Mo. Code Regs. tit. 20 § 2150-4.201
Current through Register Vol. 49, No. 24, December 16, 2024
Section 20 CSR 2150-4.201 - Supervision RequirementsPURPOSE: This rule details the supervision requirements for speech-language pathology assistants.
(1) All applications for registration to practice as a speech-language pathology assistant must include a statement from a speech-language pathologist holding current, unrestricted licensure to practice in the state of Missouri pursuant to section 345.015(10), RSMo, acknowledging acceptance of the legal and ethical responsibilities for supervising the assistant. A speech-language pathologist practicing with a provisional license pursuant to section 345.022, RSMo, shall not be the supervisor for a speech-language pathology assistant.(2) The supervising speech-language pathologist is responsible for the clinical activities of the assistant.(3) The supervising speech-language pathologist has the responsibility of ensuring and protecting the interests of all patients and/or clients and/or students at all times during which the assistant is practicing and/or interacting with patients and/or clients and/or students; this responsibility includes the supervisor's and the assistant's compliance with the ethical standards of practice as specified in rule 20 CSR 2150-4.080.(4) The supervising speech-language pathologist shall provide the assistant with information in writing specifying the assistant's role and function as well as specifying the role and function of the supervising speech-language pathologist. Such information shall be maintained by the supervisor and assistant for a period of eight (8) years.(5) The supervising speech-language pathologist shall provide written direction for continuing education activities to ensure that the speech-language pathology assistant's practices are current and skills are maintained. Such information shall be maintained by the supervisor and assistant for a period of eight (8) years.(6) The supervising speech-language pathologist shall directly supervise the assistant's initial contact with each patient/client/student. Thereafter, direct supervision shall be provided for each assistant supervised a minimum of one (1) hour per week or one (1) out of every three (3) sessions for each patient/client/student. Direct supervision is defined as realtime observing and viewing the assistant and patient/client/student when the treatment is being provided. If an alternative arrangement is necessary, the supervising speech-language pathologist must submit a proposed plan of supervision for the review of the advisory commission and board to determine if the supervision plan is acceptable. Supervision shall be distributed across the patient/client/student caseload as appropriate to ensure adequate oversight.(7) The supervising speech-language pathologist must be available for the purpose of providing guidance and support to the assistant at all times, which can include but is not limited to, telephone, facsimile, or other electronic communication; face-to-face communication; or other appropriate communication means. If the supervising speech-language pathologist is temporarily unavailable, a qualified speech-language pathologist alternate may be designated to meet this requirement. Written communication shall be provided by the supervising speech-language pathologist to the assistant that identifies the alternate and the period of temporary supervision.(8) The supervising speech-language pathologist shall review and sign all patient/client/student documented progress notes written by the speech-language pathology assistant.(9) The supervising speech-language pathologist shall assign and the assistant shall accept only those duties and responsibilities for which the assistant has been specifically trained and is qualified to perform, pursuant to the judgement of the supervising speech-language pathologist, and in compliance with the provisions of Chapter 345, RSMo.(10) The speech-language pathology assistant shall maintain supervisory logs and the speech-language pathologist shall sign verifying the hours of supervision per month, such logs shall be made available to the board within thirty (30) days upon receipt of a request for such logs from the board.(11) The maximum number of speech-language pathology assistants supervised by one (1) speech-language pathologist shall not exceed three (3) at one (1) time. AUTHORITY: sections 345.015, 345.022, and 345.030, RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-4.201. Original rule filed July 31, 2000, effective Feb. 28, 2001. Moved to 20 CSR 2150-4.201, effective Aug. 28, 2006. Amended: Filed Dec. 14, 2007, effective June 30, 2008. Amended: Filed Jan. 3, 2012, effective Aug. 30, 2012. *Original authority: 345.015, RSMo 1973, amended 1986, 1995, 1998, 2004, 2005, 2007; 345.022, RSMo 1995, amended 1998, 2005; and 345.030, RSMo 1973, amended 1981, 1995, 1998, 2007.