NATURAL MEDICINE LICENSURE RULES AND REGULATIONS
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Code of Colorado Regulations › 700 Department of Regulatory Agencies › 755 Division of Professions and Occupations - Office of Natural Medicine Licensure › 4 CCR 755-1
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DEPARTMENT OF REGULATORY AGENCIES
Office of Natural Medicine Licensure
NATURAL MEDICINE LICENSURE RULES AND REGULATIONS
4 CCR 755-1
[Editor’s Notes follow the text of the rules at the end of this CCR Document.]
_________________________________________________________________________
1:
GENERAL
1.1
Authority
These rules and regulations are adopted pursuant to the authority in sections 12-20-204 and 12-170-
105(1)(a), C.R.S., and are intended to be consistent with the requirements of the State Administrative
Procedure Act, sections 24-4-101, et seq., C.R.S. (the “APA”), and the Natural Medicine Health Act of
2022 at sections 12-170-101, et seq. and 44-50-101, et seq., C.R.S. (the “Practice Act”).
1.2
Scope and Purpose
These rules and regulations shall govern the process to become licensed as a facilitator, to identify the
requirements for approval of training programs for facilitators, and to identify the course content for
training programs for facilitators in Colorado.
1.3
Applicability
These regulations are applicable to the requirements for obtaining and maintaining a license as a
facilitator, for the practice of natural medicine facilitation, and for approval of educational programs in
Colorado.
1.4
Definitions
“Administration session” means a session conducted at a healing center, or another location as permitted
by this article 170 and article 50 of title 44, during which a participant consumes and experiences the
effects of regulated natural medicine or regulated natural medicine product under the supervision of a
facilitator.
“Adverse Health Event” means any untoward and unexpected health condition or medical occurrence
associated with the use of natural medicine or natural medicine product. An adverse event or suspected
adverse reaction is considered “life-threatening” if its occurrence places the participant at immediate risk
of death. It does not include an adverse event or suspected adverse reaction that, had it occurred in a
more severe form, might have caused death
ted health condition or medical occurrence
associated with the use of natural medicine or natural medicine product. An adverse event or suspected
adverse reaction is considered “life-threatening” if its occurrence places the participant at immediate risk
of death. It does not include an adverse event or suspected adverse reaction that, had it occurred in a
more severe form, might have caused death. An adverse event or suspected adverse reaction is
considered “serious” if it results in any of the following outcomes: Death, a life-threatening adverse event,
inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or
substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect.
Important medical events that may not result in death, be life-threatening, or require hospitalization may
be considered serious when, based upon appropriate medical judgment, they may jeopardize the patient
or subject and may require medical or surgical intervention to prevent one of the outcomes listed in this
definition.
“Approved Facilitator Training Program” means a program of study which the Director has determined
meets the minimum requirements of the curriculum mandated by DORA in section 4 of these Rules.
Code of Colorado Regulations
Secretary of State
State of Colorado
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ion to prevent one of the outcomes listed in this
definition.
“Approved Facilitator Training Program” means a program of study which the Director has determined
meets the minimum requirements of the curriculum mandated by DORA in section 4 of these Rules.
Code of Colorado Regulations
Secretary of State
State of Colorado
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“Consultant” means an individual who is licensed as a natural medicine facilitator utilizing psilocybin with
one (1) year of experience facilitating natural medicine services, regardless of whether the experience
was licensed or not. An individual who in the last five years, has two hundred hours of experience
facilitating natural medicine services using psilocybin, but does not hold licensure anywhere, may also
serve as a consultant.
“Financial Interest” means entitlement or agreement to receive a portion of revenue, proceeds or profits
from a Natural Medicine Business or a Natural Medicine Business Applicant; or a membership interest,
partnership interest or other ownership interest, including but not limited to a share of stock, in a Natural
Medicine Business.
“Integration session” means a meeting between a participant and facilitator that occurs after the
completion of an administration session.
“Natural Medicine Business” means any of the following entities licensed pursuant to Article 50 of Title 44:
A natural medicine healing center, a natural medicine cultivation facility, a natural medicine products
manufacturer, a natural medicine testing facility, or another licensed entity created by the state licensing
authority.
“Natural Medicine Harm Reduction” is defined as a set of practical strategies and actions aimed at
reducing negative consequences to physical, mental or social well-being associated with the use of
natural medicines. The provision of services that constitute natural medicine facilitation, including those
services performed during an administration session, are not harm reduction services
uthority.
“Natural Medicine Harm Reduction” is defined as a set of practical strategies and actions aimed at
reducing negative consequences to physical, mental or social well-being associated with the use of
natural medicines. The provision of services that constitute natural medicine facilitation, including those
services performed during an administration session, are not harm reduction services.
“Natural Medicine Services” means a preparation session, administration session, and integration session
provided pursuant to Article 170 of Title 12, C.R.S.
“Preparation session” means a meeting between a participant and facilitator that occurs before an
administration session. “Preparation session” does not mean an initial consultation, an inquiry, or a
response about natural medicine services.
Supportive touch” means physical touch between a facilitator and a participant during the provision of
Natural Medicine Services, and includes placing of hands on a participant’s hands, feet, or shoulders
during an administration session. Participants may consent to the use of supportive touch with other
participants, including additional participants, additional facilitators, healing center staff, and non-
participant individuals specifically named in the physical touch contract and discussed with the participant
prior to an administrative session. Supportive touch must always be consented to by a participant prior to
the administration session, regardless of the individual providing the supportive touch, and must be
documented in the physical touch contract. Under no circumstance may supportive touch be used on any
body part other than hands, feet, or shoulders, or be sexual in nature.
2:
LICENSURE
A.
Basis and Purpose
Section 2 of these Rules are intended to establish requirements for licensure as Facilitator,
Clinical Facilitator, Distinguished Educator, and Training licensees.
B.
Authority
Section 2 of these Rules are adopted pursuant to the authority in sections 12-20-204, 12-170-
105(1)(a), and 24-4-103, C.R.S.
t other than hands, feet, or shoulders, or be sexual in nature.
2:
LICENSURE
A.
Basis and Purpose
Section 2 of these Rules are intended to establish requirements for licensure as Facilitator,
Clinical Facilitator, Distinguished Educator, and Training licensees.
B.
Authority
Section 2 of these Rules are adopted pursuant to the authority in sections 12-20-204, 12-170-
105(1)(a), and 24-4-103, C.R.S.
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2.1
General Requirements for All Applicants
A.
General Provisions. To be eligible to apply for any Facilitator license, an applicant must:
1.
Be over the age of 21;
2.
Provide proof of Basic Life Support or equivalent certification;
3.
Submit a complete application, in a manner approved by the Director; and
4.
Pay the application fee.
B.
In evaluating applications, the Director will assess applicants who have been convicted of felony
offenses against persons or property, or those felony offenses involving fraud, dishonesty, moral
turpitude, domestic violence, child/elder abuse, drug diversion of any controlled substance other
than those drugs defined as “natural medicine”, or drug diversion involving “natural medicine”
after November 30, 2022 consistently with the rehabilitation principles identified in sections 12-20-
205 and 24-5-101, C.R.S. The Director will disregard any convictions that are barred from
consideration by sections 12-20-404 and 12-30-121, C.R.S. . Examples of felony crimes that
must be reported on an application include, but are not limited to, those felonies identified in
Articles 3, 3.5, 4, 5, 6, 6.5, and 7 of Title 18 of the Colorado Revised Statutes and section 18-18-
405, C.R.S. Convictions of corresponding felony offenses in another state or jurisdiction must be
disclosed in applications.
C.
The applicant bears the burden of proof to establish that they are qualified for licensure.
D.
Any application not completed within one year of the date of receipt of the original application
expires and will be purged.
E
f the Colorado Revised Statutes and section 18-18-
405, C.R.S. Convictions of corresponding felony offenses in another state or jurisdiction must be
disclosed in applications.
C.
The applicant bears the burden of proof to establish that they are qualified for licensure.
D.
Any application not completed within one year of the date of receipt of the original application
expires and will be purged.
E.
Application fees will not be refunded.
F.
Review of Applications.
1.
The Director will review all applications and may request additional information, including
verifications, if necessary. Upon review of a complete application, the Director may:
a.
Approve the application and issue the appropriate license type;
b.
Request the applicant take certain coursework on subjects that the applicant has
not demonstrated competency for; or
c.
Deny the application for licensure.
2.
If the Director authorizes licensure subject to conditions, and an applicant rejects the
conditional terms, the offer for conditional licensure shall be deemed a denial of
application.
3.
The Director may deny an application if the applicant:
a.
Lacks the requisite substantially equivalent education, experience, or credentials
for certification;
b.
Has committed an act that would be grounds for disciplinary action under Article
170 of Title 12, C.R.S.; or
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c.
Has a pending disciplinary investigation or action in another jurisdiction.
4.
If the Director denies an application, the applicant has 60 days to request a hearing on
the denial. If requested, the Director will file a notice of denial with the office of
administrative courts to adjudicate the merits of the denial, in accordance with section 24-
4-105, C.R.S.
5.
The Director may authorize an applicant to withdraw their application and waive the
applicant’s right to a hearing, if requested by the applicant.
G.
Education, Training, or Service Gained During Military Service
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If requested, the Director will file a notice of denial with the office of
administrative courts to adjudicate the merits of the denial, in accordance with section 24-
4-105, C.R.S.
5.
The Director may authorize an applicant to withdraw their application and waive the
applicant’s right to a hearing, if requested by the applicant.
G.
Education, Training, or Service Gained During Military Service
1.
Basis: The authority for promulgation of these rules and regulations by the Director is set
forth in sections 12-20-202, 12-20-204, 12-170-105(1)(a)(IV), and 24-4-201 et seq.,
C.R.S.
2.
Purpose: The following rules and regulations have been adopted by the Director to
implement the requirements set forth in section 12-20-202(4), C.R.S., and to otherwise
streamline licensure for applicants with relevant military education, training, or
experience, pursuant to section 24-4-201, et seq., C.R.S.
3.
Credit for Military Education, Training, or Experience
a.
An applicant for licensure may submit information about the applicant’s
education, training, or experience acquired during military service. It is the
applicant’s responsibility to provide timely and complete information for the
Board’s review.
b.
In order to meet the requirements for licensure, such education, training, or
experience must be substantially equivalent to the required qualifications that are
otherwise applicable at the time the application is received by the Director.
c.
The Director will determine, on a case-by-case basis, whether the applicant’s
military education, training, or experience meet the requirements for licensure.
d.
Documentation of military experience, education, or training may include, but is
not limited to, the applicant’s Certificate of Release or Discharge from Active
Duty (DD-214), Verification of Military Experience and Training (DD-2586),
military transcript, training records, evaluation reports, or letters from
commanding officers describing the applicant’s practice.
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requirements for licensure.
d.
Documentation of military experience, education, or training may include, but is
not limited to, the applicant’s Certificate of Release or Discharge from Active
Duty (DD-214), Verification of Military Experience and Training (DD-2586),
military transcript, training records, evaluation reports, or letters from
commanding officers describing the applicant’s practice.
4.
Military Experience as Demonstration of Continued Competency for Licensees
a.
The practice of facilitation while an applicant is on active military duty shall be
credited towards the requirements for demonstrating continued competency for
facilitator licensure, reinstatement, or reactivation of a license.
b.
Applicants with relevant military experience must otherwise comply with statutory
requirements and the processes and requirements of Rule 2.1.
H.
Healing Center Affiliation
1.
Healing centers are licensed by the Department of Revenue and are governed by the
provisions of section 44-50-101 et seq., C.R.S. and the implementing rules adopted by
the Department of Revenue.
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2.
The license types of Facilitator and Clinical Facilitator are both considered to be full-
scope license types and may practice facilitation in Colorado independently.
3.
Distinguished Educator licensees and Student Facilitator licensees do not possess full-
scope licensure, and cannot practice independently.
2.2
Facilitator: Original Licensure
A.
Scope of Practice
1.
An individual holding a Facilitator license is authorized independently to provide natural
medicine services to those participants for whom a safety screen demonstrating generally
accepted standards of practice does not identify risk factors suggesting a need for
involvement of a medical or behavioral health provider
actice independently.
2.2
Facilitator: Original Licensure
A.
Scope of Practice
1.
An individual holding a Facilitator license is authorized independently to provide natural
medicine services to those participants for whom a safety screen demonstrating generally
accepted standards of practice does not identify risk factors suggesting a need for
involvement of a medical or behavioral health provider. Without further action as outlined
in this Rule 2.2, a facilitator may not independently provide natural medicine services to
participants if the safety screen identifies risk factors that suggest the need for
involvement of a medical or behavioral health provider. This limitation does not apply to
participants whose conditions are in remission.
2.
Individuals holding licensure or authorization to practice a profession that does not
diagnose and treat medical or behavioral health conditions may become licensed as a
Facilitator licensee. An individual who holds licensure or authorization to practice a
profession which is otherwise inconsistent with the practice limitations of facilitation may
become licensed as a facilitator. In addition, indigenous and religious practitioners who
choose to engage in the regulated practice of facilitation and who do not otherwise qualify
for licensure as a Clinical Facilitator, may apply for a Facilitator license.
a.
The scope of facilitation includes supportive touch. Any secondary profession or
licensure which includes touch beyond that described as “supportive touch” in
Rule 6.6 may not be practiced concurrently during the provision of natural
medicine services by a facilitator.
3.
Applicants need not hold any secondary licensure. Individuals who have successfully
completed an Approved Training Program and hold such certification, and who meet the
general requirements for applicants in Rule 2.1, are eligible to apply for a Facilitator
license.
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portive touch” in
Rule 6.6 may not be practiced concurrently during the provision of natural
medicine services by a facilitator.
3.
Applicants need not hold any secondary licensure. Individuals who have successfully
completed an Approved Training Program and hold such certification, and who meet the
general requirements for applicants in Rule 2.1, are eligible to apply for a Facilitator
license.
4.
A Facilitator licensee may not independently engage in the “practice of medicine,” as
defined by section 12-240-107, C.R.S., in conjunction with the administration of natural
medicine.
5.
A Facilitator licensee may not independently practice “psychotherapy,” as defined by
section 12-245-202(14), C.R.S., in conjunction with the administration of natural
medicine.
6.
Facilitator licensees may not provide natural medicine services to participants who are
taking lithium or antipsychotic medications.
7.
A Facilitator licensee may only provide natural medicine services to participants with risk
factors as referred to in paragraphs 2.2(A)(1) or those who are taking the medications
identified in paragraph 2.2(A)(6), if one of the following conditions has been met:
a.
The participant has received a referral for natural medicine services from a
licensed medical or behavioral health provider (a physician (MD or DO), an
advance practice nurse (APN), a physician assistant (PA), or a clinical facilitator),
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ntified in paragraph 2.2(A)(6), if one of the following conditions has been met:
a.
The participant has received a referral for natural medicine services from a
licensed medical or behavioral health provider (a physician (MD or DO), an
advance practice nurse (APN), a physician assistant (PA), or a clinical facilitator),
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b.
The participant has been provided medical clearance by the participant’s medical
or behavioral health provider, or
c.
The participant has engaged in consultation and risk review with a medical or
behavioral health provider. The provider may be licensed in Colorado or in the
participant’s state of residence, but must be licensed to diagnose and treat the
participant’s physical or behavioral health condition(s) identified as a risk factor(s)
by the safety screening. If applicable, the Facilitator must document and maintain
reasonable evidence of such consultation and risk review, and if the consultation
and risk review identifies heightened risk associated with a specific condition, the
participant must work with the Facilitator to develop a safety plan, informed by
the consultation and risk review, and provide written informed consent to work
with the Facilitator.
8.
A Facilitator may decline to provide Natural Medicine Services to a participant for any
health or safety reason.
9.
A Facilitator licensee must inform a prospective participant, in writing, that any
prospective participant who is taking a psychotropic medication identified as a risk factor
on the safety screen must meet one of the conditions outlined by Rule 2.2(A)(7). If the
consultation and risk review identify heightened risk associated with a specific
medication, the participant must work with the Facilitator to develop a safety plan,
informed by the medical consultation and review, and provide written informed consent to
work with the Facilitator.
B.
License Requirements and Qualifications
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screen must meet one of the conditions outlined by Rule 2.2(A)(7). If the
consultation and risk review identify heightened risk associated with a specific
medication, the participant must work with the Facilitator to develop a safety plan,
informed by the medical consultation and review, and provide written informed consent to
work with the Facilitator.
B.
License Requirements and Qualifications
1.
In addition to the general requirements for licensure identified in paragraph 2.1, to obtain
a Facilitator license, an applicant must successfully complete:
a.
An Approved Facilitator Training Program that includes, at a minimum, the
curriculum mandated by the Director (see education requirements in Rule 4);
b.
40 hours of supervised practicum training in the facilitation of natural medicine;
and
c.
40 hours of consultation.
2.
In the alternative, an applicant may demonstrate to the Director that they are eligible for
licensure through completion of accelerated training pursuant to Rule 2.4.
3.
Applicants must apply to renew their license prior to expiration.
2.3
Facilitator: Endorsement via Occupational Credential Portability Program
A.
Pursuant to the Occupational Credential Portability Program under section 12-20-202(3), C.R.S.,
an applicant may apply for licensure as a Facilitator by endorsement in Colorado if the applicant
is currently certified or otherwise licensed in good standing in another state or US territory or
through the federal government, or holds a military occupational specialty, as defined in section
24-4-201, C.R.S., meets the general requirements for licensure set forth in Rule 2.1, and has
submitted satisfactory proof under penalty of perjury that the applicant has either:
1.
Education, experience, or credentials that are substantially equivalent to those required
by Article 170 of Title 12, C.R.S.; or
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in section
24-4-201, C.R.S., meets the general requirements for licensure set forth in Rule 2.1, and has
submitted satisfactory proof under penalty of perjury that the applicant has either:
1.
Education, experience, or credentials that are substantially equivalent to those required
by Article 170 of Title 12, C.R.S.; or
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2.
Has held for at least one year a current and valid license as a Facilitator in a jurisdiction
with a scope of practice that is substantially similar to the scope of practice for Facilitator
licensees as specified in Article 170 of Title 12, C.R.S., and these rules.
2.4
Facilitator: Licensure via Accelerated Training (for Legacy Healers)
A.
Applicants who are former legacy healers, and who do not hold a license or other credential to
practice facilitation, may apply for licensure through an accelerated training pathway. In addition
to the general requirements for licensure set forth in Rule 2.1, all applicants must demonstrate
that:
1.
The applicant has substantially equivalent education, experience, or credentials that are
required by Article 170 of Title 12, C.R.S., which experience includes facilitation for at
least 40 participants; with at least 200 hours of experience conducting administration
sessions; and occurring over a period of at least two years;
2.
The applicant has not committed an act that would be grounds for disciplinary action
under Article 170 of Title 12, C.R.S.;
3.
The applicant has submitted an application on the current Director approved form and
has paid the application fee.
4.
The applicant has demonstrated completion of Basic Life Support certification or
equivalent.
5.
The applicant has demonstrated successful completion of the 25-hour
module/educational coursework on Ethics and Colorado Natural Medicine Rules and
Regulations, set forth in Rule 2.6 (D)(5).
6.
In their discretion, the Director will consider all supporting information in their
determination of applications
applicant has demonstrated completion of Basic Life Support certification or
equivalent.
5.
The applicant has demonstrated successful completion of the 25-hour
module/educational coursework on Ethics and Colorado Natural Medicine Rules and
Regulations, set forth in Rule 2.6 (D)(5).
6.
In their discretion, the Director will consider all supporting information in their
determination of applications.
2.5
Clinical Facilitator: Original Licensure
A.
Scope of Practice
1.
Clinical Facilitator licensees may provide natural medicine services to participants for the
purpose of treating physical or behavioral/mental health conditions. A Clinical Facilitator
licensee must hold current and active Colorado licensure in a profession that authorizes
them to diagnose and treat physical or behavioral/mental health conditions.
2.
A Clinical Facilitator licensee shall utilize a safety screen meeting generally accepted
standards of practice. A Clinical Facilitator may only treat medical or behavioral health
conditions that are appropriately treated within the scope of their secondary (non-
facilitation) license. No licensee is authorized to practice outside of or beyond their area
of training, experience, competence, or secondary (non-facilitation) licensure. A Clinical
Facilitator who does not manage or treat a participant’s physical or mental condition
(including conditions such as cardiovascular disease, uncontrolled hypertension,
diseases of the liver, seizure disorders, severe chronic medical illness, or terminal illness)
must contact the participant’s treating provider prior to providing natural medicine
services unless good cause exists. Clinical Facilitator Licensees who do not prescribe
lithium or antipsychotic medications within the scope of their secondary license may not
independently provide natural medicine services to participants who are taking such
medications, without clearance from, or a consultation and risk review with a medical or
behavioral health provider practicing within their scope of practice.
od cause exists. Clinical Facilitator Licensees who do not prescribe
lithium or antipsychotic medications within the scope of their secondary license may not
independently provide natural medicine services to participants who are taking such
medications, without clearance from, or a consultation and risk review with a medical or
behavioral health provider practicing within their scope of practice.
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3.
Nothing in this rule prevents a Clinical Facilitator from providing natural medicine services
to a participant with risk factors identified in the safety screen required by Rule 2.5(A)(2)
that fall outside of the Clinical Facilitator’s scope of practice for their secondary license,
provided the participant has received a referral for natural medicine services by the
participant’s treating medical or behavioral health provider, or has engaged in
consultation and risk review with a medical or behavioral health provider. The
participant’s provider may be licensed in Colorado or in the participant’s state of
residence, but must be licensed to diagnose and treat the participant’s physical or
behavioral health condition(s)identified as risk factor(s) by a safety screen. If applicable,
the Clinical Facilitator must document and maintain reasonable evidence of such
consultation and risk review, and if the consultation and risk review identifies heightened
risk associated with a specific condition, the participant must work with the Clinical
Facilitator to develop a safety plan, informed by the consultation and risk review, and
provide written informed consent to work with the Clinical Facilitator. A Clinical Facilitator
may decline to provide Natural Medicine Services to a participant for any health or safety
reason.
4.
When clinically appropriate, Clinical Facilitator licensees may advise and collaborate with
Facilitator Licensees to provide natural medicine services for participants with physical or
behavioral health risk factors.
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informed consent to work with the Clinical Facilitator. A Clinical Facilitator
may decline to provide Natural Medicine Services to a participant for any health or safety
reason.
4.
When clinically appropriate, Clinical Facilitator licensees may advise and collaborate with
Facilitator Licensees to provide natural medicine services for participants with physical or
behavioral health risk factors.
5.
To the extent that a Clinical Facilitator licensee provides facilitation services to
participants that also include services within the scope of practice of their secondary
license, the Director recommends that any evaluation of the licensee’s performance of
services be assessed first within the context of generally accepted standards of practice
for facilitation of natural medicine services.
B.
Status of Secondary License for Clinical Facilitator Licensees
1.
If an individual holds a Clinical Facilitator license and a license issued by the Colorado
Medical Board, the State Board of Nursing, or Mental Health Boards (secondary license),
and the individual allows their secondary license to expire, or if the secondary license is
inactivated, the Clinical Facilitator licensee may no longer practice as a Clinical Facilitator
and may not endorse themselves as such.
2.
Any Clinical Facilitator licensee whose secondary license is restricted, revoked,
suspended, or otherwise limited must report the disciplinary action to the Director within
30 days.
C.
Applications
1.
To obtain a Clinical Facilitator license, an applicant must demonstrate:
a.
The applicant holds an active and valid license in Colorado to practice any of the
following:
(1)
(PSY) Psychologist, (LSW) Licensed Social Worker, (LCSW) Licensed
Clinical Social Worker, (LMFT) Licensed Marriage and Family Therapist,
(LPC) Licensed Professional Counselor, or (LAC) Licensed Addiction
Counselor; or
tions
1.
To obtain a Clinical Facilitator license, an applicant must demonstrate:
a.
The applicant holds an active and valid license in Colorado to practice any of the
following:
(1)
(PSY) Psychologist, (LSW) Licensed Social Worker, (LCSW) Licensed
Clinical Social Worker, (LMFT) Licensed Marriage and Family Therapist,
(LPC) Licensed Professional Counselor, or (LAC) Licensed Addiction
Counselor; or
(2)
Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), advanced
practice nurse (APN), including Nurse Practitioner (NP), or Physician
Assistant (PA).
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b.
Successful completion of a DORA Approved Facilitator Training Program, as set
out in Rule 4, including 150 hours of didactic instruction, 40 hours of supervised
practicum training in the facilitation of natural medicine, and 40 hours of
consultation; and
c.
The applicant meets the general requirements set forth in Rule 2.1.
D.
Applicants must apply for renewal of license prior to expiration.
E.
Alternative Educational Programs.
1.
The Director may consider submission of successful completion of alternative educational
programs or coursework in lieu of completion of the requirements set forth in the rules
setting forth the required components for an Approved Facilitator Training Program. An
applicant may petition the Director to consider such alternate educational coursework at
the time of application, with submission of transcripts and any other descriptive course
details as requested by the Director.
2.6
Clinical Facilitator: Accelerated Licensure
A.
Applicants who hold secondary licensure as a medical or mental health licensee, as defined in
Rule 2.5(C)(1), may meet certain requirements of the Facilitator educational curriculum through
their secondary licensure education.
B
me of application, with submission of transcripts and any other descriptive course
details as requested by the Director.
2.6
Clinical Facilitator: Accelerated Licensure
A.
Applicants who hold secondary licensure as a medical or mental health licensee, as defined in
Rule 2.5(C)(1), may meet certain requirements of the Facilitator educational curriculum through
their secondary licensure education.
B.
An applicant for a Clinical Facilitator license may petition the Director to consider any of their
educational coursework and practice undertaken in the secondary field as substantially equivalent
education or training, in lieu of completion of certain portions of an Approved Facilitator Training
Program.
C.
The burden is on the applicant to demonstrate that their educational coursework and practice in
their secondary field is substantially equivalent to the educational requirements of an Approved
Facilitator Training Program.
D.
An applicant’s complete application must include:
1.
All of the general requirements set out in Rule 2.1;
2.
Either successful completion of the didactic coursework from an Approved Facilitator
Training Program or submission of successful completion of alternative coursework that
is substantially equivalent;
3.
40 hours of supervised practicum training in the facilitation of natural medicine;
4.
40 hours of consultation; and
5.
A 25 hour module on Ethics and Colorado Natural Medicine, including education on:
a.
Colorado’s Facilitator Code of Ethics;
b.
Ethical considerations relating to equity, privilege, bias and power;
c.
Awareness of increased vulnerability associated with altered states of
consciousness;
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4.
40 hours of consultation; and
5.
A 25 hour module on Ethics and Colorado Natural Medicine, including education on:
a.
Colorado’s Facilitator Code of Ethics;
b.
Ethical considerations relating to equity, privilege, bias and power;
c.
Awareness of increased vulnerability associated with altered states of
consciousness;
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10
d.
Appropriate use of touch and participant consent to physical contact including the
development, in a preparation session, of a Touch Contract;
e.
Financial conflicts of interest and duties to participants;
f.
Ethical advertising practices;
g.
Providing accurate information about current research on efficacy of natural
medicines and facilitator scope of practice;
h.
Reasonable expectations regarding participant outcomes; and
i.
Training in Colorado Natural Medicine rules and regulation.
2.7
Distinguished Educator License
A.
Basis and Purpose: These rules have been adopted by the Director to specify standards related
to the qualification and supervision of distinguished educator facilitators and to clarify application
requirements for this license type.
B.
Authority: The authority for promulgation of these rules by the Director is set forth in sections 24-
4-103, 12-20-204(1), and 12-170-105(1)(a) and (c), C.R.S.
C.
The Director recognizes that certain individuals have gained extensive experience or have
otherwise gained noteworthy and recognized professional attainment in the field of natural
medicine services. Individuals who are licensed in other jurisdictions, if such jurisdiction has a
licensing procedure, or who are recognized as demonstrating significant professional
achievement in another jurisdiction, may be granted a Distinguished Educator License to practice
natural medicine services in Colorado, upon application to the Director in a manner determined
by the Director, if both the following conditions are met:
1
re licensed in other jurisdictions, if such jurisdiction has a
licensing procedure, or who are recognized as demonstrating significant professional
achievement in another jurisdiction, may be granted a Distinguished Educator License to practice
natural medicine services in Colorado, upon application to the Director in a manner determined
by the Director, if both the following conditions are met:
1.
The applicant has been invited by a natural medicine education program in this state to
serve as a member of its academic faculty for the period of their appointment;
2.
The applicant’s natural medicine practice is limited to that required by their academic
position, the limitation is so designated on the license in accordance with the Director’s
procedure, and the natural medicine practice is also limited to healing centers or any
other physical locations affiliated with the education program on which the applicant will
serve as a faculty member;
D.
Qualification Standards: The Director may consider the following qualification standards in their
evaluation of an applicant for a Distinguished Educator License:
1.
The applicant holds a current facilitator license in good standing in their home jurisdiction
or in any other country.
2.
The applicant holds a national or professional certification conferred by a national
professional organization in the field of psychedelic medicine OR holds certification
outside of the United States.
3.
The applicant has undergone extensive clinical post-graduate training in facilitation.
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on
or in any other country.
2.
The applicant holds a national or professional certification conferred by a national
professional organization in the field of psychedelic medicine OR holds certification
outside of the United States.
3.
The applicant has undergone extensive clinical post-graduate training in facilitation.
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4.
The applicant has demonstrated recent clinical experience by being actively and
continuously involved in the practice of facilitation for at least a two year period
immediately preceding the filing of the application and has demonstrated expertise that
meets or exceeds the clinical skills required by the faculty position.
5.
The applicant has demonstrated teaching ability to include prior experience in an
academic position, including other visiting professorships or professorships.
6.
The applicant has published peer-reviewed articles or noteworthy research in respected
medical or scientific publications.
7.
The applicant's training, skills, talents or demonstrated experience as a teacher or mentor
in natural medicines or in traditional or spiritual practices related to natural medicine
facilitation will contribute uniquely to facilitator education in Colorado.
8.
The applicant demonstrates that they will continue to contribute uniquely to facilitator
education in Colorado during the ensuing period of licensure.
9.
The applicant's other facilitator licenses and privileges are unrestricted and have not
been subject to discipline by any licensing body or health care entity and the applicant is
not under investigation by any licensing body or health care entity.
10.
The applicant is free from prior malpractice judgments, settlements, or their equivalent.
11.
The applicant should not have been convicted of any felony offenses against persons or
property, or those involving fraud, dishonesty, moral turpitude, domestic violence,
child/elder abuse, or drug diversion
tity and the applicant is
not under investigation by any licensing body or health care entity.
10.
The applicant is free from prior malpractice judgments, settlements, or their equivalent.
11.
The applicant should not have been convicted of any felony offenses against persons or
property, or those involving fraud, dishonesty, moral turpitude, domestic violence,
child/elder abuse, or drug diversion. Examples of such felony crimes include, but are not
limited to, those felonies identified in Articles 3, 3.5, 4, 5, 6, 6.5, and 7 of Title 18 of the
Colorado Revised Statutes and section 18-18-405, C.R.S. An applicant should not have
been convicted of any corresponding felony offense in another state or jurisdiction. In
considering applications from individuals with any of the identified felony convictions, the
Director will apply rehabilitation principles identified in sections 12-20-205 and 24-5-101,
C.R.S.
E.
Application Requirements: An applicant for licensure as a Distinguished Educator must submit, in
addition to the requirements in Rule 2.1:
1.
A description of the applicant’s experience in their practice of facilitation, which may take
the form of a CV but need not.
2.
A letter from the Director of a DORA Approved Facilitation Training Program on which the
applicant will serve, identifying:
a.
The applicant's proposed position, title, and term of appointment; and
b.
What role the applicant will serve in.
c.
How the applicant will uniquely enhance or has uniquely enhanced Facilitator
education in this state;
d.
How the applicant meets or continues to meet the Qualification Standards
defined in this Rule to be eligible for this license type; and
e.
Additional information which would assist the Director in understanding the
reason for this appointment.
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uely enhance or has uniquely enhanced Facilitator
education in this state;
d.
How the applicant meets or continues to meet the Qualification Standards
defined in this Rule to be eligible for this license type; and
e.
Additional information which would assist the Director in understanding the
reason for this appointment.
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3.
A biographical statement from the applicant, summarizing their qualifications to teach
within their assigned subject matter. This statement should note the experience or
qualifications of the instructor to provide educational instruction and/or student
supervision. (Up to 500 words)
4.
Attestation of additional materials collected by the training program to verify the
experience and skill of the instructor (including, but not limited to, personal narratives,
client references, community references, or professional references).
F.
A Distinguished Educator License shall be in effect for a one-year term. Distinguished Educators
must apply for renewal of their license annually.
G.
For a renewal applicant for a Distinguished Educator License, the applicant may provide
continued satisfaction of the Qualification Standards defined in this Rule through submission of
the following:
1.
An updated description of their experience;
2.
An updated list of publications and teaching experience;
3.
Continued education; and
4.
Copies of the applicant's teaching evaluations or other program evaluations since the last
renewal application.
5.
Renewal applicants are encouraged to seek full licensure as a Facilitator or Clinical
Facilitator. Renewal applicants will be encouraged to provide detailed information for the
applicant's plans to obtain Facilitator or Clinical Facilitator licensure, pursuant to Rules
2.4 or 2.5, respectively.
H.
A Distinguished Educator Licensee may only diagnose or treat medical or behavioral conditions if
that individual also holds secondary licensure in Colorado, as identified in Rule 2.5(C)(1)(a).
I
ator. Renewal applicants will be encouraged to provide detailed information for the
applicant's plans to obtain Facilitator or Clinical Facilitator licensure, pursuant to Rules
2.4 or 2.5, respectively.
H.
A Distinguished Educator Licensee may only diagnose or treat medical or behavioral conditions if
that individual also holds secondary licensure in Colorado, as identified in Rule 2.5(C)(1)(a).
I.
Performance of Natural Medicine Services by Distinguished Educator Licensees
1.
A Distinguished Educator licensee may only perform facilitation in the context of training
programs.
2.
A Distinguished Educator licensee may not accept payment or remuneration, other than
their compensation from the educational institution, for facilitation services.
3.
A Distinguished Educator licensee is not authorized to provide facilitation services at a
healing center that is not affiliated with an Approved Facilitator Training Program unless
the Distinguished Educator works directly with another Facilitator or Clinical Facilitator.
J.
If a Distinguished Educator licensee becomes affiliated with another educational institution in
Colorado, that licensee must notify DORA within 30 days on a DORA approved form. Such
institution must also be an Approved Facilitator Training Program. This provision does not require
a Distinguished Educator to notify DORA if they are affiliated with an educational institution that
does not provide facilitator training, nor does it require a Distinguished Educator to notify DORA
of any facilitator training program affiliations outside of Colorado.
K.
If a Distinguished Educator licensee no longer works at the Approved Facilitator Training Program
their license is associated with, their license shall expire.
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rovide facilitator training, nor does it require a Distinguished Educator to notify DORA
of any facilitator training program affiliations outside of Colorado.
K.
If a Distinguished Educator licensee no longer works at the Approved Facilitator Training Program
their license is associated with, their license shall expire.
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2.8
Training License
A.
Any person training for licensure as either a Facilitator or Clinical Facilitator may do so for an
aggregate period of up to two years under the authority of a Training license issued pursuant to
these rules and without a license to practice facilitation issued pursuant to Rules 2.4 (Facilitator)
or 2.5 (Clinical Facilitator).
B.
No applicant shall be granted a Training license unless the person meets the following criteria:
1.
The applicant has completed all didactic education requirements of an Approved
Facilitation Training Program;
2.
The applicant has successfully completed Basic Life Support or equivalent training; and
3.
The person is not otherwise eligible for or licensed to practice as a Facilitator or Clinical
Facilitator licensee.
C
Practicum Requirement
1.
Following completion of didactic educational requirements, Training licensees must
complete 40 hours of supervised practicum, except when a portion of the practicum hours
are allowed to be undertaken concurrently with didactic education through an Approved
Facilitator Training Program, as described in Rule 4.1(G).
2.
Training licensees must operate under the supervision of a facilitator licensed within the
state in which the training is provided and associated with a DORA Approved Training
Program of who is willing to supervise their work as a training licensee.
3.
Training licensees must participate in and document regular meetings (virtual or in
person) with their supervising facilitator.
D.
Consultation Requirement
1
icensees must operate under the supervision of a facilitator licensed within the
state in which the training is provided and associated with a DORA Approved Training
Program of who is willing to supervise their work as a training licensee.
3.
Training licensees must participate in and document regular meetings (virtual or in
person) with their supervising facilitator.
D.
Consultation Requirement
1.
Following successful completion of all didactic and practicum requirements, Training
licensees must engage in consultation with an individual experienced in the provision of
natural medicine services for a minimum of 40 hours. Training licensees may complete
their consultation requirement as quickly as they and their DORA Approved Training
Program believe is feasible, but all consultation hours must be completed within two
years of issuance of the training license. A consultant must meet the requirements as
defined by Rule 1.4.
2.
Consultants must make available for inspection by both the Director and by Training
Licensees, proof that they have met the requisite experience requirements to be a
Consultant as defined by Rule 1.4.
3.
Consultation may be provided virtually.
4.
Consultation may be provided in groups of up to 10 Training licensees.
5.
Consultants must maintain documentation contemporaneously within the consultation
period to reflect expectations of the period. Training licensees must maintain
documentation of supervision hours. Consultants must verify documentation of hours
associated with consultation activities. Training licensees must submit documentation of
their completion of all consultation hours with any application for facilitator or clinical
facilitator license.
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od. Training licensees must maintain
documentation of supervision hours. Consultants must verify documentation of hours
associated with consultation activities. Training licensees must submit documentation of
their completion of all consultation hours with any application for facilitator or clinical
facilitator license.
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6.
Consultation must include 10 hours of ethical discussion focused on ethical issues that
arise in the licensee’s work as facilitators.
7.
Training licensees may charge for services they provide to participants during the
consultation period.
8.
Consultants should undertake case review of the training licensee’s provision of natural
medicine services.
9.
Consultants must provide a structured evaluation addressing the following competencies
assessed during the consultation period:
a.
Non-directive approach: Training licensees use a largely non-directive approach,
being guided by the participant’s experience, offering support in service of an
unfolding inner-directed process.
b.
Relational Boundaries and Use of Touch: Demonstrate knowledge of and initiate
the use of healthy relational boundaries in psychedelic care contexts, including
appropriate use of touch. Demonstrate healthy relational boundaries in
psychedelic care contexts. Evaluate one’s ability to maintain healthy relational
boundaries in psychedelic care contexts. Demonstrate a knowledge of one’s
social identity as related to psychedelic care.
c.
Cultural Competence: Articulate how one’s social identity informs one’s approach
to psychedelic care. Demonstrate how one’s social identity interacts with the care
receiver’s social identity. Evaluate one’s integration of how knowledge of social
identity informs one’s practice of psychedelic care. Articulate awareness upon
reflection when a care encounter intersects or does not intersect with elements of
one’s social-cultural identity
e’s social identity informs one’s approach
to psychedelic care. Demonstrate how one’s social identity interacts with the care
receiver’s social identity. Evaluate one’s integration of how knowledge of social
identity informs one’s practice of psychedelic care. Articulate awareness upon
reflection when a care encounter intersects or does not intersect with elements of
one’s social-cultural identity. Demonstrate awareness in the moment when a care
encounter intersects or does not intersect with elements of one’s social-cultural
identity.
d.
Non-ordinary States of Consciousness: Describe one’s beliefs about spirituality
and/or religion or non-ordinary states of consciousness. Demonstrate how one’s
belief system may interact with the care participant’s belief orientation when
providing psychedelic care.
e.
Self-Care: Demonstrate active self-care practices, encourage the consulting
facilitator to suggest the use of alternative practices, and frequently inquire about
self-care activities and their effects. The consultant should help a newly-licensed
facilitator how to recognize and address compassion fatigue and vicarious
trauma in themselves. Discussion of physical, mental, and spiritual impacts of
facilitation on the newly-licensed facilitators.
f.
Ethics: The training licensee engages in case review focused on ethical issues
and engages on ethical decision-making as part of this review.
E.
Application for Full Licensure
1.
Upon completion of all training requirements, a Training licensee may apply for licensure
as a Facilitator or Clinical Facilitator. All applicants must meet the requirements set out in
2.1 of these Rules. Applicants for a Facilitator License must meet the requirements and
follow the procedures set out in Rule 2.2. Applicants for a Clinical Facilitator must meet
the requirements and follow the procedures set out in Rule 2.5.
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or Clinical Facilitator. All applicants must meet the requirements set out in
2.1 of these Rules. Applicants for a Facilitator License must meet the requirements and
follow the procedures set out in Rule 2.2. Applicants for a Clinical Facilitator must meet
the requirements and follow the procedures set out in Rule 2.5.
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15
F.
A Training license will expire after two years of receipt, if the Training licensee fails to complete
their training program. If a Training licensee believes they will be unable to complete their
program, they may write to the Director to inactivate their license and suspend their training
requirements until at such time they petition the Director to reactivate the license, provided the
applicant has demonstrated a “competency to practice” under section 12-20-202(2)(c)(II), C.R.S.,
and as described in Rule 2.9(B)(1)(b). Pursuant to Rule 2.8(A) of these Rules, a training license
can only be held by an individual for an aggregate of two years, and is not subject to renewal.
2.9
Renewal, Reinstatement, Inactivation, Reactivation
A.
Renewal
The purpose of this Rule is to establish the qualifications and procedures for renewal of a license
pursuant to sections 12-20-404(3), 12-20-202(1), 12-170-105(1)(a)(IV) and 12-170-105(1)(a)(II),
C.R.S.
1.
Facilitator and Clinical Facilitator Licensees:
a.
Facilitator and Clinical Facilitator licensees must apply to renew their licenses, by
completing a renewal application and paying the renewal fee.
b.
A licensee shall have a sixty-day (60) grace period after the expiration of the
license to renew such license without having to submit a reinstatement
application. During this grace period, a delinquency fee will be charged for late
renewals.
c.
A licensee will be required on renewal to attest to completion of continuing
education and consultation requirements set forth in Rule 5.4 and Rule 5.5,
respectively.
d
ll have a sixty-day (60) grace period after the expiration of the
license to renew such license without having to submit a reinstatement
application. During this grace period, a delinquency fee will be charged for late
renewals.
c.
A licensee will be required on renewal to attest to completion of continuing
education and consultation requirements set forth in Rule 5.4 and Rule 5.5,
respectively.
d.
A licensee will be required on renewal to attest that they are free from prior
malpractice judgments, civil settlements, and that any board or program which
regulates their primary or secondary license has not initiated any of the following
actions: complaints; investigations; or disciplinary sanctions.
e.
A licensee who does not renew his or her license shall be ineligible to practice
facilitation until such license is reinstated.
2.
Distinguished Educator Licensees:
a.
Distinguished Educator licensees must apply to renew their licenses every year,
by completing a renewal application and paying the renewal fee.
b.
As part of their renewal application, Distinguished Educator licensees must
include:
(1)
An updated curriculum vitae;
(2)
An updated list of publications and teaching experience;
(3)
Continued post-graduate education; and
(4)
Copies of the applicant’s teaching evaluations since the last renewal
application.
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c.
Applicants for renewal of a Distinguished Educator license may be asked to
attest to their continued eligibility for such a license, including but not limited to
requirements regarding malpractice or civil actions, current teaching positions,
d.
Distinguished Educator licensees may be asked to provide detailed information
for their plan to obtain Colorado licensure as a Facilitator or Clinical Facilitator, as
appropriate.
3.
Training License
a.
A Training license is not eligible for renewal.
B.
Reinstatement of an Expired License
1.
Basis and Purpose and Authority
ents regarding malpractice or civil actions, current teaching positions,
d.
Distinguished Educator licensees may be asked to provide detailed information
for their plan to obtain Colorado licensure as a Facilitator or Clinical Facilitator, as
appropriate.
3.
Training License
a.
A Training license is not eligible for renewal.
B.
Reinstatement of an Expired License
1.
Basis and Purpose and Authority.
The purpose of this Rule is to establish the qualifications and procedures for
reinstatement of an expired license pursuant to sections 12-20-202, 12-20-404(3), 12-
170-105(1)(a)(II), and 12-170-(105)(1)(a)(IV), C.R.S.
a.
An applicant seeking reinstatement of an expired license shall complete a
reinstatement application and pay a reinstatement fee.
b.
If the license has been expired for more than two (2) years an applicant must
demonstrate “competency to practice” under section 12-20-202(2)(c)(II), C.R.S.,
as follows:
(1)
A license from another state that is in good standing for the applicant
where the applicant demonstrates active practice; or
(2)
Proof of other education, experience or activities, as determined by the
Director, on a case-by-case basis.
C.
Inactivation of an Active License
1.
Any licensee whose Facilitator or Clinical Facilitator license is in good standing, and who
does not have a pending investigation or disciplinary action, may inactivate their license
by submitting a request to the Director.
D.
Reactivation of an Inactive License
1.
Upon application, a licensee with an inactive Facilitator or Clinical Facilitator license may
seek to reactivate their license.
2.
An applicant seeking to reactivate an inactive license must complete a reactivation
application and pay a fee.
3.
If the license was inactivated for more than two (2) years, an applicant must demonstrate
“competency to practice” under section 12-20-202(2)(c)(II), C.R.S., as follows:
a.
A license from another state that is in good standing for the applicant where the
applicant demonstrates active practice; or
b
seeking to reactivate an inactive license must complete a reactivation
application and pay a fee.
3.
If the license was inactivated for more than two (2) years, an applicant must demonstrate
“competency to practice” under section 12-20-202(2)(c)(II), C.R.S., as follows:
a.
A license from another state that is in good standing for the applicant where the
applicant demonstrates active practice; or
b.
Proof of other education, experience or activities, as determined by the Director,
on a case-by-case basis.
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2.10
Clinical Facilitator: Endorsement via Occupational Credential Portability Program
A.
Pursuant to the Occupational Credential Portability Program under section 12-20-203(3), C.R.S.,
an applicant may apply for licensure as a clinical facilitator by endorsement in Colorado if the
applicant:
1.
Holds an active and valid license in Colorado to practice any of the following:
a.
(PSY) Psychologist, (LSW) Licensed Social Worker, (LCSW) Licensed Clinical
Social Worker, (LMFT) Licensed Marriage and Family Therapist, (LPC) Licensed
Professional Counselor, or (LAC) Licensed Addiction Counselor; or
b.
Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), advanced practice
nurse (APN), including Nurse Practitioner (NP), or Physician Assistant (PA), and
2.
Is currently certified or otherwise licensed in good standing in another state or US
territory or through the federal government, or holds a military occupational specialty, as
defined in section 24-4-201, C.R.S., meets the general requirements for licensure set
forth in Rule 2.1, and has submitted satisfactory proof under penalty of perjury that the
applicant has either:
a.
Education, experience, or credentials that are substantially equivalent to those
required by Article 170 of Title 12, C.R.S.; or
b
e federal government, or holds a military occupational specialty, as
defined in section 24-4-201, C.R.S., meets the general requirements for licensure set
forth in Rule 2.1, and has submitted satisfactory proof under penalty of perjury that the
applicant has either:
a.
Education, experience, or credentials that are substantially equivalent to those
required by Article 170 of Title 12, C.R.S.; or
b.
Has held for at least one year a current and valid license as a Facilitator in a
jurisdiction with a scope of practice that is substantially similar to the scope of
practice for Facilitator licensees as specified in Article 170 of Title 12, C.R.S.,
and these rules.
3:
EXPERIENCE AND EDUCATION REQUIREMENTS FOR FACILITATOR AND CLINICAL
FACILITATOR LICENSEES
3.1
Education and Experience Requirements for Facilitator and Clinical Facilitator Licensees
A.
General requirements for Training Hours, Supervised Practicum Experience, and Consultation.
1.
Except as specifically authorized in alternative pathways to licensure in Rules 2.3
(Facilitator: Endorsement via Occupational Credential Portability Program), 2.4
(Facilitator: Licensure via Accelerated Training (for Legacy Healers)), and 2.6 (Clinical
Facilitator: Accelerated Licensure), applicants for licensure as a Facilitator or Clinical
Facilitator must complete at least 150 hours of didactic instruction, at least 40 hours of
supervised practicum experience, and at least 40 hours of consultation.
a.
For training hours that are not conducted in person, at least 50 percent of the
training hours shall be conducted using synchronous learning tools, that is,
instructor and learner must engage with the course content and each other at the
same time, although from different locations.
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at least 40 hours of consultation.
a.
For training hours that are not conducted in person, at least 50 percent of the
training hours shall be conducted using synchronous learning tools, that is,
instructor and learner must engage with the course content and each other at the
same time, although from different locations.
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3.2
Required Education and Training for Facilitator and Clinical Facilitator
A.
Didactic Education - Curriculum Requirements
1.
Applicants for Facilitator and Clinical Facilitator licenses must demonstrate that they have
completed a DORA Approved Facilitator Training Program. If the Applicant has
completed a DORA Approved Facilitator Training Program, the applicant may submit
proof of successful completion of the program to meet this requirement.
2.
Applicants for Facilitator and Clinical Facilitator licenses must demonstrate completion of
didactic education consisting of a minimum of 150 hours of instruction, as described in
Rule 4.1(F)(1)..
3.
If an applicant is seeking licensure by endorsement or accelerated licensure pursuant to
Rules 2.3, 2.4, or 2.6, the burden is on the applicant to demonstrate substantially
equivalent education requirements as outlined by the curriculum described in Rule
4.1(F)(1).
4:
APPROVED FACILITATOR TRAINING PROGRAMS
4.1
Requirements for Approval of Facilitator Training Programs
A.
Authority.
The authority for adoption of these Rules is set forth in sections 12-20-204, 12-170-
105(1)(a)(II)(B), 12-170-105(1)(a)(IV), and 12-170-105(1)(a)(V), C.R.S.
B.
Purpose: To specify procedures and criteria relating to the approval of Facilitator Training
Programs, with the goals:
1
To promote and regulate educational processes that prepare graduates for safe and
effective facilitation of natural medicine;
2.
To provide criteria for the development and approval of new and established Approved
Facilitator Training Programs; and
3
-170-105(1)(a)(V), C.R.S.
B.
Purpose: To specify procedures and criteria relating to the approval of Facilitator Training
Programs, with the goals:
1
To promote and regulate educational processes that prepare graduates for safe and
effective facilitation of natural medicine;
2.
To provide criteria for the development and approval of new and established Approved
Facilitator Training Programs; and
3.
To provide procedures for the withdrawal of approval from Approved Facilitator Training
Programs.
C.
Purpose of Approval
1.
To establish eligibility of graduates of approved programs to apply for facilitator licensure.
2.
Following an approval of a training program by the Director, such training program shall
be certified and authorized to provide facilitator training programs
D.
Approval must be granted before coursework can commence.
1.
An education program that wishes to receive approval under this rule must apply to the
Office of Natural Medicine and receive approval before it begins offering classes.
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2.
The application materials must include course outlines for every training hour along with
an explanation of how that course meets one of the course requirements described in this
Rule and proposed program requirements for students to complete their practicum
requirements. If the education program intends to offer consultation for newly-licensed
facilitators, the application must also address the training program’s plan to satisfy
consultation requirements.
3.
The application materials must include the time period within which students must
complete the proposed training program.
4.
When a program receives approval, the program may advertise:
a.
That the education program has been approved by the Office of Natural Medicine
to meet the training requirements of this rule, using the words “DORA Approved
Facilitator Natural Medicine Training Program;” and
b
The application materials must include the time period within which students must
complete the proposed training program.
4.
When a program receives approval, the program may advertise:
a.
That the education program has been approved by the Office of Natural Medicine
to meet the training requirements of this rule, using the words “DORA Approved
Facilitator Natural Medicine Training Program;” and
b.
That those students who successfully complete the program will have met all of
the training program/educational and experiential requirements for a Facilitator
license under this Rule, other than basic life support.
5.
When a program receives approval, the program must advertise:
a.
Transparent communication regarding all fees to be charged for the entirety of
the training program, including costs for didactic study, supervised practice, any
consultation fees, and whether the Approved Facilitator Training Program will pay
the cost of a Training license for its students and/or the cost of a Facilitator or
Clinical Facilitator licensure application fee at the completion of the student’s
training program.
6.
Pre-Approval.
a.
Prior to official applications and approval, an education program that wishes to
receive approval may submit a request for pre-approval by the Office of Natural
Medicine.
b.
Education programs that receive pre-approval may operate and offer courses
based on Office of Natural Medicine pre-approval.
c.
The pre-approval process will only be available while the Office of Natural
Medicine establishes its approval process. Upon completion, the pre-approval
process will end. No applicant shall have a right to utilize a pre-approval process
following the Office of Natural Medicine’s establishment of an approval process.
d.
Applicants for pre-approval will be required to submit the same application fee
and information.
E.
Standards for Approving an Approved Facilitator Training Program
1.
All education programs must conform to generally accepted standards of education for
facilitators.
ll have a right to utilize a pre-approval process
following the Office of Natural Medicine’s establishment of an approval process.
d.
Applicants for pre-approval will be required to submit the same application fee
and information.
E.
Standards for Approving an Approved Facilitator Training Program
1.
All education programs must conform to generally accepted standards of education for
facilitators.
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2.
Any education program in this state desiring to receive approval from the Office of
Natural Medicine for its program that prepares individuals for licensure as a natural
medicine facilitator shall apply to the Office of Natural Medicine and submit evidence that
it is prepared to carry out training curriculum that complies with the provision of Title 12,
Article 170, C.R.S. and with rules adopted by the Office of Natural Medicine.
3.
Facilitator Training Program organization and administration:
a.
The organization, administration and implementation of an Approved Facilitator
Training Program must be consistent and compliant with the Natural Medicine
Health Act, the Office of Natural Medicine’s rules, regulations and policies, and
state law. An Approved Facilitator Training Program’s organization and
administration must secure, maintain, and be able to document the existence of:
(1)
For programs enrolling 50 or more students annually, a governing body
that has legal authority to conduct an education and training program,
determine general policy, and assure adequate financial support. For
programs enrolling fewer than 50 students annually, a named Director
that has legal authority to conduct an education and training program,
determine general policy.
(2)
Sufficient financial resources to fulfill its commitments to students and
meet the training program’s financial obligations.
t an education and training program,
determine general policy, and assure adequate financial support. For
programs enrolling fewer than 50 students annually, a named Director
that has legal authority to conduct an education and training program,
determine general policy.
(2)
Sufficient financial resources to fulfill its commitments to students and
meet the training program’s financial obligations.
(3)
An organizational chart for the Approved Facilitator Training Program
demonstrating the relationship of the program to the governing body
administration and clearly delineating the lines of authority, responsibility,
channels of communication and internal organization.
(4)
Statements of mission, purpose, and outcome competencies for Office of
Natural Medicine approval, established and biennial reviewed by the
Approved Facilitator Training Program.
(5)
Standards for recruitment, advertising, and refunding tuition and fees,
which must be consistent with generally accepted standards and applied
by the governing body.
(6)
Student policies that are accurate, accessible to the public, non-
discriminatory, and consistently applied.
(7)
A plan demonstrating how the program will support student behavioral
and physical health, learning, equitable access, career advisement, and
provide disability accommodations.
(8)
Records for all written complaints about the Approved Facilitator Training
Program and how the program addressed each complaint, which must
be available for public and Office of Natural Medicine review.
ntly applied.
(7)
A plan demonstrating how the program will support student behavioral
and physical health, learning, equitable access, career advisement, and
provide disability accommodations.
(8)
Records for all written complaints about the Approved Facilitator Training
Program and how the program addressed each complaint, which must
be available for public and Office of Natural Medicine review.
(9)
Teaching and learning environment conducive to student learning.
4.
Faculty Composition: The composition of faculty at an Approved Facilitator Training
Program must include, at a minimum:
a.
The number of faculty sufficient to prepare the students to achieve the objectives
of the Approved Facilitator Training Program and to ensure participant safety.
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b.
There must be a minimum of two faculty for an Approved Facilitator Training
Program, one of whom may be a licensed Facilitator and one of whom may be
the director of the Approved Facilitator Training Program. On and after January
1, 2026, each Approved Facilitator Training Program must have at least one
licensed Facilitator or Clinical Facilitator.
c.
There must be a sufficient number of faculty for each specialty area to provide
adequate supervision to students.
5.
Director of each Approved Facilitator Training Program
a.
Each Approved Facilitator Training Program must have a director with the
following responsibilities:
(1)
Insuring and documenting the Approved Facilitator Training Program
compliance with the Natural Medicine Health Act, the Office of Natural
Medicine’s rules and regulations, and all other state laws and
regulations.
(2)
Providing a current written job description to the Office of Natural
Medicine for all faculty positions.
(3)
Developing and coordinating the use of educational facilities and
practicum resources.
(4)
Identifying and advocating for services needed by students in the
Approved Facilitator Training Program.
fice of Natural
Medicine’s rules and regulations, and all other state laws and
regulations.
(2)
Providing a current written job description to the Office of Natural
Medicine for all faculty positions.
(3)
Developing and coordinating the use of educational facilities and
practicum resources.
(4)
Identifying and advocating for services needed by students in the
Approved Facilitator Training Program.
(5)
Acting as liaison with the Office of Natural Medicine.
(6)
Developing and maintaining ongoing relationships within the community,
including fostering the Approved Facilitator Training Program's
responsiveness to community/employer needs.
(7)
The director of each Approved Facilitator Training Program remains
responsible for the above duties, even if they delegate those duties to
another person.
b.
The director of the Approved Facilitator Training Program must possess the
following qualifications:
(1)
An active, unencumbered license to practice as a Facilitator or an active,
unencumbered secondary professional license that would qualify for
eligibility, pursuant to Rule 2.5(c)(1)(a), for licensure as a Clinical
Facilitator in Colorado; and
(2)
Documented knowledge and skills related to teaching adults, teaching
methodology, curriculum development, and curriculum evaluation.
6.
Facilitator Training and Educational Program Curriculum
a.
Programs should include content fundamental to the knowledge and skills
required for the preparation, administration, and integration of natural medicine
with participants.
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b.
The curriculum offered in an Approved Facilitator Training Program should be
developed to:
(1)
Reflect consistency between the mission, outcomes, curriculum design,
course progression, and learning outcomes of the Approved Facilitator
Training Program.
(2)
Be organized and sequenced logically to facilitate learning; and
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b.
The curriculum offered in an Approved Facilitator Training Program should be
developed to:
(1)
Reflect consistency between the mission, outcomes, curriculum design,
course progression, and learning outcomes of the Approved Facilitator
Training Program.
(2)
Be organized and sequenced logically to facilitate learning; and
(3)
Include 150 course hours of instruction.
F.
Curriculum Requirements
1.
Approved Facilitator Training Programs must offer coursework of at least 150 hours, on
the following topics:
a.
Facilitator Best Practices (5 hours)
(1)
Awareness of the facilitator’s personal bias, including examination of the
facilitator’s motives and the potential issues surrounding transference
and countertransference;
(2)
Awareness of the “state of the field” in terms of research on natural
medicines and how to present this information to participants in a way
that is accurate and unbiased;
(3)
Awareness of new research related to safety and ethics of providing
psilocybin services and resources for professional development following
program completion; and
(4)
Appropriate measures to mitigate risks associated with psilocybin
services, including harm reduction, de-escalation, and conflict resolution.
b.
Ethics and Colorado Natural Medicine Rules and Regulations (25 hours)
(1)
Colorado’s Facilitator Code of Ethics;
(2)
Ethical considerations relating to equity, privilege, bias, and power;
(3)
Awareness of increased vulnerability associated with altered states of
consciousness;
(4)
Appropriate use of touch and participant consent to physical contact,
including the development of a Touch Contract in preparation session;
(5)
Financial conflicts of interest and duties to participants;
(6)
Ethical advertising practices;
(7)
Providing accurate information about current research on the efficacy of
natural medicines and facilitator scope of practice;
(8)
Reasonable expectations regarding client outcomes; and
d participant consent to physical contact,
including the development of a Touch Contract in preparation session;
(5)
Financial conflicts of interest and duties to participants;
(6)
Ethical advertising practices;
(7)
Providing accurate information about current research on the efficacy of
natural medicines and facilitator scope of practice;
(8)
Reasonable expectations regarding client outcomes; and
(9)
Training in Colorado Natural Medicine rules and regulations.
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c.
Relational Boundaries and Introduction to Physical Touch (10 hours)
(1)
Defining and holding boundaries in the facilitation of natural medicines;
(2)
Historical and contemporary abuse of power and boundary violations
associated with natural medicine, including sexual, emotional, and
physical abuse, and implications for facilitators;
(3)
Appropriate emotional and sexual boundaries between facilitators and
participants both during the provision of natural medicine services and at
other times;
(4)
Potential harm to participants for boundary and touch violations;
(5)
Consequences for facilitators for breaching relation boundaries;
(6)
Consequence for facilitators for breaching the touch contract;
(7)
Active monitoring of client-facilitator boundaries, specifically boundaries
related to consent and touch;
(8)
Participant directed discussion of touch contract to address personalized
boundaries around touch, limitations of capacity to request additional
touch once natural medicine has been ingested, and the possibility of
requesting a co-facilitator and/or videotaping of administration session;
and
(9)
Practical training and experience in an introduction to the appropriate
use of touch during the facilitation of natural medicine.
d.
Physical and Mental Health and State (25 hours)
ndaries around touch, limitations of capacity to request additional
touch once natural medicine has been ingested, and the possibility of
requesting a co-facilitator and/or videotaping of administration session;
and
(9)
Practical training and experience in an introduction to the appropriate
use of touch during the facilitation of natural medicine.
d.
Physical and Mental Health and State (25 hours)
(1)
Training in therapeutic presence, including compassionate presence,
client communication, openness, receptivity, groundedness, self-
awareness, empathy, and rapport, including a non-directive facilitation
approach, cultural attunement, and a nonjudgmental disposition;
(2)
Response to psychological distress and creating a safe space for difficult
emotional experiences;
(3)
Training on how facilitators manage self-care;
(4)
Identification and facilitation of a variety of subjective natural medicine
experiences, including experiences related to physiological sensations,
cognitive, emotional, and mystical states, and traumatic memories;
(5)
Appropriate modes of intervention for mental health concerns,
understanding when intervention is necessary, and when a client may
need a higher level of care;
(6)
Appropriate modes of intervention for physical health concerns,
understanding when intervention is necessary, and when a client may
need a higher level of care;
(7)
Training in the use of Natural Medicines for chronic pain;
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(8)
Recognizing and addressing adverse medical and/or behavioral
reactions and implementation of a safety plan when necessary;
(9)
Scenario training for navigating challenging and unusual situations; and
(10)
Models of substance abuse, addiction, and recovery.
e.
Drug Effects, Contraindications, and Interactions (5 hours)
(1)
Pharmacodynamics and pharmacokinetics of natural medicine;
(2)
Physical reactions and side effects of natural medicine;
(3)
Drug and supplement interaction;
(4)
The metabolism of natural medicine;
y;
(9)
Scenario training for navigating challenging and unusual situations; and
(10)
Models of substance abuse, addiction, and recovery.
e.
Drug Effects, Contraindications, and Interactions (5 hours)
(1)
Pharmacodynamics and pharmacokinetics of natural medicine;
(2)
Physical reactions and side effects of natural medicine;
(3)
Drug and supplement interaction;
(4)
The metabolism of natural medicine;
(5)
The primary effects and mechanisms of action of natural medicines on
the brain; including connectivity in the brain and activation of serotonin
receptors; and
(6)
Awareness of medical, mental health, and pharmaceutical
contraindications for natural medicine services.
f.
Introduction to Trauma Informed Care (10 hours)
(1)
Trauma-informed care, including the physiology of trauma, vicarious
trauma, empathic stress, and compassion fatigue;
(2)
Trauma-informed communication skills;
(3)
Training in how to recognize when someone may be dissociation or
going into a trauma response;
(4)
Training in understanding sympathetic and parasympathetic nervous
system response; and
(5)
Role play scenarios focused on helping regulate when participants are in
a traumatic stress response.
g.
Introduction to Suicide Risk (5 hours)
(1)
Understanding suicidality, suicidal ideation, self-injury, and models of
assessing risk;
(2)
Basics of suicide risk assessment;
(3)
How to refer and/or seek emergency mental health services when
suicide risk is severe; and
(4)
Basics of creating a Mental Health Safety Plan.
h.
Indigenous, Social, and Cultural Considerations (10 hours)
(1)
Historical and indigenous modalities of preparation of natural medicines;
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(2)
Current and historical use of plant and fungal medicines in indigenous
and Western cultures;
(3)
Information about the practice of Curanderismo and traditional training
for the use of natural medicines;
ltural Considerations (10 hours)
(1)
Historical and indigenous modalities of preparation of natural medicines;
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(2)
Current and historical use of plant and fungal medicines in indigenous
and Western cultures;
(3)
Information about the practice of Curanderismo and traditional training
for the use of natural medicines;
(4)
The Controlled Substance Act and its effect on natural medicine services
in indigenous and Western cultures and implications for facilitators;
(5)
Cultural equity, its relationship to health equity, and social determinants
of health;
(6)
Racial justice, including the impact of race and privilege on health
outcomes and the impact of systemic racism on individuals and
communities;
(7)
The impact of drug policy on individuals and communities, especially
underrepresented, marginalized, and under-resourced communities;
(8)
History of systemic inequity, including systemic inequity in the delivery of
healthcare, mental health, and behavioral health services;
(9)
Intergenerational trauma;
(10)
Understanding of how racial and cultural dynamics affect interactions
between facilitator and participant; and
(11)
Identification of the unique psychological, physical, and socio-cultural
needs presented by persons with terminal illness and awareness of the
appropriate knowledge, skills, and approach needed to provide safe
facilitation to such persons in a manner consistent with client goals,
values, heritage, and spiritual practices.
i.
Screening (5 hours)
(1)
Discussion of participant’s reasons for seeking natural medicine
services;
(2)
Completion of the mandated screening form;
(3)
How to conduct screening for pertinent physical and mental health
concerns;
(4)
Helping participants connect with different facilitators if needed; and
(5)
Role play scenarios of screening sessions.
j.
Preparation (10 hours)
(1)
How to obtain informed consent;
(5 hours)
(1)
Discussion of participant’s reasons for seeking natural medicine
services;
(2)
Completion of the mandated screening form;
(3)
How to conduct screening for pertinent physical and mental health
concerns;
(4)
Helping participants connect with different facilitators if needed; and
(5)
Role play scenarios of screening sessions.
j.
Preparation (10 hours)
(1)
How to obtain informed consent;
(2)
How to complete and collect participant information forms and intake
interviews;
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(3)
Providing accurate information about current research on the efficacy of
natural medicines and facilitator scope of practice;
(4)
Discussion of the concept of trusting inner guidance, which may include
discussion of topics such as Inner Healing Intelligence, Inner Genius,
The Self, Wise Mind, Soul, or Spirit;
(5)
Using intake and screening information to assist participants in
identifying the benefits of referral to specialized treatment services;
(6)
Discussion of the facilitator's role and the limits of the facilitator’s scope
of practice;
(7)
Discussion of the state of scientific research for natural medicines and
limitations of this research;
(8)
Discussion of “set and setting,” including environmental considerations
for administration sessions such as lighting, sound, and temperature;
(9)
Discussion of the reasonable expectations regarding client outcomes;
(10)
Identification of participant safety concerns, including medical history,
contraindicated medication, and psychological instability;
(11)
Appropriate strategies to discuss facilitator safety concerns, including but
not limited to identification of participant’s support system;
(12)
Determination of whether the participant should participate in the
administration session;
(13)
Participant directed discussion of a safety plan to address identified
safety concerns and transportation plan for the administration session;
and
bility;
(11)
Appropriate strategies to discuss facilitator safety concerns, including but
not limited to identification of participant’s support system;
(12)
Determination of whether the participant should participate in the
administration session;
(13)
Participant directed discussion of a safety plan to address identified
safety concerns and transportation plan for the administration session;
and
(14)
Historical and indigenous modalities of preparation for facilitation and
administration of natural medicines.
k.
Administration (10 hours)
(1)
Dosing strategies and considerations, including the following:
(a)
Experiential differences relating to differing dosages;
(b)
Physiological considerations in relation to dosage;
(c)
Delivery mechanisms of natural medicine; and
(d)
Use of secondary doses.
(2)
Skills to help facilitators handle natural medicine material effectively,
including the following:
(a)
Hygiene while handling material; and
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(b)
Assessing material for potential spoilage, contamination, and
other concerns.
(3)
Effectively working with challenging behaviors during administration
sessions, including the following:
(a)
Unexpected client disclosures;
(b)
Substance-induced psychosis; and
(c)
Suicidality.
(4)
Traumatic stress and its manifestation during natural medicine
experiences and appropriate facilitator response, including the following:
(a)
Trauma’s relationship to the body;
(b)
Repressed trauma emerging during natural medicine experience;
(c)
Trauma and traumatic stress resulting from systemic oppression;
(d)
Safety for trauma resolution and risks associated with re-
traumatization; and
y.
(4)
Traumatic stress and its manifestation during natural medicine
experiences and appropriate facilitator response, including the following:
(a)
Trauma’s relationship to the body;
(b)
Repressed trauma emerging during natural medicine experience;
(c)
Trauma and traumatic stress resulting from systemic oppression;
(d)
Safety for trauma resolution and risks associated with re-
traumatization; and
(e)
Protocols ensuring facilitator safety and responding to
emergencies.
(5)
“Set and setting” environmental considerations for administration
sessions, such as lighting, sound, and temperature.
(6)
Completion of administration session, including implementation of
transportation plan.
l.
Integration (10 hours)
(1)
Training on how to conduct an integration session;
(2)
Identification of appropriate resources that may assist participants with
integration, including resources for:
(a)
Interpreting feelings and emotions experienced during
administration sessions;
(b)
Facilitation of positive internal and external changes; and
(c)
Enhancement of existing supportive relationships;
(3)
Identification of participant client safety concerns;
(4)
Facilitator scope of practice; and
(5)
Discussion of appropriate intervals between administration sessions and
related safety concerns.
m.
Group Facilitation (10 hours)
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(1)
Training in how to conduct groups, including proper ratios for participants
and group facilitators;
(2)
Special considerations regarding group administration of natural
medicine, including understanding boundaries and touch between group
members and between group members and facilitators;
(3)
Skills required to facilitate natural medicine group sessions, including,
but not limited to:
(a)
Group preparation sessions;
(b)
Group integration sessions; and
ios for participants
and group facilitators;
(2)
Special considerations regarding group administration of natural
medicine, including understanding boundaries and touch between group
members and between group members and facilitators;
(3)
Skills required to facilitate natural medicine group sessions, including,
but not limited to:
(a)
Group preparation sessions;
(b)
Group integration sessions; and
(c)
Regulatory requirements for group facilitation;
(4)
Role play scenarios regarding navigation of challenging and unusual
situations when facilitating groups.
n.
Facilitator Development and Self-Care (10 hours)
(1)
Facilitator self-care as a participant safety concern and facilitator ethical
requirements;
(2)
How to identify when a facilitator is not in a space to facilitate and what to
do about it (including discussion of countertransference);
(3)
How facilitators keep themselves safe while working with participants;
(4)
How a facilitator can prepare themselves for facilitation; and
(5)
How a facilitator can decompress after facilitation.
2.
The requirements listed in these rules are minimum requirements. Nothing in these rules
precludes an educational program from offering additional modules or hours of
instruction.
G.
Supervised Practice Requirements
1.
Who may serve as a Supervisor
a.
A practicum supervisor must be either an employee of or contracted with an
Approved Training Program.
b.
After June 30, 2025, all supervisors must hold licensure as a Facilitator, Clinical
Facilitator, or Distinguished Educator.
2.
Supervised In-Person Training – Observers and Assistants
Supervised practice may include in-person training where students can experience,
observe, and assist in facilitating natural medicine services under the supervision of
qualified training faculty. Supervised practice may also include placement at a practicum
site where students can observe and assist in facilitation of natural medicine services
under the supervision of a practicum site supervisor.
Supervised practice may include in-person training where students can experience,
observe, and assist in facilitating natural medicine services under the supervision of
qualified training faculty. Supervised practice may also include placement at a practicum
site where students can observe and assist in facilitation of natural medicine services
under the supervision of a practicum site supervisor.
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3.
Practicum sites allowed
a.
All training programs shall notify the Director of the proposed and actual location
for supervised practicum in a form and manner prescribed by the Program
Director. Any licensed Healing Center can serve as a practicum site. Licensed
service centers in Oregon may also serve as a practicum site.
b.
Training programs must make available, upon request by the Director, all
upcoming dates scheduled for student practicum.
c.
A practicum site must obtain written participant consent prior to allowing a
participant to be observed by practicum students and prior to sharing any
participant information with practicum students or a training program. A practicum
site must notify participants of the identity of the supervising facilitator.
d.
The practicum site supervisor is primarily responsible for developing students’
practicum skills and evaluating students’ practicum performance, focusing on
services with participants.
4.
Minimum Practicum Hours Required. Supervised practice training, otherwise referred to
as a practicum, must include a minimum of 40 hours of supervised practice training. At
least 30 hours of practicum must be from in-person administration sessions, as described
in Rule 4.1(G)(4)(a). The remaining ten hours of practicum must consist of either
preparation, consultation, or integration as defined by Rule 4.1(G)(4)(b).
a
urs Required. Supervised practice training, otherwise referred to
as a practicum, must include a minimum of 40 hours of supervised practice training. At
least 30 hours of practicum must be from in-person administration sessions, as described
in Rule 4.1(G)(4)(a). The remaining ten hours of practicum must consist of either
preparation, consultation, or integration as defined by Rule 4.1(G)(4)(b).
a.
In-person administration session requirements: Students shall participate in a
minimum of thirty (30) hours of direct, in person experience, in administration
sessions, where students are provided the opportunity to experience, observe, or
conduct supervised facilitation of administration sessions as part of the 30
practicum hours required in administration as required by this Rule. No more
than 10 hours of this requirement may be from the student directly experiencing
natural medicine in an administration session.
b.
Practicum which may be completed remotely using synchronous audio-visual
technology. Participants may complete the remaining ten (10) hours of practicum
either in person or using real-time (synchronous) audio-visual technology. These
hours shall consist of students experiencing, observing, or facilitating preparation
and integration sessions, or receiving consultation regarding the student’s
facilitation of administration sessions.
5.
Students must acquire a training license, as described by Rule 2.8 of these Rules, to
complete practicum, except that students may accrue up to twenty (20) practicum hours
gained through an Approved Facilitator Training Program licensed under Section 4 of
these Rules, so long as the following conditions are met:
a.
The student has completed fifty percent (50%) or more of their training program,
and the practicum is performed concurrently with their remaining didactic
education, and
b.
The supervised practicum offered by the Approved Facilitator Training Program
is otherwise in full conformance with the requirements of this Rule.
c
nder Section 4 of
these Rules, so long as the following conditions are met:
a.
The student has completed fifty percent (50%) or more of their training program,
and the practicum is performed concurrently with their remaining didactic
education, and
b.
The supervised practicum offered by the Approved Facilitator Training Program
is otherwise in full conformance with the requirements of this Rule.
c.
Hours acquired concurrently with didactic training can be used to satisfy
preparation, administration, integration, or consultation hours.
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d.
Students may observe or receive facilitation services.
6.
Regulated Natural Medicine must be used during the performance of all practicum hours.
For practicum hours completed at an Oregon service center, the natural medicine must
be regulated under Oregon law.
7.
All practicum hours must take place in a licensed Healing Center. A service center
licensed under Oregon law may also serve as a site for practicum hours.
8.
Participant Information and Consent for Practicum; Standards of Practice.
a.
Participants who are receiving natural medicine services as part of a student’s
practicum experience must consent in writing to participating in the practicum
before any of the participant’s information is shared with the student-facilitator or
the affiliated Approved Facilitator Training Program.
b.
Practicum supervisors and student-facilitators shall follow all rules that apply to
the practice of facilitation including but not limited to standards for confidentiality
and limits on scope of practice.
c.
Participants in natural medicine services that are utilized to satisfy practicum
requirements must be informed of the identity and qualifications of the Practicum
Supervisor who will be supervising the student-facilitator(s) in their natural
medicine services.
d
that apply to
the practice of facilitation including but not limited to standards for confidentiality
and limits on scope of practice.
c.
Participants in natural medicine services that are utilized to satisfy practicum
requirements must be informed of the identity and qualifications of the Practicum
Supervisor who will be supervising the student-facilitator(s) in their natural
medicine services.
d.
Any student directly experiencing natural medicine as part of their practicum,
whether during or following their didactic education, must be treated as a
participant and must undergo risk assessment screening and be provided
preparation and integration sessions.
H.
Approved Facilitator Training Program Documentation
1.
All Approved Facilitator Training Programs must maintain records and, if requested,
submit them to the Office of Natural Medicine, on the following:
a.
The Approved Facilitator Training Program must provide for a system of
permanent records and reports essential to the operation of the Approved
Facilitator Training Program, including:
(1)
Current and final official records for students;
(2)
Current records of Approved Facilitator Training Program activities such
as minutes and reports; and
(3)
Faculty records that demonstrate compliance with faculty qualification
requirements identified in Rule 4.1(E)(4).
b.
The Approved Facilitator Training Program must submit a biennial report to the
Office of Natural Medicine on its authorized form.
c.
To the extent practicable, data from Approved Training Programs shall be
anonymized to avoid disclosure of individual student data.
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lification
requirements identified in Rule 4.1(E)(4).
b.
The Approved Facilitator Training Program must submit a biennial report to the
Office of Natural Medicine on its authorized form.
c.
To the extent practicable, data from Approved Training Programs shall be
anonymized to avoid disclosure of individual student data.
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2.
All Approved Facilitator Training Programs must provide clear documentation to all
applicants regarding their fees for training, including whether the Approved Facilitator
Training Program will pay the cost of a Training license for its students and/or the cost of
a Facilitator or Clinical Facilitator licensure application fee at the completion of the
student’s training program.
3.
Self-Evaluation of Education Programs
An Approved Facilitator Training Program must develop, undertake, and document its
own internal evaluations. Evaluations must occur on a periodic basis, include input from
students and the community, and evidence relevant decision-making. The Approved
Facilitator Training Program must have a written systematic plan for evaluation of:
a.
Organization and administration of the Approved Facilitator Training Program;
b.
Approved Facilitator Training Program mission;
c.
Performance of the Director of the Approved Facilitator Training Program;
d.
Faculty performance;
e.
Curriculum objectives and outcomes;
f.
Adherence to program requirements; and
g.
Measurement of program outcomes, including performance of graduates.
4.
If a student seeks to transfer from one program to another, the Approved Facilitator
Training Program is required to assess coursework completed by the student at their
prior approved training program or an accredited institution of higher education
rriculum objectives and outcomes;
f.
Adherence to program requirements; and
g.
Measurement of program outcomes, including performance of graduates.
4.
If a student seeks to transfer from one program to another, the Approved Facilitator
Training Program is required to assess coursework completed by the student at their
prior approved training program or an accredited institution of higher education. So long
as the student has successfully completed education that is substantially equivalent to
the training module offered by the new education program, the new program may allow
the student to transfer those completed hours, credits or equivalent education
I.
Enrollment Limits
The Office of Natural Medicine may limit the number of students admitted to an Approved
Facilitator Training Program. In making this determination, the Office of Natural Medicine may
consider factors, including, but not limited to: the number of qualified faculty, adequate
educational facilities and resources, and the availability of relevant practicum learning
experiences.
J.
Continued Approval of Approved Facilitator Training Programs
1.
Regular periodic surveys for continued approval may be conducted by the Office of
Natural Medicine. Such surveys shall occur no less than once every two years.
2.
Approval of any training program may be continued by the Office of Natural Medicine,
provided the standards of the Office are met, as set forth in these rules.
3.
The Office of Natural Medicine’s action regarding program review must be sent to the
governing body, if applicable, and the Director of the education program with
recommendations, to the extent that recommendations are made.
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Natural Medicine,
provided the standards of the Office are met, as set forth in these rules.
3.
The Office of Natural Medicine’s action regarding program review must be sent to the
governing body, if applicable, and the Director of the education program with
recommendations, to the extent that recommendations are made.
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4.
The education program may be visited at times other than regularly-scheduled survey
visits, if the Office of Natural Medicine determines it necessary to do so.
5.
Major program revisions must be reported to the Office of Natural Medicine for approval.
Major program revisions include, but are not limited to:
a.
major changes in program goals;
b.
The number of hours required for successful completion of the program;
c.
Change in required clinical practice hours; or
d.
Either an increase or decrease of twenty-five percent or greater in student
numbers admitted, types of students, admission times, and progression options.
K.
Withdrawal of Full Approval of an Approved Facilitator Training Program
1.
The governing body, if applicable, and the Director of an education program must be
notified in writing if the requirements of the statute and the standards set forth in this Rule
are not fulfilled. Following a decision to place an Approved Facilitator Training Program
on conditional approval or to otherwise withdraw full approval, the Office of Natural
Medicine must notify the governing body, if applicable, and the Director, in writing, of
specific deficiencies.
2.
The education program will be given thirty (30) days from the date of the letter to respond
to any deficiencies. The Office of Natural Medicine will review the response and will make
a determination to continue approval of the education program or to withdraw approval. If
the Office of Natural Medicine needs additional information, it may request it from the
education program or conduct further investigation.
3
program will be given thirty (30) days from the date of the letter to respond
to any deficiencies. The Office of Natural Medicine will review the response and will make
a determination to continue approval of the education program or to withdraw approval. If
the Office of Natural Medicine needs additional information, it may request it from the
education program or conduct further investigation.
3.
The education program has ninety days from the date of the Office of Natural Medicine’s
notice of deficiency to provide written documentation that the deficiencies have been
corrected or to provide a written plan of correction. For good cause shown, the Office of
Natural Medicine may allow an education program additional time.
4.
After consideration of available information, the Office of Natural Medicine may determine
that an Approved Facilitator Training Program’s full approval should be withdrawn and
the education program be closed, or that the education program should be placed on
conditional approval, for any of the following reasons:
a.
The Approved Facilitator Training Program does not meet or comply with all the
provisions contained in the Natural Medicine Health Act, the Office of Natural
Medicine’s rules and regulations, or other state laws or regulations.
b.
The Approved Facilitator Training Program has provided to the Office of Natural
Medicine misleading, inaccurate, or falsified information to obtain or maintain full
approval.
c.
The Approved Facilitator Training Program has a program non-completion
average which falls below seventy-five percent for eight consecutive quarters.
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proved Facilitator Training Program has provided to the Office of Natural
Medicine misleading, inaccurate, or falsified information to obtain or maintain full
approval.
c.
The Approved Facilitator Training Program has a program non-completion
average which falls below seventy-five percent for eight consecutive quarters.
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5.
Conditional Approval
a.
If the Office of Natural Medicine determines that an education program should be
placed on conditional approval, the education program must submit status
reports, on a schedule determined by the Office of Natural Medicine, related to
the status of correction of the identified deficiencies.
b.
If an education program with conditional approval does not correct its
deficiencies or meet the required conditions within the time period established by
the Office of Natural Medicine, the Office of Natural Medicine may withdraw the
education program’s conditional approval.
c.
Students who are certified as having completed an education program from an
Approved Training Program on conditional status may submit an application for
licensure, which will be reviewed on a case-by-case basis by the Director.
6.
Appeal Rights
a.
Decisions of the Office of Natural Medicine to withdraw full approval or to offer
conditional approval are subject to the Administrative Procedure Act, at section
24-4-105, C.R.S.
7.
Any Approved Facilitator Training Program that loses full approval must inform all
enrolled students and applicants of a change in the program’s approval status within two
weeks of the date of the change in status.
a.
Students who are certified as having completed an education program from a
training program that has lost full approval may submit an application for
licensure, which will be reviewed on a case-by-case basis by the Director.
L.
Restoration of Full Approval to an Approved Facilitator Training Program
1
change in the program’s approval status within two
weeks of the date of the change in status.
a.
Students who are certified as having completed an education program from a
training program that has lost full approval may submit an application for
licensure, which will be reviewed on a case-by-case basis by the Director.
L.
Restoration of Full Approval to an Approved Facilitator Training Program
1.
Upon satisfactory completion of all requirements to correct its deficiencies, an Approved
Facilitator Training Program may petition the Office of Natural Medicine to restore its
status to full approval. The education program must demonstrate compliance with the
Natural Medicine Health Act, the Office of Natural Medicine’s rules and regulations, and
all other state statutes and regulations.
2.
If the Office of Natural Medicine does not restore full approval, the Approved Facilitator
Training Program may petition the Office for an extension of conditional approval status
not to exceed one year. As part of its petition, the Approved Facilitator Training Program
must submit a corrective action plan that includes a time table to correct the identified
deficiencies.
3.
If a program loses full approval, it must apply to the Office of Natural Medicine to restore
full approval. If a program loses conditional approval, it must apply to the Office of Natural
Medicine to obtain authority to begin accepting students.
M.
Denial or Withdrawal of Approval of an Approved Facilitator Training Program
1.
An Approved Facilitator Training Program has the ability to seek review of decisions
regarding full and conditional approval pursuant to the Administrative Procedure Act,
section 24-4-105, C.R.S.
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ain authority to begin accepting students.
M.
Denial or Withdrawal of Approval of an Approved Facilitator Training Program
1.
An Approved Facilitator Training Program has the ability to seek review of decisions
regarding full and conditional approval pursuant to the Administrative Procedure Act,
section 24-4-105, C.R.S.
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2.
If the Office of Natural Medicine denies an application for program licensure, the
applicant has 60 days to request a hearing on the denial or withdrawal. If requested, the
Office of Natural Medicine will file a notice of denial with the office of administrative courts
to adjudicate the merits of the denial or withdrawal, in accordance with section 24-4-105,
C.R.S.
N.
Voluntary Closures of an Approved Facilitator Training Program
1.
Approved Facilitator Training Programs desiring to close shall notify the Office of Natural
Medicine, in writing, at least six months prior to the date of closing.
2.
As part of the notification of closure required in Rule 4.1(M)(1), the Approved Facilitator
Training Program shall submit a plan assuring for a smooth transition and the equitable
treatment of students affected by the program closure.
3.
When the governing body of an Approved Facilitator Training Program changes, the new
governing body shall notify the Office of Natural Medicine within thirty days and comply or
maintain compliance with the Natural Medicine Health Act, the Office of Natural
Medicine’s rules and regulations, and all other state laws and regulations.
4.
Students who are certified as having completed an education program from an Approved
Training Program that has voluntarily closed may submit an application for licensure,
which will be reviewed on a case-by-case basis by the Director.
4.2
Maintaining Approved Status
Educational programs must comply with the requirements specified in these rules to maintain
approved status.
4.3
Alternate Language for institutions seeking approval of training programs
A
tion program from an Approved
Training Program that has voluntarily closed may submit an application for licensure,
which will be reviewed on a case-by-case basis by the Director.
4.2
Maintaining Approved Status
Educational programs must comply with the requirements specified in these rules to maintain
approved status.
4.3
Alternate Language for institutions seeking approval of training programs
A.
Any education program in this state desiring to receive from the Office of Natural Medicine
approval of its educational program that prepares individuals for licensure as a facilitator shall
apply to the Office of Natural Medicine and submit evidence that it is prepared to carry out an
educational program that complies with the provisions of Rule 4.1.
5:
REQUIREMENTS FOR ALL LICENSEES
5.1
Change of Name and Address
A.
Basis and Purpose and Authority.
The purpose of this Rule is to provide licensees and staff with clear guidance regarding a
licensee’s address of record for the Department’s purposes.
The authority for adoption of these Rules is set forth in sections 12-20-204(1), 12-170-105, and
24-4-103, C.R.S.
B.
The licensee shall inform the Department in a clear, explicit, and unambiguous written statement
of any name, address, telephone, or email change within thirty days of the change. The
Department will not change a licensee’s information without explicit written notification from the
licensee.
1.
The Department maintains one contact address for each licensee, regardless of the
number of licenses the licensee may hold.
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f any name, address, telephone, or email change within thirty days of the change. The
Department will not change a licensee’s information without explicit written notification from the
licensee.
1.
The Department maintains one contact address for each licensee, regardless of the
number of licenses the licensee may hold.
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35
2.
Address change requests for some, but not all communications, or for confidential
communications only, are not accepted.
C.
The Department requires a copy of one of the following forms of documentation to correct or
change a licensee’s name or social security number or individual taxpayer identification number:
1.
Marriage license;
2.
Divorce decree;
3.
Court order;
4.
Documentation from the Internal Revenue Service verifying the licensee’s valid individual
taxpayer identification number; or
5.
Driver’s license or social security card with a second form of identification may be
acceptable at the discretion of the Department.
5.2
Reporting Criminal Convictions or Judgments
A.
Basis and Purpose and Authority.
This Rule establishes the requirements for licensees to report criminal convictions or judgments.
This Rule is promulgated pursuant to sections 12-20-204, 12-170-105(1), and 12-170-109, C.R.S.
B.
A licensee shall inform the Director in writing within thirty days of any of the following events:
1.
The conviction of, the entry of a guilty plea or nolo contendere of the licensee to a felony
as articulated in section 12-170-109(1)(b), C.R.S.;
2.
Any adverse action that has been taken against the licensee by another licensing agency
in another state or country, a peer review body, a healing center, a health-care institution,
a professional society or association, a governmental agency, a law enforcement agency,
or a court for acts or conduct that would constitute grounds for disciplinary or adverse
action as described in this article 170;
3
ny adverse action that has been taken against the licensee by another licensing agency
in another state or country, a peer review body, a healing center, a health-care institution,
a professional society or association, a governmental agency, a law enforcement agency,
or a court for acts or conduct that would constitute grounds for disciplinary or adverse
action as described in this article 170;
3.
The surrender of a license or other authorization to practice facilitation or the provision of
natural medicine services in another state or jurisdiction or the surrender of membership
on any healing center or other authorized health care institution’s staff or in any
professional association or society while under investigation by any of those authorities or
bodies for acts or conduct similar to acts or conduct that would constitute grounds for
action as described in this article 170;
5.3
Records Retention
A.
Basis and Purpose and Authority.
This Rule establishes requirements for licensees to maintain participant records.
This Rule is promulgated pursuant to sections 12-20-204, 12-170-105(1)(a), and 12-170-109,
C.R.S.
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36
B.
All licensed facilitators must complete and retain records for every participant to whom they
provide natural medicine services. Records must be retained for three years after natural
medicine services are completed. If a facilitator is affiliated with a healing center, and the healing
center retains a copy of the participants records, then the facilitator need not keep a copy.
5.4
Continuing Education Requirements
A.
Basis and Purpose and Authority.
This Rule establishes requirements for licensees to undertake continuing education.
This Rule is promulgated pursuant to sections 12-20-204, 12-170-105(1)(a), and 12-170-109,
C.R.S.
B.
Licensees must maintain active certification in Basic Life Support training.
C
rticipants records, then the facilitator need not keep a copy.
5.4
Continuing Education Requirements
A.
Basis and Purpose and Authority.
This Rule establishes requirements for licensees to undertake continuing education.
This Rule is promulgated pursuant to sections 12-20-204, 12-170-105(1)(a), and 12-170-109,
C.R.S.
B.
Licensees must maintain active certification in Basic Life Support training.
C.
Every Facilitator and Clinical Facilitator licensee must complete a minimum of 1 hour of
continuing education per month of licensure, or portion thereof, related to the delivery of natural
medicine services. One (1) hour per quarter must specifically be in ethics. Although the total
number of required continuing education hours accrues monthly, it can be completed at any time
during the renewal cycle.
1.
For example, if a license is issued on January 15th and expires on May 31st, the individual
is required to obtain five (5) hours of continuing education prior to renewal.
2.
For those individuals who are issued licenses within the 120 days prior to the expiration
date, the continuing education requirement will roll to the following renewal date. Those
licensees will be required to accrue twelve (12) hours of continuing education.
D.
Licensees may satisfy continuing education requirements through attendance at workshops,
seminars, symposia, colloquia, invited speaker sessions, institutes, or scientific or professional
programs offered at meetings of local, state, regional, national, or international professional or
scientific organizations. The activities completed pursuant to this Rule 5.4(C) may include online
continuing education. Up to three (3) hours of the required continuing education may be accrued
from attendance at bona fide facilitator peer support groups. Bona fide peer facilitator support
group means a group of three or more licensed Facilitators or Clinical Facilitators that meet to
discuss generally accepted standards of practice and anonymized experiences.
E
Rule 5.4(C) may include online
continuing education. Up to three (3) hours of the required continuing education may be accrued
from attendance at bona fide facilitator peer support groups. Bona fide peer facilitator support
group means a group of three or more licensed Facilitators or Clinical Facilitators that meet to
discuss generally accepted standards of practice and anonymized experiences.
E.
Licensees must maintain copies of transcripts or certificates of attendance/completion for each
continuing education seminar or course the licensee completed. Licensees must provide the
Director with proof of completion of continuing education coursework upon request.
F.
Continuing education hours accrued by a licensee to satisfy another professional licensure’s
continuing education requirement are eligible for inclusion in the calculation of continuing
education for a natural medicine license only if the continuing education is specific to the delivery
of regulated natural medicine services or ethics. Continuing education hours completed to comply
with a requirement for a natural medicine license issued by another state may be counted
towards meeting the requirements of Rule 5.4.
5.5
Disclosure of Financial Interests and Owners of Natural Medicine Business License
A.
An Applicant for a License under Section 2 of these Rules must disclose any Financial Interest in
each initial and renewal application. Failure to accurately disclose all Financial Interests in a
Natural Medicine Business may result in denial of an application or disciplinary action against the
Licensee.
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ness License
A.
An Applicant for a License under Section 2 of these Rules must disclose any Financial Interest in
each initial and renewal application. Failure to accurately disclose all Financial Interests in a
Natural Medicine Business may result in denial of an application or disciplinary action against the
Licensee.
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37
B.
A licensee must not have a Financial Interest in more than five Natural Medicine Businesses. The
Director will deny an application if an Applicant possesses a Financial Interest in more than five
Natural Medicine Businesses.
C.
If a Licensee gains an ownership interest in more than five Natural Medicine Businesses, the
Licensee may be subject to disciplinary action pursuant to section 12-170-109(1)(a), C.R.S.
6:
STANDARDS OF PRACTICE
6.1
Authority
Section 6 of these rules and regulations are adopted pursuant to the authority in sections 12-20-204, 12-
170-105(1)(a), and 12-170-108(3), C.R.S., and are intended to be consistent with the requirements of the
State Administrative Procedure Act, sections 24-4-101, et seq., C.R.S. (the “APA”), and the Natural
Medicine Health Act of 2022 at sections 12-170-101, et seq. and 44-50-101, et seq., C.R.S.
6.2
Statement of Basis and Purpose, Scope of Regulations
Section 6 of these rules and regulations shall govern the process for the safe provision of regulated
natural medicine services. Section 6 of these rules applies to all individuals licensed under these
chapters; for purposes of this Section 6, the term “Facilitator” means any individual licensed by the Office
of Natural Medicine Licensure who is engaged in the practice of facilitation.
6.3
Documentation and Disclosure Requirements
A.
A facilitator must complete and retain records for every participant to whom they provide Natural
Medicine Services. To the extent available, a facilitator must use forms approved by the Director
for all documentation requirements. Records may be maintained electronically.
B
Natural Medicine Licensure who is engaged in the practice of facilitation.
6.3
Documentation and Disclosure Requirements
A.
A facilitator must complete and retain records for every participant to whom they provide Natural
Medicine Services. To the extent available, a facilitator must use forms approved by the Director
for all documentation requirements. Records may be maintained electronically.
B.
A facilitator must maintain the following records:
1.
Completed demographic information form;
2.
Completed informed consent document pursuant to Rule 6.5;
3.
Completed preferred means of communication document;
4.
Completed transportation plan and any deviation from the participant’s transportation
plan;
5.
Completed agreement between participant and facilitator or healing center regarding fees
and any other financial arrangements;
6.
Completed physical touch contract;
7.
Completed participant safety and support plans;
8.
Completed safety screen tool;
9.
The date, start time, and end time for every preparation, administration, and integration
session;
10.
The regulated natural medicine product(s), including a unique identification number,
consumed by each participant, including the amount of product consumed and whether it
was consumed in a single dose or multiple doses;
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11.
Any adverse reactions that required medical attention or emergency services as well as
the nature and result of the facilitator’s response to the adverse event;
12.
Any other documentation required by regulatory agencies in Colorado related to or in
service of the cultivation, production, distribution, and/or use of natural medicines as
regulated by Colorado law;
13.
Outcome information, to the extent provided by the participant;
14
medical attention or emergency services as well as
the nature and result of the facilitator’s response to the adverse event;
12.
Any other documentation required by regulatory agencies in Colorado related to or in
service of the cultivation, production, distribution, and/or use of natural medicines as
regulated by Colorado law;
13.
Outcome information, to the extent provided by the participant;
14.
For any facilitation that occurs outside of a healing center, disclosures regarding the
differences between a licensed healing center and a private residence and the
participant’s consent to an additional representative or a video recording; and
15.
All disclosures obtained pursuant to Rule 6.15.
C.
Records required by this rule must identify the participant receiving services and be searchable
by participant’s name so that a facilitator may produce them pursuant to a request for records.
D.
Participant records must be stored and maintained for a minimum of 3 years as described in Rule
5.3.
E.
Records may only be destroyed in a manner that maintains participant confidentiality, such as a
commercial shredding service.
F.
A facilitator is responsible for maintaining participant confidentiality, understanding the
requirements of maintaining participant confidentiality, including all legal requirements, and
should consult with their legal counsel, as needed.
G.
A facilitator may not withhold records under their control that are requested for a participant’s
Natural Medicine Services because the facilitator has not received payment for Natural Medicine
Services.
H.
A facilitator may delegate the collection of information or completion of certain forms to properly
trained staff members. The facilitator must review all forms and information compiled by staff. The
facilitator may not delegate completion of the informed consent document; the physical touch
contract; or the safety screen tool.
6.4
Confidentiality of Participant Records
A.
Purpose
ine
Services.
H.
A facilitator may delegate the collection of information or completion of certain forms to properly
trained staff members. The facilitator must review all forms and information compiled by staff. The
facilitator may not delegate completion of the informed consent document; the physical touch
contract; or the safety screen tool.
6.4
Confidentiality of Participant Records
A.
Purpose. These rules have been adopted by the Director to clarify confidentiality and privacy
requirements for facilitators with respect to participant records and information.
B.
Unless a participant or prospective participant gives their consent prior to the disclosure, a
facilitator must not disclose a participant’s or prospective participant’s personally identifiable
information or confidential communications made between the participant or prospective
participant and the facilitator to the public, third parties, or any government agency, except as
allowed for purposes expressly authorized pursuant to article 170 of title 12, C.R.S., article 50 of
title 44, C.R.S., these Rules, or for state or local law enforcement agencies to access record and
information for other state or local law enforcement pursuant to a bona fide law enforcement
investigation. Facilitators are responsible for their staff that assist participants and prospective
participants and shall ensure staff are aware that they must maintain confidentiality.
C.
All information and records related to a participant or prospective participant constitute medical
data pursuant to section 24-72-204(3)(a)(I), C.R.S., and any such information or records may only
be disclosed to those persons directly involved in an active investigation or proceeding.
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must maintain confidentiality.
C.
All information and records related to a participant or prospective participant constitute medical
data pursuant to section 24-72-204(3)(a)(I), C.R.S., and any such information or records may only
be disclosed to those persons directly involved in an active investigation or proceeding.
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39
D.
Licensees shall discuss with participants the nature of confidentiality and the limitations of their
right to confidentiality before conducting an administration session. Licensees shall review with
participants circumstances when confidential information may be requested and when disclosure
of confidential information is legally required, including information that may be required to be
disclosed by the facilitator or clinical facilitator who, by secondary license, or profession, is
subject mandatory reporting requirements pursuant to their professional obligations.
E.
When providing group facilitation services, licensees shall inform participants that the licensee
cannot guarantee the confidentiality of all communications between the participants and
Licensee; given that participants are not subject to these Rules, and there exists the possibility
that other participants will share their observations or experiences with others.
F.
Licensees shall take reasonable steps to protect the confidentiality of information transmitted to
other parties through the use of computers, electronic mail, facsimile machines, telephones and
telephone answering machines, and other electronic or computer technology.
G.
Records required by this rule must be stored in a secure fashion so that only the facilitator or any
authorized persons at healing centers, including those with participant approval, may access
them.
H.
When facilitators are required to release information about participants, they must follow all
pertinent laws and regulations and provide the minimum amount of information necessary to
respond
.
G.
Records required by this rule must be stored in a secure fashion so that only the facilitator or any
authorized persons at healing centers, including those with participant approval, may access
them.
H.
When facilitators are required to release information about participants, they must follow all
pertinent laws and regulations and provide the minimum amount of information necessary to
respond. Facilitators should also inform participants about the release of protected information
when possible and permissible.
I.
Upon request, facilitators and other individuals authorized to possess participant records must
provide a copy of all records to the participant. Facilitators and other authorized individuals may
require a participant to make the request for records in writing. If requested records contain
protected health information (PHI) of other participants, the facilitator or other individual who
possesses the records must redact the PHI of all additional participants.
J.
A licensee must not disclose personally-identifiable confidential participant information when
consulting with colleagues or with other participants.
K.
To the extent that a clinical facilitator has more stringent requirements for recordkeeping as a part
of their secondary license, the clinical facilitator should maintain facilitation records consistent
with the more stringent requirements of their secondary license.
6.5
Informed Consent
A.
A facilitator must document the informed consent obtained from each participant, including
decisions related to safety plan, physical touch, the presence of other individuals, the use of video
recording, and other decisions that the facilitator deems necessary regarding the provision of
Natural Medicine Services.
B.
A facilitator must obtain informed consent from the participant before the initiation of every
administration session using natural medicines.
C.
A participant may withdraw their consent at any time. A facilitator must document the participant’s
withdrawal of consent within the record.
D
d other decisions that the facilitator deems necessary regarding the provision of
Natural Medicine Services.
B.
A facilitator must obtain informed consent from the participant before the initiation of every
administration session using natural medicines.
C.
A participant may withdraw their consent at any time. A facilitator must document the participant’s
withdrawal of consent within the record.
D.
A facilitator must, as part of the informed consent process, disclose to clients in writing as to limits
of confidentiality, as described in Rule 6.4 of these rules. This includes exceptions to
confidentiality for mandatory reporting and duty to warn of threats to third parties.
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E.
A facilitator must inform a participant of the scope of natural medicine services that will occur as
part of facilitation, including an accurate description of natural medicines used, potential risks and
benefits, and alternatives to the use of natural medicine, prior to the administration session.
F.
A facilitator must accurately represent their background and training using appropriate terms
according to applicable laws and professional codes. A facilitator must disclose all licenses they
hold and all professional domains they operate in.
G.
A facilitator must inform a prospective participant of all fees and costs associated with their
provision of natural medicine services, as well as their process for collecting payment, before
delivering a billable service. This includes any third-party services that a facilitator uses to collect
payment from a participant should they fail to pay a facilitator. If a facilitator works in association
or connection with a healing center, the facilitator must also disclose all practices that the healing
center uses to collect payment, including any third-party services
cting payment, before
delivering a billable service. This includes any third-party services that a facilitator uses to collect
payment from a participant should they fail to pay a facilitator. If a facilitator works in association
or connection with a healing center, the facilitator must also disclose all practices that the healing
center uses to collect payment, including any third-party services. A facilitator must notify a
prospective participant that, by using a third party to collect delinquent fees, a facilitator will
disclose the identity of the prospective participant and indicate that they are a participant of the
facilitator.
H.
A facilitator must inform a participant and all persons present of any audio or video recording
occurring during the use of natural medicines, including the preparation, administration, and
integration sessions. A facilitator must describe the purpose of recording and how recordings will
be stored and used. A facilitator must obtain informed consent from all persons present prior to
recording sessions. A facilitator must obtain explicit permission, outlining the specific use,
authorized recipient(s), and terms of release, from the participant and all identifiable persons
before releasing audio or video recordings.
I.
A facilitator must obtain informed consent for any physical touch that might be used during the
administration session, in accordance with the requirements in Rule 6.6.
J.
A facilitator must inform a participant in advance and, when possible, receive permission from the
participant about the possible or scheduled presence of assistants, providers, observers, staff or
anyone else who may be present during the provision of natural medicine services or have
access to participant-identifying information.
K.
A facilitator must inform a prospective participant regarding their process for termination of
Natural Medicine Services as part of the informed consent process during an informal
consultation or at a preparation session.
L
tants, providers, observers, staff or
anyone else who may be present during the provision of natural medicine services or have
access to participant-identifying information.
K.
A facilitator must inform a prospective participant regarding their process for termination of
Natural Medicine Services as part of the informed consent process during an informal
consultation or at a preparation session.
L.
A facilitator must explain to a prospective participant in another state any risks associated with
traveling to Colorado to receive natural medicine services.
6.6
Use of Physical Touch
A.
A facilitator may provide supportive touch during administration sessions when requested by the
participant and with the participant’s written consent, which must be obtained during a preparation
session using a physical touch contract.
B.
A facilitator may use supportive touch, including the placing of the facilitator’s hands on a
participant’s hands, feet, or shoulders, during an administration session. A facilitator may only use
forms of touch for which they have received education and training and are within the bounds of
their competence to use.
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C.
Participants participating in a group administration session may provide prior written consent to
authorize supportive touch from other participants participating in the group administration
session. A facilitator shall not permit another person to use any other form of touch during an
administration session. A facilitator may decide not to allow participants to provide any form of
supportive touch to other participants during group sessions, which must be documented on the
physical touch contract.
D.
Aside from protecting a participant’s body from imminent harm, including but not limited to
catching them from falling, or to perform life-saving procedures, the use of touch is always
optional, must be according to the consent of the participant, and must be limited to the
administration session
other participants during group sessions, which must be documented on the
physical touch contract.
D.
Aside from protecting a participant’s body from imminent harm, including but not limited to
catching them from falling, or to perform life-saving procedures, the use of touch is always
optional, must be according to the consent of the participant, and must be limited to the
administration session. If requested by the participant, a facilitator may demonstrate the scope of
what may constitute supportive touch during a preparation session. A facilitator must inform a
participant that there may be times a facilitator may need to make physical contact to ensure
participant safety or the safety of other persons present, including but not limited to taking the
participant's vital signs, walking a participant to the restroom, or preventing a fall while the
participant is under the influence of natural medicine.
E.
A facilitator must discuss with the participant in advance of the administration session simple and
specific words and gestures the participant is willing to use to communicate about touch during
administration sessions. For example, a participant may use the word “stop” or a hand gesture
indicating stop, and the facilitator must stop touch.
F.
A facilitator must practice discernment with physical touch, using their professional or clinical
judgment and assessing their own motivation for physical touch when evaluating whether
touching a participant is appropriate and consistent with the touch contract established between
the facilitator and the participant through the informed consent process.
G.
The use of physical touch that is outside the bounds of a facilitator’s competence or that is used
solely for the purpose of a facilitator’s or participant’s pleasure is never permitted.
H.
The facilitator must document the scope of physical touch in a contract with the participant. The
contract must include, but is not limited to:
1
tor and the participant through the informed consent process.
G.
The use of physical touch that is outside the bounds of a facilitator’s competence or that is used
solely for the purpose of a facilitator’s or participant’s pleasure is never permitted.
H.
The facilitator must document the scope of physical touch in a contract with the participant. The
contract must include, but is not limited to:
1.
A full and accurate description of any physical touch that the facilitator anticipates to be
necessary during the administration session, including but not limited to physical contact
to ensure participant safety;
2.
The bodily areas, forms, frequency, and circumstances under which the participant
consents to physical contact from the facilitator and any additional non-participant
individuals who will be present during the administration session;
3.
The words or physical gestures the participant will use to communicate their consent or
revocation of consent to physical contact during the administration session;
4.
Unless physical contact is initiated by a facilitator for the specific purpose of preventing
harm to a participant during an administration session, all physical contact between a
facilitator, a participant, and any other individuals present during the provision of Natural
Medicine Services may only be initiated in accordance with the terms and conditions
specified in the physical touch contract;
5.
In addition to physical touch authorized by the physical touch contract, a facilitator or
other authorized individual may initiate physical contact with a participant only if the
facilitator or other authorized individual reasonably believes that such contact is
necessary to prevent physical injury or harm to a participant; and
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ion to physical touch authorized by the physical touch contract, a facilitator or
other authorized individual may initiate physical contact with a participant only if the
facilitator or other authorized individual reasonably believes that such contact is
necessary to prevent physical injury or harm to a participant; and
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6.
A participant may not give consent to physical contact during an administration session
that is beyond the scope of the terms and conditions enumerated in the physical touch
contract, or that goes beyond touch to hands, feet, and shoulders, only.
I.
Notwithstanding the terms and conditions enumerated in the physical touch contact, a participant
may refuse or revoke consent to physical contact at any time during the course of Natural
Medicine Services.
6.7
When to Seek Emergency Services
A.
A facilitator must utilize their training to distinguish between typical side effects of consuming
natural medicines and medical emergencies. In the event of a medical emergency, a facilitator
must contact emergency responders or other appropriate medical professionals immediately.
B.
Facilitators who hold secondary licenses in a healing art must adhere to the strictest ethical
standards of their dual professions while providing natural medicine services.
6.8
Discrimination and Exploitation Prohibited
A.
During their performance of Natural Medicine Services, a facilitator must not discriminate or
otherwise engage in behavior that is harassing or demeaning based on age, gender, gender
identity, race, ethnicity, culture, national origin, religion, sexual orientation, disability,
socioeconomic status, or any other basis proscribed by law.
B.
A facilitator may not exploit persons over whom they have supervisory, evaluative, or other
authority, including but not limited to participants, students, supervisees, research participants,
and employees.
6.9
Provision of Natural Medicine Services to Subordinates Prohibited
A
national origin, religion, sexual orientation, disability,
socioeconomic status, or any other basis proscribed by law.
B.
A facilitator may not exploit persons over whom they have supervisory, evaluative, or other
authority, including but not limited to participants, students, supervisees, research participants,
and employees.
6.9
Provision of Natural Medicine Services to Subordinates Prohibited
A.
A facilitator may not provide services to people over whom they have supervisory, evaluative, or
other authority, including but not limited to students, supervisees, research participants, and
employees.
1.
Notwithstanding this prohibition, a training licensee who is engaged in practicum hours
through an educational institution may receive natural medicine services from their
practicum’s supervising facilitator as part of their supervised practicum experience.
6.10.
Sexual or Romantic Relationships and Conduct Prohibited
A.
A facilitator may not engage in romantic or sexual relationships with students or supervisees who
are in their department, agency, or training center or over whom the facilitator has or is likely to
have evaluative authority.
B.
A facilitator may not engage in any romantic relationships, sexual contact, or sexual intimacy with
participants, or participants’ partners, or their immediate family members, during natural medicine
services and for a period of two years following the termination of Natural Medicine Services to
the participant.
C.
A facilitator may not offer or provide Natural Medicine Services as a means of establishing a
personal relationship with a participant.
D
A facilitator with a dual license to practice another profession must be aware of the Practice Act
governing that license and comply with all requirements related to dual relationships and
provisions related to relationships with clients or patients in that profession.
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shing a
personal relationship with a participant.
D
A facilitator with a dual license to practice another profession must be aware of the Practice Act
governing that license and comply with all requirements related to dual relationships and
provisions related to relationships with clients or patients in that profession.
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6.11
Facilitator Health/State of Mind
A.
A facilitator may not consume or otherwise be under the influence of natural medicine or any
other intoxicant while providing Natural Medicine Services.
B.
A facilitator must refrain from initiating Natural Medicine Services with a participant when they
know or reasonably should know that there is a substantial likelihood that their own state of mind
or physical condition will prevent them from performing their work-related activities in a competent
manner.
1.
When a facilitator becomes aware that their own state of mind or physical condition could
interfere with their ability to perform their work adequately, the facilitator must take
appropriate measures, including but not limited to obtaining professional consultation or
assistance, and determine whether they should limit, suspend, or terminate their work.
C.
A facilitator must identify when they are unable to provide appropriate care and must inform a
participant that they must discontinue Natural Medicine Services and refer them to other
providers as a result.
D.
A facilitator must develop and document a plan in the event that they are unable to safely provide
facilitation services to a participant, so that the participant may safely receive Natural Medicine
Services from another facilitator or provider.
6.12
Financial Guidelines
A.
A facilitator may not engage in any financial transactions with a participant, the participant’s
partners, or the participant’s immediate family members that would violate the facilitator’s duty of
loyalty to the participant.
6.13
Facilitators holding Secondary Licensure
A
he participant may safely receive Natural Medicine
Services from another facilitator or provider.
6.12
Financial Guidelines
A.
A facilitator may not engage in any financial transactions with a participant, the participant’s
partners, or the participant’s immediate family members that would violate the facilitator’s duty of
loyalty to the participant.
6.13
Facilitators holding Secondary Licensure
A.
In conjunction with the provision of Natural Medicine Services, a facilitator or a clinical facilitator
who holds a secondary license may also provide services pursuant to their secondary license,
including but not limited to medical or behavioral health care, as long as the facilitator’s or clinical
facilitator’s secondary license is active and in good standing, the services fall within the scope of
their secondary license, and the secondary license has not been restricted to prevent the licensee
from performing the service. The facilitator or clinical facilitator may only perform such medical or
behavioral health services within the bounds of their competencies.
6.14
Establishing and Maintaining Continued Competency in Facilitation
A.
A facilitator must practice within the bounds of competence, training, and experience specific to
the populations they are working with and the modalities they offer.
B.
In those emerging areas in which generally recognized standards for training do not yet exist, a
facilitator takes reasonable steps to ensure the competence of their work and to protect
participants, students, supervisees, research participants, organizational participants, and others
from harm.
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odalities they offer.
B.
In those emerging areas in which generally recognized standards for training do not yet exist, a
facilitator takes reasonable steps to ensure the competence of their work and to protect
participants, students, supervisees, research participants, organizational participants, and others
from harm.
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C.
When indicated and professionally appropriate, a facilitator may collaborate with other
professionals in order to serve their participants effectively and appropriately. At no time is a
facilitator permitted to consult or collaborate with others on services that require licensure unless
the individual consulted possesses an active license for the services being consulted for or
provided to participants.
D.
A facilitator must receive ongoing professional development, through supervision, collaboration,
or peer support groups and through continuing education to maintain or expand their
competencies.
E.
A facilitator must maintain licensure(s) in good standing for all services they offer, including
renewal of facilitator and secondary licenses as required by Colorado law.
F.
A facilitator must perform all administration sessions in person and within Colorado. If a facilitator
provides preparation or integration sessions while a participant is physically located in another
jurisdiction, the facilitator should avoid engaging in the unlicensed practice in another state of a
licensed profession.
6.15
Initial Consultation or Informal Inquiry
A.
Prior to the provision of Natural Medicine Services, a facilitator must undertake an initial
consultation or informal inquiry with all prospective participants. The initial consultation should
serve to identify whether a prospective participant is a potential candidate to receive Natural
Medicine Services from the facilitator, as well as whether the prospective participant wishes to
retain the selected facilitator to provide Natural Medicine Services
facilitator must undertake an initial
consultation or informal inquiry with all prospective participants. The initial consultation should
serve to identify whether a prospective participant is a potential candidate to receive Natural
Medicine Services from the facilitator, as well as whether the prospective participant wishes to
retain the selected facilitator to provide Natural Medicine Services. Nothing in this Rule 6.15 is
intended to prevent individuals who are not licensed as facilitators, but who are affiliated with a
facilitator or a healing center, from answering general questions from prospective participants.
1.
A facilitator should begin their assessment during initial consultation whether a
prospective participant’s needs can be addressed within their bounds of competence,
and if not, the facilitator may make informed referrals to other providers and services.
B.
Screening Assessment: A facilitator must provide every prospective participant their written
screening tool, and discuss with them the circumstances under which that prospective participant
may or may not be an appropriate candidate for the provision of any Natural Medicine Services.
C.
Disclosures: A facilitator must ensure adequate disclosure to prospective participants of all
relevant considerations or factors that a prospective participant would need to know in order to
make an informed decision regarding the selection of a facilitator for the provision of Natural
Medicine Services.
1.
Required Disclosures: A facilitator must provide the following disclosures:
a
Services.
C.
Disclosures: A facilitator must ensure adequate disclosure to prospective participants of all
relevant considerations or factors that a prospective participant would need to know in order to
make an informed decision regarding the selection of a facilitator for the provision of Natural
Medicine Services.
1.
Required Disclosures: A facilitator must provide the following disclosures:
a.
Full and accurate written information regarding all licenses, registrations, or
certificates the facilitator holds, including all active and inactive licenses,
registrations, and certificates issued by this state; all licenses, registrations, or
certificates, whether active or inactive, issued by another state, United States
jurisdiction, or foreign country; any disciplinary actions taken against any license,
registration, or certificate held by the facilitator; and all professional domains in
which the facilitator operates.
b.
Disclosures regarding costs, signed by the participant, which must include, at a
minimum:
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(1)
A full and accurate written description of all costs charged to the
participant and the process the facilitator or healing center will utilize for
collecting payment before delivering Natural Medicine Services, including
any third-party services that may be used to collect payment from a
participant in the event of non-payment by the participant. If a third-party
is to be utilized to collect payment, a facilitator shall disclose that in the
case of non-payment, the identity of the participant and the fact that the
individual is a participant in Natural Medicine Services provided by the
facilitator will be disclosed to the third-party.
(2)
The description of Natural Medicine Services costs required pursuant to
Rule 6.3(B)(5) must include the full cost of Natural Medicine Services ,
including:
(a)
The fee charged for each preparation session;
non-payment, the identity of the participant and the fact that the
individual is a participant in Natural Medicine Services provided by the
facilitator will be disclosed to the third-party.
(2)
The description of Natural Medicine Services costs required pursuant to
Rule 6.3(B)(5) must include the full cost of Natural Medicine Services ,
including:
(a)
The fee charged for each preparation session;
(b)
The fee charged for each administration and integration session,
including the cost of the natural medicine to be used during the
administration session.
(c)
A statement notifying participants, that per 6.19 of these Rules, a
facilitator must not charge a fee for a first integration session.
(3)
A full and accurate written description of any additional fees that may be
imposed by the facilitator or healing center, including but not limited to,
rescheduling fees and cancellation fees, as well as a description of the
facilitator’s or healing center’s refund policy, including the circumstances
under which a refund will be issued and a description of which costs are
non-refundable.
(4)
A full and accurate written description of the procedures to terminate
services or otherwise transfer the participant’s care that a facilitator or
healing center will utilize if, after the initial screening process or following
the preparation session, but prior to the commencement of the
administration session, the facilitator determines that they are unable to
provide Natural Medicine Services to the participant.
e written description of the procedures to terminate
services or otherwise transfer the participant’s care that a facilitator or
healing center will utilize if, after the initial screening process or following
the preparation session, but prior to the commencement of the
administration session, the facilitator determines that they are unable to
provide Natural Medicine Services to the participant.
(a)
If a facilitator is providing natural medicine services to a
participant at a private residence, in addition to all other required
disclosures, the facilitator shall disclose the following:
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