Movin on Down the Road to License Mobility

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1 Movin on Down the Road to License Mobility ASWB Mobility Task Force Moving Forward: Social Work in the Age of Mobility 2016 Education Conference

2 How did we get here?

3 Organization of social work regulatory boards in all 50 states, D.C., U.S. Virgin Islands, Guam, Northern Mariana Islands, and 10 Canadian provinces. Charitable purpose: Relieve burdens on governmental entities

4 ASWB mission: Strengthening protection of the public By providing support and services to the social work regulatory community To advance safe, competent, and ethical practices

6 Dorinda Noble, Texas (co-chair) M. Jenise Comer, Missouri (co-chair) Jim Akin, Florida Dale Atkinson, Illinois Ellen Burkemper, Missouri Joan Cloonan, Idaho Carmen Collado, New York Lisa Crockwell, Newfoundland & Labrador Harold Dean, Arkansas Fran Franklin, Delaware Mark Hillenbrand, Iowa Florence Huffman, Kentucky Courtney Newton, Louisiana

7 Alone we can do so little; together we can do so much - Helen Keller

8 Points of Interest Along the Road

11 Formation and history of ASWB Mobility Task Force

13 Quality of Materials in the Roadbed

14 The Roadbed is. Public Protection

15 Layers of materials: Electronic social work services: Across state, provincial, and national borders Across service delivery areas International impact: People moving into the U.S. and Canada Services occurring across borders

16 Layers, continued: Social workers moving from jurisdiction to jurisdiction Military family issues and military service provision Emergencies, natural disasters, crises, etc.

17 By creating cooperative connections Build a more understandable and consistent image of the profession so the public can understand what social work is and what social workers do Strengthen public protection

18 text

19 tweet #movingsocial work2016

20 Effective collaboration requires TRUST, and TRUST empowers effective collaboration. -Jon Mertz

21 Frameworks for Mobility

22 Models reviewed from other health care professions

23 Assumes a level of trust among licensing boards to carry out responsibilities in a thorough, mutually acceptable, and responsible manner to ensure the protection of their citizens, particularly keeping disciplinary reports up to date.

24 Various Licensure Models Mutual Recognition (driver s license model) A system in which the licensing authorities voluntarily enter into an agreement to legally accept the policies and processes (licensure) of a licensee s home state License Transfer Licensing authorities agree on common elements, central clearinghouse, uniform transfer requirements; initial assessment, then to jurisdictions for final processing

25 Various Licensure Models Interstate Compacts Agreement between two or more states Purpose: remedy problems of multi-state concern Legislative change is required for jurisdictions that agree to be part of the compact Reciprocity Requires the authorities of each state to negotiate and enter into agreements to recognize licenses issued by the other state without a further review of individual credentials Negotiated state agreement licenses issued by the other state without a further review of individual credentials by the home state

26 Areas of agreement on the core function of a licensure system Fair and consistent process / without undue burden Enforcement means to investigate and hold accountable Disciplinary findings (only those in good standing eligible) shared across all jurisdictions Academically qualified (approved education programs) National licensure exam (uniform exam and pass point) to measure competency Moral character Mental and physical fitness Full and unrestricted license versus temporary license Practicing for a period of time before being eligible Photograph on file Notarized documents

27 Elements for social work 48 states and 10 provinces have something! Licensure by endorsement Reciprocity Temporary license Provisional license License by credential Electronic practice Mutual recognition

29 Lessons learned Increasing demand to reduce barriers from a variety of sources Delivery of telehealth services is growing Other professions have advanced considerably respecting mobility... over time No one perfect system is adaptable to social work Others have fewer levels of licensure Minimal legislative change retain home state jurisdictional authority Importance of using existing infrastructure

30 Lessons learned First step: agreement required on core elements: 1. Where does practice happen? (where the client is) 2. Examination, education, types of licenses, experience, supervision 3. Prompt notice of disciplinary action 4. Coordinated licensure information system national or centralized registry or database 5. Model Social Work Practice Act

31 Lessons learned Focus on the majority who can be licensed not the exceptions (who are a second level) Prior planning... KEY! Forewarned: spend as much time on preparing and planning the internal licensure process as on passing legislation

32 Final thoughts DEMAND: U.S. Bureau of Labor Statistics has predicted a 19 percent growth rate for overall social worker employment from 2012 to 2022 RESEARCH: Do states with compact agreements experience a real financial impact on revenue? TRUST

33 When people don't know what s going on, it s human nature for them to imagine a version that s ten times worse than the truth! - Kenneth H. Blanchard Collaboration Begins with You: Be a Silo Buster

38 Collaboration is the essence of life. The wind, bees and flowers work together, to spread the pollen. Mindfulness gives us the opportunity to work with the cosmic collaboration. - Amit Ray Mindfulness: Living in the Moment - Living in the Breath

LMSW LMSW-AP LMSW-C LMSW-M* Regulated social work titles- today LSW LSWA*

40 APSW BSW C*ISW C*MSW C*SWM** C*SW C*SW-P*IP CSW ISW LAM*SW LAPSW LASW LB*SW LBSW LC*SW-C LC*SW-M* LCSW LGSW LICSW LISW LISW-AP LISW-CP LMHP*** LMSW LMSW-AP LMSW-C LMSW-M* Regulated social work titles- today LSW LSWA* LSW-A** LSWI P*B*SW RB*SW RCSW RSW RSWA RSWC RSW-C RSW-P*P SS*T SS*W SW SWA* RSW

42 Open collaboration encourages greater accountability, which in turn fosters trust. - Ron Garan The Orbital Perspective: Lessons in Seeing the Big Picture from a Journey of 71 Million Miles

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44 Education Examination Experience 44

45 Education Competencies Examination Knowledge, Skills, and Abilities Experience Supervised Practice 45

46 HOURS OF SUPERVISED PRACTICE EXPERIENCE 3000 hours 45% hours 16% <2000 hours 5% >4000 hours 4% 4000 hours 30%

47 HOURS IN SUPERVISION 100 hours 47% hours 9% >130 17% 96 hours 12% hours 12% <95 hours 3%

48 Bachelors Social Work Majority of jurisdictions: Require CSWE Baccalaureate Degree (65%) Require ASWB Bachelors exam (100% some states accept Advanced Generalist exam) Do not have an experience requirement (60%) Do not have a supervision requirement (60%) 48

49 Masters Social Work Majority of jurisdictions: Require CSWE Master s degree (91%) Require ASWB Masters exam (97% some states accept Advanced Generalist exam) Do not have an experience requirement (63%) Do not have a supervision requirement (63%)

50 Clinical/Advanced Generalist Majority of Jurisdictions require: CSWE Master s degree(100% Note New York requires state-registered programs) ASWB Clinical exam (100% some states accept Advanced Generalist exam) hours of supervised practice hours of supervision

51 Proposed cross-jurisdictional requirements: Education Examination Experience

52 Proposed cross-jurisdictional requirement recommendations for education, examination, and experience Bachelors Social Work CSWE Baccalaureate Social Work degree Passing score on the ASWB Bachelors exam No requirement for experience or supervision

53 Proposed cross-jurisdictional requirement recommendations for education, examination, and experience Masters Social Work CSWE Master Social Work degree Passing score on the ASWB Masters exam No requirement for experience or supervision

54 Proposed cross-jurisdictional requirement recommendations for education, examination, and experience Clinical CSWE Master Social Work degree Passing score on the ASWB Clinical exam Requirement of supervised practice (number of hours to be determined) Requirement of supervision hours (number to be determined)

55 A knotty puzzle may hold a scientist up for a century, when it may be that a colleague has the solution already and is not even aware of the puzzle that it might solve. - Isaac Asimov The Robots of Dawn

Administrators Workshop September 30, 2016 Georgetown, Washington D.C.

Administrators Workshop September 30, 2016 Georgetown, Washington D.C. 2 Tell us (print large & neat) Name of your board Type of board How is board funded Number of staff Categories of licensure Number