Beyond Certification: Looking At the Future of Chaplaincy

From time to time I’ve been asked “so how do I become a Chaplain?”. While I usually answer with a laundry list of things to do to prepare, train and ultimately become certified, the real answer is – it depends. It depends not only on what you do to prepare to be a chaplain but also on what employers expect from a Chaplain. And sometimes these two areas are quite different from each other.

Professionally, chaplaincy seems at times like a fractured mess. There are several competing – and several cooperating – groups that offer certification to Chaplains working in areas including health care and community settings. These programs address the core competencies of chaplaincy but do so in very different ways. Acceptance of these certifications often varies, often depending on the nature of the context of ministry as well as the availability of CPE programs in the area. Some institutions recognize APC only, while others will recognize most any certification, and still others don’t even require it for someone to function as a Chaplain.

Personally I find this rather troubling. One hospice for example requires Chaplains to be certified through APC, meaning they have completed the required CPE training and gone through a rather rigorous certification process. Another hospice requires only that a Chaplain be ordained and have some prior experience in ministry. In the field, at least in Pennsylvania, both are Chaplains. It’s clear however that one will have a vastly different level of experience and education than another.

I can think of several reasons why hospice A and hospice B have such different perceptions of what makes a “professional” Chaplain, some from direct experience and others from speculation. However the fact that I can think of a dozen or so reasons why Chaplain A and Chaplain B are both considered “chaplains” shows a glaring problem: a lack of recognized standards at the state and national level.

Consider other professional positions in the health care industry. To be hired as a hospice social worker requires at least a BS or BA, more often a MSW, and professional licensure bestowed by the state board. To be an RN or LPN requires completing an approved program, licensure, and continuing education. Certified Nursing Assistants must also graduate from an approved program and be licensed by the state.

There are of course Chaplain certification programs such as CPSP, APC, SCA, JCC and so on. The Association of Professional Chaplains (APC) and Board of Chaplaincy Certification Inc. (BCCI) have typically been seen as the “gold standard” regarding competencies and certification. But other certifying bodies do not share the same methodology or requirements for Chaplain certification. I think these certifying bodies are all trying to measure the same competency in different ways. However there is still no clear standard that certification programs must all measure up to.

Which is why eventually I think there will need to be a move beyond the current model of certification through independent bodies to one of licensure at the state level. This will put them at equal footing with social workers and counselors, and perhaps allow for Medicare to make Chaplain hours billable as well. This does not mean that certifying bodies such as BCCI and CPSP will go away. These bodies will each have their own specific and unique ways of training individuals to be professional Chaplains, and maybe certification will continue to be a part of the licensure process. However I feel these certification programs will best serve their members as well as the communities they serve by ensuring their members adhere to a state or national standard. Licensure will help to ensure that a Chaplain certified through the SCA is treated equally with those of BCCI and CPSP in the marketplace.

Licensure will also help to ensure that professional Chaplains will continue to have a seat at the table in professional settings such as hospitals and hospices. Because health care agencies cannot bill for Chaplain services, their very inclusion signifies a cost that must be absorbed by the organization. Hospitals are able to bill Medicaid and Medicare for visits by nurses, aides, social workers and therapists – but not Chaplains. This automatically puts Chaplains at a disadvantage in the marketplace. When costs rise, non-billable services are some of the first that will be scaled back or even cut out. Already I’ve seen facilities that have had full time Chaplains move to having multiple on-call or even casual Chaplains to cut costs. And while hospice regulations currently require hospices to have “pastoral or other counselors” available on staff, these counselors are not required to be certified or even non-certified Chaplains.

I believe that for Chaplaincy to have a long and vibrant future, there needs to be a push toward licensure. I feel this would come best from all of the main certifying bodies acting together to put this before our legislative bodies. To accomplish that, there need to be common standards and a common agreement regarding equivalency and reciprocity among certifying bodies. These groups need to work together to ensure not only their own survival but the survival of Chaplaincy in general. Honestly, if the only thing that comes from this movement is that, I’d be very happy.


9 thoughts on “Beyond Certification: Looking At the Future of Chaplaincy

  1. Pingback: Requiring Integrated Care Plans To Offer Spiritual Care To Dually Eligible Individuals – Health Equity

  2. Pingback: Requiring Integrated Care Plans To Offer Spiritual Care To Dually Eligible Individuals - Alex Walia Yoga Updates

  3. I am against “state” licensing for clergy or chaplaincy and honestly, I am not sure it would pass 1st A scrutiny – since the “state” would determine what “religion” is acceptable. I would propose the chaplaincy utilize the professional licensed counselor, licensed marriage & family therapist or at the very least a certified or licensed addictions counselor.
    This is for a couple of reasons: First, these professions already use the DSM 5 where chaplains would go to for billing. The chaplaincy would focus on the codes such as grief or anxiety, PTSD/MI etc… Second, these professions are already under state control and have an objective process for applying for license unlike BCCI – CPE is a very subjective process. Third, it would help the chaplaincy work better within an interdisciplinary team – medical staff know what a counselor is and does – no one knows what BCC is or can do. Just my thoughts from an LPC/BCC chaplain

  4. Certification (or more precisely the process) is my undoing. Haven’t gotten there, not sure I ever will, and I continue to weigh the actual benefit as it doesn’t seem important to anyone but those “on the inside.”

  5. Hy…I’m a divinity student in SA at a university doing my 3rd year…I want to become a hospital chaplain but I find it hard to follow my dream since I’m not getting the help I need. I want to do my clinical Pastoral education but it seems so impossible.. a lot of people don’t really get what I’m trying to accomplish, I seek for help to professionals but they don’t answer.
    I just find it hard coz I also would like to volunteer in hospitals but I don’t know where to start. this is my email should anyone like to assist me

  6. Would you like to be interview on my Youtube/Podcast? For over Chaplain serving with Good News Jail & Prison Ministry for 15 years in the Tulare County Jails. Before that, I had the joy of serving for over 30 years in the Church. Today I am an on-call chaplain at our Hosptial. Even being retired God still fins places and people to be used as a Chaplain. You will have my email but if you want to talk, my cell phone is (559) 667-6537 I hope someone is reading this because the topic did catch my interest Chaplain John Sayers.

    On Fri, Sep 24, 2021 at 1:20 PM The Chaplain’s Report wrote:

    > scblair posted: ” From time to time I’ve been asked “so how do I become a > Chaplain?”. While I usually answer with a laundry list of things to do to > prepare, train and ultimately become certified, the real answer is – it > depends. It depends not only on what you do to p” >

  7. I certainly agree that chaplaincy recognition (and other things) is a mess and standardization would be a key to any kind of solution. Licensure would pretty surely fix the problem but practically its unattainable. It would have to be done separately in each of the 50 states. My expectation is that many religious bodies would see this as a pretty serious violation of the separation of church and state-an attempt by the states to regulate who provides religious services in health care. There are other options which also rest on the foundation of standardization. The VA has now essentially accepted chaplain certification as the surrogate for licensure for chaplains as long as the certification meets certain standards. Health care is increasingly reimbursed for outcomes not individual services. If chaplains can prove that we contribute to these outcomes, we can make our case to be included. Finally, it is not correct, except in certain specific circumstances, that hospitals can bill for individual services provided by nurses, or social workers.

    • Thank you George. Regarding the “separation of church and state” issue, I think that if there was enough input from denominational and ecclesiastical bodies, including non-Christian bodies, that may help ease concerns . It could also be that licensure would be a separate level up from certification. Not all Chaplains would need to be licensed, but licensure would be more appealing in certain circumstances such as in healthcare. I’m trying in my mind at least to build system comparable to counselors, where one may certainly call themselves a counselor without being licensed, but licensure allows for insurance billing and other benefits. And thank you for the correction – I was speaking of hospice but not hospital services.

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