TX HHS Form 3260. Licensed Chemical Dependency Counselor Intern Supervision Assessment

The Licensed Chemical Dependency Counselor Intern Supervision Assessment (Form 3260) is a crucial tool for ensuring the quality of training and supervision provided to licensed chemical dependency counselor interns in Texas. This form helps solve the problem of evaluating the effectiveness of internship programs and supervisor performance, which is essential for maintaining high standards in the field.

The assessment is typically used by clinical training institutions (CTIs) and certified clinical supervisors (CCSs) to evaluate the supervision provided to LCDC-I interns under their care. The form requires information on the CTI site, CCS details, internship dates, and supervisor evaluation ratings. It also asks about the frequency of supervision and observation, as well as the intern's opinion on the quality of training received.

The completed assessment must be mailed directly to the Texas Health and Human Services Commission for Professional Licensing and Certification Unit - Clinical Training Institution (CTI) PO Box 149347, Mail Code 1982 Austin, TX 78714-9347 or emailed to [email protected]. Key points to note include:

• The form is required by Texas Administrative Code Title 26 Section 562.21(m)
• It must be completed and submitted by the LCDC-I intern
• The assessment helps evaluate supervisor performance and internship program effectiveness
• It provides a mechanism for interns to rate their training experience and provide feedback