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This document serves to verify the clinical supervision of social work practice for individuals applying for or renewing their LGSW or LISW licenses. It includes sections for both the licensee/applicant
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How to fill out clinical supervision verification
How to fill out CLINICAL SUPERVISION VERIFICATION
01
Obtain a copy of the CLINICAL SUPERVISION VERIFICATION form.
02
Carefully read the instructions provided on the form.
03
Fill in your personal information, including your name, contact details, and professional credentials.
04
Enter the details of your supervisor, including their name, title, and contact information.
05
Provide information about your clinical experience, including dates and types of services provided.
06
Indicate the number of supervision sessions completed during the specified period.
07
Ensure that both you and your supervisor sign and date the form.
08
Submit the completed form to the required authority or organization.
Who needs CLINICAL SUPERVISION VERIFICATION?
01
Mental health professionals seeking licensure or certification.
02
Graduate students in clinical programs.
03
Individuals undergoing supervision in a clinical setting.
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People Also Ask about
What are the clinical supervision models?
Clinical supervision models Proctor's three-function models. Resilience-based Clinical Supervision (RBCS) Restorative supervision: A-EQUIP model. Johns reflective model. Nicklin practice-centered model. Rogers & Topping Morris problem-focused model. Action learning sets.
What are the 5 models of clinical supervision?
The Five Models of Clinical Supervision. There are many different models of clinical supervision, but the five most common are: traditional, cognitive behavioral, humanistic-existential, psychodynamic, and integrative.
What are the 5 elements of supervision?
We distilled these into 5 basic components: support, trust, respect, time, and investment.
What are the 5 stages of the clinical supervision model?
The initial model of clinical supervision outlined by Goldhammer (1969) included five steps (the pre-observation conference, observation, analysis and strategy, supervision conference, post-conference analysis).
How to document clinical supervision?
A record of supervision sessions needs to be maintained that documents: when supervision was conducted, what was discussed, what recommendations were provided by the supervisor, and what actions resulted. A supervisor should maintain a separate file on each counselor supervised, including: Caseloads.
What are the 5 steps in clinical supervision?
The clinical supervision process includes 5 important steps: Pre-conference with the teacher. Observation of classroom. Analyzing and interpreting observation and determining conference approach. Post-conference with the teacher. Critique of previous four steps.
What are the five models of supervision?
The Five Models of Clinical Supervision. There are many different models of clinical supervision, but the five most common are: traditional, cognitive behavioral, humanistic-existential, psychodynamic, and integrative.
What should be included in clinical supervision?
The clinical supervisor should take the time to 'check in' with the practitioner regarding their wellbeing, and should ensure that the practitioner knows how to access support, such as mentoring, counselling or occupational health.
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What is CLINICAL SUPERVISION VERIFICATION?
CLINICAL SUPERVISION VERIFICATION is a formal process used to ensure that clinical supervisors are providing appropriate oversight and guidance to practitioners in a clinical setting. It typically involves the documentation and confirmation of supervisory activities.
Who is required to file CLINICAL SUPERVISION VERIFICATION?
Typically, clinical supervisors and practitioners who are under supervision as part of their professional licensure or certification process are required to file CLINICAL SUPERVISION VERIFICATION.
How to fill out CLINICAL SUPERVISION VERIFICATION?
To fill out CLINICAL SUPERVISION VERIFICATION, the supervisor should provide their details, document the practitioner's information, outline the supervision activities, and attest to the hours and types of supervision provided. Ensure that the form is signed and dated by both the supervisor and the practitioner.
What is the purpose of CLINICAL SUPERVISION VERIFICATION?
The purpose of CLINICAL SUPERVISION VERIFICATION is to ensure accountability and compliance with professional standards, protect client welfare by confirming adequate supervision, and fulfill licensure requirements for practitioners.
What information must be reported on CLINICAL SUPERVISION VERIFICATION?
The information that must be reported includes the names of the supervisor and supervisee, dates and duration of supervision sessions, types of supervision provided, and a description of the clinical activities undertaken during the supervision.
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