Supervision General Guidelines
- Supervisors are responsible for all trainee cases. Supervisors provide the Director of Training and relevant training program coordinator(s) with on-going information regarding trainee progress as a clinician.
- All trainees meet with their individual supervisors weekly. Supervisors meet with trainees on time and reschedule meetings if cancellations occur. If the supervisor is unavailable for an extended period, the Director of Training will make alternate supervisory arrangements. Clinical issues can be discussed with the Clinical Director or the Director of Training when the supervisor is unavailable. See specific trainee headings for more details.
- Regular supervision appointments need to happen during regular business hours. If due to scheduling conflicts this is not possible, arrangements should be made to meet as near to regular business hours as possible. The Director of Training must approve all off-hours scheduling of supervision.
- All supervisors will attend scheduled supervision-related meetings, including trainee progress review meetings. When primary supervision is shared, co-supervisors will meet at minimum one half-hour per month in order to provide consistent and informed supervision. When one supervisor is a trainee, the staff supervisor will take responsibility for communicating with the trainee co-supervisor.
- Supervision is not therapy and as such is not a "confidential" relationship. Supervisors respect what trainees disclose in supervision and share information judiciously. If a supervisor feels the need to discuss sensitive personal information that a trainee has disclosed during supervision, the supervisor will inform the trainee and discuss the limits of the disclosure.
- All trainees will videotape their therapy sessions. Exceptions must be approved by the supervisor. Videotaping allows for informed training as well as ensuring quality care of clients. Specifics can be found in the taping section. Concerns about taping should be discussed in supervision.
- It is expected that all supervisors and trainees will abide by all current ethical standards, including the prohibition of dual relationships (see ethical guidelines). (add ethical guidelines for NASW, Nurse Practitioner, AMA).
- Current state guidelines have determined that licensed supervisors are clinically responsible for all cases seen by their trainee. Supervisors keep notes and a running log of cases reviewed in supervision. This is to ensure quality assurance.
- Consultation between trainees and treatment team members, seminar leaders, or informal consultation with other staff members is intended to enhance case conceptualization and treatment planning. It does not constitute formal supervision and where discrepancies in feedback exist, the supervisor's recommendation supersedes consultation from other sources.
- A supervisor will be expected to:
- Serve as a professional role model for trainees;
- Adhere to the policies and procedures in the training manual;
- Provide explicit training in each area covered in the evaluation of trainee form designed for use with the supervisee;
- Clearly determine and review at timely intervals the goals of supervision;
- Complete and review the trainee evaluation form at the beginning, mid-year and end of year with trainee as well as consistent verbal feedback throughout the year;
- Provide feedback immediately to the trainee and Director of Training and relevant coordinator(s) of externship, social work, psychiatry, or postdoctoral training when a concern arises concerning the trainee's progress, professionalism, or competence;
- Demonstrate respect for trainees, acknowledging diversity in values, culture, and experience;
- Take primary responsibility for the supervision relationship and when there are difficulties, take initiative to address or resolve those difficulties either directly or through consultation with the Director of Training;
- Review taped sessions;
- Review and sign progress notes, intake write-ups (and rewrites if applicable), and termination notes, on a regular basis;
- Ensure that the trainee is carrying a case load that is appropriate with regard to size and severity;
- Act as an advocate for the trainee by consulting with Director of Training regarding any concerns about caseload composition (i.e., cases that seem inappropriate for trainee);
- Assist the trainee in balancing agency demands;
- Facilitate the professional growth of the supervisee by attending to career and transition issues related to development;
- Be available to consult with trainee and discuss the best process for contacting the supervisor outside of supervision sessions for both urgent and routine consultations;
- Discuss with the supervisee's team leader instances when the trainee is unable to absorb a case and will present the case to the team. If the team leader and the supervisor disagree on the disposition of a case, it will be resolved between the two staff members, with consideration for the perspective of the trainee (the therapist for the case);
- Proactively contact the supervisee's other supervisors (if applicable) to coordinate training and solicit feedback about the trainee; and
- Serve as a reference for a trainee by providing honest and direct information.
Fellows will receive 2 hours of individual face-to-face supervision and one hour of group supervision per week.
Interns will receive 2 hours of individual supervision with primary supervisors, one half-hour of individual group therapy supervision, one and a half hours of supervision of supervision in a group format, one to two hours of group supervision per week in case group, and approximately one hour biweekly supervision of an outreach concentration.
Psychology Externship Students
Externship students will receive 2 hours of individual face-to-face supervision with their primary supervisors, one half-hour of individual face-to-face supervision on a single therapy case, and one hour of group supervision per week in case group.
Social Work Interns
Social Work students will receive 1.5 hours of individual face-to-face supervision, one half-hour of individual face-to-face supervision on a single therapy case, and 1.5 hours of group supervision per week in case group.
Psychiatric residents will typically receive 1 hour of individual face-to-face supervision per week. Supervision time will be related directly to number of cases assigned.
Nurse Practitioner Students
Nurse Practitioner students will receive 1 hour of individual face-to-face supervision and one hour of individual medication management supervision per week.