted last year. Other information on this site would include updates about changes in licensure requirements in understandable terms.  Michael  Bowers suggested having a frequently asked questions section on our website.

2.  Private Practice – Renee Frost - Chair                    

Key Events

Responsibility

Target Date

Resource Requirements

Develop a handbook/manual for private practioners outlining the structure, forms, liability issues and office space requirements for supervising interns.

Committee

Renee Frost – Chair

Marcia Cortese

Marcus Earle

 

 

 

Who is already doing this and how.  Katie Keuth offered a table at the Spring Conference.

3.  Statute/Rules and Regulations – Steve LeGendre - Chair

Key Events

Responsibility

Target Date

Resource Requirements

Advocacy for efficient bureaucratic response from BBHE.  AzAMFT will send a letter outlining the request.

Steve LeGendre and Dan Wright

 

Frances Bernfeld

TBA

 

Sept 07

Letter sent to AzBBHE in 8/07

Follow up by phone

Request BBHE to develop a list of non MFT supervisors who have been approved.

Steve LeGendre

TBA

None

Rule change: 50% of MFT supervision can be provided by other behavioral health professionals.  Assess rule process and make recommendation to the BBHE.

Steve LeGendre

TBA

Review rule process

Applicants for licensure will be able to submit a request for approval/denial of MFT exempt supervisors before application

Steve LeGendre and Frances Bernfeld

TBA

Review rule process

Accomplishments

·      A committee has been formed through the retreat task forces that is holding a state wide meeting in September, 2007 for an exchange of information among members regarding licensure

·      Two letters to the BBHE have been drafted to address concerns from members

·      The private practice task force has met and looked at forms to use when supervising prospective licensees.

What’s next?

•      Find out if managed care will respond to an invitation by practitioners to make referrals to their supervisees

·         Find out if AzAMFT will need to incorporate and what liability issues may be involved

·         Study the form which could be in each practitioner's charts that we could stand behind and support

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