Social work clinical supervision template

    • [DOC File]Agreement for Supervision for Clinical Licensure

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      Conduct supervision with a focus on the raw data as presented by the supervisee in supervisee’s clinical work. Conduct supervision as a process distinct from personal therapy or didactic instruction. Evaluate the supervisee’s role and conceptual understanding in the treatment process; evaluate supervisee’s utilization of a theoretical ...

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    • [DOC File]Supervision_Contract for Clinical Social Work Supervision

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      CLINICAL SOCIAL WORK SUPERVISION CONTRACT. Kentucky Board of Social Work, 125 Holmes Street, Suite 310, Frankfort, KY 40601. 502-564-2350 / bsw.ky.gov

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    • [DOC File]Supervision Documentation for LCSW

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      Clinical Interventions (past and present) Crises . Cultural Competence. Professional Values & Ethics. Safety & Self-care. Systems Issues. Treatment Approaches / Methods. Other _____ Selecting Courses of Action and Setting Priorities. Case Management. Clinical Interventions. Crisis Management. Documentation. Outcome Measures

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    • [DOC File]Licensure Supervision for Registered Clinical Social ...

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      I have been certified for Supervision of Clinical Social Workers, Marriage and Family Therapists, and Mental Health Counselors with the FL Department of Health. My License # is SW 6353 initial licensure 5/01, exp. 3/31/2015.

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    • Supervision Record Sheet

      Supervision Record Sheet. Supervisor Date: Supervisee. Time: Statutory and Mandatory Training Compliance. Is Stat/Man compliance up to date? If No, which components require updating? Quality of Assessment of Risk Have the quality of current …

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    • [DOC File]Agency - SDSU School of Social Work

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      Agency Letterhead. Weekly Clinical Supervision . Student: Field Instructor: Date: Topics discussed: Duties & expectations Comprehensive skills eval Cases & Assessment Information & referral Professionalism Process recording High Risk issues Evaluation issues Judgment Decision making Progress notes Termination Communication skills Problem solving Goals & objectives …

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    • [DOC File]Supervision_Notice to Client - Board of Social Work

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      201 KAR 23:070 Section 5 Notice to Client. If an employee is practicing under the supervision of a licensed clinical social worker, the employee shall notify in writing each client during the period of the supervision. The notification shall contain: (1) The Name, office address, telephone number, and license number of the supervisor of record and

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    • [DOCX File]Supervision Log - Virginia

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      Supervision logs should include the date of individual/group supervision, the duration of the supervision meeting, topic of discussion, clinical social work services provided throughout the week, number of hours obtained in face-to-face client contact, and evaluation of supervisee’s knowledge and competency in identified theory base ...

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