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Facilitator Qualification Standard

Facilitator Qualification Standard

This standard defines the minimum qualifications, supervision ratios, certification pathways, and incident-response requirements for facilitators delivering Tier 1–3 shadowwork and reflective practices on this platform.

[HUMAN-REQUIRED] All tables marked [PLACEHOLDER] must be completed by qualified humans before this standard is authoritative. Clinical, legal, and ethics review is required before any facilitator is certified or any Tier 2–3 session is delivered. See backlog issue E4-2.

Boundary: This document provides the governance framework and acceptance criteria. Actual certification decisions, roster population, and availability verification are human-required actions and cannot be delegated to Copilot.


1. Scope and Purpose

This standard applies to:

  • All facilitators delivering platform-hosted shadowwork or reflective practice sessions.
  • All supervision arrangements for Tier 2 and Tier 3 delivery.
  • All incident-response personnel listed on the platform safety roster.

This standard does not apply to purely informational or knowledge-transfer content that carries no reflective practice component.


2. Qualification Minimums by Tier

2.1 Tier 1 — Low Intensity (Self-Guided Support)

A facilitator is not required for Tier 1 delivery. If a facilitator is present or provides asynchronous support:

RequirementMinimum StandardStatus
Platform safety orientationCompleted (self-paced module, ≥ 2 hours)[HUMAN-REQUIRED] verify
Shadow protocol overviewCompleted (recommended, not required)[HUMAN-REQUIRED] verify
Asynchronous response capabilityAvailable within 24 hours for distress signals[HUMAN-REQUIRED] verify
Contraindications familiarityAble to identify Tier 1 stop-rule triggers[HUMAN-REQUIRED] verify

2.2 Tier 2 — Moderate Intensity (Facilitator-Supervised)

RequirementMinimum StandardStatus
Platform safety trainingCompleted (≥ 4 hours, documented)[HUMAN-REQUIRED] verify
Shadow protocol trainingCompleted (≥ 8 hours, documented)[HUMAN-REQUIRED] verify
Supervised facilitation hours≥ 10 hours documented at Tier 1 or above[HUMAN-REQUIRED] verify
Observed practice evaluationAt least 1 observed session with written evaluation[HUMAN-REQUIRED] verify
Consent and contraindications deliveryAble to present informed consent language, review contraindications, and verify entry criteria before each session[HUMAN-REQUIRED] verify
Incident response certificationCompleted; renewal annually[HUMAN-REQUIRED] verify
Live debrief capabilityDemonstrated in observed evaluation[HUMAN-REQUIRED] verify
Clinical supervisor accessSupervisor identified; consultation available within 48 hours[HUMAN-REQUIRED] assign
Co-facilitatorRecommended for groups ≥ 4 participants[HUMAN-REQUIRED] verify

2.3 Tier 3 — High Intensity (Facilitator-Led Only)

RequirementMinimum StandardStatus
Platform safety trainingCompleted (≥ 4 hours, documented)[HUMAN-REQUIRED] verify
Shadow protocol trainingCompleted (≥ 20 hours, documented)[HUMAN-REQUIRED] verify
Supervised facilitation hours≥ 40 hours documented (≥ 10 at Tier 2 or higher)[HUMAN-REQUIRED] verify
Observed practice evaluationsAt least 2 observed sessions at Tier 2 with written evaluations[HUMAN-REQUIRED] verify
Consent and contraindications deliveryAble to present full Tier 3 informed consent, clinical self-report screen review, and individual pre-clearance for each participant[HUMAN-REQUIRED] verify
Incident response certificationCompleted; renewal annually[HUMAN-REQUIRED] verify
Live debrief capabilityDemonstrated; debrief script on file[HUMAN-REQUIRED] verify
Clinical supervisor accessRequired; same-day or on-call consultation available[HUMAN-REQUIRED] assign
Co-facilitatorRequired for groups; required for intensive formats[HUMAN-REQUIRED] assign
Emergency response trainingBasic mental health first aid or equivalent[HUMAN-REQUIRED] verify

3. Supervision Ratios

TierMaximum Participants per FacilitatorNotes
Tier 1No mandatory cap; support is asynchronousFacilitator monitors distress signals; no live ratio required
Tier 21 facilitator : ≤ 6 participantsCo-facilitator strongly recommended for groups ≥ 4
Tier 31 facilitator : ≤ 3 participantsCo-facilitator required for groups ≥ 2; solo Tier 3 delivery is prohibited

[HUMAN-REQUIRED] Supervision ratios above are proposed defaults. Final ratios must be approved by the Safety Lead and Clinical Advisor before pilot delivery.


4. Ongoing Supervision Requirements

RequirementTier 2 FacilitatorsTier 3 Facilitators
Monthly case review with supervisorRequiredRequired
Peer supervision group participationRecommendedRequired
Annual recertificationRequiredRequired
Incident debrief after any safety eventRequired within 48 hoursRequired within 24 hours
Annual observed session evaluationRequiredRequired
Continuing education hours (per year)≥ 4 hours relevant training≥ 8 hours relevant training

5. Certification Pathway

5.1 Certification Process

Certification decisions are [HUMAN-REQUIRED] and must follow this sequence:

  1. Application: Facilitator submits training records, references, and documented facilitation hours.
  2. Training verification: Safety Lead reviews and verifies all prerequisite training documentation.
  3. Observed evaluation: At least one live or recorded session reviewed by a certified evaluator.
  4. Clinical advisor sign-off: For Tier 3 candidates, Clinical Advisor reviews and approves.
  5. Certification decision: Safety Lead issues approval or denial with written rationale.
  6. Roster entry: Certified facilitator is added to the official roster with tier, expiration date, and assigned supervisor.

5.2 Certification Criteria Summary

CriterionTier 2Tier 3
Training hours verified≥ 8 hours shadow protocol≥ 20 hours shadow protocol
Supervised hours documented≥ 10 hours≥ 40 hours (≥ 10 at Tier 2+)
Observed evaluations passed≥ 1≥ 2 at Tier 2
Incident response cert currentYesYes
Clinical advisor approvalNot requiredRequired
Safety Lead sign-offRequiredRequired

5.3 Certification Expiration and Renewal

TierInitial Certification ValidityRenewal Requirements
Tier 212 monthsAnnual recertification: continuing education + observed session
Tier 312 monthsAnnual recertification: continuing education + observed session + clinical advisor re-approval

[HUMAN-REQUIRED] Lapsed certification requires full re-evaluation before resuming Tier 2 or Tier 3 delivery.


6. Certified Facilitator Roster

[HUMAN-REQUIRED] This table must be populated by the Safety Lead. It is not authoritative until reviewed and signed off by the Clinical Advisor and Product Owner.

NameCertified Tier(s)Certification DateExpiration DateAssigned SupervisorRenewal DueStatus
[PLACEHOLDER][Tier 2 / Tier 3][DATE][DATE][Name/Contact][DATE][Active / Lapsed / Pending]

7. Incident-Response Roster

[HUMAN-REQUIRED] All roles below must be filled by named humans with confirmed availability before any Tier 2 or Tier 3 session is scheduled. Availability windows and contact details must be verified quarterly.

7.1 Roster Table

RoleNamed ResponderContact MethodAvailability WindowResponse SLABackup Responder
Safety Lead[PLACEHOLDER][email/phone/signal][e.g., Mon–Fri 09:00–18:00 local]1 hour during sessions; 4 hours off-hours[PLACEHOLDER]
Clinical Advisor[PLACEHOLDER][email/phone/signal][e.g., Mon–Fri 09:00–17:00 local]Same-day for Tier 3; 48 hours for Tier 2[PLACEHOLDER]
Escalation Officer[PLACEHOLDER][email/phone/signal][e.g., available 24/7 by phone]30 minutes for life-safety events[PLACEHOLDER]
Pilot Coordinator[PLACEHOLDER][email/phone/signal][e.g., Mon–Fri 08:00–20:00 local]2 hours during active pilot weeks[PLACEHOLDER]
Emergency Services Liaison[PLACEHOLDER][local emergency number + named contact]24/7ImmediateN/A

7.2 Escalation Pathway

The following escalation sequence applies when a participant exhibits acute distress, a stop-rule trigger, or a safety event during any session:

1. Facilitator activates stop rule → applies grounding protocol
2. Facilitator notifies Safety Lead (within 15 minutes of event)
3. Safety Lead assesses severity:
a. Low severity (contained, resolved) → log incident; no further escalation
b. Moderate severity (unresolved distress) → notify Clinical Advisor within 1 hour
c. High severity (acute crisis, risk of harm) → notify Escalation Officer immediately;
contact emergency services if imminent risk to life
4. Clinical Advisor or Escalation Officer determines follow-up care pathway
5. Incident documented in safety log within 24 hours
6. Post-incident debrief with facilitation team within 48 hours

See Shadowwork Safety Standard for full stop-rule and grounding protocol details.

7.3 Communication Protocols

Event TypePrimary ChannelBackup ChannelDocumentation Required
Routine distress signal (Tier 1, async)Platform messageEmailSession log note
Stop-rule activated (Tier 2)Direct call to Safety LeadText/SignalIncident form within 24 hours
Stop-rule activated (Tier 3)Direct call to Safety Lead + Clinical AdvisorText/SignalIncident form within 24 hours
Acute crisis / life-safety eventEscalation Officer + emergency servicesAny availableIncident form within 24 hours; post-incident review within 48 hours
Facilitator concern (non-participant)Email to Safety LeadDirect messageOptional unless recurring

8. Qualification and Roster Review Schedule

Review ActivityFrequencyOwnerNotes
Roster availability verificationQuarterlySafety LeadConfirm all contacts and windows are current
Certified facilitator list auditAnnuallySafety LeadCheck expiration dates; flag lapsed certifications
Incident-response drillAnnuallySafety Lead + Pilot CoordinatorTabletop exercise; update protocols based on findings
Standard document reviewAnnually or after any Tier 3 incidentSafety Lead + Clinical AdvisorVersion control; update changelog below
RACI alignment checkAt each milestone go/no-goProduct OwnerEnsure roles match RACI Matrix

9. Acceptance Criteria for Publication

Before this standard is considered authoritative:

  • Qualification minimums (Section 2) reviewed and approved by Safety Lead and Clinical Advisor. [HUMAN-REQUIRED]
  • Supervision ratios (Section 3) approved by Safety Lead and Clinical Advisor. [HUMAN-REQUIRED]
  • Ongoing supervision requirements (Section 4) approved by Safety Lead. [HUMAN-REQUIRED]
  • Certification pathway (Section 5) validated against legal and clinical guidelines. [HUMAN-REQUIRED]
  • Certified facilitator roster (Section 6) populated with at least one named facilitator per active tier. [HUMAN-REQUIRED]
  • Incident-response roster (Section 7) fully populated with named responders and verified availability. [HUMAN-REQUIRED]
  • All escalation contacts tested and confirmed reachable. [HUMAN-REQUIRED]
  • Document reviewed against the Shadowwork Safety Standard for alignment. [HUMAN-REQUIRED]
  • Product Owner sign-off on final published version. [HUMAN-REQUIRED]

DocumentRelationship
Shadowwork Safety StandardDefines the tier model, stop rules, and grounding protocols this standard enforces
RACI MatrixAssigns ownership of Safety Lead, Clinical Advisor, and Pilot Coordinator roles
Pilot RunbookReferences this standard for facilitator readiness requirements in session operations checklist
Instructional Design ProtocolGoverns content quality; this standard governs delivery safety

11. Version History

VersionDateAuthorChange Summary
0.12026-04-12CopilotInitial scaffold draft — all [PLACEHOLDER] items require human completion before use