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COVID 19 Information
COVID 19 Information

As the State of Ohio’s response to COVID-19/Corona Virus evolves, the Board will share information with licenses.

Communicating with the Board - in support of Governor DeWine's initiative to limit the spread of COVID-19, CSWMFT Board staff members will be working remotely until further notice. Those wishing to contact the Board are encouraged to send an e-mail. Please click HERE for a staff listing. Board staff will respond to voicemail message as quickly as possible.  

Attention is focusing on the global impact of the Coronavirius. As you have questions or concerns, you will find helpful information and resources at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/Novel-Coronavirus. Governor DeWine recently provided an update on the State of Ohio's efforts to prepare for and prevent the Coronavirius. Details on the the prevention and preparedness plan can be found at https://governor.ohio.gov/wps/portal/gov/governor/media/news-and-media/update-covid-19-prevention-and-preparedness-plan.

COVID-19 | GUIDANCE FOR OUR LICENSEES


HB 404 – License Renewal Extension

On November 23, Governor Mike DeWine signed House Bill 404 which addresses several COVID-related issues. The legislation stipulates that no license or registration with an expiration date between March 9, 2020 and April 1, 2021 can be considered expired prior to July 1, 2021.  If  your license or registration currently has a renewal\expiration date of 12/1/2020, or is set to expire on or before April 1, 2021, it will be extended until 7/1/2021. This provision applies to all licenses and registrations, including trainee registrations, issued by the Board. CSWMFT Board staff is working closely with its IT partners to make necessary adjustments to the eLicense system. Licensees will be provided additional information and guidance regarding the implications of this legislation soon.  Licensees who are ready to renew are encouraged to do so. 

 

Renewal Extension - House Bill 197

June 22, 2020

RENEWAL EXTENSION - HOUSE BILL 197

At present, all licensees with a renewal date between 3/9/2020 and 12/1/2020 have until 12/1 to renew their license and complete and report CEUs. This extension is provided under HB 197, which states that expiration dates are extended to the earlier of 12/1 or 90 days following the end of the COVID emergency.  Thus, that date could change should the Governor determine the COVID emergency is over. Licensees should plan to renew their license as soon as they reasonable can. Please note the extension is not permanent. Once a licensee renews, their renewal date will return to its original date. Renewal notices will then be sent starting 90 days before the license is due to be renewed.  

Out of State Mental Health Professionals/ Providing Services to Existing Clients Temporarily in Ohio

The Ohio CSWMFT Board is aware that many colleges and universities have asked students to return home temporarily as a response to COVID-19. Other persons may also be returning to Ohio, from an out of state work assignments, for example. In some cases, these persons are receiving services from Counselors, Social Workers, and MFTs in the states in which they were residing before returning to Ohio. Please click HERE for additional guidance for out of state professionals interested in providing services to clients temporarily located in Ohio.

Pandemic Unemployment Assistance

May 15, 2020

PANDEMIC UNEMPLOYMENT ASSISTANCE

Ohioans can now apply for Pandemic Unemployment Assistance (PUA), a new federal program that covers many more categories of workers than the traditional unemployment program.

Those who believe they may be eligible should visit pua.unemployment.ohio.gov and click the button that says, “Click Here to Apply for Pandemic Unemployment Assistance.” Individuals who pre-registered for the program received an email with instructions for how to complete their applications.

PUA was made possible by the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act. The program offers up to 39 weeks of benefits to many who traditionally have not qualified for unemployment benefits, including self-employed individuals, 1099 tax filers and part-time workers. The benefit amount is similar to traditional unemployment payments, plus an additional $600 per week through July 25.

If you have additional questions, please visit www.unemploymenthelp.ohio.gov or call (833) 604-0774.

 

Helpful Guidance on the Use of Asynchronous Telehealth Modalities

ODM and OhioMHAS have released a MITS BITS newsletter regarding the use of asynchronous telehealth modalities. such as email or text. The Guidance, which is aligned with the Board's telehealth rule,  can be found at https://bh.medicaid.ohio.gov/Portals/0/Providers/MITS%20Bits/2020/BH-MITS-Bits_04-22-2020_Guidance_on_the_Use_of_Asynchronous_Telehealth_Modalities.pdf?ver=2020-04-22-121011-653.

Ohio CareLine

Ohio CareLine

 

Do you need help?

The Ohio CareLine is a  toll-free number and emotional support call service created by the Ohio Department of Mental Health and Addiction Services. Behavioral health professionals will staff the CareLine from 8 a.m. to 8 p.m., 7 days/week. They will offer confidential support in times of personal crisis when individuals may be struggling to cope with current challenges in their lives. After 8 p.m., the CareLine will forward to the National Suicide Prevention Helpline, allowing those calling to have access to someone 24 hours/day.

CALL 1-800-720-9616 TO CONNECT

 

Wellness Resources for Providers

You are working hard to care for others, be sure to care for yourself as well. OhioMHAS has made available a toolkit of resources for those providing care and those who support them. Go to https://mha.ohio.gov/…/Training-and-Wo…/COVID19-BH-Resources for more information.

 

The Ohio Council - COVID Resources

The Ohio Council of Behavioral Health and Family Services Providers ("The Ohio Council") has dedicated its March newsletter to highlighting COVID-19 resources. The information below is shared with the permission of the The Ohio Council.

COVID-19 SPECIAL EDITION - March 2020 

Due to the current pandemic crisis and the overwhelming amount of information,
the March 2020 Ohio Council Insight (in pdf format) has been developed to be a
one-stop resource for all COVID-19 related information as of the end of March.

 

COVID-19 State Orders and Guidance

COVID-19 Federal Guidance  

COVID-19 State Department Resources 

State Contacts for BH Providers 

Telehealth for Community Behavioral Health 

Accessing Supplies and Personal Protective Equipment (PPE)  

State Policy & Legislation 

Federal Policy & Legislation 

Financial Resources 

Other Resources 

 



The Ohio Council of Behavioral Health & Family Services Providers
35 East Gay Street - Suite 401
Columbus, OH 43215-3138
Phone: (614) 228-0747
Fax: (614) 228-0740
www.TheOhioCouncil.org

 

 

Front Line Resources - Trauma Informed Care

3/31/2020

Below are resources that will be helpful for those providing care during the COVID-19 response. An emphasis is placed on resources to help those providing direct care. 

A         ohiocoronavirus.ohio.gov

            Resources for Local Health Districts, Local Governments, and Providers

            Resources for Healthcare Workers

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home/Local-Health-Districts-and-Providers/

 

B         OhioMHAS

Trauma-informed Care Resource Library

https://mha.ohio.gov/Health-Professionals/About-Mental-Health-and-Addiction-Treatment/Trauma-informed-Care/Resource-Library

 

C         OhioMHAS

            First Responders

            https://mha.ohio.gov/Schools-and-Communities/First-Responders

 

D        eBased Academy – one-hour webinar Trauma-Informed Approaches – already CEU approved including Recognition Award for CMEs

Learning Objectives

The Trauma Informed Approaches course focuses on SAMHSA's four R's concept of trauma informed care: Realize, Recognize, Respond, and Resist.

Content

  1. Recognize what trauma is and its impact.
  2. Identify trauma informed responses.
  3. Identify strategies to avoid re-traumatizing victims.
  • AMA PRA Cat. 1 Credit: 1.0
  • RN/LPN Contact CE: 1.25
  • Counselor CPEs: 1.25
  • Social Work CPEs: 1.25
  • Psychologists MCEs: 1.25
  • Number of CEUs: 1.25

Awarded 1.0-hour AMA PRA Category 1 Credits™ toward the AMA Physician’s Recognition Award for completing this CME activity

COUNSELOR EDUCATION CLASSIFICATIONS: 1.25 R1 – Field Related Other

E         eBased Academy – one-hour video Secondary Trauma for Administrators – already CEU approved including recognition Award for CMEs

Learning Objectives

This course is part of a 23-course curricula series developed by expert healthcare professionals to educate a variety of disciplines about drug addiction and its impact.  The Secondary Trauma for Administrators/Organization Transformation course provides an in-depth look at secondary traumatic stress (STS) and its impact on organizations and the workforce.  This course is designed to educate organizations about building resiliency, post-traumatic growth and the benefits of becoming an STS-informed organization.  A case study is examined to help learners further understand best practices to becoming STS-informed.

Content

1. Define secondary traumatic stress (STS) and its impact on organizations and the workforce.
2. Understand the benefits and best practices of becoming an STS informed organization.
3. Identify strategies to encourage post-traumatic growth and building resiliency.

  • RN/LPN Contact CE: 1.0
  • Counselor CPEs: 1.0
  • Social Work CPEs: 1.0
  • Psychologists MCEs: 1.0
  • Number of CEUs: 1.0

Awarded 1.0-hour AMA PRA Category 1 Credits™ toward the AMA Physician’s Recognition Award for completing this CME activity

COUNSELOR EDUCATION CLASSIFICATIONS: 1.00 R1 – Field Related Other

PREVENTION EDUCATION CLASSIFICATIONS: 1.00 R1 – Field Related Other

 

F         Center for Health Care Strategies

            Trauma-Informed care Implementation Resource Center

https://www.traumainformedcare.chcs.org/what-is-trauma/

  • What is trauma?
  • What is trauma-informed care?
  • Trauma-informed care in action
  • Becoming trauma-informed
  • Policy considerations

 

G        SAMHSAs TIP 57 Trauma-Informed Care in Behavioral Health Service (PDF)

This manual helps behavioral health professionals understand the impact of trauma on those who experience it. The manual discusses patient assessment, and treatment planning strategies. These strategies support recovery and building a trauma-informed care workforce. Access the literature review.

https://store.samhsa.gov/product/TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816

 

H        SAMHSAs Trauma-Informed Care in Behavioral Health Services: Quick Guide for Clinicians Based on TIP 57 (PDF)

            This guide has information for providers and administrators on caring for people who have experienced trauma or are at risk of developing traumatic stress reactions. It also addresses prevention, intervention, and treatment issues and strategies

            https://store.samhsa.gov/product/Trauma-Informed-Care-in-Behavioral-Health-Services-Quick-Guide-for-Clinicians-Based-on-TIP-57/SMA15-4912

 

I          Trauma and Post Traumatic Stress Disorders in Ethnic Minorities

            American Psychological Association

https://www.apatraumadivision.org/files/57.pdf

            Trauma Informed Principles Through a Culturally Specific Lens (PDF)

National Latino Network

https://www.communitysolutionsva.org/files/Trauma-Informed-Principles-through-a-Culturally-Specific-Lens_FINAL.pdf

 

J          Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting    Trauma Toolbox for Primary Care

 

            American Academy of Pediatrics

https://www.aap.org/en-us/Documents/ttb_addressing_aces.pdf

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/healthy-foster-care-america/Pages/Trauma-Guide.aspx#trauma

 

K         Self-Care for Social Workers During the Coronavirus Pandemic (Podcast)

https://www.socialworkers.org/News/Social-Work-Talks-Podcast/EP48-Self-Care-During-the-Coronavirus-Pandemic

 

Links to Resources

State of Ohio Resources

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/

https://cswmft.ohio.gov/Home/COVID-19

https://medicaid.ohio.gov/FOR-OHIOANS/COVID-19-Emergency-Actions

https://mha.ohio.gov/Health-Professionals/About-Mental-Health-and-Addiction-Treatment/Emergency-Preparedness/Coronavirus#42351174-telehealth-information

Counseling

AMHCA Code of Ethics http://www.nymhca.org/AMHCACodeofEthics.pdf

NBCC - https://www.nbcc.org/Assets/Ethics/NBCCPolicyRegardingPracticeofDistanceCounselingBoard.pdf

ACA - https://www.counseling.org/knowledge-center/mental-health-resources/trauma-disaster/mental-health-professional-counseling-and-emergency-preparedness

ACA - https://www.counseling.org/knowledge-center/mental-health-resources/trauma-disaster/working-with-your-clients?utm_source=informz&utm_medium=email&utm_campaign=covidresources

CACREP - https://www.cacrep.org/for-programs/updates-on-covid-19/

Social Work

NASW Ohio Chapter - https://www.naswoh.org/page/telehealth2020

NASW - https://www.socialworkers.org/Practice/Infectious-Diseases/Coronavirus

NASW - https://www.socialworkers.org/includes/newIncludes/homepage/PRA-BRO-33617.TechStandards_FINAL_POSTING.pdf

NASW - https://naswassurance.org/malpractice/malpractice-tips/treading-through-teletherapy-treatment-topics/

Marriage and Family Therapy

AAMFT - http://www.aamft.org/iMIS15/AAMFT/Content/Legal_Ethics/Code_of_Ethics.aspx

AAMFT - https://www.aamft.org/Events/Coronavirus-Event-Status-Updates.aspx?WebsiteKey=8e8c9bd6-0b71-4cd1-a5ab-013b5f855b01

Other

CDC- https://www.cdc.gov/coronavirus/2019-ncov/index.html

NIMH - https://www.nih.gov/health-information/coronavirus

APA - https://www.apa.org/practice/programs/dmhi/research-information/social-distancing

American Telemedicine Association - http://www.americantelemed.org/resources/telemedicine-practice-guidelines/telemedicine-practice-guidelines#.VS_Go40tGUk

http://www.gpo.gov/fdsys/pkg/FR-2011-05-05/pdf/2011-10875.pdf

Medicaid - https://www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf

HHS - https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

HHS FAQ - https://www.hhs.gov/sites/default/files/telehealth-faqs-508.pdf

Medicare - https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

 

Ohio Approved for SBA Economic Injury Loans

ECONOMIC INJURY DISASTER LOAN PROGRAM

Ohio Governor Mike DeWine and Lt. Governor Jon Husted announced that the U.S. Small Business Administration (SBA) has approved the Ohio Development Services Agency’s request to allow small businesses and nonprofits in Ohio to apply for low-interest, long-term loans of up to $2 million through the SBA’s Economic Injury Disaster Loan program.

 

The Economic Injury Disaster Loans may be used by Ohio small business owners and nonprofits to pay fixed debts, payroll, accounts payable, and other bills that can’t be paid because of the disaster’s impact. The interest rate is 3.75 percent for small businesses without credit available elsewhere; businesses with credit available elsewhere are not eligible. The interest rate for nonprofits is 2.75 percent.

 

To keep payments affordable, the loans are long term, with up to 30 years for repayment. Terms are determined on a case-by-case basis, based on each borrower’s ability to repay.

 

Applying for the SBA loan:

 

  • Loan applications can be completed online at disasterloan.sba.gov/ela/ or applicants can obtain a paper application by calling 1-800-659-2955. Online submissions are recommended.
  • Once an application has been submitted, the SBA will review the information and determine eligibility.
  • Once the SBA approves an applicant’s submission, they will close on the loan and the cash will be deposited into the applicant’s account.
  • To expedite the application process, applicants should have the following documents ready: complete copies of their most recent federal income tax return and a completed and signed IRS Form 4506T, a schedule of liabilities, personal financial statement, monthly sales figures, a current year-to-date profit-and-loss statement, and a year-end profit-and-loss statement and balance sheet for that tax year if the most recent federal income tax return has not been filed.

 

For more information about the loan program, visit SBA.gov/Disaster.

 

As efforts to combat the outbreak of the COVID-19 virus continue, Governor DeWine and his administration will continue to identify ways to support the state’s small businesses and nonprofits. Any of these entities impacted by the ongoing health crisis are encouraged to contact the Development Services Agency at BusinessHelp@Development.Ohio.Gov for more information.

ENHANCED UNEMPLOYMENT AID FOR OHIOANS

 

Executive Order 2020-03D broadens state policy to clarify that individuals who are quarantined during the emergency period are considered to be unemployed. This also applies to companies that determine they need to temporarily shut down.

 

The executive order waives the one-week waiting period normally required before individuals can begin receiving benefits, and it waives the requirement that they actively search for work while receiving benefits. In order not to penalize employers by increasing their future taxes, the cost of these benefits will be mutualized over time. In addition, the executive order waives penalties for late filing and payment for the duration of the emergency.

PREVENT THE SPREAD OF COVID-19

 

To help protect the public against the spread of COVID-19, Governor Mike DeWine and Ohio Department of Health Director Amy Acton, M.D., MPH, strongly recommend that all employers screen employees each day before work by following these steps:

 

  • All employees who are able to work from home should be working from home at this time

 

  • For those employees who have to come in: each employee should have their temperature taken each day, and if they have a fever at or above 100.4 degrees Fahrenheit, that employee should be sent home.
    • This employee can return to work when:
      • They have had NO fever for at least three (3) days without taking medication to reduce fever during that time; AND
      • There is improvement in their respiratory system (cough and shortness of breath); AND
      • At least seven (7) days have passed since their symptoms began.
    • It is best to use touchless thermometers if possible (forehead/temporal artery thermometers), but if you must use oral or other types of thermometers, make sure to clean the thermometer thoroughly between each employee, as to not spread infection.
      • Follow the manufacturer’s direction to disinfect the thermometer.
      • If no directions are available, rinse the tip of the thermometer in cold water, clean it with alcohol or alcohol swabs, and then rinse it again.

 

  • If you do not have thermometers on site, have your employees take their temperature at home. They should stay home if they have a fever and follow the same protocol.

 

  • There is currently a shortage on thermometers. If you cannot find thermometers, and employees do not have one at home to check their temperature, you can screen each incoming employee with a basic questionnaire.
    • Do you have symptoms of respiratory infection? (fever, cough, shortness of breath)
      • No - proceed to work
      • Yes – Employee will be sent home. Employee is required to stay home at least 7 days from the time they experienced symptoms AND at least 3 days after they have no fever (without taking medication to reduce fever) AND have improvement in their respiratory symptoms (cough, shortness of breath).
      • Does not require a doctor’s release.

 

  • Have you been exposed to someone with confirmed COVID-19?
      • No – proceed to work
      • Yes, and not experiencing symptoms – employee will be required to stay at home for 14 days from the time they were exposed to confirmed COVID-19
      • Yes, and exhibiting symptoms – employee is required to stay home for at least 7 days from the time they experienced symptoms AND at least three days after they have no fever (without taking medication to reduce fever) AND have improvement in their respiratory symptoms (cough, shortness of breath).

 

  • Please remember to continue to follow preventative measures no matter how many employees are in the office – physical distancing, stay home when sick, use cough and sneeze etiquette, and practice hand hygiene as often as possible. Clean all high-touch surfaces regularly.

 

FOR MORE INFORMATION:

 

ONLINE: Please visit www.Coronavirus.Ohio.gov for the most up-to-date information from the Ohio Department of Health.

             

PHONE:  For any questions you have about COVID-19, please call 1 (833) 4-ASK-ODH  from 9:00 a.m. – 8:00 p.m (7 days/week).

             

SOCIAL MEDIA:         @GovMikeDeWine

                                         @LtGovHusted

                                         @OHDeptofHealth

 

 

Face to Face Supervision of Counselor Trainees

OAC Rule 4757-17-01 requires that trainees have “face to face”  supervision. To ensure supervision is as accessible as possible, supervision of Trainees can occur via telephone if that is the best means of providing supervision. 

Trainees and Interns - Teletherapy

Can Trainees provide teletherapy?

Yes.  There are no laws or rules that prohibit a Trainee from providing teletherapy. Registered Trainees (CT, SWT, MFTT) have the same scope of practice as a LPC, LSW, or MFT. They can diagnose and treat under supervision both in person and via teletherapy. It is up to the education program and Trainee’s internship/practicum site to determine whether a Trainee can provide teletherapy. 

 

What happens if a college or university suspends classes? How does that impact Trainees?

Any Trainee whose college or university suspends classes must determine whether they are allowed, according to the institution, to continue reporting to their internship/practicum site.  If the answer is yes, the Trainee can continue to provide services under supervision as they were doing before the suspension of classes. However, if the Trainee is required by their institution to suspend reporting to their internship/practicum site and serving clients, the Trainee, working with their supervisor should appropriately terminate with any clients in accordance with ORC 4757 and OAC 4757.

How does a suspension of classes impact interns who are not Trainees?

Interns are exempted from ORC 4757 if they are enrolled in a program of education.  However, since the intern is providing services as part of a program of education in Counseling, Social Work, or Marriage and Family Therapy, they should work closely with their site supervisor to ensure that clients are not abandoned and an appropriate plan for continuity of care is established, which could include terminating and referring out the clients.