R156.  Commerce, Occupational and Professional Licensing.
R156-60.  Mental Health Professional Practice Act Rule.
R156-60-101.  Title.
	This rule is known as the "Mental Health Professional Practice Act Rule."

R156-60-102.  Definitions.
	In addition to the definitions in Title 58, Chapters 1 and 60, as used in Title 58, Chapters 1 and 60, or this rule:
	(1)  "Approved diagnostic and statistical manual for mental disorders" means the following:
	(a)  Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: DSM-5 or Fourth Edition: DSM-IV published by the American Psychiatric Association;
	(b)  2013 ICD-9-CM for Physicians, Volumes 1 and 2 Professional Edition published by the American Medical Association; or
	(c)  ICD-10-CM 2013: The Complete Official Draft Code Set published by the American Medical Association.
	(2)  "Client or patient" means an individual who, when competent requests, or when not competent to request is lawfully provided professional services by a mental health therapist when the mental health therapist agrees verbally or in writing to provide professional services to that individual, or without an overt agreement does in fact provide professional services to that individual.
	(3)  "Direct supervision" of a supervisee in training, as used in Subsection 58-60-205(1)(f), 58-60-305(1)(f), and 58-60-405(1)(f), means:
	(a)  a supervisor meeting with the supervisee when both are physically present in the same room at the same time; or
	(b)  a supervisor meeting with the supervisee remotely via real-time electronic methods that allow for visual and audio interaction between the supervisor and supervisee under the following conditions:
	(i)  the supervisor and supervisee shall enter into a written supervisory agreement which, at a minimum, establishes the following:
	(A)  frequency, duration, reason for, and objectives of electronic meetings between the supervisor and supervisee;
	(B)  a plan to ensure accessibility of the supervisor to the supervisee despite the physical distance between their offices;
	(C)  a plan to address potential conflicts between clinical recommendations of the supervisor and the representatives of the agency employing the supervisee;
	(D)  a plan to inform a supervisee's client or patient and employer regarding the supervisee's use of remote supervision;
	(E)  a plan to comply with the supervisor's duties and responsibilities as established in rule; and
	(F)  a plan to physically visit the location where the supervisee practices on at least a quarterly basis during the period of supervision or at a lesser frequency as approved by the Division in collaboration with the Board;
	(ii)  the supervisee submits the supervisory agreement to the Division and obtains approval before counting direct supervision completed via live real-time methods toward the 100 hour direct supervision requirement; and
	(iii)  in evaluating a supervisory agreement, the Division shall consider whether it adequately protects the health, safety, and welfare of the public.
	(4)  "Employee" means an individual who is or should be treated as a W-2 employee by the Internal Revenue Service.
	(5)  "General supervision" means that the supervisor is available for consultation with the supervisee by personal face to face contact, or direct voice contact by telephone, radio, or some other means within a reasonable time consistent with the acts and practices in which the supervisee is engaged.
	(6)  "On-the-job training program" means a program that:
	(a)  is applicable to individuals who have completed all courses required for graduation in a degree or formal training program that would qualify for licensure under this chapter;
	(b)  starts immediately upon completion of all courses required for graduation;
	(c)  ends 45 days from the date it begins, or upon licensure, whichever is earlier, and may not be extended or used a second time;
	(d)  is completed while the individual is an employee of a public or private agency engaged in mental health therapy or substance use disorder counseling; and
	(e)  is under supervision by a qualified individual licensed under this chapter which includes supervision meetings on at least a weekly basis when the supervisee and supervisor are physically present in the same room at the same time.

R156-60-103.  Authority - Purpose.
	This rule is adopted by the Division under the authority of Subsection 58-1-106(1)(a) to enable the Division to administer Title 58, Chapter 60.

R156-60-104.  Organization - Relationship to Rule R156-1.
	The organization of this rule and its relationship to Rule R156-1 is as described in Section R156-1-107.

R156-60-105.  Continuing Education.
	A licensee, as part of the continuing education requirement, shall complete two hours of suicide prevention training that meets the requirements of this section.
	(1)  The course provider shall be one of the following:
	(a)  a recognized accredited college or university;
	(b)  a county, state, or federal agency; or
	(c)  a professional association or similar body involved in mental health therapy.
	(2)  A course provider shall document and verify attendance and completion.
	(3)  The content of the course shall be relevant to mental health therapy, consistent with the laws of this state, and include one or more of the following components:
	(a)  suicide concepts and facts;
	(b)  suicide risk assessment, crisis intervention, and first aid;
	(c)  evidence-based intervention for suicide risk;
	(d)  continuity of care and follow-up services for suicide risk; and
	(e)  therapeutic alliances for intervention in suicide risk.
	(4)  A licensee shall be responsible for maintaining competent records of completed education for a period of four years following the date of completion.
	(5)  Each hour of education shall consist of 50 minutes of education in the form of classroom lectures and discussion, workshops, webinars, online self-paced modules, case study review, and simulations.
	(6)  Licensees who lecture in continuing education courses meeting these requirements shall receive two hours of continuing education for each hour spent lecturing.  However, no continuing education credit will be given for participation in a panel discussion.

R156-60-205.  Qualifications for Licensure as a Clinical Social Worker, Marriage and Family Therapist, Clinical Mental Health Counselor, or Substance Use Disorder Counselor.
	The two-hour pre-licensure suicide prevention course required by Subsections 58-60-205(1)(e)(iii), 58-60-305(1)(e)(iv), 58-60-405(1)(e)(iv), and 58-60-506(5)(b)(ii) shall meet the following standards:
	(1)  The course provider shall meet the requirements of this section and shall be one of the following:
	(a)  a recognized accredited college or university;
	(b)  a county, state, or federal agency; or
	(c)  a professional association or similar body involved in mental health therapy.
	(2)  The content of the course shall be relevant to mental health therapy, suicide prevention, consistent with the laws of this state, and include one or more of the following components:
	(a)  suicide concepts and facts;
	(b)  suicide risk assessment, crisis intervention, and first aid;
	(c)  evidence-based intervention for suicide risk;
	(d)  continuity of care and follow-up services for suicide risk; and
	(e)  therapeutic alliances for intervention in suicide risk.
	(3)  Each hour of education shall consist of 50 minutes of education in the form of classroom lectures and discussion, workshops, webinars, online self-paced modules, case study review, and simulations.
	(4)  A course provider shall document and verify attendance and completion.
	(5)  An applicant for licensure is responsible for submitting evidence of course completion to the Division as a prerequisite for licensure.

R156-60-502.  Unprofessional Conduct.
	"Unprofessional conduct" includes when providing services remotely:
	(1)  failing to practice according to professional standards of care in the delivery of services remotely;
	(2)  failing to protect the security of electronic, confidential data and information; or
	(3)  failing to appropriately store and dispose of electronic, confidential data and information.

KEY:  licensing, mental health, therapists
Date of Enactment or Last Substantive Amendment:  September 21, 2015
Notice of Continuation:  February 26, 2019
Authorizing, and Implemented or Interpreted Law:  58-1-106(1)(a); 58-1-202(1)(a); 58-60-101