One (1) of the following is required:
Psychologist, Physician, Medical Doctors (M.D.), Doctor of Osteopathic Medicine (D.O.) Bachelor of Medicine /Bachelor of Surgery (MBBS), Mental Health Counselor, Marriage & Family Counselor, Addictions Counselor, Licensed Clinical Social Worker; Physician's Assistant, Registered Nurses, Nurse Practitioner; Occupational Therapists (OT), Physical Therapist (PT), or other similar USA or Canadian equivalent clinical licensure or credentialing. Final determination of clinical equivalence and experience relevance resides with the NADD Competency-Based Certification Program.
In combination with:
The applicant must be able to thoroughly explain and demonstrate advanced expertise in at least one competency area and a general knowledge in the remaining competency as follows:
Most disciplines, through their professional disciplinary association or governing body, have a Code of Ethics to which members are committed to follow. All applicants shall attest to following the ethical standards of their profession association as well as state, province, or national ethics and regulations. The applicants signatures in the Ethical Behavior section of the application form and in the Principles section of the application form are required and shall denote the candidates commitment to ethical behavior. Professional associations as discussed above must be recognized as an established, respected, and legitimate organization. Questions related to their standing will be determined by the NADD Competency-Based Certification Program if necessary.
Any disciplinary events, lawsuits past or pending, suspension of privileges from care facilities or professional organizations or any actions by state/province or other licensing body related to complaints or actions against a licensed individual must be reported and reviewed by the committee.
NADD has established a process for receiving complaints regarding ethical behavior of people who have received this certification. (See Complaints Against NADD-Certified Clinicians, below.)
Any intentional misrepresentations or falsehoods submitted by an applicant would be sufficient to deny certification as an unethical act.
Clinicians seeking certification are required to be members of NADD at the time they apply for certification. Continued membership in NADD is required for the duration of the NADD clinical certification. A NADD organizational membership may satisfy this requirement if the clinician is an employee of the organization which has a NADD membership. NADD is the leading North American expert in providing professionals, educators, policy makers, and families with education, training, and information on mental health issues relating to persons with intellectual or developmental disabilities. In order to stay abreast of issues involved in service delivery and remain knowledgeable about best practices in the field, a clinician would need the benefits of a NADD membership.
The application and supporting materials should be mailed to:
NADD Competency-Based Clinical Certification Program
132 Fair Street
Kingston, NY 12401
Application Check List
The following should be included in the application package:
Completed application form
Receipt of Application
When the application package is received at the NADD office, it will be reviewed to ascertain that all items in the Application Checklist have been included. The applicant will be informed of all missing or incomplete items and will be requested to provide the missing information.
Once all items have been received, the application will be deemed to be complete and will be reviewed to determine whether the applicant meets the prerequisites for certification.
Once the application has been reviewed and the applicant has been found to meet the prerequisites, the applicant will receive instructions to submit a work sample describing the assessment, diagnoses and treatment of a single person who has a dual diagnosis (IDD/MI). See Appendix C: Work Sample Guidelines. The work sample submitted should be between 5 and 7 pages in length and should concisely address these five competency areas:
Assessment of Medical Conditions
Clinical / Behavioral Assessment
Positive Behavior Supports and Effective Environment
The following components should be included in the submitted work sample:
Formulation/conceptualization of clinical problem(s)
Format for intervention
What were the goals/expected outcomes for treatment or intervention?
Other interventions that were considered and rejected, if applicable.
Why the selected intervention was chosen and why the rejected treatments were rejected, if applicable
Were there modifications or adaptations of standard treatment protocol to meet the unique needs of this individual? If so, briefly describe these modifications/adaptations.
Landmark events or salient issues that arose during the course of treatment and how these were addressed within treatment or intervention
Reflection on issues that arise within the clinical approach and/or ethical concerns and/or issues relevant to cultural competency
How the clinical approach was informed by an understanding of intellectual disability or co-occurring mental illness
Prior to submission of the work sample, the applicant should review it to verify that the submitted content includes consideration of each of above listed competencies and work sample components.
NADD will assign two examiners to review to work sample to determine whether the candidate demonstrates competency in the five areas. If the work sample is found to be acceptable, the interview will be scheduled. The examiners may require submission of additional information – including, in some cases, resubmission of the work sample – before they approve scheduling of the interview.
The final component of the certification process is an interview, which may occur in person, at a NADD conference, via web-based video conferencing, or by telephone. The applicant shall be presented with a case vignette approximately 24-48 hours before the interview, about which he or she shall be asked to verbally offer their thoughts and reflections (i.e. provide a case formulation and treatment plan). The applicant must bring a copy of the work sample submitted in support of the application for Certification and a copy of the vignette provided by NADD for the interview to the interview. The same two examiners who reviewed the work sample will participate in the interview. The interview shall also include resolution of any questions raised during other parts of the application process. Interviews will generally follow the outline below.
Discussion of applicants training and experience in dual diagnosis
Resolution of specific questions arising from application materials
Discussion of clinical case summary submitted with application. This discussion can include all the elements of the outline in Appendix C as well as:
Diagnostic process including medical rule out
Assessment approach and considerations
Psychotherapy considerations, approach, complications, and response
Positive Environment. Role of environment in clinical considerations and recommendations for changes
Discussion of case vignette presented just prior to interview
Applicant will be asked to present a case formulation
Applicant should be prepared to present a treatment plan
Respond to questions about case formulation and treatment plan
These questions can cover any of the items in the outline in Appendix C
Candidates can expect the interview to include additional topics or areas that are consistent with current practice. Some topics might include: self-determination, consumer decision-making/problem solving, person-centered planning, assessment, analog functional analysis of medication effects, etc.
Review expectations, procedure, and timetable for certification process
For both the work sample and interview, the applicants competence in each of the five competency areas (Positive Environments; Psychotherapy; Psychopharmacology; Ruling Out Medical Issues; and Assessment) will be evaluated using the following scale:
0 = No evidence of competence in this area of Best Practice
1 = Insufficient evidence of competence in this area of Best Practice
2 = Evidence of baseline competence in this area of Best Practice
3 = Evidence of a high level of competence in this area of Best Practice
Candidates are required to demonstrate at least a baseline level of knowledge (a score of at least 2) in all competency areas. In the event that the two examiners cannot agree upon whether the candidate achieved a passing score (2-3) or a failing score (0-1), the examiner from the same discipline as the candidate shall make the decision.
The candidate will receive a copy of his or her score sheets, which will provide feedback regarding perceived areas of competence.