Monthly Archives: May 2014


Our earlier posting, Ohio Goes CACREP, was based upon an ACAeNews April 22 article with incorrect information.

Turns out that Ohio licensure DOES have alternatives to CACREP graduation.  The specifics are spelled out in these draft rule changes to House Bill 232 which we are told have been been implemented — along with several other interesting requirements.

According to Jim Rough — Executive Director of Ohio’s Counselor, Social Worker & Marriage and Family Therapist Board:

Our endorsement rule 4757-13-06 says the course work must be substantially equivalent. In implementation, applicants with five or more years of practice have many course(s) waived.  We do have one course that we require for all applicants, which involves assessment instruments, psychological testing. Ohio counselors won the legislative right to utilize these assessment instruments per their educational requirements. In order to maintain that status, all licensees are required to take this course, but approved endorsement applicants may do so under a consent agreement that licenses them with the requirement to take the course for renewal.
The intent of the Ohio board is to allow all counselors, who meet the requirements of our law, to get licensed. We have made that easier for certain out of state CACREP accredited degree holders.  Others have to go through the educational review process and those with five or more years of post-graduate licensed experience have an easier path to licensure. Additionally, instead of having 20 semester hours of clinical coursework the requirement is for a course in each of five content areas. The final result is that it will be easier for all applicants with counseling degrees no matter where they originate from to get licensed after 7/9/2014 when the new statute goes into effect.

We appreciate his assistance with understanding Ohio developments.

What remains unclear to us is exactly how close to the CACREP requirements the credentials of Ohio applicants from CACREP-unaffiliated programs will need to be to obtain licensure.  Ohio is clearly very pro-CACREP — the new rules specify that all Ohio programs must be CACREP certified by 2018.  CACREP, according to ACA, is/was a voluntary program certification.

The rules also want applicants to graduate from counseling programs (as opposed to social work or psychology programs).  Where this frequently gets tricky is with masters-level counseling psychology programs.  Graduates of these programs typically become professional counselors (psychologists require Ph.D. degrees), and while often oriented towards the counseling profession these programs don’t qualify for CACREP certification as their core staff usually include psychologists.

Again, according to Jim Rough, counseling psychology degrees are included “if they are designed to meet counselor licensure.  We have denied counseling psychology degrees that are APA accredited and do not look like counseling degrees.”

Most LPCs are Unaware of the Possible Loss of Federal Insurance Provider Status, Licensure Portability, and Livelihood Due to CACREP Restrictions


Most LPCs are Unaware of the Possible Loss of Federal Insurance Provider Status, Licensure Portability, and Livelihood Due to CACREP Restrictions. will fill in the knowledge gaps and provide a focal point for advocacy efforts.

Coalition of Concerned Counselors (CCC) & Licensed Clinical Professional Counselors of Maryland (LCPCM)


Michael Reeder LCPC – National Advocacy Chair, LCPCM
Larry Epp LCPC – President, LCPCM
240-683-6580 X205
Betty Bracht LCPC – Board Member at Large, LCPCM

As many as 70% of all currently working counselors are quietly in danger of being dropped from TRICARE, potentially excluded from MEDICARE (when the legislation is finally passed), and gradually losing the ability to transfer their license to another state.  Recent actions by the Ohio and Florida licensing boards have even restricted the ability of counselors from CACREP-unaffiliated graduate programs to obtain state licensure or transfer their licenses state to state.  (CACREP is one of several organizations which certify masters programs for counselors nationally.)

In order to provide badly needed education and a focal point for advocacy efforts, The Licensed Clinical Professional Counselors of Maryland (LCPCM) is proud to announce the launch of the Coalition of Concerned Counselors website at .

Larry Epp, President of the Licensed Clinical Professional Counselors of Maryland, states “most counselors who graduated and obtained their licenses years ago think of graduate program accreditation as something that no longer concerns them.  They have no idea that licensing boards, government programs and, potentially in the future, private insurance panels may start to restrict participation by the training you obtained in the past.  CACREP-unaffiliated counselors will find themselves on gradually dwindling islands of practice.  The sufficiency of state licensure is being challenged.”

Counselors who are dimly aware of the issue assume that there must be grandfathering clauses or upgrade paths to certification available as this would only make sense.  But this is not the case, as grandfathering in TRICARE only opens a narrow window for most LPCs and the Veteran’s Administration offered no option for grandfathering at this time.

Some other problems in brief with current CACREP restrictions:

~ The exclusion of other professions from supervision and core facility positions, leading to the loss of training diversity, the threatened extinction of masters level counseling psychology programs, and the invalidation of supervised experience from the past when counselor supervisors were not available.

~ The potential loss of huge numbers of therapists at a time when public mental health needs are soaring.

~ The definite loss of trusted counselors from the TRICARE system in light of the mental health difficulties of returning veterans and their families.

~ The continual and unsubstantiated portrayal of CACREP-unaffiliated counselors as inferior in training.  Top notch universities including Harvard, Columbia, George Mason, Towson, University of Maryland, Seton Hall, and (until recently) Johns Hopkins have graduated excellent CACREP-unaffiliated counselors for years.

~ The complete failure of any of a number of possible solutions, from multiple allied standards, to upgrade paths to certification, to generous grandfathering.

~ The decades-long divisions and animosity likely to ensue in the profession.

We invite counselors and the public to take a closer look at the issues, sign-up to take action and receive newsletters and alerts, and to read the many documents in our document library outlining the lack of organizational leadership in appropriately addressing this crisis.  You can also find FAQs, the latest blog entries, proposed solutions, and more at .

About The Coalition of Concerned Counselors (CCC): CCC is a growing confederation of individual counselors, client rights advocacy organizations, counseling associations, and professional graduate programs created in order to educate counselors and the public on the growing threat of CACREP restrictions on counseling practice.
About Licensed Clinical Professional Counselors of Maryland (LCPCM): LCPCM is a 501c6 advocacy organization for the rights of clients and the development and equity of professional counselors in Maryland.