Orals Area 1: Supervision Rules

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Supervision rules apply to supervision of: (5)

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1. unlicensed persons working toward licensure as psychologists or school psychologists
2. unlicensed person who hold a master's degree or doctoral degree in psychology who are supervised by a licensed psychologist
3. not licensed in psychology or school psychology, providing psychological or school psychological services uner the professional supervision of a licensed person
4. licensed psychologists or licensed school psychologists who are functioning as supervisors or supervisees
5. mental health workers

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Purposes of supervision: (8)

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1. protect welfare of clients
2. protect persons who serve as training subjects for students learning procedures or as subjects for classroom demonstration or research
3. to structure activities of supervisee so that competent services by an unlicensed person can safely be made available
4. assure unlicensed person functions within limits of competence
5. assure training of unlicensed who intends to apply for licensure occurs in variety of relevent activities
6. assure training will: a. expand competence in subspecialty of licensed person. b. satisfy retraining. c. meet requirements for licensure.
7. assure supervisees have non-exploitative employment or training experiences
8. make available the general administrative, supervisory, and mental health expertise of licensed psychologists in regulating the delivery of services of other mental health professionals

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Psychological Work Supervision

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the supervision of persons who work under the licensing authority of the licensed psychologist.

The psychological work shall be consistent with previous academic and professional training. Both didactic and practica, of the supervisor and the supervisee

The supervisee's work shall not include the functions of psychological diagnoses, psychological prescriptions, nor psychological client supervision

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Psychological Training Supervision

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supervision of graduate students, postdoctoral trainees or other individuals to help them:

a. gain experience for purposes of licensure
b. develop another competency area
c. develop skills in the performance of psychological procedures

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Psychological Umbrella Supervision

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supervision of a candidate for licensure to help develop supervisory skills.

It exists when a supervisee supervises other psychology supervisees in hazardous practices under the umbrella authority of a psychologist.

Supervision under umbrella supervision may be performed only by:
a. a postdoctoral trainee working toward licensure as a psychologist, with the training in supervision not to exceed one twelve-month period
b. an otherwise exempt student provided the student is a senior "Psychology Trainee" in a doctoral program

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School Psychological Work Supervision:

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the supervision of persons who work under the licensing authority of a licensed psychologist or a licensed school psychologist.

Any work done under the authority of a licensed school psychologist shall not exceed the scope of practice ... and shall be consistent with previous academic and professional training of the supervisor and supervisee

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School Psychological Training Supervision:

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supervision of individuals in school psychological work to help them
a. gain experience for purposes of licensure as a school psychologist or as a psychologist
b. develop skills used in the practice of school psychology

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Mental Health Worker Supervision:

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supervision of another licensed, certified or registered mental health professional delivering services in which the psychologist provides "clinical supervision"

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Administrative Supervision:

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responsibility for office or agency organizational procedures practices or policies, and does not involve professional supervision.

The administrative supervisor may or may not be qualified to provide professional supervision

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Name the title for a person under appropriate supervision working toward licensure in psychology: (5)

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1. psychology intern
2. psychology fellow
3. psychology resident
4. psychology trainee
5. psychology postdoctoral trainee

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Name the title for a person doing school psychological work under appropriate supervision while they may or may not be working toward licensure in school psychology or psychology: (3)

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1. school psychology intern
2. school psychology assistant
3. school psychology trainee

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Psychology Assistant:

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person with a master's degree in psychology who may or may not be working toward licensure in psychology

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Assistant:

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person with a master's degree in a field other than psychology, working under "psychological work supervision"

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Psychology Aide:

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person with a bachelor's degree in psychology, working under "psychological work supervision"

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Aide:

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a person with a bachelor's degree in a field other than psychology or two or more years of college course work, such as mental health technology degree, working under "psychological work supervision"

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Requirements for Mental Health Worker Supervision: (4)

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1. work done shall not be represented to any party or included in any report or official form as psychological work

2. treatment plan shall be prepared for each recipient of services as part of initial evaluation and shall be signed by the mental health worker delivering the services and the recipient or legal guardian

3. within a reasonable time, the supervising licensed psychologist shall review the play and either: a. sign as submitted. b. require modifications prior to signing it, or c. refuse to sign it if unsatisfactory or unnecessary

4. a licensed psychologist shall exercise reasonable professional judgment when providing mental health worker supervision

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Supervisor Responsibilities (1-5 of 28)

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1. shall not provide supervision to a person who has administrative funding over her

2. shall not enter into a supervisory relationship as an employee of a supervisee.

3. there shall be no direct family relationship if the experience is to be accepted toward fulfillment of the requirements for licensure

4. shall not provide work or training supervision to a person whom she is associated in any business relationships

5. shall not assume supervisory responsibility for work she is not personally competent to perform

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Supervisor Responsibilities (6-11 of 28):

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6. shall not supervise any person she knows is illegally providing psychological services to the public either within or outside of the supervisory relationship

7. shall accept for training supervision only persons, either licensed or unlicensed, who have completed appropriate academic or professional preparation for that area or are at an appropriate level of progress

8. shall not concurrently supervise more than 4 unlicensed persons who are working under professional work and/or training supervision without the written, express permission of the state board. Does not apply to mental health worker supervision.

9. has responsibility to make reasonable efforts to ensure that the supervised work of the supervisee is conducted only for clients for whom the supervisee is competent to provide services

10. responsibility for the psychological diagnosis, prescription, and client supervision of all clients. They may be delegated to a training supervisee as part of training after registered with the board

11. has responsibility for the school psychological diagnosis, prescription, and client supervision of all clients. Cannot be delegated to a non-psychologist, non-school psychologist, or work supervisee. They may be delegated to a training supervisee, as part of her training, during the year preceding eligibility for the licensure examination in school psychology or psychology

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Supervisor Responsibilities (12-15 of 28):

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12. has full responsibility to assure that each client is clearly informed of the relationship between the supervisor and the supervisee, and their respective legal and professional responsibilities for the services rendered to or received by the client

13. responsible for determining the competencies of the supervisee and shall not assign the supervisee tasks that the supervisee is not competent to perform

14. shall identify each supervisee as to type of supervision being provided and shall so inform the supervisee and, when applicable, the work setting administrator.

15. a licensed psychologist or school psychologist who share ongoing supervisory responsibility with another licensed person shall prepare a written supervision play, available to the board, that is agreed upon and signed by each supervisor and the supervisee.

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Supervisor Responsibilities (16-21 of 28)

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16. keep records of supervision. including any supervision play or agreement, dates of supervision, and notes regarding supervision, including specific cases. maintained for 5 years following termination of supervision

17. base the intensity of supervision on supervisee's credentials, years of experience, and the complexity of the cases under supervision but shall have direct knowledge of all clients

18. shall not engage in sexual intercourse or other sexual intimacies with any supervisee; or, engage in sexual harassment or any verbal or nonverbal conduct that is sexual in nature

19. shall not exploit the supervisee for financial gain or with excessive work demands

20. shall not allow exploitation of a supervisee by an agency with which the supervisor and the supervisee are affiliated.

21. shall require the supervisee to have consultation with relevent professionals other than the supervisor when counseling or intervention is indicated concerning personal problems

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Supervisor Responsibilities (22 of 28)

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22. Training Supervision:

a. have a written agreement describing goals and content of training experience including expectations for: 1. the nature of the experiences, 2. the expected working arrangements, quantity, and quality of trainee's work, and 3. financial arrangements between supervisee and her employer

b. shall ensure that the training provides adequate breadth of experience to enhance professional attitudes, responsibility, communication skills, critical judgment, and technical skills. only after supervisee has initiated or completed appropriate educational experience

c. shall schedule individual face-to-face training supervision for no less than 5% of weekly client contact time. more may be needed

d. when appropriate to meet the training needs, shall arrange for consultation with other relevent professionals

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Supervisor Responsibilities (23-25 of 28)

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23. group supervision is encouraged, however, shall not be substituted for individual face-to-face. no charge for group

24. register with the board all supervisees who will perform psychological or school psychological work under her authority. For: a. complete retraining for general specialty, b. training for purpose of earning a different license.

25. specify what restricted services the supervisee will perform. Work of a hazardous nature shall not be assigned to any supervisee with less than the appropriate academic preparation.

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Supervisor Responsibilities (26-28 of 28):

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make reasonable efforts to plan for continuity of client care in the event that her psychological services are interrupted. If back-up supervision for more than 30 working days, notify the board in advance.

27. persons licensed with board and pursuing a subspecialty skill need not be registered with the board. The supervisor and the licensed person expanding competence in a subspecialty shall maintain a record of relationship.

28. the violation of any statute or rule of the board by a supervisee may result in an investigation of the adequacy of the supervision.

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Supervisee Responsibilities (1-5 of 15):

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1. subject to all relevent statutes and rules of the board

2. shall not use the title "Psychologist" or "School Psycholoist"

3. shall not solicit clients or generate her own case load and shall not represent as having independent choice of clients.

4. shall not collect fees for psychological work in her own name. All billing shall be done by the employer, the employer agency, or the licensed supervisor.

5. shall not independently advertise; announce the establishment of a practice; have her name on business letterhead stationary, office building directory, office suite entrance door; or in any directory under the title "Psychologist"; or otherwise hold herself out to the public as being authorized to provide independent psychological services.

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Supervisee Responsibilities (6-11 of 15):

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6. may use a printed business card in which the name, appropriate title, supervisor, and supervisory relationship are stated. cards shall not identify any procedure or technique

7. shall use an appropriate title

8. degrees earned from accredited universities, credentials granted by Ohio, and appropriate job titles may be published or posted so long as they do not confuse the clients' understanding that the work is psychological in nature and supervisor is professionally responsible for the work

9. The professional activities shall be limited to only those that are delegable under these rules by the supervisor

10. carry out psychological activities in the office of the supervisor or in some other suitable professional setting over which the supervisor has responsibility for assignment and management of psychological activities.

11. may pay a fee to a supervisor for supervision in a private practice setting

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Supervisee Responsibilities (12 of 15)

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12. both supervisee and supervisor responsible for ensuring all clients are informed of the supervised nature of the work and ultimate professional responsibility of the supervisor. if legally competent, outpatient for remuneration, this info shall be in the form of a written statement and given at initial professional contact. statement may be modified to meet circumstances unique to the facility and client. The statement shall include the following:

a. brief description of services to be provided and the office procedures

b. name of supervisor

c. schedule of charges and an indication the billing will come from the supervisor or agency or institution under the supervisor's name

d. name, address and telephone number of the office

e. statement on the limits of confidentiality, including the possible need to report certain information according to law, and the supervisor's review of the client's progress

f. statement about the parameters of the professional relationship involving the psychologist, supervisee, and the client

g. statement about the availability of the supervisor to meet with the client, on request

h. signature of the psychologist, supervisee, and client... with one copy being maintained by the supervisor

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Supervisee Responsibilities (13-15 of 15):

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13. supervisee and supervisor both responsible for ensuring that the supervisee evaluative reports and letters dealing with client welfare are co-signed by the licensed psychologist serving as supervisor

14. a supervisee not under training supervision, who does psychological diagnosis, prescription, or client supervision, shall be deemed to be practicing psychology without a license.

15. the board may refuse to issue a license to any supervisee who violates any provision of the Revised Code or any rules adopted by the board.