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Guidance and some recommendations for addressing subspecialty criteria.

The following chart is intended as general guidance for subspecialty petitions. It provides questions that petitioners for subspecialty recognition should consider in preparing a petition, and some suggestions of documents and information that may be provided as part of the petition to address different areas.

Criterion

Questions, Tips, Guidance

Criterion I. Administrative Organization

Questions:
Can you describe the national organization(s) that support the organized development of your subspecialty?

Can you describe the infrastructure, staff, and operational capacities of these organization(s) for assessing a) effectiveness, b) quality improvement, and c) provider evaluation and identification for the public?

How often do the organizations meet?

What documents already exist that describe the taxonomy of the subspecialty and the processes through which the education and training guidelines are developed, monitored, and modified?

Recommendations:
Use the petition from the parent specialty as a reference for your subspecialty petition and create a list of administrative issues that would need to be coordinated between the parent specialty and the subspecialty. For example, must someone from the parent specialty be on the board of the subspecialty and vice versa?

Create a calendar of joint meetings between your subspecialty and other relevant groups.

Describe what financial arrangements, if any, there are between the subspecialty and parent specialty.

Describe any subspecialty obligations in education and training that subspecialists must fulfill in the specialty on a regular basis.

Criterion II. Public Need for Subspecialty Practice

Questions:
What are the specific public needs that your subspecialty fulfills? 

How does this differ from your parent specialty? 

What procedures does your subspecialty utilize to assess changes in public needs?

Recommendations:
Include peer-reviewed references to substantiate your responses. 

Utilize case examples when appropriate to illustrate how public need for your subspecialty has emerged and is being met.

Criterion III. Diversity

Questions:
How does your subspecialty ensure diversity is incorporated in the following areas?: 

i.) subspecialty-specific scientific and theoretical knowledge;
ii.) preparation for practice;
iii.) education and training;
iv.) continuing education and professional development; and,
v.) evaluation of effectiveness. 

What processes are in place for assessment and continued development of such knowledge? 

In what way is your subspecialty involved in the parent specialty’s council/committee on diversity?

Recommendations:
Describe how your subspecialty prepares psychologists for practice with people from diverse cultural and individual backgrounds (e.g., through coursework, supervised practice, continued professional development) and how achievement of competence is demonstrated. 

Describe how your subspecialty has evolved to meet emergent needs and changing demographics in training, research, and practice (e.g., through research, needs assessment, market surveys). 

Describe how cultural diversity and individual differences will be addressed in each of the criteria. 

Strongly consider reviewing APA’s Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality (American Psychological Association, 2017), and describing how your subspecialty integrates the guidance in training and practice.

Criterion IV. Distinctiveness

Questions:
How do you justify that you are a natural outgrowth of the parent specialty with unique education and training requirements (as illustrated in your subspecialty taxonomy)?

How do you justify that you that you are a natural outgrowth of the parent specialty with a circumscribed set of problems, populations, and/or circumscribed approaches?

Recommendations:
Consider including in the petition case examples that highlight your distinctiveness or illustrate how your subspecialty relies on and also advances the work of the parent specialty.

Criterion V. Advanced Scientific and Theoretical Preparation

Questions:
How do you provide adequate subspecialty training in didactics as well as supervised clinical experience?

How do you document the scientific and theoretical preparation of the faculty and supervisors in your subspecialty?

Recommendations:
Focus on the subspecialty scientific and theoretical preparation and clearly delineate if any education and/or training is applicable to both the specialty and the subspecialty. 

Document relevant and current theories, psychologists, journals, etc. in your subspecialty. 

Describe the paradigm shifts that have led to the subspecialty. 

What emergent scientific research and findings are available, if any, within the subspecialty?

Criterion VI. Advanced Preparation in the Parameters of Practice

Questions:
What are the knowledge areas and clinical skills central to the subspecialty? How do they differ from the knowledge areas and clinical skills of the specialty?

What are the distinguishing education, training, and/or professional experiences that are central to the subspecialty as described in the taxonomy? How do these differ from the education, training, and/or professional experiences of the parent specialty?

What populations are targeted and how does the proposed subspecialty embrace meeting the needs of diverse populations? How is this different than the parent specialty populations?

How do the approaches, methods, techniques, and interventions of the subspecialty differ from the parent specialty?

Recommendations:
Describe how the training sites are adapting to the supervision and service delivery needs of the proposed subspecialty.

Describe how the subspecialty will reach a diverse group of targeted consumers.

Describe the problems that would ensue if consumers did not have access to this subspecialty.

Criterion VII. Structures and Models of Education and Training in the Subspecialty 

Questions:

At what level(s) of education do(es) the subspecialty education and training take place?

Has the subspecialty prepared its taxonomy?

Recommendations:
Connect with representatives of the parent specialty to prepare your taxonomy—allow sufficient time to do this! 

Ensure that the subspecialty taxonomy is sufficiently distinct from the parent specialty taxonomy, and yet extends the education, training, and supervised experience of the parent specialty taxonomy. 

Describe curricula and the relevant and current literature.

Criterion VIII. Continuing Professional Development and Continuing Education

Questions:

What organizations carry out continuing education (CE) and/or continuing professional development (CPD) for the subspecialty?

What is the data related to continuing professional development (CPD) and CE (e.g., how many people attend these workshops, what is the frequency and location of these offerings)?

What are the mechanisms for quality assurance in relation to CE/CPD?

What are requirements for maintaining subspecialty recognition status?

Recommendations:
Present CE session outlines, slides and/or curricula for several programs.  

Show how learning is evaluated (e.g., post-tests for homestudy or asynchronous programming).

Criterion IX. Effectiveness

Questions
What is the best available evidence and research that demonstrates the effectiveness of the proposed subspecialty on specific problems and/or populations consistent with the APA 2005 Policy on Evidence Based Practice? 

Do you have research consistent with the above criteria on the efficacy of the subspecialty's services for problems that are typically confronted and addressed by the subspecialty? 

Do you have research consistent with the above criteria that demonstrate the efficacy of the subspecialty's services when delivered in the settings or organizational arrangements where the subspecialty is practiced?

Recommendations:
Try to map the environments/settings where research was conducted with environments/settings where the services are actually delivered. 

Discuss the problems that are most commonly treated, as well as the type of problems that could potentially be addressed in the future.

Criterion X. Quality Improvement

Questions:
What is the range of metrics used to assess quality in research, training, and supervised experience in the subspecialty?

How do you describe the range of methodologies used, the breadth of practice settings, the diversity of populations served, and the number of researchers currently in the field?

What types of CE will be most useful to your group and what will be the requirements for maintaining expertise in the subspecialty? 

Has the recent literature and research shaped changes in the field so that the subspecialty practice extends the subspecialty? 

How will you assess the differential needs and responses to treatment of the diverse populations that you serve? 

How were the first training programs started and what is the process for deciding where and how to develop new training programs?

Recommendations:
Identify and describe areas where you think your quality improvement has been strongest and also areas where you need to strengthen quality improvement. 

Examine the parent specialty procedures for quality improvement to ensure that the subspecialty is tailored to the needs of the subspecialty.

Criterion XI. Guidelines for Subspecialty Service Delivery

Questions:

What literature supports the effectiveness of the subspecialty?

What practice guidelines has the subspecialty promulgated?

Are there APA clinical or practice guidelines that are specific to this subspecialty?

Recommendations:
Provide relevant, foundational, and current literature.

Develop specific practice or clinical guidelines for the subspecialty.

Show how these practice or clinical guidelines are used in practice.

Describe the process by which your subspecialty is seeking formal recognition of any practice guidelines.

Criterion XII. Provider Identification and Evaluation

Questions:
How does the proposed subspecialty assess the applicant’s training, licensure, and ethical conduct status?

How do you conduct the subspecialty exam and decide how psychologists are able  the privilege of use the subspecialty title?

What are your criteria for evaluating subspecialty competence during the exam?

How will you educate the public and the profession about subspecialist practitioners?

How will the public be able to identify your subspecialists?

How will you assess how many psychologists are practicing in the proposed subspecialty?

How will you develop a formalized subspecialist board certification process?

Recommendations:
All potential members of the subspecialty should be monitored for an active license and an ethical conduct status that is devoid of probational status, license restrictions, etc. Describe your mechanism for monitoring such activity via the National Register, APA, ASPPB, etc.

Date created: December 2020