Guam Allied Health Board Upholds Law, Rejects Licensure Request

The Guam Board of Allied Health Examiners recently made a definitive stand, upholding established Guam law by rejecting a licensure request from a mental health professional intern. This decision highlights the stringent licensure requirements and the board’s commitment to maintaining high standards within the island’s healthcare regulation framework. The central issue revolved around the validity of supervised hours, emphasizing the critical importance of qualified clinical supervision in professional development.

Acting administrator Breanna Sablan of the Health Professional Licensing Office provided detailed context to the board regarding the intern, Millie Nice. The core of the problem stemmed from documentation indicating that the initial supervisor, who signed off on a significant portion of Nice’s clinical supervision hours in June, did not meet the mandated three-year post-licensure experience requirement. This immediate discrepancy raised flags within the rigorous healthcare regulation process.

Further complicating the matter, Ms. Nice subsequently switched supervisors in July. While this new supervisor met the licensure requirements, the previously accrued hours with the unqualified supervisor remained a point of contention. Sablan clarified that the June supervisor received their clinical psychology license only on June 7, 2024, whereas the July supervisor’s license was issued much earlier, on December 6, 2019, clearly illustrating the disparity in their qualifying experience for clinical supervision under the Guam law.

The discussion at the Allied Health Board meeting meticulously dissected Public Law 37-142, which specifically addresses Clinical Supervision Qualification. This law was enacted with the commendable goal of expanding the pool of licensed mental health professionals qualified to act as supervisors. However, it also sets precise boundaries to ensure that only experienced practitioners guide aspiring licensees.

Under the stipulated licensure requirements of P.L. 37-142, a clinical supervisor must hold a Guam license for a minimum of five years with direct experience in clinical work if they are a professional counselor, clinical social worker, mental health counselor, or marriage therapist. Alternatively, a Clinical Psychologist or Psychiatrist must be licensed in Guam for a minimum of three years to qualify for clinical supervision roles.

Board members, particularly Cepeda, expressed concern that issues surrounding unqualified supervisors were recurring, underscoring the need for the Allied Health Board to take a firm stance. Cepeda stressed the necessity of addressing such deficiencies directly to maintain the integrity of the healthcare regulation system and ensure public safety. The motion to officially notify Ms. Nice that her hours would not be accepted due to non-compliance with clinical supervision standards was put forth.

The Allied Health Board unanimously concurred on the imperative to remain resolute in their determination. This collective decision reinforced the board’s role as the gatekeeper of professional standards, ensuring that all mental health professionals meet the rigorous licensure requirements before practicing. Their firmness sends a clear message about adherence to the Guam law.

Ultimately, this case serves as a crucial reminder for all applicants seeking licensure in the allied health fields on Guam. It underscores the profound importance of thoroughly reviewing and understanding all licensure requirements, especially those pertaining to clinical supervision. The Allied Health Board’s unwavering commitment ensures that only fully qualified and properly supervised mental health professionals serve the community, safeguarding the public’s well-being and upholding the principles of healthcare regulation.

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