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Training and Education in Professional Psychology

© 2019 American Psychological Association 2020, Vol. 14, No. 3, 235–241


1931-3918/20/$12.00 http://dx.doi.org/10.1037/tep0000273

Clarifying Supervision Expectations: Construction of a Clinical Supervision


Contract as a Didactic Exercise for Advanced Graduate Students

Christina M. Amaro Tarrah B. Mitchell


University of Kansas University of Florida

Katrina M. Poppert Cordts Kelsey B. Borner


Oregon Health and Science University Children’s National Medical Center
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Andrew L. Frazer, Andrea M. Garcia, and Michael C. Roberts


University of Kansas

The use of supervision contracts has been recognized as an important approach within clinical supervi-
sion. There are several potential benefits in using supervision contracts, such as establishing clear
expectations and goals at the outset of a supervisory relationship. Despite potential benefits of adopting
a supervision contract, many supervisors and supervisees do not report using this tool, possibly because
of lack of exposure to, and experience with, supervision contracts. As part of an advanced graduate-level
course on supervision, consultation, and administration, the students and professor engaged in a didactic
experience on supervision contracts, which promoted in-depth conversations about the literature on, and
development of, supervision contracts. The purpose of this brief article is to describe this didactic
exercise and to provide a summary of components to consider when developing a supervision contract.

This article was published Online First September 16, 2019. ANDREW L. FRAZER, MA, is a doctoral candidate in the Clinical Child
CHRISTINA M. AMARO, MA, is a doctoral candidate in the Clinical Child Psychology Program at the University of Kansas. He is currently complet-
Psychology Program at the University of Kansas. She is currently completing ing a clinical internship at the Louisiana State University Health Sciences
a clinical internship at Nemours/A. I. duPont Hospital for Children, Wilming- Center. His research and professional interests include the influence of
ton, Delaware. Her research interests include child, sibling, and parental parents on youth adjustment across development.
psychosocial adjustment to chronic illness; pediatric health promotion; and ANDREA M. GARCIA, MA, is a graduate student in the School Psychology
professional psychology issues, such as training and mentoring. Program at the University of Kansas. Andrea’s graduate training has
TARRAH B. MITCHELL, PhD, is a postdoctoral associate in the Clinical focused on assessments and interventions for children with developmental
and Health Psychology Program at the University of Florida. She received disabilities as well as health promotion and program evaluation. Her
her doctorate from the Clinical Child Psychology Program at the Univer- research interests are focused on postnatal outcomes for infants born
sity of Kansas and completed a clinical internship in pediatric psychology premature and at low birth-weight/neonatal abstinence syndrome (NAS) as
at the University of Florida. Her research and clinical interests focus on well as family-centered care for mothers with opioid use disorder and their
children with chronic medical conditions and their physical, psychological, infants born with NAS.
social, and academic functioning. MICHAEL C. ROBERTS, PhD, ABPP, is Professor Emeritus at the Univer-
KATRINA M. POPPERT CORDTS, PhD, is a postdoctoral research fellow in sity of Kansas in the Clinical Child Psychology Program. He previously
the Division of Psychology within the Institute on Development and served as Professor and Director of the Clinical Child Psychology Program
Disability at Oregon Health and Science University. She received her and as KU’s Dean of Graduate Studies. He received his doctorate from
doctorate from the Clinical Child Psychology Program at the University of Purdue University and completed his clinical internship at Oklahoma
Kansas and completed her clinical internship in Developmental Disabilities University Health Sciences Center (Children’s Memorial Hospital). During
and Pediatric Psychology at Oregon Health and Science University. Her his career, he edited six journals, including Training and Education in
research focuses on the intersection of key health behaviors and children’s Professional Psychology; authored and coedited over 20 books; and pub-
outcomes with specific emphasis on the mechanisms and risk factors that lished over 200 journal articles with work in children’s physical health and
contribute to the development of pediatric chronic pain. mental health and professional issues. He served as Chair of the Council of
KELSEY B. BORNER, PhD, is a pediatric psychologist in Pain Medicine at University Directors of Clinical Psychology and the APA Board of Edu-
Children’s National Medical Center in Washington, DC, where she pro- cational Affairs.
vides clinical services for the behavioral pain medicine program and WE THANK THE FOLLOWING INDIVIDUALS for their contributions to the
supervision for psychology graduate students, interns, and postdoctoral class project and providing feedback on the current manuscript: Shaquanna
fellows. She received her doctorate from the University of Kansas Clinical Brown, Bridget Cho, Lindsay Huffhines, and Casey Pederson. This project
Child Psychology Program and completed a clinical internship in behav- took place at the University of Kansas Clinical Child Psychology Program.
ioral medicine at Cincinnati Children’s Hospital and Medical Center, CORRESPONDENCE CONCERNING THIS ARTICLE should be addressed to
Cincinnati, Ohio. Her research include psychosocial predictors of out- Christina M. Amaro, Clinical Child Psychology Program, University of
comes for youth receiving psychological interventions for chronic pain, Kansas, 1000 Sunnyside Drive, Room 2008, Lawrence, KS 66045. E-mail:
and outcomes of youth with comorbid chronic pain and obesity. camaro1@ku.edu

235
236 AMARO ET AL.

Other institutions providing training in health service psychology may consider using similar educational
opportunities to promote the use of supervision contracts, particularly as supervisees prepare to transition
to the role of supervisor.

Public Significance Statement


Supervision contracts can establish expectations and clarify goals at the outset of a supervisory
relationship. As part of an advance graduate course, the students and professor engaged in a didactic
experience to create a summary of components to consider when developing a supervision contract.
Training institutions may consider similar educational exercises to promote the use of supervision
contracts especially as trainees prepare to transition to the role of supervisor.

Keywords: supervision, supervision contracts, training


This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

The supervision of graduate students in health service psychol- supervision experiences, and elucidate the process of developing a
ogy is significant in its emphasis on the holistic development of supervision contract within the context of a course project. It is the
not only the supervisee’s skills but also the ongoing development authors’ hope that faculty who teach supervision courses at other
of professional identity. Clinical supervision is an important way institutions preparing students in health service psychology also
through which student therapists are socialized to the professional engage in similar didactic experiences and promote the use of
standards of psychology. Within this relationship, the supervisor’s supervision contracts.
primary ethical responsibility is to ensure optimal client care, such
that the supervisee is providing appropriate services in an ethical Supervision Contracts
and legal manner (Falender & Shafranske, 2004) therefore, the
The use of contracts between supervisors and supervisees has
supervisor maintains sole liability. Supervisors are expected to
been recognized as an important approach within clinical supervi-
balance a collaborative and hierarchal relationship with supervis-
sion, and several examples of such contracts exist within the
ees, providing direct guidance while also addressing higher order
literature (e.g., Bernard & Goodyear, 2009; Falender & Shafran-
processes in supervisees’ professional decision making. In this
ske, 2008; Osborn & Davis, 1996; Smith, Erickson Cornish, &
way, supervision is both process and outcome oriented. Given the
Riva, 2014; Sutter, McPherson, & Geeseman, 2002). The Associ-
high level of importance to the individual and to the profession,
ation of State and Provincial Psychology Boards (ASPPB, 2015)
supervisees are necessarily dependent upon expectations of their
similarly recommended establishing a comprehensive supervision
supervisors, particularly in attempting to understand and integrate
contract at the outset of supervision in the effort to develop
their supervisor’s unique approach to the provision of this service. effective communication and collaboration. There are several ben-
As such, it can be beneficial to discuss expectations through a efits for the use of supervision contracts. Similar to providing
supervision contract or agreement at the outset of a supervisory syllabi for courses, supervision contracts can clearly delineate
relationship. Taking a developmental orientation, a supervision expectations for the supervisory relationship, including require-
contract recognizes that the supervisee is building on their ments, plan for evaluation of clinical skills, and goals for the
strengths while addressing gaps and relative weaknesses that are clinical experience (Bernard & Goodyear, 2009; Falender &
inherent in the progression from being a novice to becoming a Shafranske, 2012). Therefore, in developing a supervision contract
confident and competent professional. The supervisee is increasing for a specific clinical experience, the supervisor is able to consider
in autonomy and undertaking self-exploration in learning profes- what they are committing to providing as well as their goals and
sional expressions of opinions, questions, and concerns while expectations for their supervisees (ASPPB, 2015; Thomas, 2007,
emphasizing client welfare with a sense of shared responsibility 2010). When a supervisor introduces a supervision contract in an
with the supervisor. initial meeting, they also model behaviors for the supervisee to
In an advanced graduate-level course on supervision, consulta- elucidate, including preparedness and setting an agenda at each
tion, and administration, the students and professor created a meeting (Osborn, Paez, & Carrabine, 2007; Thomas, 2007). The
summary of components to consider when constructing a supervi- initial conversation about the supervision contract also permits the
sion contract with both short-term (e.g., making the course mate- supervisor to address the power hierarchy that is inherent within
rial relevant to the day-to-day functioning of current students and the supervisory relationship while also providing transparency
clinical supervisors through the development of a document to be about the supervisor’s roles and responsibilities, including serving
adapted and used within the program’s training clinic) and long- as a gatekeeper for the public and profession (Falender & Shafran-
term (e.g., to aid in students’ professional development by under- ske, 2017). At the same time, supervision contracts may promote
standing the literature and engaging in conversations about how to collaboration and a supervisory alliance between the supervisor
develop a supervision contract to be used within students’ own and supervisee (Osborn et al., 2007). From an ethics perspective,
practice as supervisors) goals. Written from the perspective of discussing the details of the contract at the beginning of the
some of the students and the professor of the supervision, consul- supervisory relationship might also help to ensure the process of
tation, and administration course, the purpose of this brief article is informed consent (Barnett & Molzon, 2014; Falender & Shafran-
to review the literature on supervision contracts, describe student ske, 2012; Thomas, 2007).
CLINICAL SUPERVISION CONTRACT 237

Osborn and Davis (1996) recommended including the following progress note writing), created unnecessary frustration and confusion
topics within a supervision contract: (a) purpose, goals, and ob- during one supervisory relationship.
jectives; (b) context of supervision services; (c) evaluation meth- Additional concerns were related to difficulties with evaluating
od; (d) responsibilities for both the supervisor and supervisee; (e) supervisors when expectations were not clear. Given the inherent
procedural considerations; and (f) the supervisor’s scope of com- power difference between supervisors and graduate students, one
petence. Given the breadth of these areas, there are various com- student noted that it is difficult to provide feedback about any
ponents that could be included within a contract, and it might be negative aspects of supervision if these topic areas are brought up
useful to provide as many details as necessary for a specific for the first time during the final evaluation meeting. Throughout
experience. For example, a contract may contain details about the the discussions, it became clear that setting well-defined expecta-
length, frequency, and duration of supervision, record keeping, the tions at the beginning of individual supervision would reduce
process for rescheduling supervision, payment arrangement for supervisees’ anxiety during supervisor evaluation sessions, allow
clinical services, and productivity expectations. Once a contract for more constructive feedback between the student and the su-
has been developed, a supervisor could continue using that tem- pervisor, and improve the supervision quality. As such, the pro-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

plate, tailoring the document to supervisee goals and/or a particular fessor challenged the students to identify important constructs of a
This document is copyrighted by the American Psychological Association or one of its allied publishers.

clinical experience as needed. Despite the benefits of implement- working supervisory relationship along with expectations to be
ing supervision contracts, the majority of supervisors and trainees addressed.
do not report using contracts within supervision (McCarthy, 2013; Consistent with student experiences, the literature has identified
Smith, Riva, & Erickson Cornish, 2012). Prior literature has sug- supervisor qualities that can enhance supervision. For example,
gested some barriers to the adoption of supervision contracts, effective supervisors work collaboratively with supervisees, estab-
including limited time to develop and tailor a contract to a specific lish joint goals, provide regular feedback, and demonstrate flexi-
experience and difficulty deciding which components should be bility (e.g., Falender & Shafranske, 2004). Extant research also
part of the document (e.g., Smith et al., 2014; Sutter et al., 2002). suggests that establishing clear expectations at the start of super-
It is also possible that trainees have limited exposure to supervi- vision is associated with a stronger supervisory working alliance
sion contracts during practicum, internship, and postdoctoral ex- (McCarthy, 2013; Nelson & Friedlander, 2001). Taken together,
periences; therefore, they may not utilize supervision contracts in students agreed that supervisors should be able to conduct super-
their own practice as supervisors. To aid in professional develop- vision with flexibility and individuality but that clear expectations
ment, it may be beneficial to provide training in supervision set forth at the beginning of the supervisory relationship with
contracts (e.g., during an advanced graduate level course on su- opportunities for supervisee contribution (when appropriate)
pervision, consultation, and administration) as well as promote would improve multiple aspects of the supervision experience.
conversations about important areas to consider when developing
a supervision contract.
The Course Project
The current summary of components for constructing a supervision
Student Experiences
contract (see Appendix) was developed by 10 advanced graduate
The idea of creating a supervision contract was generated within a students, with the guidance, contribution, and feedback of their faculty
course titled “Supervision, Consultation, and Administration” in the professor during a graduate-level course. The course was not a clinical
spring semester of 2016 at the University of Kansas Clinical Child practicum focused on application of techniques; rather, it was a
Psychology Program. During this course, 10 students engaged in seminar course focused on intensive readings, discussions, and pre-
multiple class discussions in which they reflected on their graduate sentations in order to assist students in gaining an understanding of
training experiences in clinical supervision. Class discussions ranged current and future roles as professional psychologists. During the
from informal descriptions of personal supervision experiences to discussion of supervision, the students and professor decided to create
critical evaluations of the relationship between personal experiences a supervision contract that facilitates professional supervision rela-
and the clinical supervision literature. Students openly shared the tionships. Recognizing that a supervisor may refine a contract for a
positive and negative aspects of their current and past supervision, specific clinical experience, the students and professor sought to
their own ideas for improvement, and their questions regarding the generate a broad set of guidelines for developing a supervision con-
components of effective supervision. tract. The purpose of this educational project was to examine and
Throughout the class discussions, it became clear that the style or incorporate the literature on clinical supervision and to draw from
purpose of clinical supervision is not “one size fits-all,” as students graduate students’ experiences with practicum supervision to generate
shared differing opinions on their own preferred experience. All the supervision contract template. Although it was an extra activity
students agreed that equally effective supervisors might have diverse beyond the prearranged requirements for the course, the students and
orientations and approaches. Furthermore, all students agreed that the professor agreed to undertake this project to make the course material
most effective supervisors engaged the student in a discussion of relevant and applicable to the clinical training of current graduate
expectations at the beginning of the supervisory relationship. Most students and clinical supervisors in the training clinic and to make a
students agreed that they rarely engaged with their supervisors about meaningful impact within the doctoral program as a whole. At the
these expectations, and one student shared that only one of her same time, the project sought to aid in the students’ professional
graduate school supervisors had ever asked her about her preferred development.
style of supervision at the beginning of their relationship. Another Students first immersed themselves into the literature on profes-
student shared that lack of agreement on practical aspects (e.g., sional supervision, existing supervision contracts, best practices iden-
expected timeline for report edits and preferred style of report or tified from sources such as state licensing boards, and the Guidelines
238 AMARO ET AL.

for Clinical Supervision for Health Service Psychology (American professional, and respectful. Supervisors recognize the supervisee as
Psychological Association [APA], 2014). Students then created a list another human being in a situation that is fraught with interpersonal
of qualities of supervisors and supervisees that facilitate strong super- issues, role ambiguity, role conflicts, and a differential in status and
visory relationships. Additionally, based on their previous experiences power. There is a sense of responsibility shared by the supervisor and
with supervision processes, students collaboratively listed information supervisee for the success of supervision as well as the ongoing
that they would want to discuss and agree upon with supervisors at the monitoring and evaluation of training/developmental outcomes.
outset of the supervisory relationship. Consistent with recommenda- Therefore, when guided by clear expectations, feedback can be used
tions from Osborn and Davis (1996), the students and professor formatively and summatively to aid in the development of the formal
sought to cover several aspects of supervision within the contract competencies, both diplomatically and constructively. As this was
summary, such as providing information on the logistics of supervi- designed to benefit all parties, the supervision contract template was
sion and evaluation process. Following multiple discussions, the stu- constructed in a way to provide direct guidance in navigating the
dents and professor ultimately agreed upon nine overarching themes, clinical supervisory relationship.
including (a) expectations and joint goals, (b) communication and In consideration of the overlapping supervisory (broadly defined)
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

contact, (c) record keeping, (d) components of group and individual relationships that many faculty entertain, a supervision contract is
This document is copyrighted by the American Psychological Association or one of its allied publishers.

supervision, (e) supervisor approach, (f) interpersonal relationships, intended to promote explicit discussions at the beginning of a new
(g) navigating systems, (h) evaluation and feedback, and (i) ethics and clinical supervisory relationship. Through these conversations, the
supervision. students and professor hoped to create opportunities for well-defined
After the overarching themes were identified, students divided into expectations, shared responsibility, and the utilization of formative,
groups of one to three and outlined terms of each section. Time was summative, and bidirectional feedback. Though the students and
dedicated in several class sessions to discussing, clarifying, and edit- professor ultimately opted to create a contract template specific to
ing drafts of sections to form a full draft of the contract guidelines. At aspects of clinical supervision, the utility of such a contract for other
the end of the spring semester, the full document, along with a preface supervisory relationships, including research, was routinely men-
written by the professor, were then sent to the class via e-mail, and tioned.
everyone provided feedback on content, structure, and grammar/ The supervision contract was designed to be a catalyst for initiating
editing. The professor sent the completed preface and contract, as well conversations related to logistical considerations and in giving stu-
as a letter establishing the context of the document, to the department dents a voice for their emerging professional identity. The students not
faculty (most of whom serve as clinical supervisors in the program’s only strived to eliminate ambiguity by codifying logistical responsi-
training clinic) for review and feedback. The hope was that the bilities but simultaneously sought to establish longer term utility. As
document would serve as a catalyst for continued dialogue throughout such, the students recognized the inherent value of intentionally
the supervision process. highlighting key differences in the delivery of clinical supervision
Throughout the course, several students initiated conversations among health service psychologists. Therefore, the framework of the
with their supervisors about the use of supervision contracts, and contract was beneficial for reflecting on aspects of supervision that are
many supervisors appeared receptive to the idea. In discussions with most impactful on students’ development as emerging practitioners,
students outside of the course, many indicated that they would find a professionals, and supervisors. In this sense, the template served as a
contract a useful tool for supervision and endorsed similar experiences didactic exercise to explore the mechanisms of clinical supervision
to the ones that were discussed as part of the class. Additionally, while also developing students’ clinical skills.
students indicated that there would be benefits to reviewing the The principal challenge was to write the contract summary in a
contract periodically throughout the semester to evaluate progress broad enough sense that all supervisors found value in its adaptation
toward goals. Although clinical supervisors did not uniformly incor- and implementation but with sufficient detail to outline targeted action
porate a contract immediately following the course, there have been items. Some clinical supervisors in the training clinic were already
ongoing conversations regarding the use of supervision contracts engaging in informal conversations at the outset of a new clinical
since this educational exercise. For instance, one clinical supervisor supervisory relationship, but the students and professor felt a formal-
recently adopted the use of a supervision contract, and students’ ized contract could be helpful in standardizing these conversations.
reactions have been positive, noting that it has been helpful to under- For clinical supervisors for whom these conversations were less rote,
stand expectations and identify goals at the outset of the semester. the students and professor aimed to establish a framework for eliciting
a collaborative dialogue. Through pinpointed action items, the con-
tract template aimed to serve as a prompt for benchmarking super-
Discussion
visee progress (without taking the place of formal supervisor and
Developed based on the literature on professional supervision and supervisee evaluation forms), outlining goals, and collaboratively
best practices identified from other sources (e.g., state licensing determining expectations while remaining sensitive to nuances among
boards; Board of Psychology State of California, Department of supervisors. Future studies should further assess perceived barriers to
Consumer Affairs, 2016; Falender & Shafranske, 2012), the students adopting supervision contracts. Using a mixed-methods approach, it
and professor created a set of guidelines for developing supervision will also be important to examine outcome data, such as supervisor–
contracts that aims to encourage goal-oriented supervisee–supervisor supervisee satisfaction and the implementation of supervision con-
conversations, create space to establish transparent expectations in the tracts after educational experiences.
provision of clinical supervision, and elicit bidirectional feedback Akin to the Guidelines for Clinical Supervision in Health Service
while minimizing the inherent power differential. In addition to a Psychology (APA, 2014), the set of guidelines for constructing a
focus on the development of the supervisee, this document recognizes supervision contract was designed to be a living document and tai-
the importance of developing a relationship that is collaborative, lored by supervisors for specific clinical experiences. In drafting this
CLINICAL SUPERVISION CONTRACT 239

template, it was the students and professor’s hope that implementation Association of State and Provincial Psychology Boards. (2015). Supervision
would spur a series of iterative revisions making the educational goal guidelines for education and training leading to licensure as a health
of the contract more effective. Supervisors, even within a single service psychologist. Retrieved from https://cdn.ymaws.com/asppb.site-
training program, often display a rich variety of theoretical orienta- ym.com/resource/resmgr/Guidelines/Final_Supervision_Guidelines.pdf
Barnett, J. E., & Molzon, C. H. (2014). Clinical supervision of psycho-
tions, patient population experiences, and clinical expertise. With this
therapy: Essential ethics issues for supervisors and supervisees. Journal
diversity, however, often comes unintentionally inconsistent supervi-
of Clinical Psychology, 70, 1051–1061. http://dx.doi.org/10.1002/jclp
sion experiences across trainees. The document features a standard .22126
format in which to consistently discuss supervisor and supervisee Bernard, J. M., & Goodyear, R. K. (2009). Fundamentals of clinical
expectations, thereby providing a more standardized approach to supervision (4th ed.). Upper Saddle River, NJ: Pearson Education.
structuring supervision training while also allowing for these diverse Board of Psychology State of California, Department of Consumer Affairs.
experiences to take shape. At the same time, the current summary is (2016). Supervision best practices. Retrieved from http://www
intended to be adapted and formatted to meet the specific needs of the .psychology.ca.gov/applicants/supervision_best.shtml
clinical experience. For instance, some of the logistics of supervision Falender, C. A., & Shafranske, E. P. (2004). Clinical supervision: A
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

may already be delineated in a practicum syllabus, whereas the competency-based approach. Washington, DC: American Psychological
Association. http://dx.doi.org/10.1037/10806-000
This document is copyrighted by the American Psychological Association or one of its allied publishers.

supervision contract may provide additional structure for a conversa-


Falender, C. A., & Shafranske, E. P. (2012). Getting the most out of clinical
tion on the supervisor’s and trainee’s goals for the practicum. Further,
training and supervision: A guide for practicum students and interns.
the domain-specific contents of the contract allow for greater “porta- Washington, DC: American Psychological Association. http://dx.doi
bility” of supervision competencies (Falender & Shafranske, 2004, p. .org/10.1037/13487-000
231), such that trainees are taught the framework of professional Falender, C. A., & Shafranske, E. P. (2017). Competency-based clinical
practice rather than distinct clinical skills. Similar procedures, based supervision: Status, opportunities, tensions, and the future. Australian
on this one, could be used to effectively provide a criterion for Psychologist, 52, 86 –93. http://dx.doi.org/10.1111/ap.12265
measuring supervisory knowledge consistent with supervision com- Falender, C. A., & Shafranske, E. P. (Eds.). (2008). Casebook for clinical
petency. supervision: A competency-based approach. Washington, DC: Ameri-
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McCarthy, A. K. (2013). Relationship between supervisory working alliance
should be teaching trainees “how to think” rather than “what to think.”
and client outcomes in state vocational rehabilitation counseling. Rehabili-
This sentiment exemplifies the goals of the Competency Benchmarks
tation Counseling Bulletin, 57, 23–30. http://dx.doi.org/10.1177/
in Professional Psychology (APA, 2011), which notably include 0034355213484177
“training in the professional knowledge base of enhancing and mon- Nelson, M. L., & Friedlander, M. L. (2001). A close look at conflictual
itoring the professional functioning of others” (p. 14). Like any of supervisory relationships: The trainee’s perspective. Journal of Coun-
the diverse services provided by psychologists, the practice of effec- seling Psychology, 48, 384 –395. http://dx.doi.org/10.1037/0022-0167
tive supervision requires the ongoing development of an evidence .48.4.384
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the optimal training of professional skills. The development of this therapy supervision. In C. E. Watkins, Jr., (Ed.), Handbook of psycho-
contract template is an effort toward advocating for this evidence therapy supervision (pp. 203–221). Hoboken, NJ: Wiley.
Osborn, C. J., & Davis, T. E. (1996). The supervision contract: Making it
base, and the students and professor hope it will prompt similar
perfectly clear. The Clinical Supervisor, 14, 121–134. http://dx.doi.org/
procedures in other programs and serve as a structured tool to initiate
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meaningful dialogue. Osborn, C. J., Paez, S. B., & Carrabine, C. L. (2007). Reflections on shared
Overall, students were open to this didactic exercise and partici- practices in a supervisory lineage. The Clinical Supervisor, 26, 119 –139.
pated in multiple engaging class discussions regarding the develop- http://dx.doi.org/10.1300/J001v26n01_09
ment of the summary of components for constructing contracts. Many Smith, R. D., Erickson Cornish, J. A., & Riva, M. T. (2014). Contracting
of these conversations extended beyond the classroom, with several for group supervision. Training and Education in Professional Psychol-
students and supervisors engaged in dialogues about the use of su- ogy, 8, 236 –240. http://dx.doi.org/10.1037/tep0000075
pervision contracts. Additionally, it has impacted the students’ pro- Smith, R. D., Riva, M. T., & Erickson Cornish, J. A. (2012). The ethical
fessional development, such that the students continue to reflect on practice of group supervision: A national survey. Training and Educa-
tion in Professional Psychology, 6, 238 –248. http://dx.doi.org/10.1037/
important aspects of supervision, which is essential as trainees move
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Sutter, E., McPherson, R. H., & Geeseman, R. (2002). Contracting for
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(Appendix follows)
240 AMARO ET AL.

Appendix
Working Toward a Mutual Understanding and Joint Collaboration in Clinical Supervision

The supervisor and supervisee are expected to review and dis- Record Keeping
cuss this document at the outset of the supervisory relationship and
come to an agreement about the terms herein. Further, this docu- 1. Supervisor and supervisee are aware of clinic policies
ment can serve as a catalyst for continued dialogue throughout the regarding record keeping. (See the training manual and
supervision process. handbook.)

Expectations and Joint Goals 2. Provide clear expectations for progress notes (e.g., Does
the supervisor prefer to sign all progress notes each
1. Discuss with supervisee about her or his optimal learning week during individual supervision? Does the supervi-
sor prefer written notes or typed progress notes? If the
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

style and clarify preferred facilitating style as a supervisor.


This document is copyrighted by the American Psychological Association or one of its allied publishers.

latter, should the notes be placed in the supervisor’s


2. Explore together ways in which those styles might or might mailbox prior to supervision?).
not be compatible and outline potential solutions to any
barriers.
Components of Group and Individual Supervision
3. Establish the supervisee’s and supervisor’s goals regarding
the supervisee’s growth over the semester. 1. Provide clear expectations for the supervisee’s presen-
tation of work (e.g., verbal accounts of sessions, show-
i. Discuss any anxieties and fears the supervisor may need to ing videos, and/or providing written transcripts).
be aware of regarding clinical work at the start of the
semester. 2. Outline expectations for the structure of group and
individual supervision.
ii. Re-evaluate progress on an ongoing basis throughout the
semester.
Supervisor Approach
iii. In the event that expectations are not met, see training
manual for remediation process. 1. Discuss case conceptualization, theoretical orientation,
and supervisory models, including attending to diversity
Communication and Contact dimensions (e.g., race, ethnicity, religion, sexual orien-
tation, disability, socioeconomic status, and oppression/
1. Discuss frequency and length of supervision sessions. privilege).

2. Indicate preferred method of communication and note 2. Provide a balance of autonomy and guidance in a de-
any restrictions. velopmentally appropriate manner.

3. Outline situations in which the supervisee should con- 3. Engage the supervisee in case conceptualization and
tact the supervisor. self-reflection on a regular basis.

4. Discuss how to handle planned and unexpected ab- 4. Maintain an openness and flexibility towards innovative
sences for both the supervisee and supervisor (e.g., Is techniques and emerging research.
supervision cancelled, rescheduled, or conducted via
another method that week? Who provides back-up su- 5. Pursue continued education in supervision as well as
pervisor/supervisee coverage?). diversity competence.

(Appendix continues)
CLINICAL SUPERVISION CONTRACT 241

Interpersonal Relations 4. Exhibit sensitivity to the timing and amount of feedback


that a supervisee can assimilate at any given moment.
1. Create a safe environment that allows for open commu-
nication between supervisor and supervisee regarding 5. Present feedback in an open, transparent, and clear
both personal and professional issues that may influence manner directly to the supervisee.
the care provided to clients.
6. Explicitly tie evaluation and feedback to specific behav-
2. Work collaboratively with the supervisee to conceptu- iors as well as competencies and training goals.
alize cases and create treatment plans that give due
consideration to the evaluations and plans offered by the 7. Encourage self-assessment by the supervisee and incor-
supervisee. porate this information into the evaluation process.

3. Demonstrate respect toward the personal background of 8. Implement remediation steps if the supervisee is not
the supervisee through nonjudgmental discussion of meeting competence criteria.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

personal issues relevant to clinical work.


This document is copyrighted by the American Psychological Association or one of its allied publishers.

9. Seek evaluation and feedback from the supervisee about


4. Respond to appropriate questions and suggestions made the nature of supervision and incorporate this feedback
by the supervisee without defensiveness in order to into future sessions.
welcome the opportunity for mutual learning.
10. Return edited reports to the supervisee in a timely
5. Convey empathy; that is, understand and accept that the manner. Specifically, edits will be returned within
supervisee may have insecurities and a level of discom- _____________________________________ of the
fort regarding challenging cases. supervisee giving the report to the supervisor.

6. Convey enthusiasm for the supervision process and the


growth of the supervisee. Ethics in Supervision
7. Model self-awareness to the supervisee through self- 1. Know and apply the APA ethics code to the supervisory
exploration, understanding one’s own biases, and will- relationship.
ingness to pursue education or consultation.
2. Encourage and assist the supervisee in considering eth-
Navigating Systems ical guidelines, and intervene when necessary to ensure
the supervisee is upholding the ethics code.
1. Model client advocacy and promoting change in com-
plex systems, such as legal, educational, child welfare, 3. Respect the supervisee’s right to privacy by refraining
medical, and mental health systems. from discussing issues related to the supervisee’s per-
formance with other students.
2. Facilitate the supervisee’s skills in navigating complex
systems through observation, conjoint participation, and 4. Model the process of ethical decision making for the
discussion. benefit of the supervisee when possible and prudent.

5. Model ethical behavior by openly discussing the exis-


Evaluation and Feedback
tence of multiple relationships and the implications this
1. Discuss evaluation criteria (e.g., recorded sessions and may have for boundary crossings and violations.
self-reports of the supervisee) and the format of evalu-
ation and feedback with the supervisee within the first
two supervision sessions. Explain how and to whom Supervisee Signature Supervisor Signature
evaluations will be disclosed.
Print Name Print Name
2. Provide frequent evaluation and feedback, so that sum-
mative feedback is representative of the feedback given Date Date
throughout the supervisory relationship.

3. Include a balance of both positive and corrective feed- Received August 15, 2018
back, such that feedback notes the growth of the super- Revision received May 17, 2019
visee, as well as areas of future growth. Accepted May 20, 2019 䡲

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