License Information
Per Wis. Stat. § 440.08 (2), the required renewal date for the Prevention Specialist credential is 02/28/odd years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Pre-Credential Education
Complete 240 hours of education and training covering the prevention domains.
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Practicum in Prevention Domains: A practicum is a course of study that involves the supervised practical application of previously studied theory. Prevention Specialists must complete 120 hours of practicum in the prevention domain areas with no less than 10 hours in any prevention domain area (see below for list of domains).
- 50 hours of this training shall be specific to alcohol, tobacco, or other substance abuse.
- At least 6 hours shall be in ethics.
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The total number of contact hours submitted must equal at least 120.
Complete work experience: Must complete 2,000 hours of work experience as a Prevention Specialist-In-Training with a minimum of 100 hours of work experience in each prevention domain area under Wis. Admin. Code § SPS 161.02 (22).
"Prevention Domains" means the areas of knowledge essential to the validity of the prevention process and include the following:
Domain 1: Planning and Evaluation
- Use needs assessment strategies to gather relevant data for ATOD prevention planning.
- Identify gaps and prioritize needs based on the assessment of community conditions.
- Select prevention strategies, programs, and best practices to meet the identified needs of the community.
- Develop an ATOD prevention plan based on research and theory that addresses community needs and desired outcomes.
- Identify resources to sustain prevention activities.
- Identify appropriate ATOD prevention program evaluation strategies.
- Conduct evaluation activities to document program implementation and effectiveness.
- Use evaluation findings to determine whether and how to adapt ATOD prevention.
Domain 2: Education and Skill Development
- Develop ATOD prevention education and skill development activities based on target audience analysis.
- Connect prevention theory and practice to implement effective prevention education and skill development activities. Maintain program fidelity when implementing evidence-based programs.
- Assure that ATOD education and skill activities are appropriate to the culture of the community being served.
- Use appropriate instructional strategies to meet the needs of the target audience.
- Ensure all ATOD prevention education and skill development programs provide accurate, relevant, timely, and appropriate content information.
- Identify, adapt, or develop instructor and participant materials for use when implementing ATOD prevention activities.
- Provide professionals in related fields with accurate, relevant, timely, and appropriate ATOD prevention information.
- Provide technical assistance to community members and organizations regarding ATOD prevention strategies and best practices.
Domain 3: Community Organization
- Identify the community's demographic characteristics and core values.
- Identify key community leaders to ensure diverse representation in ATOD prevention programming activities.
- Build community ownership of ATOD prevention programs by collaborating with key community leaders/members when planning, implementing and evaluation prevention activities.
- Provide technical assistance to community members/leaders in implementing ATOD prevention activities.
- Develop capacity within the community by recruiting, training, and monitoring ATOD, prevention focused volunteers.
- Assist in creating and sustaining community-based coalitions
Domain 4: Public Policy and Environmental Change
- Examine the community's public policies and norms to determine environmental change needs.
- Make recommendations to policy makers/stakeholders that will positively influence the community's public policies and norms. Provide technical assistance, training, and consultation that promote environmental change.
- Participate in public policy development and enforcement initiatives to affect environmental change.
- Use media strategies to enhance prevention efforts in the community.
Domain 5: Professional Growth and Responsibility
- Maintain personal knowledge, skills, and abilities related to current ATOD prevention theory and practice.
- Network with others to develop personal and professional relationships.
- Adhere to all legal, professional, and ethical standards.
- Build skills necessary for effectively working within the cultural context of the community.
- Demonstrate self-care consistent with ATOD prevention.
At least 5 hours shall be in ethics
Application for Licensure
| Form | Description |
|---|
| 2745 | Application for Prevention Specialist |
| 2786 | Application for Out-of-State Reciprocity Prevention Specialist |
| 2783 | Affidavit Regarding Work Experience For a Prevention Specialist |
| 2781 | Education and Training Form |
| 2782 | Practicum In Prevention Domains |
| 2868 | ICRC Exam Registration Instructions |
| 2829 | Malpractice Suits or Claims Form (If applicable) |
| 2252 | Convictions and Pending Charges |
3071 | Fax Payment Form |
