BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2198
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 2198 (Levine)
          As Amended  August 4, 2014
          Majority vote
           
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          |ASSEMBLY:  |47-11|(May 19, 2014)  |SENATE: |30-1 |(August 14,    |
          |           |     |                |        |     |2014)          |
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           Original Committee Reference:    B., P. & C. P.  

           SUMMARY  :  Requires Psychologists, Licensed Marriage and Family  
          Therapists (LMFTs), Licensed Education Psychologists (LEPs),  
          Licensed Clinical Social Workers (LCSWs), and Licensed  
          Professional Clinical Counselors (LPCCs) to complete either 15  
          or more hours of coursework during a degree program, or six or  
          more hours of continuing education (CE) coursework as part of  
          license renewal, in the areas of suicide assessment, management,  
          and treatment, depending on the professional's date of  
          graduation.  Specifically,  this bill  :  

          For Psychologists:

          1)Requires an applicant for licensure as a psychologist, who  
            began graduate study on or after January 1, 2016, to complete  
            as a condition of licensure, a minimum of 15 contact hours of  
            coursework in suicide assessment, treatment, and management  
            and prohibits the Board of Psychology (BOP) from issuing a  
            license to a psychologist applicant until the applicant has  
            met the specified educational requirements.

          2)Requires a licensed psychologist or any applicant for  
            licensure, who began graduate study prior to January 1, 2016,  
            to complete a six-hour CE course in best practices for suicide  
            assessment, treatment, and management during his or her first  
            renewal period, as specified, and submit acceptable evidence  
            to BOP of the person's satisfactory completion of that course,  
            and prohibits BOP from issuing a license to a psychologist  
            until the applicant has met the specified educational  
            requirements.

          3)Permits CE courses taken in suicide assessment, treatment, and  
            management, to be applied to the 36 hours of approved  
            continuing education required, as specified.








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          4)Delays the implementation of the CE requirement until January  
            1, 2016.

          For Licensed Marriage and Family Therapists:

          5)Requires a qualified applicant for licensure as a marriage and  
            family therapist, who began graduate study on or after January  
            1, 2016, to complete, as a condition of licensure, a minimum  
            of 15 contact hours of coursework in suicide assessment,  
            treatment, and management.

          6)Requires a LMFT or any applicant for licensure, who began  
            graduate study prior to January 1, 2016, to complete a  
            six-hour CE course in best practices for suicide assessment,  
            treatment, and management during his or her first renewal  
            period, as specified, and submit acceptable evidence to  
            California Board of Behavioral Sciences (BBS) of the person's  
            satisfactory completion of that course.

          7)Permits CE courses taken in suicide assessment, treatment, and  
            management, to be applied to the 36 hours of approved CE  
            required, as specified.

          8)Delays the implementation of the CE requirement until January  
            1, 2016.

          For Licensed Educational Psychologists:

          9)Requires an applicant for licensure as an educational  
            psychologist, who began graduate study on or after January 1,  
            2016, to complete as a condition of licensure, a minimum of 15  
            contact hours of coursework in suicide assessment, treatment,  
            and management and prohibits BBS from issuing a license to an  
            educational psychologist until the applicant has met the  
            specified educational requirements.

          10)Requires an LEP or any applicant for licensure, who began  
            graduate study prior to January 1, 2016, to complete a  
            six-hour CE course in best practices for suicide assessment,  
            treatment, and management during his or her first renewal  
            period, as specified, and submit acceptable evidence to BBS of  
            the person's satisfactory completion of that course.

          11)Permits CE courses taken in suicide assessment, treatment,  








                                                                  AB 2198
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            and management, to be applied to the 36 hours of approved CE  
            required, as specified.

          12)Delays the implementation of the CE requirement until January  
            1, 2016.

          For Licensed Clinical Social Workers:

          13)Requires an applicant for licensure as a clinical social  
            worker, who began graduate study on or after January 1, 2016,  
            to complete as a condition of licensure, a minimum of 15  
            contact hours of coursework in suicide assessment, treatment,  
            and management and prohibits BBS from issuing a license to a  
            social worker until the applicant has met the specified  
            educational requirements.

          14)Requires an LCSW or any applicant for licensure, who began  
            graduate study prior to January 1, 2016, to complete a  
            six-hour CE course in best practices for suicide assessment,  
            treatment, and management during his or her first renewal  
            period, as specified, and submit acceptable evidence to BBS of  
            the person's satisfactory completion of that course.

          15)Permits CE courses taken in suicide assessment, treatment,  
            and management, to be applied to the 36 hours of approved  
            continuing education required, as specified.

          16)Delays the implementation of the CE requirement until January  
            1, 2016.

          For Licensed Professional Clinical Counselors:

          17)Requires a qualified applicant for licensure as a  
            professional clinical counselor, who began graduate study on  
            or after January 1, 2016, to complete, as a condition of  
            licensure, a minimum of 15 contact hours of coursework in  
            suicide assessment, treatment, and management.

          18)Requires an LPCC or any applicant for licensure, who began  
            graduate study prior to January 1, 2016, to complete a  
            six-hour CE course in best practices for suicide assessment,  
            treatment, and management during his or her first renewal  
            period, as specified, and submit  acceptable evidence to BBS  
            of the person's satisfactory completion of that course.









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          19)Permits CE courses taken in suicide assessment, treatment,  
            and management, to be applied to the 36 hours of approved CE  
            required, as specified.

          20)Delays the implementation of the CE requirement until January  
            1, 2016.

           The Senate amendments  simply clarify that the provisions of this  
          bill apply to applicants for licensure in addition to license  
          holders.  This bill is substantially similar to the version  
          passed by the Assembly.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.  


           COMMENTS  :   

          1)Purpose of this bill.  This bill will require psychologists,  
            LMFTs, LEPs, LCSWs and LPCCs to complete either 15 or more  
            hours of coursework, or six or more hours of continuing  
            education, related to suicide assessment, treatment, and  
            management, depending on the date in which the individual  
            began their graduate degree program.  The aim is to ensure  
            that mental health professionals have adequate training to  
            deal with potentially suicidal individuals.  This bill is  
            author-sponsored.  

          2)Author's statement.  According to the author, "Studies  
            estimate that 40% of people who die by suicide have had  
            contact with mental health services within a year of their  
            death.  There is no requirement on the books that mental  
            health professionals have training in suicide assessment,  
            treatment and management.  Most people would assume that if  
            [patients need] help with suicide prevention that they should  
            [seek] a mental health professional who has experience with  
            suicide assessment, treatment and management.  This bill is  
            necessary to ensure that mental health professionals receive  
            the appropriate training in suicide assessment, treatment and  
            management, thereby protecting public health."

          3)Suicide prevention.  According to information provided by the  
            Centers for Disease Control and Prevention, in 2009 suicide  
            ranked as the 10th leading cause of death of person's ages 10  
            years and older, accounting for over 36,000 deaths.  








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          In 2012, the National Action Alliance for Suicide Prevention  
            released the 2012 National Strategy for Suicide Prevention  
            (National Strategy).  The National Strategy outlines strategic  
            directions with 13 goals and 60 objectives that are meant to  
            work together in a coordinated format to help prevent suicide.  
             Goal number seven of the National Strategy is to "Provide  
            training to community and clinical service providers on the  
            prevention of suicide and related behaviors," including, but  
            not limited to, professions such as first responders, adult  
            and child protective service professionals, and health care  
            providers, including behavioral health care professionals.   
            The objective of that goal is to "provide training to mental  
            health and substance abuse providers on the recognition,  
            assessment, and management of at-risk behavior, and the  
            delivery of effective clinical care for people with suicide  
            risk."   
            This bill aims to ensure that education for mental health  
            providers include coursework in suicide assessment, treatment  
            and management by requiring coursework in this subject area be  
            completed either during a degree program or through CE,  
            depending upon the beginning date of their graduate degree  
            program.  In order to provide schools with an opportunity to  
            revise their curricula if necessary, this bill authorizes  
            licensees who completed graduate study before January 1, 2016,  
            to obtain the needed coursework through CE, as approved by BOP  
            or BBS.  For individuals who begin graduate study after 2016,  
            they will be required to complete the coursework during a  
            degree program.   


           Analysis Prepared by  :    Elissa Silva / B., P. & C.P. / (916)  
          319-3301


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