Clinical Supervision Flashcards

A supervisor learns that their supervisee has been billing clients under the supervisor's name without authorization. This constitutes:

Answer: Insurance fraud and a serious ethical/legal violation requiring immediate action

Billing under a supervisor's name without authorization is insurance fraud, which is both an ethical violation and a criminal offense requiring immediate intervention.

Bernard's Discrimination Model identifies which three supervisory roles?

Answer: Teacher, counselor, and consultant

Bernard's Discrimination Model specifies teacher, counselor, and consultant as the three supervisor roles applied across process, conceptualization, and personalization skill areas.

A supervisee asks whether their supervision sessions are confidential. The supervisor should explain that:

Answer: Supervision content may be disclosed if client welfare, legal issues, or fitness-for-practice concerns arise

Supervision confidentiality has limits including client safety, mandatory reporting, fitness-for-practice concerns, and program evaluation requirements.

Which of the following BEST demonstrates a supervisor appropriately managing dual roles?

Answer: Maintaining clear supervisory boundaries while referring the supervisee to personal therapy for personal issues

Supervisors manage dual roles by keeping supervisory boundaries clear and referring supervisees elsewhere for personal therapeutic needs.

A supervisee's caseload includes a client who has made credible threats to harm an identifiable third party. The supervisor's responsibility is to:

Answer: Ensure the supervisee is aware of Tarasoff duty-to-warn obligations and that appropriate action is taken

Supervisors must ensure supervisees understand and fulfill duty-to-warn obligations while using the situation as a training opportunity with appropriate oversight.

Remote or telehealth supervision requires particular attention to which of the following ethical concerns?

Answer: Technology security, informed consent for electronic observation, and jurisdiction-specific regulations

Telehealth supervision raises specific ethical issues around HIPAA-compliant technology, informed consent for electronic observation, and cross-jurisdictional licensing regulations.

When a supervisee demonstrates a significant skill deficit that is unlikely to remediate within the training period, the supervisor's MOST ethically appropriate action is to:

Answer: Document the deficit, implement a formal remediation plan, and make fitness-for-practice determination if remediation fails

Ethical supervisors document concerns, implement structured remediation, and make formal fitness-for-practice determinations when remediation fails to protect the public.