New Zealand Psychologists Board

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NEWS & INFORMATION

Board Newsletter
Winter 2008

HPCA Act 2003 Information

Scopes of Practice & Qualifications
 

Practising Certificates

Board News

Practitioner Competence

Complaints & Discipline

 

 

Contact the Board

Tel: +64 4 471-4580
Fax: +64 4 471-4581
Email: info@nzpb.org.nz

Postal Address
New Zealand Psychologists Board
PO Box 10-626
Wellington 6143
New Zealand

 

 

 

 

 

 

 

 

 

What's New?

Important Notices (2)
 

1) Psychologists Board Review on Scopes of Practice
Coinciding with the Ministry of Health’s current review of the HPCA Act, the Psychologists Board has decided to review scopes of practice. This review includes distribution of a consultation paper and an invitation for stakeholders to make formal submissions.

You are invited to read the consultation paper and make a submission.

Electronic copies of both the cover letter and consultation document are available from Anne Goodhead, Psychology Advisor :

Tel: 04 4714584
By email to: anne.goodhead@nzpb.org.nz
By mail to: Ms Anne Goodhead
Psychology Advisor
New Zealand Psychologists Board
PO Box 10626
Wellington 6143
New Zealand


2) Health Practitioner Survey


The Ministry of Health, as part of their scheduled review of the Health Practitioners Competence Assurance Act, wants to hear from Psychologists about their experienced with the Act, and with the New Zealand Psychologists Board's administration of the Act.

The Ministry has produced a survey that you can complete online at: http://www.moh.govt.nz/mohsurveys.nsf/SurveyStart/Regulated+Health+Practitioner+Survey

We wish to make it clear to all Psychologists that this questionnaire is being drawn to your attention at the request of the Ministry of Health and that the Psychologists Board does not necessarily endorse the questionnaire itself.

Further information about the questionnaire and about the full HPCA Act review is available on the Ministry of Health's website (link above).  The second stage of the review will be the release in mid 2008 of a discussion document - again open to submissions from any individual or organisation. That document may make recommendations for change.  The final report will be delivered from the Director-General of Health to the Minister of Health by December 2008.

Steve Osborne MSc RClinPsych
Chief Executive/Registrar
New Zealand Psychologists Board
PO Box 10-626, Wellington 6143
Steve Osborne: steve.osborne@nzpb.org.nz
Bill King (Deputy Registrar- Registration): bill.king@nzpb.org.nz

 

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Consultation on Proposed Counselling Scope of Practice

Thank you to all who took the time and effort to respond to our consultation on this proposal. For your interest the submissions have been collated and reported. Here the results for each question are presented without interpretation or editing, although there is some grouping of responses into themes. The Board did consider these submissions at the September meeting but has deferred making a decision on this scope while they review the use of vocational scopes in general.  (Click here for your copy of the report)

Consultation on Proposed Continuing Competence Programme

This consultation stimulated a great deal of interest amongst psychologists, as reflected in the relatively high response rate. Thank you for your efforts in responding to this. The Board is now considering the way forward and will communicate that to you as soon as possible. In the meantime for your interest the collated submission responses are posted here. (Click here for your copy of the report)

 

Psychologists Board News & Information    

 

NEWS IN BRIEF

Legal Use of Professional Title
Remember! No registered psychologist may use the title "Clinical Psychologist" or "Educational Psychologist" unless they have successfully applied for and hold the associated vocational scope. 

Board Member Updates
The newest member appointed to the Board by the Minister of Health is Dr Jacqueline (Jaki) Horn, registered Clinical Psychologist. The entire Board was reappointed for a further three year term in August 2006.

Are You Insured?
The Board strongly recommends that Psychologists hold liability insurance. We have witnessed some most unfortunate circumstances in recent disciplinary cases, and costs and fines are recoverable through the Courts as a debt due to the Board.

PSYCHOLOGISTS BOARD NEWSLETTER (Winter 2008)

For the most up to date News and Information download a PDF version of the Winter 2008 Issue - Newsletter: (click here).

 

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PRACTISING CERTIFICATE INFORMATION FOR 2008-2009

There is some important information you need to know about obtaining an APC for the 2008-2009 year, which is set out below and includes the relevant HPCA Act reference.

·    You must hold a current APC if you are practising as a registered psychologist in New Zealand. [Refer s7(2)]

·    Practising as a psychologist in New Zealand without an APC is an offence against the HPCA Act and is punishable on summary conviction by a fine of up to $10,000. [Refer s7(5)]

·    No registered psychologist holding a current APC may perform a health service outside their scope of practice and must comply with any conditions stated on their APC. [Refer s8]

·    Only "Educational Psychologists" and "Clinical Psychologists" may use these titles if they are registered in either vocational scope of practice.  The same applies to "Intern Psychologists" and "Trainee Psychologists" registered in these respective scopes of practice. [Refer s7(1)]

·    To be considered fit to practice and eligible for an APC you need to maintain the required standard of competence, comply with any conditions on your scope of practice, complete any requirements of a competence programme, practise lawfully and be able to perform the functions required to practise the profession of psychology. [Refer s16]

·    If you do not intend to practise (anytime) in the 2008-2009 year (i.e. from 1 April 2008 to 31 March 2009) you must notify the Board so that the register of psychologists can be accurately maintained.

·    Payment may be made by cheque (payable to the "Psychologists Board") or by credit card (MasterCard or VISA only) and must accompany the APC application form. You are responsible for ensuring the correctly completed APC form accompanied by the fee payment is received by the Psychologists Board.

It is a legal requirement of registered psychologists to ensure that the Board has your correct residential, postal and work address details.  Send your changed address/contact details to the Board via our contact page (click here).

 

 

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SCOPES OF PRACTICE - STATISTICS

Of the numbers holding current APCs as at 5 September 2007, there were:

  • 877   registered psychologists holding the "Clinical Psychologist" vocational scope of 
      practice
    ;

  • 125   registered psychologists holding the "Educational Psychologist" vocational scope of
      practice
    ;

  • 730   registered psychologists holding the "Psychologist" scope of practice;

  • 105   "Intern Psychologist" scope holders; and

  • 10     "Trainee Psychologist" scope holders.

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Supervision 2000 Scheme - Trainee Psychologists

The Supervision 2000 Scheme for Supervision is a structured, supervised and evaluated professional practice programme, which leads to registration in the Psychologist scope of practice. There are two Supervision 2000 Scheme agencies - NZ Defense Force and Child Youth & Family Services. 

On 13 April 2006, the Board resolved that given its prescribed functions under section 118 of the HPCA Act 2003, it would cease direct involvement in administering or contracting organisations to provide supervision schemes leading to registration as Psychologist.

For more information contact the Deputy Registrar - Registrations, Mr Bill King (click here to email Bill) or call him on 04 471-4588.

(click here to return to Registration Information: NZ Graduates)

 

Registration as an Intern Psychologist

University students undertaking internships as part of their Degree or Postgraduate Diploma are required to be registered with the Board. These students are registered as "Intern Psychologists" and will be issued with an interim practising certificate (IPC) with conditions related to supervision.

Registration requirements for Intern Psychologists are in the standard application form and include providing a record of criminal convictions and three character references (one of which must be from a psychologist registered in NZ by the Board). This registration process is a one-time requirement and establishes the student on the Register of Psychologists. On successful completion of the Post Graduate Diploma or Doctorate of Clinical Psychology course the student can apply for full registration in the scope they have qualified in.

To ease the student's financial burden the registration application fee of $375.00 may be deferred until full registration is sought. The practising certificate fee of $297.50 (half the full APC fee) must be paid prior to the IPC being issued.

Note to Employers - Employers should check that registered Intern Psychologist employees hold an interim practicing certificate (IPC).

(click here to return to Registration Information: NZ Graduates)

 

 

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What Information on the Psychologists Register is available to the public?

The Board, under section 138 of the Act, resolved to make only the minimum legal information available to the public.  This does not include addresses of registered psychologists, but does include name, registration qualifications, scope(s) of practice, any changes to scope(s) of practice (e.g. conditions imposed), and whether an annual practising certificate or interim practising certificate is held.  This information is available on the "Search the Register" function on the website homepage.  The Board for communication purposes may collect other information, including address, telephone and email addresses, but this information does not form part of the public register.  

 

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items of interest (Please scroll down from here to read items of interest)

Changing Address and Name Details

Reminder:  Remember to use the correct postcode when sending mail to the Board.

Registered psychologists are required under the Act to promptly give the Registrar of the Board written notice of any change in postal address, residential address and, if applicable, work address.  Within one month after a registered psychologist changes his/her name, written notice of the new name must be given to the Registrar.  

Send your changed address/contact details to the Board via our contact page (click here).

 

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Cultural Competence Requirements

"Standards of Cultural Competence for Psychologists registered under the Health Practitioners Competence Assurance Act 2003 and those seeking to become registered" (May 2006)

The Board has developed guidelines for registered psychologists and for those seeking to become registered.  The guidelines have been developed to reflect the skill, knowledge and attitudes necessary for effective cultural practice.  It is expected that all registered psychologists, regardless of their area of practice, consider and incorporate these guidelines.  The Board expresses its thanks and appreciation to the NZ Psychological Society, the NZ College of Clinical Psychologists, individual contributors and the Medical Council of NZ in assisting with the development of this document. Click here for a copy of the Cultural Competence document.

Section 118 (i) of the Act states that standards of cultural competence are to be observed by health practitioners of the profession.  Cultural competence could be defined as a consistent demonstration of a recognition and acceptance of the customary beliefs, social forms, and material traits of all religious and social groups.  Work is currently being done to develop these standards but they could include:

·               That practitioners' consider a patient's culture throughout care to enhance the health outcome for the patient.

·             That practitioners acknowledge that the Treaty of Waitangi has an intellectual and applied place in treatment considerations for Maori patients.  Open and sincere communications are used to secure a partnership and understanding of Maori needs that leads to improved health outcomes.

·            That practitioners reflect on their practice and values and the impact of these on patients outcomes.

The Board is also required under the Act to set standards of clinical competence and ethical conduct to be observed by registered psychologists. 

It is suggested that Universities teaching psychology students, employers of psychologists (e.g. DHBs, government agencies, etc.) engaging psychologists in any kind of capacity under the Act take note of this requirement and include cultural competence in some form or other in their practise.

 

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New Information about Complaints and Discipline

The HPCA Act has provided a range of new mechanisms that enable the Board to exercise more flexibility in addressing concerns about psychologists' practice, fitness and competence in a constructive and rehabilitative manner.  Agreement of a complaint matter by conciliation has been used in two complaint cases, and the Board is very optimistic about the potential for such approaches to satisfy the complainant, improve the practice of the psychologist, and protect the public.  It is still possible that some cases will require full and formal investigation (Professional Conduct Committees) and eventual hearings before the new Health Practitioners Disciplinary Tribunal (HPDT).   More information about the HPDT is available from the HPDT website http://www.hpdt.org.nz. For more information about how the Board processes complaints go to the complaints section on this website and/or contact the Registrar (to email the Registrar click here) or to speak to the Registrar dial (04) 471-4586.

Best Practice Approach
The Board
held its final hearing related to charges brought against a Psychologist under the Psychologists Act 1981 legislation earlier in the year.  Psychologists should take note that many of the cases that result in formal complaints are Family Court related, and that practise in this area requires the utmost caution and strict adherence to an evidence-based, best practise approach.  Many cases also involve psychologists who have become isolated in the profession, who are not receiving regular clinical supervision and who have strayed into areas of practice in which they are not competent.  The HPCA Act provides some useful mechanisms to promote continued competence and prevent 'disconnection', and the Board encourages psychologists to routinely complete a self-assessment (perhaps in collaboration with a supervisor) and to develop an action plan for ongoing competence and development.  The Board has noted a trend in recent hearings that psychologists who were found guilty and fined or ordered to pay costs found themselves in very serious financial strife.  The Board strongly encourages all practitioners to carry indemnity insurance.  

 

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Procedures for Investigating Complaints

Complaints to the Board against registered psychologists should be made in writing and be sufficiently detailed.  When the Board receives a patient care complaint (i.e. a complaint alleging that the practice or conduct of a health practitioner has affected a health consumer) it is required to promptly send the complaint to the Health and Disability Commissioner.  The Commissioner may also refer complaints to the Board after which the Board will assess the complaint, consider the nature and circumstances of the complaint, and decide on what action or actions it should take in response. 

The Board may decide to refer the complaint to a Professional Conduct Committee ("PCC").  PCCs will be comprised of two registered psychologists and one layperson.  (A 'layperson' means a person who is neither registered nor qualified to be registered as a health practitioner).  A PCC will receive evidence and investigate a case.  This may include oral evidence and written submissions and statements from a range of people involved, and where necessary, a clinical expert.  The PCC can also recommend suspension of a psychologist's practising certificate if, at any time in the course of investigating the matter, the PCC believes that the psychologist's practice poses a risk of serious harm to the public.  After completing the investigation, the PCC can make a number of recommendations and one determination. 

Recommendations include any of the following:

  • A competence review.

  • A review of fitness to practise.

  • A review of scope of practice.

  • Referral of the matter to the police.

  • That the psychologist is counselled.

Determinations include one of the following:

  • That no further action is taken.

  •  That a charge be brought against the psychologist before the Health Practitioners Disciplinary Tribunal.

  • That a complaint is submitted to conciliation.

For further information go to the "Complaints and Discipline" page on this website (click here) and/or download a copy of the Complaints Information Sheet (click here).

  

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Provisions to Undertake Competence Reviews

The Psychologists Board is required to oversee a system providing for Competence Reviews ("Reviews") and Competence Programmes ("Programmes").  Concerning Programmes, the Board is proposing to start simply, and to evolve protocols that are more complex if these prove necessary.  Reviews and Programmes are not disciplinary in nature.  A review is to assess the psychologist's competence, and is therefore evaluative and educational in nature.  Any Programme arising from a review is remedial in nature.

There has to be significant concerns prompting Reviews, and the requests for these Reviews are likely to come from professional colleagues, employers, organisations such as the Health and Disability Commissioner, and the Board (via PCCs).  The Board has the legal right to disregard concerns raised by other health practitioners if seen as frivolous or vexatious.

The Board may at any time review the competence of a registered psychologist holding a current practising certificate, whether or not there is reason to believe that the psychologist's competence may be deficient.

A Competence Review Panel ("Panel") will be appointed consisting of practitioners who are clinically competent, have good interpersonal skills, and have some knowledge of performance and educational assessment relevant to the scope of the person being reviewed.  The practitioner being reviewed will be told about the substance of the concerns and the activities used to assess competence.  These activities may include reviewing written work, files, and interviews with the practitioner, as well as commonly accepted assessment tools. This practical component of the Review may take from half a day to a full day depending on the breadth of the problem.

Within a month of conducting the Review, the Panel writes a report to the Board.  If the Panel has determined that the practitioner does not meet required competence standards, then the Board must make one or more of the following orders specified in the Act:

·                That the practitioner undertakes and individual competence programme. If this is the case, the Board works with the practitioner to collaboratively develop a Programme to fill the gaps in skill, as described in the Review.  This will include specific objectives, educational activities, and an agreed process of reporting or reassessment at the end of the process.  The Programme may also include the appointment of an educational or clinical supervisor.  The Practitioner meets the cost of completing this programme;

·                That one or more conditions be included in the practitioner's scope of practice;

·                That the practitioner sit a specified examination or assessment;

·                That the practitioner be counselled or assisted by one or more nominated persons."

The Board will meet the cost of a review.  

 

  

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