I provide Clinical Supervision for individuals and/or groups of people who are working on their Social Work license.
Here is the contract that I use:
Supervision Contract
Definitions
“Clinical Social Work” is the professional application of social work theory
and methods to the treatment and prevention of psychosocial dysfunction,
disability, and impairment, including emotional and mental disorders. It is
based on knowledge of one or more theories of human development within a
psychosocial context. Its goal is to enhance and maintain the psychosocial
functioning of individuals, families, and small groups (NASW National Council
on the Practice of Clinical Social Work).
“Supervision” is the relationship between supervisor and supervisee that
promotes the development of responsibility, skill, knowledge, attitudes, and
ethical standards in the practice of clinical social work. The priority in the
supervision process is accountability for client care within the parameters
and ethical standards of the social work profession.
“Individual supervision” is defined as one supervisor meeting with a
maximum of two supervisees.
Supervisory Context
During supervision, the supervisee provides information to the supervisor
regarding the assessment, diagnosis, and treatment of each client. In a
reciprocal dialogue, the supervisor provides oversight, guidance, and
direction in assessing, diagnosing, and treating clients, and evaluates the
supervisee’s performance. The supervisor balances the establishment of a
safe place in which the supervisee can discuss mistakes with the need to
intrude into the supervisee’s work to ensure quality service.
Learning Plan
The goals of supervision are to provide on-going assessment of strengths
and limitations, assure practice according to sound theory, ethical, legal, and
administrative regulations. The supervisor will help the supervisee develop
clinical assessment and treatment skills, review therapeutic techniques,
explore treatment options, and address dilemmas created by conflicting
demands.
Format and Schedule
Supervision will be provided individually in a face-to-face session __ times
per ____. Supervisee will present case material, receive feedback from the
supervisor, mutually analyze material presented, and demonstrate skill.
The supervisor may obtain information on the supervisee’s performance by
verbal report (case presentation), observation (being physically present),
role-play, and/or review of written case records.
Supervisor Responsibilities
1. Assist the supervisee in developing clinical assessment and treatment
skills.
2. Review therapeutic techniques.
3. Explore treatment options.
4. Address dilemmas created by conflicting demands.
5. Periodic review of documentation, patient contact, and case discussion
for the purpose of training and quality improvement.
6. Refer to supervisee’s on-site supervisor for reassignment if the
relationship between the client and supervisee is not working.
7. Maintain an active file of on-going clinical supervision.
8. Conduct supervision in the agreed-upon format as a process distinct
from personal therapy or didactic instruction.
9. Provide periodic evaluation of supervisee.
10. Identify practices posing danger to the health and /or welfare of the
supervisee’s clients and/or the public.
11. Identify supervisee’s inability to practice with skill and safety due to
illness, excessive use of alcohol, drugs, narcotics, chemicals, or any
other substances, or as a result of any mental or physical condition.
Supervisee’s Responsibilities
1. In concert with supervisor, develop goals, learning needs, and learning
plan, identifying personal strengths and limitations. Identify
weaknesses in supportive counseling, conducting groups, case
management, crisis intervention, screening and development,
documentation, and program development.
2. Attend supervision as scheduled, arriving on time, and notifying
supervisor at least 24 hours in advance of absences. If 24-hour notice
is not given, the supervisee is responsible to pay the session fee.
3. Inform the client that the supervisee is getting supervision and how
the supervisor can be contacted.
4. Prepare for supervision by identifying an issue(s) where more guidance
is needed and bringing the client’s clinical record.
5. Seek feedback and evaluation from the supervisor.
6. Seek additional resources and references from supervisor.
7. Maintain documentation or supervision.
Accountability
Supervision creates a hierarchical relationship. The supervisor has the
authority to enforce recommendations and can use sanctions such as a
personnel evaluation, reporting to the regulatory body, refusal to
recommend for credentials, and others. The supervisor may need to take the
actions necessary within her scope of authority to lead a social worker out
of the profession.
Evaluation
The supervisor will provide a biannual narrative report outlining the
strengths and /or weaknesses of the supervisee. The report will be
discussed with the supervisee and maintained by the supervisor.
Documentation and Reporting
A written contract is signed by the supervisor and supervisee(s). Supervisor
will document the date of contact, names of cases/groups discussed,
progress toward learning goals, specific recommendations which may include
additional consultation for the supervisee or supervisee’s client, suggested
readings, and/or educational activities. Supervisee will document date of
contact, questions/issues brought to the supervisor, supervisor’s
recommendations, and follow-up action plan with rationale. The client record
should document the client’s knowledge that supervision is taking place, the
nature of information that is shared, and verification that the client has the
name, address, and phone number of the supervisor.
Conflict Resolution
In the event of a conflict between the supervisor and supervisee, the
supervisor will obtain consultation. Supervisee will have access to an appeals
or mediation process. The supervisee will have a resource for consultation in
the event that s/he believes that the supervisor is professionally impaired
or has violated ethical guidelines.
Client Notification
The supervisee will notify each client that supervision is taking place, the
nature of information shared, and the supervisor’s name and contact
information.
Duration and termination
Supervision will be done ___ per ____ for ____ hour(s) and will continue until the supervisee
is licensed, terminates employment, or is reassigned.
Compensation
I charge $90/hour for clinical supervision. However, a discounted fee of $50/hour will be givven to supervisee’s under the following conditions: Supervisee provides evidence of 1) her/his paid membership to the Georgia Society for Clinical Social Work and 2) a Certificate of Attendance at a monthly meeting. A discounted rate will be given for all supervision for the month that a Certificate is provided. Attendance at the May meeting (6 CE’s) will cover supervision for June, July and August.
Once supervision is scheduled, the supervisee will be expected to pay for a cancelled/missed session UNLESS it is rescheduled in the same (Monday – Friday) week.
My signature below indicates that I have read and understand this contract
and agree to its terms.
Supervisee:_______________________________________
Supervisor:_______________________________________
Date:____________________________________________
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