CRITERIA FOR CLINICAL RESPONSIBILITIES • Psychologist

GENERAL CLINICAL RESPONSIBILITIES
To receive clinical responsibilities at Hillcrest Educational Centers, psychologists must meet the criteria established Section 6, Human Resources, of the Policy and Procedures Manual, which for psychologists include:
1. Current licensure as a psychologist or certification as a school psychologist by the Massachusetts Department of Education.

2. Specialized graduate training of at least 60 credit hours in an APA accredited program in clinical counseling or school psychology.

3. The equivalent, as determined individually for each applicant by the HEC Human Resources Dept. and/or the Director of Psychiatric Services, or 30 hours per year of professional-level activities to maintain, improve, and enhance practice skills in psychology:
(a) during the previous year for those not currently privileged;
(b) during the period since completion of the last application for those currently privileged.

Qualified activities include, but are not limited to, the following:
participation in professional development programs,
professional reading,
the provision of education/training/supervision to others,
conducting research,
presentation of workshops and papers at national/regional conferences, and
publication of articles and books.

Psychologists who have completed their PhD less than one year prior to application for clinical responsibilities must participate in the equivalent of minimally three hours of such activities each month.

GENERAL PRIVILEGES INCLUDE:

1. Psychological assessments (including perceptual-motor, cognitive, emotional, social, and mental status evaluations).
2. Individual psychotherapy.
3. Differential psychological diagnoses.

SPECIAL CLINICAL RESPONSIBILITIES

Special clinical responsibilities may be granted to psychologists who document evidence of training/education, supervision, experience, and competent practice in the service areas of special clinical responsibilities as follows:

1. Ninety hours of education/training in the service area. A three-credit graduate course will constitute 30 hours of education/training.
2. One year of practice in the service area supervised by a licensed psychologist or other qualified professional.
3. Current, competent, professional-level practice in the service area.

Once granted, special clinical responsibilities are renewed for psychologists who are recommended for a special privilege by their supervisor and peer reviewer, and who document the equivalent of ten hours of professional-level activities per year since the previous application to maintain and improve skills in a service area of each special privilege.

Special Clinical responsibilities include:

1. Family therapy.
2. Group therapy.
3. Neuropsychological testing and diagnosis.
4. Psychological consultation.
5. Forensic assessment and opinion.
6. Behavior Modification therapy.
7. Risk Assessment Treatment for Sex Offender
8. Risk Assessment Treatment for Fire Setting
9. Other (as specified)

CRITERIA FOR CLINICAL RESPONSIBILITIES • Psychiatrist

GENERAL CLINICAL RESPONSIBILITIES

To receive clinical responsibilities at Hillcrest Educational Centers, psychiatrists must meet the general criteria established in Section 6, Human Resources, of the Policy and Procedures Manual, and the specific criteria listed below, which for psychiatrists include:

1. Current licensure as a physician by the Massachusetts Department of Education and certification or eligibility for certification by the American Board of Psychiatry and Neurology.
2. The equivalent, as determined individually for each applicant by the HEC Human Resources Dept. and/or the Medical Director, of 30 hours per year of Continuing Medical Education (CME) credits:
(a) during the previous year for those not currently privileged;
(b) during the period since completion of the last application for those currently privileged.
(Note: If it has been 2 years since the last application, 60 hours are required.)
Primary source verification of a current, valid MA license will be acceptable proof of CEUs and required training.
Qualified activities include, but are not limited to, the following:
formal education/training (self),
education/training/supervision of others,
conducting research,
readership of professional journals,
articles/books published.

GENERAL CLINICAL RESPONSIBILITIES INCLUDE:

1. Psychiatric History and Evaluation
2. Mental Status Examination
3. Comprehensive Diagnostic Assessment
4. Differential Psychiatric Diagnosis
5. Comprehensive Treatment Planning
6. Physical Examination and Medical History
7. Diagnosis and Treatment of Minor Medical Conditions
8. Psychiatric Consultation (patient-centered, worker-centered, program-centered)
9. Forensic child psychiatrist (i.e., custody, visitation, surrender, etc.).
10. Individual therapy (supportive, expressive, play therapy).
11. Life space therapy.
12. Pharmacological therapy.
13. Crisis intervention
14. Ordering Time Outs and/or Physical Restraints.
15. Admission of patients.
16. Discharge of patients.
17. Transfer of patients.

Special Clinical Responsibilities may be granted to psychiatrists and psychologists who document evidence of training/education, supervised experience, and competent practice in the service area of the Special Privilege as follows:
1. Thirty hours of education/training in the service area.
2. Six months of practice in the service area supervised by a psychiatrist, other physician, or other qualified professional.
3. Current competent, professional-level practice in the service area.

Once granted, special clinical responsibilities are renewed for psychiatrists who are recommended for the special clinical responsibilities by their supervisor and peer reviewer, and who document the equivalent of 10 hours of professional-level activities per year since the previous application to maintain and improve skills in the service area of the special privilege. Qualified activities are described above.

CRITERIA FOR CLINICAL RESPONSIBILITIES • Pediatrician

GENERAL CLINICAL RESPONSIBILITIES

To receive clinical responsibilities at Hillcrest Educational Centers, pediatricians must meet the general criteria established in Section 6, Human Resources, of the Policy and Procedures Manual, and the specific criteria listed below, which, for pediatricians, include:

1. Current licensure as a physician by the Massachusetts Department of Education and certification or eligibility for certification by the American Board of Pediatrics.

2. The equivalent, as determined individually for each applicant by the HEC Human Resources and/or Education Dept., of 30 hours per year of Continuing Medical Education (CME) credits:
(a) during the previous year for those not currently privileged;
(b) during the period since completion of the last application for those currently privileged.
(Note: If has been 2 years since the last application, 60 hours are required).
Primary source verification of a current, valid MA license will be acceptable proof of CEUs and required training.

Qualified activities include, but are not limited to, the following:
• formal education/training (of self),
• education/training/supervision of others,
• research,
• reading of professional journals or related materials, and
• the publishing of professional articles/books.

3. The maintenance of a private practice in the field of Pediatrics, which is separate from and independent of Hillcrest Educational Centers, and which does not interfere with or conflict with the Pediatrician’s Hillcrest duties and responsibilities.

General Clinical Responsibilities Include:

1. Physical health history and evaluation.
2. Physical examination and medical history.
3. Comprehensive medical diagnostic assessment.
4. Differential diagnosis (includes ordering required tests).
5. Comprehensive medical treatment planning.
6. Diagnosis and treatment of medical conditions.
7. Diagnosis and treatment of minor injuries and other minor physical conditions.
8. Pediatric consultation (patient-centered, worker-centered, program-centered).
9. Pharmacological therapy.
10. Crisis intervention.
11. Referral of patients to other health care providers.

Rev: 1/10/07 CB