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New Hampshire Marriage & Family Therapy — Requirements & Free Practice

US-NH · License preparation

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Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Marriage and Family Therapist

Full marriage and family therapist license under RSA 330-A:21; includes examination, endorsement, and supported subsequent licensing routes.

Licensing authority: New Hampshire Board of Mental Health Practice and Office of Professional Licensure and Certification · Application information

Licensure by endorsement / reciprocity

All of the following:

Application
Mhp 302.06 directs endorsement applicants to Mhp 302.05; submit the Universal Application, required documentation, primary-source license verification and fees under Plc 313.03 and 313.05.
Criminal history
RSA 310:17 requires the professions initial criminal history check. Plc 313.06 allows provisional practice while results are pending.
Existing license
Hold an active, non-temporary, unencumbered license in good standing from a jurisdiction with substantially similar current requirements under RSA 310:17 and Plc 313.01.
Jurisdiction education
Plc 313.37(c)(1) requires the licensing jurisdiction to require a masters or higher degree in marriage and family therapy from a program it recognizes.
Jurisdiction experience
Plc 313.37(c)(3) requires the licensing jurisdiction to require at least 2,500 postgraduate supervised hours or two full years, or 1,000 direct patient-contact hours.
Jurisprudence
Mhp 302.06 directs the applicant to the initial application process, including the jurisprudence result in Mhp 302.05(a)(13) and Mhp 311.01.
Passing national score
The licensing jurisdictions required prior passing AMFTRB national examination remains a currently offered registered examination leaf under Plc 313.37(c)(2).
Facilitated initial licensure for active military and military spouses

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Military status
Plc 304.02(a) applies to active military and military spouses not already licensed in New Hampshire or a substantially similar jurisdiction; initial application-related fees are waived except inspections and examinations. Provide proof of service and marriage when applicable.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Initial licensure by examination

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Initial reapplication after license revocation

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Revocation order
Plc 312.05 requires initial licensure, current required credentials, prior two-year continuing competence, any required criminal check, all revocation-order conditions, waiting periods, monetary penalties and imposed costs.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Initial reapplication after missed suspension restoration deadline

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Disciplinary conditions
Meet all applicable suspension-order conditions and licensing eligibility; case-specific unidentified requirements remain applicant conditions.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Missed deadline
Plc 312.04(d) requires initial licensure under Plc 304 when the former licensee misses the restoration or reinstatement period.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Reactivation after reserve military or National Guard active duty
No examination is required for this applicant pathway.
Military inactive status
The license was placed on inactive status for reserve military or National Guard active service.
Release window
Apply within one year of release from active duty using the Plc 307.07 reactivation form; pay applicable renewal fee and demonstrate current continuing competence if the underlying license term has expired.

Official no-examination sources

Effective from 2026-09-22.

Initial reapplication after license expired more than one year

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Expiration
Mhp 404.01(a) requires initial licensure under Plc 304 after more than one year of expiration, CE documentation for the license type and the fee.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Prior exam results
Previously earned results on the currently offered identified examinations remain exam leaves. Whether they must be repeated or credited is an applicant condition.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Reinstatement not more than one year after expiration
No examination is required for this applicant pathway.
Expiration
The license expired not more than one year ago.
Renewal process
Complete the Plc 308 renewal process, meet continuing competence and retain or re-obtain required non-examination credentials under Mhp 404.01(b); applicable license-type renewal limits still apply.

Official no-examination sources

Effective from 2026-09-22.

Timely restoration of an unexpired suspended license
No examination is required for this applicant pathway.
Order compliance
Demonstrate compliance with the suspension order and correction plan, required additional continuing competence and monetary penalties; no additional restoration fee applies. A case-specific unidentifiable examination or activity is a condition under that order, not an invented examination leaf.
Timing
Request restoration within 30 days after the suspension ends and before license expiration.

Official no-examination sources

Effective from 2026-09-22.

Timely reinstatement of a suspended license expired not more than one year
No examination is required for this applicant pathway.
Reinstatement
Complete Plc 312.02 reinstatement, pay application-related fees, penalties and imposed costs, and demonstrate compliance with the suspension order.
Timing
Apply within 30 days after the suspension ends and within one year after license expiration.

Official no-examination sources

Effective from 2026-09-22.

Full licensure after approved post graduate supervision

All of the following:

Application documents
Submit the Universal Application and mental-health addendum, transcripts, supervised-experience summary and supervisor confirmation, required references, and applicable fees under Mhp 302.05.
Criminal history
Submit the required criminal-record authorization and fingerprints under the RSA 330-A:15-a provision effective July 1, 2026; the applicant bears the record-check cost.
Education
RSA 330-A:21(I) permits an accredited MFT graduate degree, a regionally accredited graduate degree with an MFT concentration, or AAMFT clinical membership, or the equivalent. Mhp 306.01 describes COAMFTE degrees, post-graduate COAMFTE training, and concentration coursework.
Existing supervised status
Mhp 302.04 requires completion of approved post-graduate supervision, good character, supervisor confirmation, any previously unsubmitted Mhp 302.05 documents and the criminal history release and fingerprints.
Graduate credit
Mhp 306.02(g) permits COAMFTE graduates to use up to 100 pre-degree supervision hours and up to 500 graduate client-contact hours as stated in that provision; qualifying doctoral students may use doctoral practicum, internship and supervision experience.
Graduate practicum
Mhp 306.01(c) requires a one-year practicum or internship before completing the masters degree, 300 client-contact hours, at least half with couples and families, under an AAMFT-approved supervisor.
Jurisprudence result
Provide evidence of a passing jurisprudence score under Mhp 302.05(a)(13). The Mhp 311 examination is open book, individual, and requires at least 75 percent; failed candidates may retake until they pass.
Mladc credit
An applicant with a current MLADC license may substitute experience for up to 1,500 hours and up to 50 face-to-face supervision hours under Mhp 306.02; denial of the full statutory experience credit requires the Boards rationale and cannot rest solely on the supervisors MLADC license.
National exam permission
Mhp 306.03(b) and the Board FAQ require the Request to Sit form and Board approval before registering; the form asks about the approved supervision agreement and at least 18 months of clinical supervision.
National score submission
The national examination must have been passed before the full licensure application. The instruction sheet explains how to provide sealed PTC score evidence when the Board does not already hold it; its two-year reference is a record-location instruction, not a score expiration.
Postgraduate experience
RSA 330-A:21(III) and Mhp 306.02 require two years and 3,000 supervised hours, including 1,000 face-to-face clinical client-contact hours and 200 hours of face-to-face AAMFT-approved or approved-alternate supervision; a year is 1,500 hours over 12 to 24 consecutive calendar months.
Professional character
Provide evidence of good professional character and reliability under Mhp 302.02 and three separate professional references, at least one from a supervisor, under Mhp 302.05.
Residence
Mhp 306.01(d)-(e) requires one academic year of graduate study in residence unless the program is COAMFTE-accredited; the rule states the face-to-face instructional, advising, faculty-access and student-access criteria.
Supervision approval
Supervision in New Hampshire must be covered by an approved agreement before hours count. The supervisor assumes professional, ethical and legal responsibility. Outside supervision requires the filed contract specified by Mhp 306.02(f).
Work relationship
Independent private practice is not supervised experience; private-practice supervisees must have a W-2 rather than 1099 relationship. The supervisor cannot be a prohibited relative or have an impairing dual relationship. Alternate supervisors must meet Mhp 306.02(l).
Issuance based on certification held July 1, 1998
No examination is required for this applicant pathway.
Board initial rule
The statutory issuance direction is the defining higher-ranked authority. Mhp 311.01 otherwise states: (a) Each applicant for initial licensure shall be examined on the contents of RSA 330-A and Mental Health Practice, Mhp 100 through Mhp 500. The Board application page also states: Jurisprudence Exam required for all applicants for initial licensure, including candidates
Historic certification
RSA 330-A:33 directs issuance in the respective discipline to a marriage and family therapist certified on July 1, 1998 under former RSA 330-A; this historic certification is an applicant condition.

Official no-examination sources

Effective from 2026-09-22.

Conversion of provisional endorsement license to regular license
No examination is required for this applicant pathway.
Background result
Plc 313.06(d)(1) directs issuance of the regular license when the received background results show no grounds for denial; it specifies no additional examination for this conversion.
Provisional license
Hold the provisional license issued under Plc 313.06(c).

Official no-examination sources

Effective from 2026-09-22.

Biennial license renewal
No examination is required for this applicant pathway.
Ce waiver
Mhp 402.05 allows a timely good-cause petition and a Board-approved completion schedule of no more than one year.
Collaboration
Complete and document 40 clinical collaboration hours per two years under Mhp 403.
Continuing education
Complete 40 approved CE hours per two years: at least 30 Category A, six ethics Category A, three suicide-prevention Category A, and no more than ten Category B; Board-approved supervisors also need six clinical-supervision Category A hours.
Current license
Hold an unexpired license and submit a complete renewal application, Form 200 and fee before expiration under Mhp 401.02-.03 and Plc 308.
Penalties
Meet other applicable renewal eligibility requirements and pay assessed monetary penalties under Plc 308.02.
Workforce survey
Complete the workforce survey or exercise the statutory opt-out under Mhp 401.02(f)-(i).

Provisional Marriage and Family Therapist License

Licensure by endorsement permitting practice while required criminal background check results remain pending.

Licensing authority: New Hampshire Board of Mental Health Practice and Office of Professional Licensure and Certification · Application information

Provisional issuance by endorsement while background results are pending

All of the following:

Application
Mhp 302.06 directs endorsement applicants to Mhp 302.05; submit the Universal Application, required documentation, primary-source license verification and fees under Plc 313.03 and 313.05.
Criminal history
RSA 310:17 requires the professions initial criminal history check. Plc 313.06 allows provisional practice while results are pending.
Existing license
Hold an active, non-temporary, unencumbered license in good standing from a jurisdiction with substantially similar current requirements under RSA 310:17 and Plc 313.01.
Jurisdiction education
Plc 313.37(c)(1) requires the licensing jurisdiction to require a masters or higher degree in marriage and family therapy from a program it recognizes.
Jurisdiction experience
Plc 313.37(c)(3) requires the licensing jurisdiction to require at least 2,500 postgraduate supervised hours or two full years, or 1,000 direct patient-contact hours.
Jurisprudence
Mhp 302.06 directs the applicant to the initial application process, including the jurisprudence result in Mhp 302.05(a)(13) and Mhp 311.01.
Passing national score
The licensing jurisdictions required prior passing AMFTRB national examination remains a currently offered registered examination leaf under Plc 313.37(c)(2).
Pending check
The applicant otherwise qualifies for endorsement, but OPLC has not yet received the required NHDOS background-check results; Plc 313.06(c) authorizes practice pending those results.

Mental Health Jurisprudence Exam

Provider
Prov, Inc.
Format
Open-book question examination, taken individually without consulting others
Exam questions
35
Time limit
90 minutes
Passing score
75 percent
Examination outline
  • RSA Chapter 330-A Mental Health Practice
  • Chapter Mhp 100 Definitions, Organization and Public Information
  • Chapter Mhp 200 Practice and Procedure
  • Chapter Mhp 300 License and Registration Requirements, Applications and Fees
  • Chapter Mhp 400 License Renewal, Continuing Education, Collaboration and Reinstatement
  • Chapter Mhp 500 Ethical and Professional Standards, Responsibilities of Licensees
  • Chapter Plc 300 Licensure and Discipline of Regulated Professions
Examination sources

AMFTRB Marital and Family Therapy National Examination

Provider
Association of Marital and Family Therapy Regulatory Boards (AMFTRB); administered for AMFTRB by Professional Testing Corporation (PTC) at Prometric computer-based testing centers
Format
Computer-based examination of objective multiple-choice questions, each with four alternative answers of which only one is correct; given during a one-week testing window every month; scores on the six domains and the total examination are reported after the window closes
Exam questions
180 multiple-choice items
Time limit
4 hours total testing time
Passing score
Criterion-referenced passing score set on an anchor examination by a modified Angoff method and adjusted across forms by equating; the reported score equals the total number of correct responses
Exam fee
US $370.00 examination fee (includes testing center fees)
Examination outline
  • Domain 01 — The Practice of Systemic Therapy — Tasks related to incorporating systemic theory and perspectives into practice activities, and establishing and maintaining ongoing therapeutic relationships with the client system inclusive of diverse cultural contexts. (16%; 29 items) (16%)
    • 01.01 Conceptualize therapy consistent with the philosophical perspectives of systemic theory.
    • 01.02 Maintain consistency between systemic theory and clinical practice.
    • 01.03 Integrate individual treatment approaches with systemic treatment approaches.
    • 01.04 Integrate multiple dimensions of diversity and social justice theories with systemic treatment approaches.
    • 01.05 Use a systemic perspective to co-create a safe, inclusive, and non-judgmental space.
    • 01.06 Use a systemic perspective to co-create a therapeutic relationship with the client system.
    • 01.07 Use a systemic perspective to understand the complexities inherent in therapeutic interactions (e.g., family homeostasis, self of the therapist).
  • Domain 02 — Assessing, Hypothesizing, and Diagnosing — Tasks related to assessing and conceptualizing the various dimensions of the client system inclusive of diverse cultural contexts, including forming and reformulating systemic hypotheses and diagnosing the client system to guide therapeutic activities and interventions, including use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
    • 02.01 Assess the client system’s verbal and non-verbal communication styles to develop hypotheses about relationship patterns, perceptions, and responses to the reciprocal influence of relational patterns and the presenting issues.
    • 02.02 Assess the mental status of clients.
    • 02.03 Assess historic and current self-injurious behavior, suicidal ideation and intent, and/or homicidal ideation and intent.
    • 02.04 Identify and assess behavioral dynamics, processes, and interactional patterns (e.g., boundaries, roles, rules, alliances, coalitions, and hierarchies) within the client system to determine systemic functioning.
    • 02.05 Formulate and continually assess hypotheses regarding the client system that consider and incorporate diverse contexts.
    • 02.06 Assess appropriateness of potential treatment and therapeutic delivery modalities for the client system.
    • 02.07 Assess environmental factors (e.g., discrimination, gang violence, migration) affecting the client system.
    • 02.08 Assess the client system’s levels of economic, social, emotional, physical, spiritual, and cognitive functioning.
    • 02.09 Assess historic and current effects of substance use disorders on the functioning of the client system.
    • 02.10 Assess historic and current effects of violence or trauma, including vicarious trauma, on the client system.
    • 02.11 Assess historic and current effects of childhood experiences and traumas on the client system.
    • 02.12 Assess historic and current effects of impact of process use disorders (e.g., gambling, internet use, technology use, shopping) on functioning of the client system.
    • 02.13 Assess historic and current effects of sexual functioning on the client system.
    • 02.14 Assess how the developmental and family life cycle stages of the client system impact problem formation, maintenance, and resolution.
    • 02.15 Assess strengths, resources, coping skills, and resilience within and available to the client system.
    • 02.16 Select, administer, review, and/or interpret results of standardized instruments within the therapist’s training, competence, and scope of practice.
    • 02.17 Assess and diagnose clients in accordance with current DSM and ICD diagnostic criteria while maintaining a systems perspective.
    • 02.18 Formulate treatment hypotheses that integrate systemic perspectives, assessment inventories, and diagnostic impressions.
    • 02.19 Assess effects of occupational issues on the client system (e.g., military personnel, workers in geographically dispersed locations, first responders).
    • 02.20 Collaborate with the client system to determine need for evaluation by other professional and community systems.
    • 02.21 Collaborate with professional and community systems as appropriate in making diagnoses and establishing treatment priorities.
    • 02.22 Collaborate with the client system to refer as appropriate based on diagnoses and treatment priorities.
  • Domain 03 — Designing and Conducting Treatment — Tasks related to developing and implementing a course of culturally responsive treatment with the client system, including identifying possible therapeutic models, implementing associated interventions, and treatment planning, including use of artificial intelligence (AI) as appropriate. (17%; 30 items) (17%)
    • 03.01 Evaluate and maintain a quality therapeutic alliance with the client system.
    • 03.02 Establish therapeutic contracts.
    • 03.03 Utilize assessment information to develop a treatment plan that reflects a contextual understanding of the presenting issue.
    • 03.04 Determine relevant short-term goals, long-term goals and objectives for treatment, as well as criteria for successful completion of treatment.
    • 03.05 Identify the client system’s previous and current attempts to resolve the presenting issues.
    • 03.06 Identify members of client and collateral systems involved in resolving issues.
    • 03.07 Develop and monitor ongoing safety plan to address identified safety risks for the client in all therapeutic delivery contexts.
    • 03.08 Engage in therapeutic interventions based on theory and current research and a shared contextual understanding of the client system and presenting issues.
    • 03.09 Clarify with the client system the rationale for selecting therapeutic interventions as appropriate.
    • 03.10 Collaborate with the client system to determine sequence of treatment and identify which members will be involved.
    • 03.11 Develop and monitor recovery-oriented systemic care for treatment of substance use disorders.
    • 03.12 Use genograms and/or family mapping as therapeutic interventions as indicated.
    • 03.13 Facilitate client system change through restructuring and reorganization.
    • 03.14 Collaborate with the client system to identify and explore competing priorities of client issues to be addressed in treatment.
    • 03.15 Assist the client system in developing decision-making, coping, and effective verbal and non-verbal communication skills in their relational contexts.
    • 03.16 Attend to the homeostatic process and its impact on the client system’s ability to attain therapeutic goals.
    • 03.17 Assist the client system in developing alternative perspectives of the presenting issues to facilitate solutions.
    • 03.18 Influence client behavior and perceptions through use of metaphor, rewriting narratives, mindfulness, etc.
    • 03.19 Integrate cultural, spiritual, social, intellectual, and biological characteristics and strengths of the client system when devising effective treatment strategies.
    • 03.20 Recognize and support client autonomy when devising effective treatment strategies.
    • 03.21 Maintain awareness of common side effects of medications, monitor client system for these within the boundaries of professional competence, and coordinate care with any relevant prescribers.
    • 03.22 Adapt therapeutic stance and interventions to accommodate the process and structure of all therapeutic delivery modalities.
  • Domain 04 — Evaluating Ongoing Process and Terminating Treatment — Tasks related to continuously evaluating the therapeutic process, incorporating feedback into the course of treatment, and planning for termination, inclusive of different cultural contexts and use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
    • 04.01 Use theory and current research in the ongoing evaluation of process, outcomes, and termination.
    • 04.02 Evaluate the progress of therapy in collaboration with client and collateral systems as indicated.
    • 04.03 Modify treatment plan in collaboration with client and collateral systems as indicated.
    • 04.04 Continually evaluate client system appropriateness for all therapeutic delivery modalities.
    • 04.05 Develop a termination plan in collaboration with the client and collateral systems to maintain therapeutic gains after treatment has ended.
    • 04.06 Terminate therapeutic relationship in a professional and culturally responsive manner.
  • Domain 05 — Managing Crisis Situations — Tasks related to assessing and managing emergency situations, inclusive of different cultural contexts, and intervening when clinically indicated and/or legally mandated. (16%; 29 items) (16%)
    • 05.01 Assess impairment in the client system during crisis situations to determine if and what immediate interventions may be needed.
    • 05.02 Assess for presence of suicidal ideation and determine the level of intervention.
    • 05.03 Assess for risk of violence toward the client from others to determine the need for intervention.
    • 05.04 Assess the client’s potential for self-injurious behavior to determine level of intervention.
    • 05.05 Assess the client’s potential for violence or harm toward others, including the therapist, to determine level of intervention.
    • 05.06 Assess risk of violence toward therapist from sources outside of the client system and develop a safety plan.
    • 05.07 Assess impact of community-level crisis on client system and develop interventions as they pertain to that crisis.
    • 05.08 Assess the impact of client system’s trauma history and other relevant contextual factors on current crisis.
    • 05.09 Collaborate with other relevant stakeholders in managing client system’s crisis.
    • 05.10 Respond to emerging crisis as appropriate to the therapeutic delivery modality and use relevant crisis resources.
  • Domain 06 — Maintaining Ethical, Legal, and Professional Standards — Tasks related to ongoing adherence to legal and ethical codes and treatment agreements, maintaining culturally responsive competency, upholding professional standards, and utilizing artificial intelligence (AI) in clinical practice. (19%; 34 items) (19%)
    • 06.01 Demonstrate professional responsibility and competence regarding legal issues and regulations across therapeutic delivery modalities, including use of artificial intelligence (AI).
    • 06.02 Compare agency and employment policies with relevant ethics code, statutes, case law, and regulations and privilege the higher standard.
    • 06.03 Integrate current ethical codes of licensing boards, relevant professional organizations, and associations into appropriate professional practice.
    • 06.04 Adhere to relevant business laws related to clinical practice (e.g., Stark Law, Anti-Kickback Statute, False Claims Act, etc.)
    • 06.05 Practice within therapist’s scope of competence.
    • 06.06 Maintain awareness of and effectively manage how the therapist’s personal issues, life experiences, values and morals, and previous trauma impact the therapeutic process.
    • 06.07 Maintain awareness of and effectively manage how the supervisors’ personal issues, life experiences, values and morals, and previous trauma influence the supervisory process
    • 06.08 Adhere to treatment agreements with client systems and respect the rights of clients.
    • 06.09 Provide the client system with written professional disclosures regarding fees, credentials, reporting complaints, confidentiality, privileged communication, and providing technologically assisted services, including use of artificial intelligence (AI), etc.
    • 06.10 Confirm the client system’s identities, locations, and safety levels at the beginning of each teletherapy session.
    • 06.11 Monitor and mitigate risk for potential exploitation of the client system by the therapist.
    • 06.12 Consult with colleagues and other professionals as necessary regarding ethical and legal issues, and document these consultations.
    • 06.13 Respect the roles and responsibilities of other professionals involved in the client system’s treatment process as they relate to ethical and legal issues.
    • 06.14 Maintain accurate and timely records including long-term safe and confidential storage and plan record transfer and/or disposal within timeframes specified by current statutes.
    • 06.15 Adhere to ethical and regulatory guidelines for engaging in the supervisor-supervisee relationship across modalities.
Examination sources