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Certified Co-Occurring Disorders Professional Application

Certified Co-Occurring Disorders Professional Application Form

CCB Definition of a CCDP

CCB Definition of a CCDP – CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL The Connecticut Certification Board defines a CCDP - Certified Co-Occurring Disorders Professional as a person who, by virtue of special knowledge, training, and experience, is uniquely able to inform, motivate, guide, and assist persons with co-occurring addictive and mental health disorders and the unique problems related to these disorders. For the purpose of certification, a Certified Co-Occurring Disorders Professional is defined as a clinician who has demonstrated competence in performing a range of clinical activities and interventions as defined in the Job Task Analysis for Co-Occurring Disorders (2008) by the IC&RC - International Certification & Reciprocity Consortium (www.internationalcredentialing.org). In order to become certified as a CCDP a candidate must demonstrate they have completed appropriate education, training, and supervised experience relevant to the treatment of co-occurring disorders. A qualified clinician is considered to be performing as a co-occurring disorders counselor when: a. the clinician has primary responsibility for providing individual and group counseling interventions specifically related to co-occurring disorders b. the co-occurring specific interventions are identified on a written recovery/treatment plan prepared and reviewed by the clinician in collaboration with the person receiving services c. the interventions are directed toward promoting recovery from co-occurring disorders Although a substantial portion of the clinician's work experience must be in the counseling domain, work experience must involve experience with all of the performance domains in order to be considered appropriate to meet the certification work requirement. Additionally, it is recommended that all functions must be conducted under appropriate clinical supervision CCDP-D, CCS or NCCS. In all activities, the clinician must demonstrate consistent adherence to the CCB Code of Ethical Conduct (2012) & CCB Code of Ethical Conduct – Disciplinary Procedures (2012) and agree to continue their professional development with ongoing education, training and clinical supervision. Once you have submitted your application materials… you will receive written confirmation your packet has been received. After your application has been reviewed, we will notify you in writing (via email) within approximately four weeks of the deadline about the status of your application. If changes or additional information are required, you will be notified in writing at that time. We will also notify you, by email, when your application has been accepted and you will be invited to sit for the standardized exam. If you have questions about your certification packet after submitting it to us for review, or if you have not received an electronic notification after 4 weeks, please email info@ctcertboard.org for assistance. We will attempt to respond to your inquiry as soon as possible. PLEASE DO NOT CALL THE CCB OFFICE TO INQUIRE ABOUT THE STATUS OF YOUR APPLICATION. If you have questions about the certification process, please email info@ctcertboard.org for assistance. Step 1 Submit application Submit all documents Pay filing fee Step 2 CCB Staff review of file CCB Board Members review your application Step 3 Upon approval, you are invited to take the exam. Register for exam and pay fee Step 4 Upon passing exam, credential is issued CCDP is issued and effective the following month. Connecticut Certification Board, Inc. CCDP Application March 2013

Do not write above line Submission deadline: ongoing Type of Application: CCDP Certified Co-Occurring Disorders Professional – Standard (IC&RC Reciprocal) CCDP-D Certified Co-Occurring Disorders Professional – Diplomate (IC&RC Reciprocal) Full Name: Candidate’s Email: Candidate’s Phone Number: CCB Registry Number: Certified Co-Occurring Disorders Professional Application Form Effective Sept 1, 2010, all candidates must complete a CCB Registry Application prior to applying for any CCB credential. CCDP and CCDP-D Fees (All CCB Fees are Non-Refundable) Initial Certification Fees for CCDP – Certified Co-Occurring Disorders Professional Application Filing Fee $175.00 IC&RC COD Computer-based Exam $275.00 Renewal Fees for CCDP – Certified Co-Occurring Disorders Professional CCDP Annual Renewal Fee $60.00 $55.00 with active CAC CCDP Two Year Renewal Fee $115.00 $105.00 with active CAC CCDP Three Year Renewal Fee $165.00 $150.00 with active CAC CCB Fee Policy: By signing below, I acknowledge the current fees associated with the CCDP credential (listed above) and understand that all fees are non-refundable and may change at any time (for a complete list of CCB fees, please visit the CCB website). I understand that I am responsible for all fees associated with the certification process at the time of my initial application. All fees must be paid by check, credit card (see CCB website) or money order. No cash payments will be accepted. A returned check fee will be due ($35.00) for all returned checks and a hold will be placed on my application until the original and return check fees are received by the CCB. A late fee of $100 will be charged for all CCS renewal applications not received within 30 days of the due date. Candidate’s Signature: Date: Connecticut Certification Board, Inc. CCDP Application 1 March 2013

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