This midterm assignment focuses on developing two essential documents for clinical supervision: a supervision contract and a professional disclosure statement. These documents will demonstrate your understanding of the ethical, professional, and practical aspects of clinical supervision and provide a foundation for creating transparent and collaborative supervisory relationships.
Assignment Instructions
Part 1: Supervision Contract
Develop a formal Supervision Contract that outlines the expectations, responsibilities, and logistics of the supervisory relationship. Your contract should address the following elements:
- Purpose and Goals of Supervision
- Define the overall purpose of supervision.
- Include specific goals for the supervisory process.
- Roles and Responsibilities
- Clarify the roles of the supervisor and supervisee.
- Specify responsibilities for each party, including expectations for participation, preparation, and feedback.
- Logistical Details
- Outline the frequency, duration, and format (e.g., individual, group) of supervision sessions.
- Include information on scheduling, fees, cancellations, and procedures for missed sessions.
- Ethical and Legal Considerations
- Identify key ethical principles and legal requirements that guide the supervisory process.
- Address confidentiality, informed consent, and limits to confidentiality.
- Learning Objectives, Goals, and Learning Style
- Provide a section where the supervisee clearly states their learning objectives, goals, and learning style.
- Evaluation and Feedback
- Describe how supervisee performance will be assessed (e.g., formal evaluations, ongoing feedback).
- Explain the evaluative and gate-keeper functions of supervision
- Include timelines for evaluations and the process for addressing performance concerns.
- Conflict Resolution
- Specify how disagreements or conflicts in the supervisory relationship will be managed.
- Fees and Payment Terms
- Indicate rate, payment schedule, payment method, and nonpayment policy
- Termination of Supervision
- Outline the procedures for ending the supervisory relationship, whether planned or unplanned.
- Signatures and Dates
- Include spaces for both the supervisor and supervisee to sign and date the contract.
Part 2: Professional Disclosure Statement
Create a Professional Disclosure Statement for your role as a supervisor. This document should provide supervisees with information about your professional background, supervision approach, and expectations. Include the following:
- Introduction and Background
- Briefly introduce yourself, including your credentials, qualifications, and relevant professional experience.
- Supervision Philosophy
- Summarize your philosophy of supervision, referencing relevant theories or models.
- Highlight key values or principles that guide your approach.
- Supervision Approach and Models
- Explain the supervision models you use and how they influence your practice.
- Describe the modalities (e.g., individual, group) and techniques you employ.
- Expectations for Supervisees
- Detail your expectations regarding supervisee preparation, participation, and professional behavior.
- Ethical Guidelines and Boundaries
- Identify adherence to specific codes of ethics and regulatory membership.
- Discuss liability insurance coverage.
- Include information on dual relationships, confidentiality, and informed consent.
- Cultural and Diversity Considerations
- Describe your commitment to addressing cultural, diversity, and social justice issues in supervision.
- Explain how you create a safe and inclusive supervisory environment.
- Contact Information
- Provide your preferred contact details and any boundaries around communication (e.g., email response times).
- Contact information for addressing supervision concerns/complaints
- Acknowledgment
- Include a section where supervisees acknowledge that they have read and understood the disclosure statement.