N.D. Admin. Code 66-04-01-05

Current through Supplement No. 394, October, 2024
Section 66-04-01-05 - [Effective 10/1/2024] Supervision requirements
1. A psychology intern is subject to all relevant statutes and rules of the board.
2. If an internship supervisor delegates patient care responsibilities to a psychology intern, the supervisor is responsible for all psychological services provided by each intern. The primary responsibility for all psychological services rendered to each patient by an intern rests with the internship supervisor.
3. An internship supervisor shall keep records of all supervision. These records must detail any training supervision plans and cosupervision agreements, dates of supervision meetings, notes regarding specific patients, cases reviewed, and a description of the services provided by the psychology intern.
4. A supervisor shall meet individually with each psychology intern the supervisor supervises at least once per week for a minimum of two hours to discuss and critique the performance of the psychology intern.
5. The supervisor responsible for each patient's care shall maintain documentation in such patient's medical record to demonstrate what services were provided to each patient and that the services provided to the patient were performed under the supervision of the supervisor. The supervisor shall check and update each patient's medical record at least every two weeks and shall ensure all payment requirements have been satisfied.
6. A psychology intern shall provide services in a suitable professional setting over which the supervisor has organizational responsibility for assignment and management of the psychology intern's professional activities.
7. A supervisor shall make reasonable efforts to ensure the work of the psychology intern is conducted only for patients the psychology intern is competent to provide services and that such services are performed in compliance with the provisions of the North Dakota Century Code and these rules.
8. A supervisor has the responsibility to ensure each patient is clearly informed of the relationship between the supervisor and the psychology intern, and each other's professional and legal responsibilities for the psychological services rendered to the patient. All patients must be informed of the supervised nature of the services provided by the psychology intern, and the professional responsibility of the supervisor. In the case of an adult, any legally competent patients receiving psychological services from the psychology intern must be provided this information in the form of a written statement that must be explained and provided to each patient during the initial professional contact with the intern. For patients who lack competency because of disability or minority, the written statement must be provided to the legal guardian or representative of the patient.
9. The written statement provided to each patient must include the following:
a. A brief description of the psychological services to be provided by the psychology intern and supervisor, a schedule of charges, and an indication that billing will be through the supervisor, agency, or institution under the supervisor's name;
b. The name, license number, professional address and telephone number of the supervisor and psychology intern;
c. A statement regarding the limits of confidentiality, including any mandatory reporting requirements as identified within North Dakota law;
d. A statement regarding the parameters of the professional relationship between the supervisor and the between the supervisor, psychology intern, and patient;
e. A statement regarding the availability of the supervisor to meet with the patient on request;
f. A statement regarding the supervisor's periodic review of patient records and progress; and
g. The statement must include the signatures of the supervisor, psychology intern, and the patient or legal guardian.
10. A supervisor shall prepare records that will enable the supervisor to:
a. Effectively train and evaluate each psychology intern the supervisor supervises; and
b. Accurately determine the number of hours of supervised experience obtained by each psychology intern the supervisor supervises.
11. A supervisor shall maintain all records relating to the supervision of a psychology intern, including, without limitation, any records of psychological services provided by the psychology intern to any patient. The supervisor shall retain these records for no less than five years after the last date of supervision. Upon request, such records must be made available to the board for inspection.
12. A supervisor shall notify the board within ten days after the supervision of a psychology intern is completed or terminated.
13. If a supervisory relationship is terminated due to the actions of a psychology intern which may have a direct bearing upon the psychology intern's ability to serve the public in the practice of psychology, the supervisor shall provide an explanation to the board detailing the reason for the termination of the supervisory relationship.

N.D. Admin Code 66-04-01-05

Adopted by Administrative Rules Supplement 2024-394, October 2024, effective 10/1/2024.

General Authority: NDCC 43-32-35

Law Implemented: NDCC 43-32-35