APA/CPA approval requires an extensive, in-depth review of the program, including site visits, in which the quality of the program as well as its meeting APA/CPA standards is evaluated. Designation is a review of official institutional documentation that demonstrates the program meets the doctoral degree guidelines as a psychology program. APA/CPA-approval applies only to the practice areas of clinical, counseling, school and professional-scientific programs and new areas approved by APA. Approval for Designation can include any doctoral psychology program inlcuding those not reviewed by APA.