Texas Licensure Exam 2023 with Complete Solutions

Prerequisites for Texas Licensure - ANSWER-1) Pass jurisprudence exam 2) Graduate with at least an MA that meets academic requirements 3) Pass LMFT exam (get the associate license) 4) Complete supervised clinical experience (get the LMFT license) When can you get the licensure process started? - ANSWER-1. You have to apply for licensure (application fee) to start the process. At least 6 months before graduation. 2. You can take the LMFT Exam once you have begun clinical practicum in MA 3. Graduate (COAMFTE Accredited program meets LMFT academic requirements) 4. Can also do all of this after graduation, but cannot begin work without a license. What is COAMFTE? - ANSWER-Commission On Accreditation for Marriage and Family Therapy Education The ones who can accredit the school's program. What is TSBEMFT? - ANSWER-Texas State Board of Examiners for Marriage and Family Therapy Before you can get the Associate License, you must: - ANSWER-1. Have a supervisor who meets the state requirements 2. Have a clinical placement How many hours of clinical practice must be completed? - ANSWER-3,000 hours Half can be indirect (1500) Couple or family (750) No transfer from MA Can transfer only 500 hours from PhD Must be minimum of 24 months 200 hours of supervision, 100 individual Supervision occurred in each of the 24 months What does the Application Check Box consist of? - ANSWER-1. LMFT Associate 2. Master's degree...accredited by COAMFTE 3. Order transcripts 4. Supervision Contract When should you order your transcripts? - ANSWER-1. When you apply to show you have begun Clinical Practicum 2. When you graduate, to show you have graduated What does the Supervision Contract consist of? - ANSWER-1. Indicates the supervisor 2. Provide supervisor's credentials to show they meet Board requirements. They should be on the LMFT Board list 3. Indicates the practice setting What must be done for Dual Licensure? - ANSWER-1. Meet Academic Requirements of both 2. Take two licensure exams 3. Meet Supervised Clinical Practice Requirements of both (may double dip the hours) LMFT Academic Standards - ANSWER-Theoretical foundations of MFT (1) Assessment and treatment in MFT (4) Psychopathology (1) Human development, gender, multicultural, family studies (2) Professional Ethics (1) Applied Professional Research (1) Supervised clinical practice (12 months or 9 credit hours) LPC Academic Standards - ANSWER-Counseling theories (1) Appraisal or assessment (1) Counseling methods or techniques (3 courses; one must be group) Abnormal human behavior (1) Normal human growth and development (1) Social, cultural & family issues (2 courses) Lifestyle & career development (1) Professional Orientation (1) Research (1) Many of the courses overlap. What 3, possibly 4 classes an MFT student would have to take to qualify for dual licensure? - ANSWER-Appraisal or assessment Group Counseling Lifestyle and career development *Social, cultural and family issues Dual Licensure: Supervised Clinical Experience - ANSWER-1. Supervisor must meet LMFT requirements (on the list) 2. 3000 hours, half indirect, quarter couple and family 3. How to count the hours: One clinical contact hour can count if properly supervised 4. Supervisor must meet LPC requirements (on the list) 5. 3,000 hours, half indirect Dual Licensure: Is it worth it? - ANSWER-Insurance reimbursement: Minimum: must be fully licensed (2 years post grad) Must have clinical experience (3 to 5 years after license) The law says "party," if you reimburse one license, you must reimburse all. In practice, some companies only have a few of some licenses, often LMFT or LPC. TriCare, military insurance, gives preference to LMFT. VA gives preference to LMFT. All substance abuse treatment facilities have a family specialist. What is the Texas Lawsuit about? - ANSWER-Texas Medical Association (TMA) challenged the ability of LMFT to diagnose mental and emotional disorders. What have the courts decided? - ANSWER-A lower court struck down the LMFT rule that allowed MFTs to make diagnostic assessments. This decision was upheld on appeal and is now being appealed to the Texas Supreme Court. Who did the court rule can make a diagnosis? - ANSWER-A medical doctor LMFT Rule 801.42 (13) The following are professional therapeutic services which may be provided by a Licensed Marriage and Family Therapists or a Licensed Marriage and Family Therapist Associate. - ANSWER-(13) Diagnostic assessment which utilizes the knowledge organized in the Diagnostic and Statistical Manual of Mental Disorders (DSM) as well as the International Classification of Diseases (ICD) as part of [a marriage and family therapist's] therapeutic role to help individuals identify their emotional, mental, and behavioral problems when necessary. Court ruled that LMFT can base services on a diagnosis. LMFT Rule 801.44(q) states: - ANSWER-[A licensed marriage and family therapist] shall base all services on an assessment, evaluation, or diagnosis of the client. From TAMFT website regarding the law suite: - ANSWER-TMA is arguing that diagnosing is the domain of medical practice, implicating all mental health professionals in Texas who do not hold a medical license. Texas, like California, is often a trendsetter in medical rulings, so it is likely AMA would use a disastrous ruling as precedent and file similar suits in other states against all nonmedically trained mental health providers. The goal of TMA is that they want to "take back medicine" and deny the ability to diagnosis to all mental health professions. What does the lawsuit mean for the LMFT practice? - ANSWER-The courts have upheld the ability of LMFTs to base their services on a diagnosis, just not to render a diagnosis. Private practice LMFTs must adopt a collaborative medical model of care. They make the diagnosis and refer for treatment. It will be up to the insurance companies to decide what they will reimburse. It will not affect other settings in which LMFTs practice, such as agencies, state contracts, federal settings.