Provision of Mental Health Counseling Services Under TRICARE


NBCC has had great success in its government affairs efforts to open the military health systems to counselors, but there is still work to do before counselors are employed on equal terms with other professions. Previously, counselors were required to obtain physician referral and supervision when serving TRICARE beneficiaries, a burdensome requirement not placed on other mental health professions. NBCC, in coalition with other counseling organizations, passed legislation to remove those restrictions and allow for independent practice.

After further encouragement, the DOD released an interim final rule establishing qualifications for independent practice in December and a final rule in July Not only did the lack of independent practice recognition subject counselors to unnecessary and wasteful physician supervision requirements, it also created problems for counselors seeking employment throughout the DOD, as other programs base their hiring on TRICARE regulations. In December , the DOD finally released an interim final rule establishing these requirements.

North, South, West, and Overseas. Additionally, NBCC is a sustaining member of the Fair Access Coalition on Testing, a national organization that works to ensure that the public has access to psychological and other testing instruments. Read the Interim Final Rule. The final rule modifies the IFR in response to comments and concerns expressed by the public. The IFR granted independent practice authority to counselors but contained a number of limitations and requirements that were burdensome to the counseling profession. The final rule is a significant improvement over the IFR, and NBCC is pleased to see that many of our recommendations were incorporated.

Provision of Mental Health Counseling Services Under TRICARE.

The entirety of the rule can be read here , but highlights of the changes include: The National Academies Press. Advisers to the Nation on Science, Engineering, and Medicine.

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The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in , the Academy has a mandate that requires it to advise the federal government on scientific and technical matters.

Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in , under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government.

The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Vest is president of the National Academy of Engineering. The Institute of Medicine was established in by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public.

Provision of Mental Health Counseling Services under TRICARE

The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Fineberg is president of the Institute of Medicine.

Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Vest are chair and vice chair, respectively, of the National Research Council. The purpose of the independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards of objectivity, evidence, and responsiveness to the study charge.

Provision of Mental Health Counseling Services under TRICARE : Health and Medicine Division

The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We thank the following for their review of the report:. Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations, nor did they see the final draft of the report before its release.

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This report could not have been prepared without the guidance and expertise of numerous persons. Sincere thanks go to all the participants at the public meetings convened on April 9 and July 7, The intent of the workshops was to gather information regarding issues related to the practice of mental health counselors in various care setting. We are indebted to Rhonda Robinson-Beale, who served as a consultant to the committee and who shared her deep knowledge of the provision of mental health—care services in managed-care settings.

Board Director Rick Erdtmann helped to ensure that this report met the highest standards of quality. Finally, the committee members would like to thank the chair, George Isham, for his outstanding work, leadership, and dedication to this project. Origin of the Study,. Committee Statement of Task,. Committee Approach to Task,. Overview of Related Institute of Medicine Reports,.

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Organization of This Report,. Data on Patients Under the Care of Counselors,.

INTENT AND GOALS OF THE STUDY

Feb 12, In this report, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within. The physical and mental rigors associated with military service take their toll on the men and women who defend the country, the families that support them, and .

The Profession of Counseling,. Accreditation of Counselor Educational Institutions,.

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This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.