healing touch program · the title granted to healing touch certified instructors is htci. renewal...

Healing Touch ProgramTM

Healing Touch CertificationLevel 6 Training Application

Level 1 Instructor Certification ApplicationApril 2008 - April 2010

© Copyright 2008 Healing Touch Program HTP-930 03.26.08

Level 1 Instructor Certification A

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Table of Contents

General Information and Instructions 2-4Level 6 Training Application 5-7Level 1 Instructor Certification Requirements 8-12

AppendixLevel 6 Training

Level 6 Training Application 13Level 6 Training Application Checklist 14

Level 1 InstructorLevel 1 Instructor Certification Application 15Level 1 Instructor Application Checklist 16-17Self Evaluation “Teaching Assistant” and “Assistant Instructor” 18Self Evaluation “Solo Instructor” Experience 19Participant Evaluation Summary 20-21Instructor Commitment Statement 22Supervising Instructor Evaluation 23-24

Code of Ethics 25-27Scope of Practice 28-30



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Level 1 Instructor Certification Eligibility A certified Healing Touch practitioner may be eligible for Healing Touch Instructor certification. The applicant must have been practicing as a certified Healing Touch practitioner for at least one year before application and must meet admission standards for Level 6 Training.

The applicant needs to submit the Level 6 Training Application and satisfactorily complete Level 6 Training as well as meet all other requirements outlined in this package before submitting an application to become a Healing Touch Certified Instructor.

The title granted to Healing Touch Certified Instructors is HTCI.

Renewal of certification with the Healing Touch Program takes place every five years following the initial certification.

General InstructionsThere are three parts to becoming a certified Level 1 Healing Touch Program Instructor.

Applicant must be a certified Healing Touch practitioner (HTCP or CHTP)1. Applicant must be accepted into and successfully complete Level 6 Training2. Applicant must complete requirements and submit application for instructor certification 3. status.

Tuition for the Level 6 Training is set annually. Please contact the Healing Touch Program office for current tuition rates.

Level 6 Training Application

Application LayoutSubmit summary materials in the order listed in the application checklist • (See Appendix)Use 8 ½ x 11 paper• Use 1” margins• Use a plain type such as Arial for ease of reading• Written summary statements should be one page in length and single spaced• Submit double sided copies whenever possible•

Application SubmittalSubmit the Level 6 Training Application at least two months prior to the upcoming Level • 6 class.Submit Level 6 Training Application and materials in order listed in Checklist • (See Appendix)A $200 deposit must accompany the application . This amount is applied to Level 6 class • tuition. If you prefer to use a credit card, please fill out the information on the applica-tion form. If your application is not accepted, this money will be refunded.Submit 1 copy of completed application with all required paperwork• Keep a complete copy of your application.• Your application will not be re-turned.Notice of acceptance or decline will be sent to you with 4 weeks of receiving your • application.



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Submit to:Healing Touch Program Attention: Assistant to the Program Director P.O. Box 16189Golden, Colorado 80402

Level 1 Instructor Certification Application

Application LayoutSubmit the Application and materials in order listed in checklist • (See Appendix)Use 8 ½ x 11 paper• Use 1” margins•

Use a plain type/font such as Arial for ease of reading• Written summary statements should be one page in length and single spaced except • where notedSubmit double sided copies whenever possible•

Application SubmittalSubmit 3 copies of a completed application including all required paperwork.• Bind each copy individually with a single staple or round head fastener in the top left • corner.Please place your name on each page of your document. • Keep a complete copy of your application. Your application will not be returned.• A copy of your application will be kept on file at the Healing Touch Program office • through your application process.Application fee $50.00• Application fees are non-refundable.• There is no fee for re-submission of application materials when an Applicant is in • “Certification Pending” Status.Include a check or money order for $50.00 payable to Healing Touch Certification. If • you wish to pay by credit card, please fill out information on the application form.

Submit to:Healing Touch Certification Attention: Certification AdministratorP.O. Box 16189Golden, Colorado 80402



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Notification to ApplicantApplicants will receive a letter, indicating the outcome of the application review within 4-6 weeks of application submission unless otherwise notified. Status will be noted as “Certification Approved”, “Certification Pending” or “Certification Not Approved”.

“Certification Approved” applicants will receive a congratulatory letter, certificate and pin. “Certification Pending” applicants will receive a letter outlining the additional information or actions required to address the Pending status. Guidelines to address issues that are denoted as Pending will be provided.

“Certification Not approved” applicants will receive a letter with the reason(s) for this status.

Non-disclosureApplicant names, applications, review, critique and outcomes developed during the review process are kept strictly confidential and are available only to those individuals involved in the review process.

Healing Touch Certification Review PanelThe Certification Review Panel members are Instructors and Practitioners with experience and commitment to Healing Touch. Panel members are chosen by the Chair and Vice Chair of the Review Panel. Panel participants are Instructors and Practitioners in good standing who have been successful and actively teaching or practicing Healing Touch for a minimum of 2 years.

Application review is done as the applications are submitted. They are reviewed by at least two members of the Review Panel. Applications are evaluated based upon completion of all requirements outlined for instructor credential standards. Certification approval is at the discretion of the Review Panel.

Applicant Grievance ProcedureAn applicant who has a grievance may write to the Chair or Vice Chair of the review panel. Grievances need to be filed within 45 days of notification. The Chair and Vice Chair will work with the review panel to address the grievance. The Chair will notify the applicant of the outcome.



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Application Requirements for Level 6 TrainingThe Level 6 Training Application must be submitted to determine your preparedness to begin training as a Healing Touch Program Level 1 Instructor.

1. Certification as a Healing Touch Practitioner

Requirement:Applicant must be a Healing Touch certified practitioner (HTCP or CHTP)

Submission Guidelines:Applicant must present a copy of her/his original Document of Certification as a Healing Touch Practitioner along with the letter of renewal of Certification (if applicable).

2. Current Professional Resume

Requirement:A professional resume provides an outline of experience, professional and educational background, and personal interests.

Submission Guidelines:Provide an updated Professional Resume, which includes the following:

Formal education (location and dates)• Work experience (location and dates)• Additional education or training, including all Healing Touch and related classes • Professional licensure/recognition/certifications • Professional affiliations/memberships • Special accomplishments/awards• Published works• Personal interests•

3. Previous Teaching Experience

Requirement:A written document of your teaching experiences in any field of study which shows your experience with teaching adult learners.

Submission Guidelines:Submit a summarized history of your teaching and/or professional experience

4. Ethics Reading

Requirement:Applicants are required to read and write a reflective report on Creating Right Relationships: A Practical Guide to Ethics in Energy Therapies by Dorothea Hover-Kramer prior to attending Level 6.



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Submission Guidelines:Submit a 2-4 page double spaced reflective report on this text. Focus on answering the following questions and provide examples as needed.

What new information did you learn from this text?• How will you apply the content of this book as a Healing Touch Program Instructor?• What value does this book have to you as an Instructor and to your future HT • students?

5. Motivation and Plans to Teach Healing Touch

Requirement:Description of your plans for teaching Healing Touch, which demonstrate your desires and motivation for teaching.

Submission Guidelines: Submit a written description of your desires and plans to teach Healing Touch including:

Your desired teaching population• Where you would like to teach• How often you anticipate teaching• How you visualize your future with the Healing Touch Program as an Instructor•

6. Current Contributions to the Healing Touch Community

Requirement:List current contributions to and involvement with local or global Healing Touch community.

Submission Guidelines:Submit a written description of your recent activities and involvement within your local community or the regional/national/global Healing Touch Community.

7. Previous Experience as a Healing Touch Coordinator, Helper orClass Mentor or Mentor to Healing Touch Practitioner Apprentices

Requirement:You must demonstrate your classroom experience, clinical mentorship involvement and desire to move into Instructorship.

Submission Guidelines:Submit a list, in chronological order, of your service with Healing Touch as a coordinator, helper or class mentor or Healing Touch Practitioner Apprentice Mentor. Please include the following for each experience:

Date of class• Instructor• Position in the classroom, i.e. coordinator, mentor• A half page, single spaced statement on how these experiences have influenced your • decision to teach HT.



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8. Letter(s) of Recommendation

Requirement:A professional letter(s) of recommendation indicates your preparedness to take the Level 6 Training.

Submission Guidelines:Include a recommendation from a certified Healing Touch Instructor. This should be from an Instructor who is in a position to evaluate you as a potential Instructor. You may also include a second letter of recommendation from a professional non Healing Touch Practitioner who can speak to your teaching and/or leadership abilities.

Note: Upon approval of your Level 6 Training Application, the Level 6 Notebook will be sent to you to assist you in your preparation to attend Level 6. It is expected that the applicant will read the entire Level 6 Notebook before attending the Level 6 Training.



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Application Requirements for Level 1 Instructor Certification

1. Completion of HTP Level 6 Training

Requirement:Applicant must have successfully completed Healing Touch Program Level 6 Training. Submission Guidelines:Applicant must present a copy of their Healing Touch Program Level 6 Certificate of Class Completion.

2. Educational Requirements

Requirement:A baccalaureate or higher degree in any field OR equivalent of related schooling, work or life experience is required. Whether or not the applicant has a college/academic degree, the three following areas of course work are required.

Submission Guidelines:The Applicant must present a copy of transcripts or reports/test scores as applicable that indicate a passing grade for coursework in the following three areas:

1. Anatomy and Physiology coursework (One of the following requirements must be met.)

Baccalaureate or higher degree with coursework in Anatomy and Physiology• Degree in a healthcare field which included anatomy and physiology• Anatomy and Physiology coursework with a passing grade• Anatomy and Physiology classes that qualify may be one of the following two • options.

College level Anatomy and Physiology OR equivalent of related schooling. 1. If presenting equivalent schooling, demonstrate equivalency by submitting documentation of classes and describe how the coursework is equivalent to a college level course.Anatomy and Physiology for Healers™ Levels 1, 2 and 3 by Sue Hovland, 2. RN, CHTP/I (http://www.anatomyforhealers.com). Submit a completed written report according to the Coursework Reflection of Anatomy and Physiology for Healers form. This form can be obtained from the HTP Assistant to the Program Director and will be available on the HTP website as of May 15, 2008.

2. Psychology coursework (One of the following requirements must be met.)Baccalaureate or higher degree with coursework in Psychology• Degree in a healthcare field which included psychology in the degree study• Basic psychological concepts (such as, but not limited to abnormal psychology): • passing grade in a college level course



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For applicants without formal coursework in Psychology, demonstrate • equivalency by presenting documentation of classes, professional experiences and/of related work experience(s). Describe how it is equivalent to college level coursework and supports your teaching healing work

3. Ethics coursework (One of the following requirements must be met.)Baccalaureate or higher degree with coursework in Ethics• Degree in a healthcare field which included ethics in the degree study• Basic ethical concepts with passing grade in a college level course• For applicants without formal coursework in Ethics, demonstrate equivalency • by presenting documentation of classes, professional experiences and/or related work experience(s). Describe how it is equivalent to college level coursework and supports your teaching healing work

3. Ethics and Scope of Practice

Requirement:An understanding and following of the Healing Touch Program Code of Ethics and Scope of Practice, as well as those for any other professional practice you hold are essential for all HTP Instructors. Feeling confident and clear about one’s integrity and having a process to work through ethical dilemmas is the foundation on which a safe and sacred ethical practice is built and maintained. Healing Touch Certified Instructors model appropriate ethical and legal behavior in the classroom and in all Healing Touch related activities.

Submission Guidelines:Submit a one page, double spaced statement describing how you intend to model 1. appropriate ethical and legal behavior in the classroom

Submit a one page, single spaced document that describes your thoughts on providing 2. students with the need for and use of an informed consent when practicing Healing Touch and how you would teach the basics of creating such a document.

4. Healing Touch Professional Practice

Requirement:The Applicant shall document an ongoing practice of Healing Touch

Submission Guidelines:Submit a statement regarding your professional practice. Include the following:

The nature of your current HT Practice• How long you have been actively practicing and in what setting(s)• Your scope of practice• The approximate number and type of clients you see monthly.• Future plans for your Healing Touch Practice•



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5. Self Development: Personal, Professional and Spiritual Growth

Requirement:The Applicant must present a statement representing her/his self-study, personal, professional and spiritual growth at present, and ongoing plans for development.

Submission Guidelines:Submit a summary statement of your process and plans related to self-development in the following areas:

Personal development related to health, behavior and/or interpersonal skills.• Professional growth as a Healing Touch Practitioner/Instructor including attendance • at educational offerings, continuing education or study.Spiritual growth including course work, seminars, spiritual practice, reading and study.•

6. Educational/Reading Experience

Requirement:The Applicant must have read a minimum of 6 books/journal articles. Books and suggested reading are listed in the Level 6 bibliography and in the Level 6 notebook. Please know this is not an exhaustive list and many other resources are applicable.

Submission Guidelines:1. Submit a list of at least 6 books/journal articles you have read which include:

Items reflect your interests in continuing education related to teaching and Healing • TouchItems as related to group dynamics and adult education • must be included

List should include:• Full title• Author• Publisher• Date of publication•

2. Write and submit an overall summary of all your readings that reflect your understanding of the principles of teaching and how they have prepared you to teach Healing Touch methods and course content. Include your understanding of adults as learners and key elements of group dynamics.

7. Three “Teaching Assistant” Experiences

Requirement:The Applicant must participate in three (3) Level 1 training experiences, observing the entire course, serving as a formal assistant to the Instructor. This may require filling in when needed in treatment exchanges, teaching a pre-arranged segment of the course (not a requirement), participating in responding to student’s questions and holding sacred space for the class and students.



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Submission Guidelines:Submit the Self-Evaluation “Teaching Assistant” and “Assistant Instructor” Experience form for each experience. This form includes your reflective statement regarding the overall value/or lessons learned. (See Appendix)

8. Three “Assistant Instructor” Experiences

Requirement:The “Assistant Instructor” experiences must follow completion of the 3 “Teaching Assistant” experiences.

The Applicant must teach approximately 50% of each of three (3) Level 1 courses under the supervision and evaluation of a Supervising Instructor with a minimum of six student participants. The three supervised “Assistant Instructor” experiences must collectively reflect teaching all the Level 1 course content at least once.

Submission Guidelines:Submit the Self Evaluation “Teaching Assistant” and “Assistant Instructor” Experience 1. form for each experience. (See Appendix)Include a Supervising Instructor’s Evaluation form for each “Assistant Instructor” 2. experience (See Appendix)Include a Participant Evaluation Summary form for each experience. (Do not 3. submit individual evaluations) Include numerical scores and narrative comments. Teaching Assistant and coordinators should also fill out course evaluations if the class size is fewer than ten students (See Appendix)

Recommendation: Ideally the size of classes will be varied and the classes will be led by different Supervising Instructors for the best overall development and learning experiences. Contact the Program Director’s Assistant if you have any concerns about not meeting these criteria with an upcoming class.

9. One Supervised “Solo Instructor” Experience

Requirements:A “Solo Instructor” experience must follow completion of the 3 “Teaching Assistant” and the 3 “Assistant Instructor” Experiences.

The “Solo Instructor” experience must be pre-approved by the Healing Touch Program Director. You must teach the entire content of one Level 1 course under supervision of an approved Healing Touch Certified Instructor, including responsibility for overall timing and management of the group. (Minimum class size of 6.) If the class size is under ten, the coordinator and any Teaching Assistants attending class should also fill out a class evaluation.

Submission Guidelines:Submit the Self Evaluation “Solo Instructor” Experience form which indicates 1. recognition of self-development and readiness to fulfill the role as a Healing Touch certified Level 1 Instructor. (See Appendix)



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Complete and include the Participant Evaluation Summary form for “Solo Instructor” 2. experience. (Do not submit individual evaluations.) Include numerical summaries and narrative comments. (See Appendix)Include Supervising Instructor’s Evaluation form. (3. See Appendix)Include a summary report explaining how you handled ethical, clinical, behavioral or 4. timing issues, as well as coordinator and environmental issues.

Note: If the “Solo Instructor” experience is unsatisfactory, an additional satisfactory supervised experience will be necessary to meet certification requirements.

10. Instructor Commitment

Requirement:The Applicant must review and follow the Healing Touch Program Instructor Guiding Principles.

Submission Guidelines:Sign and submit Level 1 Instructor Commitment Statement form. (See Appendix)



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Appendix

Application for Level 6 Training

Submission Date ___________________

Name _________________________________________________________________ Last First Address _______________________________________________________________

City ______________________________ State/Province ______________________

Zip/Postal Code _____________________ Country __________________________

Credentials: ________________________

Include the phone number(s) and email address you want HTP to use for communication:

Home Phone ________________________ Home Email _________________________

Cell Phone __________________________

Work Phone ________________________ Work Email __________________________

Please fill out and attach the Level 6 Training Application Checklist and all related materials.

SEND PACKET TO:Assistant to the Program DirectorHealing Touch ProgramP.O. Box 16189Golden, CO 80402

Deposit information:

____ Enclosed is a check or money order for $200.00

____ Please charge $200.00 to my credit Card Please Circle One: VISA M/C Card Number __________________________ Expiration Date: _________

Three digit safety code ________

Your Signature ___________________________________

Office Use Only: Auth # _____________________ CC Order #______________________



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AppendixApplication for Level 6 Training Checklist

To be used as your final checklist to insure all requirements are met and materials included. Include checklist with your application packet. Please organize materials in the same order as the checklist below.

1. Certification as a Healing Touch Practitioner

Copy of original Certificate as a certified Healing Touch practitioner and Copy of Renewal of Certification (if applicable).

2. Current Professional Resume

Updated Professional Resume

3. Previous Teaching Experience

Submit a summarized history of your teaching and/or professional experience

4. Ethics Reading

Submit a reflective report on Creating Right Relationships: A Practical Guide to Ethics in Energy Therapies by Dorothea Hover-Kramer

5. Motivation and Plans to Teach Healing Touch

Submit a written description of your desires and plans to teach Healing Touch

6. Current Contributions to the Healing Touch Community

Submit a written description of your recent activities and involvement within your local or the global Healing Touch Community.

7. Previous Experience as a Coordinator, Helper or Class Mentor

Submit a list of your service with Healing Touch as a coordinator, helper or class mentor.

8. Letter(s) of Recommendation

Enclose a recommendation from a certified Healing Touch Instructor



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Appendix

Level 1 Instructor Certification Application

Submission Date ___________________

Name _________________________________________________________________ Last First Address _______________________________________________________________

City ______________________________ State/Province ______________________

Zip/Postal Code _____________________ Country __________________________

Credentials: ________________________

Practitioner Certificate # ______________ Certificate/Renewal Date ______________

Include the phone number(s) and email address you want HTP to use for communication:

Home Phone ________________________ Home Email _________________________

Cell Phone __________________________

Work Phone ________________________ Work Email __________________________

Other _____________________________ Please fill out and attach the Application Checklist and related materials.

SEND PACKET TO:Healing Touch CertificationCertification AdministratorP.O. Box 16189Golden, CO 80402 ____ Enclosed is a check or money order for $50.00

____ Please charge $50.00 to my credit Card Please Circle One: VISA M/C Card Number __________________________ Expiration Date: _________

Three digit safety code ________

Your Signature ___________________________________

Office Use Only: Auth # _____________________ CC Order #______________________



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Appendix

Level 1 Instructor Application Checklist

To be used as your final checklist to insure all application requirements are met andmaterials included. Include with your application packet. Please organize materials in the same order as the checklist below.

1. Completion of Level 6 Course

Copy of HTP Level 6 Certificate of Class Completion

2. Educational Requirements

Documentation of Anatomy and Physiology Coursework

Documentation of Psychology Coursework

Documentation of Ethics Coursework

3. Ethics and Scope of Practice

Statement outlining modeling of appropriate ethical and legal behavior in the classroom.

Document outlining the need for and use of informed consent and how you would teach the basics of creating such a document.

4. Healing Touch Professional Practice

Statement of professional practice

5. Self Development: Personal, Professional and Spiritual Growth

Summary statement of ongoing self-study; personal, professional and spiritual growth

6. Educational/Reading Experience

List of books/journal articles read

Written summary of all your readings that reflect your understanding of the principles of teaching and how they have prepared you to teach Healing Touch methods and course content.



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Appendix

Level 1 Instructor Application Checklist (continued)

7. Three “Teaching Assistant” Experiences

Self Evaluation form for each “Teaching Assistant” experienced

8. Three “Assistant Instructor” Experiences

Self Evaluation form for each “Assistant Instructor” experienced

Supervising Instructor Evaluation form for each “Assistant Instructor” experienced

Participant Evaluation Summary form, which includes the summary of number scores and written comments from students

9. One Supervised “Solo Instructor” Experience

Self Evaluation “Solo Instructor” Experience form

Participant Evaluation Summary Form, which includes the summary of number scores and written comments from students

Supervising Instructor’s Evaluation form

Summary report explaining how you handled ethical, behavioral, group dynamics, timing and environmental issues

10. Instructor Commitment

Sign and submit the Level 1 Instructor Commitment Statement form



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Appendix

Self Evaluation

“Teaching Assistant” and “Assistant Instructor” Experience

(Make copies as needed)

Name

Class Location Dates

Supervising Instructor Phone

Indicate relevant experience:

“Teaching Assistant” Experience: One Two Three

“Assistant Instructor” Experience: One Two Three 1. Your strengths and self progression:

2. Your opportunities for continued growth and your goals/plans:

3. The overall value of your experience:

4. What would you change in your next teaching experience?



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Appendix

Self Evaluation “Solo Instructor” Experience

(Make copies as needed)

Name



My “Solo Instructor” experience was arranged, assigned/approved by the Healing TouchProgram Director.

Signature of Applicant:

1. Your strengths and self progression:

2. Your opportunities for continued growth and your goals/plans:

3. The overall value of your “Solo Instructor” Experience:

4. Your readiness to carry out the responsibility and role of a Healing Touch Certified Level 1Instructor



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AppendixParticipant Evaluation Summary

Applicant

Supervising Instructor # of Students

Location Date


“Assistant Instructor “ One Two Three

“Solo Instructor” Primary Additional “Solo Instructor”

Summarize each rating, tallied from the Participant Evaluation of Instructor & Course Content

5=excellent, 4=good, 3=average, 2=fair, 1=poor

Evaluation and Effectiveness 5 4 3 2 1 NA1. The participant will be able to:

a. Describe the human energy system relationship tophysical, emotional, mental and spiritual health

b. Discuss energy principles basic to Healing Touchc. Assess the energy field and energy centersd. Identify a Basic Healing Touch Sequencee. Demonstrate specific intervention techniques used

in Healing Touchf. Discuss applications of Healing Touch in personal

and professional practice including self care and HTP Code of Ethics and Scope of Practice

2. Relevance of content to identified objectives3. Ability to communicate knowledge of subject4. Effectiveness of teaching methods5. Ability to respond to questions6. Ability to stimulate participants



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Appendix

Attach in typewritten format, a summary of additional narrative comments by the par-ticipants for the items below. Please include your name, class location and date at the top of the sheet.

8. What was the most helpful area of learning that you plan to put into clinical practice?10. Comments related to this program experience.11. Suggestions for future offerings/programs and possible presenters.12. Additional comments:

Participant Evaluation Summary (continued)

Evaluation and Effectiveness 5 4 3 2 1 NA7. To what degree did the following teaching methods

facilitate learning?a. Lectureb. Handouts/Workbooksc. Work/Practice sessionsd. Visual aids

9. To what degree was the physical environmentconducive to learning?a. Room arrangementb. Lightingc. Temperatured. Breaks

Location ______________________________ Date ___________________________



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Appendix

Level 1 Instructor Commitment Statement

I am committed to staying involved as an active Healing Touch Certified Instructor, continuing my personal self development and supporting the Healing Touch Program through participating in the following ways.

Commit to a personal intention of teaching a minimum of one (1) Level 1 Healing Touch • class per year in order to stay in the energetic flow of teaching Healing Touch.

Stay informed by accessing the Healing Touch Program website for information. •

Read Instructor memos, Energy Magazine and the Healing Touch Community Newsletter. •

Make an effort to attend Conferences and Instructor meetings: Regional, National and/or • International.

Attend all required Healing Touch Program Instructor Teleconferences (either live or by • listening to them by recording afterward via the website or phone).

Continue ongoing reading and study for purposes of staying up-to-date with Healing Touch • related research, and issues related to energy medicine.

Follow the • Healing Touch Program Instructor Guiding Principles including the Healing Touch Pro-gram Code of Ethics and Healing Touch Program Scope of Practice.

Have you ever been convicted of a felony? ___ Yes ___ No•

If yes, please explain. ________________________________________________

________________________________________________________________

Name

Signature Date



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Appendix

Supervising Instructor’s Evaluation“Assistant Instructor” and “Solo Instructor”

Applicant’s Name




“Assistant Instructor” One Two Three

“Solo Instructor” Primary Additional “Solo Instructor”

SubjectTime

Mngmt Eval CommentsHistory & Theoretical BasisEnergy System Presentation Assessment Pendulum, Hand ScanEthical/Legal IssuesDevelopment of a PractitionerImportance of Self CareBasic HT Sequence OverviewMagnetic Passes: HIM, HS Demonstration Exchange & SharingMagnetic Clearing Demonstration Exchange & SharingChakra Connection (2:2, 1:1, Self) Demonstration Exchange & Sharing

Pain Management Ultrasound

4=excellent, 3=generally well done/needs minor refinements, 2=acceptable/needs moderate refinement, 1=poor/needs major improvement



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Appendix

SubjectTime

Mngmt Eval Comments Laser Pain Drain Wound Sealing Pain RidgeHeadache Techniques Tension Sinus Migraine/Pain Spike TraumaHeart to Heart MeditationChakra Spread Demonstration Exchange & SharingMind Clearing (optional)Scudder (optional)Networking/Professional Issues

Comments:

Recommendations for Applicant Improvement:

Do you recommend the Applicant for Instructor Certification Status: ____ Yes ____ With Further Development (Please include comments on needed development under Areas for Improvement above. An additional sheet may be used if needed.

Signature Date

Supervising Instructor’s Evaluation - Continued

Location ______________________________ Date ___________________________



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Appendix

HEALING TOUCH PROGRAMCODE OF ETHICS

PURPOSE: The purpose of the following Code of Ethics is to guide the therapeutic practice of Healing Touch.

DEFINITION HEALING TOUCH:Healing Touch is an energy therapy in which practitioners consciously use their hands in a heart centered and intentional way to enhance, support and facilitate the physical, emotional, mental and spiritual health and self-healing. Healing Touch utilizes light or near-body touch to clear, balance and energize the human energy system in an effort to promote healing for the whole person; mind, body, spirit.

GOAL:The goal of Healing Touch is to restore harmony and balance in the energy system, creating an optimal environment for the body’s natural and innate tendency to move toward self-healing.

1: Scope of PracticeHealing Touch practitioners use Healing Touch within the scope of their background, current licensing and credentialing. They represent themselves to the public in accordance with their credentials. They practice within the guidelines of this Code of Ethics; the Healing Touch Pro-gram’s Scope of Practice statement; and state, local and federal laws and regulations.

2: Collaborative CareHealing Touch is a complementary energy therapy which can be used in conjunction with tradi-tional therapies or as a sole modality. Practitioners know the limits of their professional com-petence and do not step beyond these boundaries. They do not diagnose, prescribe, or treat medical conditions or disorders unless they hold a license which permits them to do so. They are credentialed and in good standing with their respective/legal licensing or credentialing body/bodies. Appropriate referrals to other health care professionals are made when necessary.

3: IntentionHealing Touch is used to promote the well being and healing for each client. Client safety, edu-cational needs, and well-being are safeguarded by the practitioner. Practitioners working with subtle energies are careful to use their ability only in a manner beneficial to the client. Instead of trying to change the client in any way, practitioners use their intentionality to cooperate “with the field, the emerging order” (Watson, 2005, p. 101). They use their abilities with humility, con-sciousness and professionalism.

4: Principles of HealingHealing Touch practitioners know that healing is a personal, individualized process that occurs from within the inner dimensions of the client. The client is supported by the HT Practitioner in self-directing this sacred process. The HT practitioner creates a conscious, reverent, caring-healing environment. Practitioners foster an optimal condition for that client to remember and



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Appendix

move toward their wholeness through the steps of the HT Sequence and the practitioner-client relationship.

5: Respectful CareHealing Touch practitioners maintain high standards of professionalism in their care. They treat clients and colleagues with respect, courtesy, care and consideration. HT practitioners respect their client’s individuality, beliefs, inherent worth, and dignity. They respect the client’s right to be involved in their treatment and they empower the client to give feedback, alter or discontinue the session at any time. Practitioners provide information that assist clients in making informed decisions about their care.

6: Equality and AcceptanceHealing Touch practitioners work in partnership with the client to promote healing regardless of race, creed, color, age, gender, sexual orientation, politics or social status, spiritual practice or health condition. The client’s inner process, spiritual practices and pacing of healing are respect-ed and supported. No specific religious/spiritual belief or practice is promoted in Healing Touch.

7: Creating a Healing EnvironmentHealing Touch is provided in a variety of environments. Practitioners provide (when possible) a private, safe environment conducive to healing in which the client can relax and be receptive to the healing process. Safe and clear professional boundaries are described and maintained. Per-mission for receiving Healing Touch is obtained through the informed consent process. Where hands-on touch is appropriate for the healing process, it is non-sexual, gentle and within the client’s consent and boundaries. The client is fully dressed except in medical situations, or other professional therapies requiring disrobing, in which case appropriate draping is used.

8: Healing Touch SequenceThe Healing Touch practitioner uses the ten-step process as a foundation and guideline, for ad-ministration of the work and in documentation. The ten steps are: (1) Intake/Update; (2) Practi-tioner Preparation; (3) Pre-treatment Energetic Assessment; (4) Identification of Health Issues/ Problem Statements; (5) Mutual Goals and Intention for Healing; (6) Healing Touch Interven-tions; (7) Post-treatment Energetic Assessment; (8) Ground and Release; (9) Evaluation, and (10) Treatment Plan. Sequential order of the ten steps may vary depending on the specific situation, methods administered and flow of the session.

9: Disclosure and EducationInformation is provided to the client on an individualized basis taking into account expressed needs and personal situations. The Practitioner informs the client of her/his educational and experiential background in Healing Touch and any other related credentials they hold. They also provide an explanation of the treatment to the level of client’s understanding, and clearly and accurately inform clients of the nature and terms of the service. The Practitioner discusses the HT treatment process as well as any relevant limitations or issues before HT interventions begin. Practitioners supply resources and/or additional materials that may support the client.

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10: Confidentiality Client confidentiality is protected at all times and records are kept in a secure and private place in accordance with state and federal regulations. The Practitioner also informs clients of exceptions to their confidentiality such as disclosure for legal and regulatory requirements or to prevent eminent harm or danger to client or others. Client health information and treatment findings are documented appropriately and are specific to the practitioner’s background and set-ting. Information is shared only with client’s written permission.

11: LegalitiesHealing Touch practitioners are expected to understand and comply with the laws of the state(s) in which they are offering Healing Touch as well as applicable federal regulations in re-gards to obtaining or maintaining a license to touch. Those that have a professional license are expected to understand how touch either is or is not included or restricted in their scope of practice and comply accordingly. It is expected that HT Practitioners will carry liability/malprac-tice insurance according to state, federal and professional laws to protect themselves and clients. It is expected that HT Practitioners will maintain the appropriate business licenses according to their state requirements.

12: Self DevelopmentHealing Touch practitioners practice self care to enhance their own personal health in order to provide optimal care for others. They practice from a theoretical and experiential knowledge base as they continue to deepen their understanding of healing, the biofield, spiritual develop-ment, and personal evolution. They keep themselves current in the practice and research of Healing Touch and related areas and seek to continually expand their effectiveness as a practitio-ner.

13: Professional ResponsibilityPractitioners represent Healing Touch in a professional manner by exercising good judgment, practicing with integrity, and adhering to this Code of Ethics and the HTP Scope of Practice. They encourage ethical behavior, by words and actions, to all parties. They consult a supervisor, HT mentor, HT instructor or Healing Touch Program Director when an unresolved ethical issue occurs.

Note: The HTP Code of Ethics is an evolving document. We ask Healing Touch students and practitioners to be guided by this Code of Ethics and we invite them to send comments and recommendations for changes to the Healing Touch Program office at info@ HealingTouchProgram.com.

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AppendixHEALING TOUCH PROGRAM

STATEMENT OF SCOPE OF PRACTICE

PURPOSE: This Scope of Practice statement defines four levels of Healing Touch (HT) practice and outlines how HT providers may refer to themselves, how they can practice and what they must be mindful of when practicing.

GENERAL STATEMENTS THAT APPLY TO ALL DEFINED LEVELS OF PRACTICE

Code of Ethics When offering an HT session, students, apprentices and practitioners will be mindful to follow the HTP Code of Ethics and abide by all applicable local, state, and national laws governing their services. HT providers do not diagnose, prescribe, or treat medical disorders and use language that clarifies this (such as: using the terms “client”, not patient; “clear, open, and balance”, not cure; “assess energy fields and centers”, not diagnose; “recommend”, not prescribe; etcetera). Providers make referrals to other health care professionals as appropriate /needed and at all times respecting the professional status of other health care practitioners.

Informed ConsentAll HT providers are encouraged to develop and use a Consent Form when offering a HT ses-sion.

Session DocumentationStarting from Level 2 course completion, all students are encouraged to use Session Intake and Session Documentation forms whenever possible. HT Providers will be mindful that this information is considered confidential and will therefore follow privacy regulations for docu-mentation and HIPAA regulations or confidentiality policies within your region or country. HT providers understand exceptions that will apply to holding and maintaining confidentiality and confidential records.

License to TouchStudents, apprentices and practitioners are expected to understand and comply with the laws of the state(s) in which they are offering Healing Touch and applicable federal regulations. Students, apprentices and practitioners who hold a professional license are expected to under-stand how touch either is or is not included or restricted in their scope of practice and comply accordingly.

Liability/Malpractice InsuranceIt is expected that HT Practitioners will carry liability/malpractice insurance according to state, federal and professional laws to protect themselves and clients.

Charging for a SessionIt is recommended that until a student/practitioner meets minimal standards for a professional, safe and skilled HT practice, asking a full charge for a HT session is not appropriate or ethical. As a HT Practitioner (successful program course completion, Levels 1-5), a full session fee for HT may be acceptable and encouraged. Once a student is certified as a HT Practitioner, or



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graduated from the HT Program with a sufficient skill level, a full charge (approximately the price of similar therapies in the geographical location) is then considered acceptable and en-couraged. Students may consider sliding scale fees as well as donations for sessions based on the individual student’s/practitioner’s skill set and credentials. Healing Touch students and graduates may also choose to offer their services on a voluntary basis without compensation as desired. DEFINED LEVELS OF PRACTICE

I. Student of Healing Touch: Students who have received a Certificate of Completion (also commonly known as a certifi-cate of attendance) for a Level 1 through Level 3 course , taught by a Healing Touch Certified Instructor and are actively participating in the Healing Touch educational program may refer to themselves a Student of Healing Touch. They may offer sessions to friends, family, community and potentially a client population (if already a practicing health care professional) based on their understanding and application of the HT coursework they have completed.

II. Healing Touch Practitioner Apprentice:Students who have completed Level 4 (received a Certificate of Completion for the Level 4 class) and are participating in a minimum one-year mentorship process with a certified Healing Touch practitioner (HTCP or CHTP) may call themselves a Healing Touch Practitioner Appren-tice. As apprentices, practitioners are actively building their understanding of the clinical work, professionalism issues and business skills.

III. Healing Touch Practitioner:Students who have completed Healing Touch Program Levels I through 5 (received a Certificate of Completion for each class) and have also received a Certificate of Course Completion (Pro-gram Graduation) issued by the Healing Touch Program Director, may refer to themselves as a Healing Touch Practitioner (HTP).

IV. Healing Touch Certified Practitioner (HTCP):A Healing Touch Certified Practitioner is a Healing Touch Practitioner who, in addition to com-pleting the program coursework, met the certification criteria and was approved by the Healing Touch Certification Review Panel. S/he may thus refer to her/himself as a Healing Touch Certi-fied Practitioner (HTCP). Renewal of practitioner certification is required every five years.

HEALING TOUCH EDUCATIONAL PROGRAM DESCRIPTIONHealing Touch is an energy therapy in which practitioners consciously use their hands in a heart centered and intentional way to enhance, support and facilitate the physical, emotional, mental and spiritual health and self-healing. Healing Touch utilizes light or near-body touch to clear, balance and energize the human energy system in an effort to promote healing for the whole person; mind, body, spirit.

The Healing Touch curriculum is a multi-level continuing education program in energy-based therapy that progresses from beginning to advanced practice and is complementary to health care. The core curriculum program incorporates a variety of energy-based methods that are energetically sequenced in five levels of instruction: Levels 1, 2, 3, 4 and 5.

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Healing Touch provides Continuing Education contact hours for nurses and massage therapists.

Healing Touch is rooted in the concepts of consciousness, compassion/caring, energy medicine, authentic presence, intentionality, self-empowerment, the mind-body-spirit triad and belief in the body’s innate tendency toward healing. The Healing Touch practitioner integrates her/his HT knowledge with the personal and professional background s/he brings to Healing Touch. Each HT course level includes both didactic and experiential learning. Participants practice and share in classroom experiences using energy-based healing methods and principles.

The Healing Touch student undergoes a rigorous and comprehensive program that includes 114-118 hours of standardized curriculum with Certified Healing Touch Instructors. In addition, the program philosophy encourages the developing practitioner to enhance skills and knowledge through recommended reading, self care (including receiving HT on a regular basis), network-ing and support groups and through practicing Healing Touch. There is a strong commitment to personal growth and knowledge of holistic health principles.

DESCRIPTION OF HEALING TOUCH PROGRAMHealing Touch Program was founded in 1989 by Janet Mentgen, BSN, RN, HNC, CHTP/I as a medically-based energy training continuing education program. Healing Touch Program is a for profit company. HTP has an affiliation with Healing Touch Worldwide Foundation, founded in 1997 (formerly known as Healing Touch International Foundation), which provides grants and scholarships for research and humanitarian projects related to Healing. The HT Program pro-vides the following programs and services:

Curriculum for Levels 1-5Teaching MaterialsInstructor Training and AdvancementCertification as a Healing Touch InstructorCertification as a Healing Touch PractitionerStatement of Scope of PracticeCode of EthicsHealthcare Facility SupportContinuing EducationAdjunctive Courses related to HTAdvanced Practice ClassesEthics CommitteeStudent, Practitioner, Coordinator and Instructor SupportEnergy Magazine (free monthly online publication)Healing Touch Community Newsletter (free monthly on-line publication)Healing Touch Professional AssociationInternational ConferenceInternational Instructor MeetingsWebsite

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healing touch program · the title granted to healing touch certified instructors is htci. renewal...

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