Moving Forward: Social Work in the Age of Mobility 2016 Education Conference

Movin’ on Down the Road to License Mobility ASWB Mobility Task Force

How did we get here?

Charitable purpose: Relieve burdens on governmental entities

Organization of social work regulatory boards in all 50 states, D.C., U.S. Virgin Islands, Guam, Northern Mariana Islands, and 10 Canadian provinces.

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

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

“Alone we can do so little; together we can do so much”

- Helen Keller

Points of Interest Along the Road

Formation and history of ASWB Mobility Task Force

Quality of Materials in the Roadbed

The Roadbed is …. Public Protection

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

Layers, continued: • Social workers moving from jurisdiction

to jurisdiction

• Military family issues and military service provision

• Emergencies, natural disasters, crises, etc.

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

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“Effective collaboration requires

TRUST, and TRUST empowers effective

collaboration.” -Jon Mertz

Frameworks for Mobility

Models reviewed from other health care professions

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.

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

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

Various Licensure Models

• 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

Areas of agreement on the core function of a licensure system

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

Elements for social work

• 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

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

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

Lessons learned

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

Final thoughts…

“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

“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

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*

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* Regulated social work titles- today

RSW

“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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Education

Experience

Examination

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

<2000 hours 5%

3000 hours 45%

3001-3999 hours 16%

4000 hours 30%

>4000 hours 4%

HOURS OF SUPERVISED PRACTICE EXPERIENCE

<95 hours 3%

95-99 hours 12%

96 hours 12%

100 hours 47%

100-129 hours 9%

>130 17%

HOURS IN SUPERVISION

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%)

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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%)

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)

• 3000 – 4000 hours of supervised practice • 75 – 300 hours of supervision

Proposed cross-jurisdictional requirements: • Education • Examination • Experience

Bachelors Social Work – CSWE Baccalaureate Social Work degree

– Passing score on the ASWB Bachelors exam

– No requirement for experience or supervision

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

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)

Proposed cross-jurisdictional requirement recommendations for education, examination, and experience

“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