Prevention Specialist

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.

  • 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.
  • 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

    FormDescription
    2745Application 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
    2782Practicum In Prevention Domains
    ​2868​ICRC Exam Registration Instructions
    2829Malpractice Suits or Claims Form (If applicable)
    2252​Convictions and Pending Charges

    3071

    ​Fax Payment Form

    Renewal Information

    Requirements

    • FEE (See Renewal Dates and Fees)
    • SIG (Signature regarding the completion of Continuing Education in Chapter SPS 165.01, included in on-line renewal and paper form - see Continuing Education Information for details)
    • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

    Renewal Methods

    • Online Log In: License Renewal Online
    • Request a Paper Renewal Form: (888) 506‑4239 or (608) 261‑4460 for the Madison area
    FormDescription
    RDAFRenewal Dates and Fees
    R210Active Duty/Discharge Renewal Extension

    Wisconsin Act 210 (effective June 1, 2012)

    This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

    This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

    Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.