Clinical Supervision: Legal and Risk Management Issues

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OUTLINE

Overview & Historical Perspective on Clinical Supervision

- The nature of training professionals

- The evolution of clinical supervision

- Research in the field

- Multi-cultural, gender issues, and competencies

Roles and Responsibilities of Supervisor and Supervisee

- Administrative supervision versus clinical supervision

- Role of the clinical supervisor

- Teaching supervisees how to use supervision effectively

- Assisting supervisees in taking an active role

Models of Clinical Supervision

- Developmental models

- Psychotherapy based models

- Integrative models

- Parallel process model

- The Supervisee as “patient”

- Determining which model is most effective for your setting

Methods and Techniques of Supervision

- Individual versus group supervision

- Co-therapy or co-responsibility

- Case consultation

- Written activities and case notes

- Live observation

- Interactive live supervision

- Audio taping and videotaping

- Experiential methods

Personal Issues in Supervision

- Transference

- Countertransference

- Self-disclosure

- Conflicts between supervisor and supervisee

- Challenges for supervisors

Legal Issues in Clinical Supervision

- Vicarious liability

- Standard-of-care

- Negligence

- Confidentiality versus privilege

- Duty to warn/report

- Due process

Liability and Risk Management Issues Inherent in Clinical Supervision

- Knowledge of ethical codes

- Knowledge of mental health law

- Supervision contracts

- Boundaries of competence

- Consultation supervision of supervisors

- Documentation

- Ongoing training in supervision

- Verify supervisee’s liability insurance coverage

- Procedures for insuring confidentiality

- Supervisory malpractice

Problem Areas in Supervision

- Competence of supervisor

- Informed consent

- Boundary issues

- Dual relationships

- Supervisor/supervisee obligations

- Incompetent or impaired supervisees

- Socialization/Sexual attraction/Sexual intimacy

- Confidentiality

- Documentation

- Evaluation and feedback

Evaluating Supervisees and Supervision

- Formative versus summative evaluations

- Criteria for evaluation

- Standardization of methods

- Self-evaluation

- Objective evaluation tools

- Supervisory evaluation

- 360-degree feedback

- Develop a supervisory plan

Goal: Participants will become proficient at providing clinical supervision

and evaluating both the supervisee and themselves for potential legal

and ethical pitfalls.

Objectives: Participants will be able to describe the various models of clinical

supervision and their applicability to various settings.

Participants will be able to describe the roles and responsibilities of

supervisors and supervisees.

Participants will be able to describe potential risk management issues

and legal pitfalls in clinical supervision.

Participants will be able to describe various methods, techniques and

competencies required to provide clinical supervision.

Methods: Text (89 pages/30901 words), Case Presentation, Case Discussion,

Bibliography, Post Test.

Author:

George B. Haarman, Psy.D., LMFT, is a Licensed Clinical Psychologist and a Licensed Marriage and Family Therapist with over 30 years of experience in private practice, working with youth detention centers, juvenile group homes, child protective services, and juvenile probation. Dr. Haarman is currently in private practice, and also serves as a consultant to several school systems regarding the assessment of children. Prior to being in private practice, from 1984-1994 he was the Deputy Director for Jefferson County Department for Human Services in Louisville, KY. He received his doctorate in clinical psychology from Spalding University in 1989 and is a member of the American Psychological Association. Dr. Haarman has been an instructor at Jefferson Community College, Bellarmine University, and Spalding University. He has presented seminars regionally and nationally on clinical supervision, psychopathology, depression, and emotional disorders in children and adolescents.