Abstract
The turn of the century saw a shift from input-based to outcome-based education in Marriage and Family Therapy (MFT) training. An attempt was also made to establish core competencies that practitioners of MFT should attain to provide effective client care. These developments had a significant impact on version 11.0 and 12.0 of the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) Accreditation Standards. Since then, MFT educators have used these standards and guidelines to transition their programs from input-based to competency-based education. The MFT program at a West Coast University was the first COAMFTE accredited program to propose an alternative competency model requiring the completion of 300 direct client contact hours instead of 500 h for all students in the program, when it went through the process of reaccreditation in 2019. The program was granted renewal of accreditation in May 2020. Since then, version 12.5 of the COAMFTE Accreditation Standards have been released and this University’s competency model is aligned with these new standards. This article provides an overview of the competency model used by the MFT program at this University which can serve as an example for other MFT programs. Trends and future directions in competency-based MFT education are also discussed.
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Akos, P., Waski, S. Z., McDonald, A., Soler, M., & Lys, D. (2019). The challenge and opportunity of competency-based counselor education. Counselor Education and Supervision, 58, 98–111. https://doi.org/10.1002/ceas.12134
Chenail, R. J. (2009). Learning marriage and family therapy in the time of competencies. Journal of Systemic Therapies, 28, 72–87. https://doi.org/10.1521/jsyt.2009.28.1.72
Commission for the Accreditation of Marriage and Family Therapy Education. (2005). Accreditation standard: Graduate & post-graduate marriage and family therapy training programs Version 11. Alexandria, VA. Retrieved June 25, 2020 from, https://www.coamfte.org/Documents/COAMFTE/Accreditation%20Resources/Accreditation%20Standards_Version%2011_2013%20style%20update_PMFTPs.pdf
Commission for the Accreditation of Marriage and Family Therapy Education. (2017). Accreditation standard: Graduate & post-graduate marriage and family therapy training programs Version 12. Alexandria, VA. Retrieved June 25, 2020 from, https://coamfte.org/documents/COAMFTE/Accreditation%20Resources/2018%20COAMFTE%20Accreditation%20Standards%20Version%2012%20May.pdf
Commission for the Accreditation of Marriage and Family Therapy Education. (2020). Accreditation standard: Graduate & post-graduate marriage and family therapy training programs Version 12.5. Alexandria, VA. Retrieved January 15, 2021 from, https://coamfte.org/documents/COAMFTE/Accreditation%20Resources/COAMFTE%20Standards%20Version%2012.5%20-%20Published%20December%202020.pdf
Epstein, R. M., & Hundert, E. M. (2002). Defining and assessing professional competence. Journal of the American Medical Association, 287, 226–235. https://doi.org/10.1001/jama.287.2.226
Falender, C. A., & Shafranske, E. P. (2007). Competence in competency-based supervision practice: Construct and application. Professional Psychology: Research and Practice, 38, 232–240. https://doi.org/10.1037/0735-7028.38.3.232
Gehart, D. (2011). The core competencies and MFT education: Practical aspects of transitioning to a learning-centered, outcome-based pedagogy. Journal of Marital and Family Therapy, 37, 344–354. https://doi.org/10.1111/j.1752-0606.2010.00205.x
Graves, T. (2005). Building a Bridge Between Graduation and Marriage and Family therapy Core Competency. Unpublished thesis, Utah State University, Logan. https://digitalcommons.usu.edu/etd/2738
Harden, R., & Gleeson, F. (1979). Assessment of clinical competence using objective structured clinical examination. British Medical Journal, 1, 447–451. https://doi.org/10.1111/j.1365-2923.1979.tb00918.x
Hodgson, J., Lamson, A., & Feldhousen, E. (2007). Use of simulated clients in marriage and family therapy education. Journal of Marital and Family Therapy, 33, 35–50. https://doi.org/10.1111/j.1752-0606.2007.00003.x
Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59, 774–781. https://doi.org/10.1037/0003-066x.59.8.774
Kaslow, N. J., Rubin, N. J., Bebeau, M., Leigh, I. W., Lichtenberg, J., Nelson, P. D., et al. (2007). Guiding principles and recommendations for the assessment of competence. Professional Psychology: Research and Practice, 38, 441–451. https://doi.org/10.1037/0735-7028.38.5.441
Leigh, I. W., Smith, I. L., Bebeau, M. J., Lichtenberg, J. W., Nelson, P. D., Portnoy, S., Rubin, N. J., & Kaslow, N. J. (2007). Competency assessment models. Professional Psychology: Research and Practice, 38, 463–473. https://doi.org/10.1037/0735-7028.38.5.463
Miller, G. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65, 63–67. https://doi.org/10.1097/00001888-199009000-00045
Miller, J. K. (2010). Competency-based training: Objective Structured Clinical Exercise (OSCE) in marriage and family therapy. Journal of Marital and Family Therapy, 36, 320–332. https://doi.org/10.1111/j.1752-0606.2009.00143.x
Miller, J. K., Todahl, J., & Platt, J. (2010). The core competency movement in marriage and family therapy: Key considerations from other disciplines. Journal of Marital and Family Therapy, 36, 59–70. https://doi.org/10.1111/j.1752-0606.2009.00183.x
Nelson, T. S., Chenail, R. J., Alexander, J. F., Crane, D. R., Johnson, S. M., & Schwallie, L. (2007). The development of core competencies for the practice of marriage and family therapy. Journal of Marital and Family Therapy, 33, 417–438. https://doi.org/10.1111/j.1752-0606.2007.00042.x
Nelson, T. S., & Johnson, L. N. (1999). The basic skills evaluation device. Journal of Marital and Family Therapy, 25, 15–30. https://doi.org/10.1111/j.1752-0606.1999.tb01107.x
Nelson, T. S., & Smock, S. A. (2005). Challenges of an outcome-based perspective for marriage and family therapy education. Family Process, 44, 355–362. https://doi.org/10.1111/j.1545-5300.2005.00064.x
Newble, D. (2004). Techniques for measuring clinical competence: Objective structured clinical examinations. Medical Education, 38, 199–203. https://doi.org/10.1111/j.1365-2923.2004.01755.x
Northey, W. F., Jr., & Gehart, D. R. (2019). The condensed MFT core competencies: A streamlined approach for measuring student and supervisee learning using the MFT core competencies. Journal of Marital and Family Therapy, 46, 42–61. https://doi.org/10.1111/jmft.12386
Perosa, L. M., & Perosa, S. L. (2010). Assessing competencies in couples and family therapy/counseling: A call to the profession. Journal of Marital and Family Therapy, 36, 126–143. https://doi.org/10.1111/j.1752-0606.2010.00194.x
Roberts, M. C., Borden, K. A., Christiansen, M., & Lopez, S. J. (2005). Fostering a culture shift: Assessment of competence in the education and careers of professional psychologists. Professional Psychology: Research and Practice, 36, 355–361. https://doi.org/10.1037/0735-7028.36.4.355
Rodgers, K. G., & Manifold, C. (2002). 360° feedback: Possibilities for assessment of the ACGME core competencies for emergency medicine residents. Academic Emergency Medicine, 9, 1300–1304. https://doi.org/10.1197/aemj.9.11.1300
Watkins, E. C. (2012). Psychotherapy supervision in the new millenium: Competency-based, evidence-based, particularized and energized. Journal of Contemporary Psychotherapy, 42, 193–203. https://doi.org/10.1007/s10879-011-9202-4
Witheridge, A., Ferns, G., & Scott-Smith, W. (2019). Revisiting Miller’s pyramid in medical education: The gap between traditional assessment and diagnostic reasoning. International Journal of Medical Education, 10, 191–192. https://doi.org/10.5116/ijme.5d9b.0c37
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The authors would like to thank Cassidy Manton, Program Manager, Chapman University, for her assistance with making the figures.
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Lal, A., Jonathan, N. Marriage and Family Therapy Education and Training: The Development of a Competency-Based Model. Contemp Fam Ther 45, 195–206 (2023). https://doi.org/10.1007/s10591-021-09600-x
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DOI: https://doi.org/10.1007/s10591-021-09600-x