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Florida OT Neurofeedback Devices

“Neurofeedback device” is any device that provides immediate feedback from a computer-based program that measures brainwave activity with the use of sound, visual and/or tactile input to cue the brain to reorganize and retrain itself.

Required Training

The training required for students, postgraduates, and licensees to qualify for the use of a neurofeedback device shall include didactic training of at least sixteen (16) hours and performance of at least five (5) treatments under supervision.

The required training may be obtained through educational programs, workshops, or seminars offered at a college or university approved for training of occupational therapists by the American Occupational Therapy Association or of physical therapists by the American Physical Therapy Association or at clinical facilities affiliated with such accredited colleges or universities or educational programs offered through the American Society of Hand Therapists or Florida Occupational Therapy Association. Online courses are not approved for the didactic or performance training.

Supervised Treatment Sessions

Supervised treatment sessions shall be conducted under the personal supervision of licensed occupational therapists and occupational therapy assistants who have completed sixteen (16) hours of coursework in the use of neurofeedback devices and five (5) supervised treatments, licensed physical therapists and physical therapist assistants who have completed sixteen(16) hours of coursework in the use of neurofeedback devices and five (5) supervised treatments, medical doctors trained in the use of neurofeedback devices, psychologists trained in the use of neurofeedback devices, or other licensed healthcare professionals trained in the use of neurofeedback devices.

Treatment supervisors must have a minimum of 24 months prior experience in the use of neurofeedback devices. Personal supervision means that the supervisor is in the room with the trainees and actively provides guidance and supervision of the performance treatments.

Minimum Competency Levels

The training provided which teaches the therapeutic uses of neurofeedback devices shall provide for the following minimum competency level:

Standards:

    • The expected outcome of training with neurofeedback devices must be consistent with the goals of treatment.
    • Training with neurofeedback devices must be safely administered to the scalp.
    • Training with neurofeedback devices must be adequately documented.

Instrumentation:

    • Ability to describe core concepts, methods, and instrumentation of neurofeedback.
    • Ability to interpret the EEG (electroencephalogram) with respect to signal integrity and the presence of artifacts.
    • Ability to understand and describe concepts of frequency and amplitude.
    • Ability to create, adjust and adapt training protocols based on the EEG, clinical observation, and response to training.
    • Ability to describe equipment characteristics, indications and contraindications for training.

Preparation for Training:

    • Ability to prepare the patient for training through positioning and adequate instruction.

Determination of training duration and intensity:

    • Ability to discern when a trainee exhibits limited tolerance for an extended training session.
    • Ability to judge the pacing of training sessions based on tolerance and response to the training session.

Training Administration:

    • Ability to administer neurofeedback training through identification of controls, sequence of operation, and application of all safety rules and precautions.

Documentation of Neurofeedback Training:

    • Ability to document training, including immediate and long-term effects of clinical neurofeedback training.

Any occupational therapist or occupational therapy assistant who uses such neurofeedback device shall, upon request of the Board, or the Department, present proof that he or she has obtained the training required by this rule.

Reference

Fla. Admin. Code 64B11-4.001

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