Oral Exam Area 1- Supervision Rules

Question 1

4732-13-02: Purposes of supervision (8)

Answer 1

(A) Protect welfare of clients
(B) Protect welfare of training subjects
(C) Structure supervisee’s activities
(D) Assure unlicensed functions within competence;
(E) Provide variety of activities for unlicensed person
(F) For licensed person who seeks supervision will:
(1) Expand competence in subspecialty; or
(2) Satisfy retraining requirements
(G) Non-exploitative employment/training
(H) Make available general administrative, supervisory, and mental health expertise

Question 2

4732-13-03: Supervision Definition-

A. Professional supervision in psychology

1. Psychological work supervision

Answer 2

professional oversight of persons working under the licensing authority of licensed psychologist

Question 3

4732-13-03: Supervision Definition-

A. Professional supervision in psychology

2. “Psychological training supervision”

Answer 3

formal provision by licensed psychologists of systematic education/training that’s primarily case-focused and evaluative.

Includes:

• Graduate students
• Postdoctoral trainees, or
• other qualified individuals for licensure

Question 4

4732-13-03: Supervision Definition-

A. Professional supervision in psychology

3. “Psychological umbrella supervision”

Answer 4

supervision of a candidate for licensure to develop supervisory skills. When psychological training supervisee supervises other supervisees in hazardous practices.

Includes:
-Pre- and post-doctoral level deemed prepared by the supervisor

Question 5

4732-13-03: Supervision Definition-

B. Professional supervision in school psychology

1. “School psychological work supervision”

Answer 5

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

• Work done under the authority of a licensed school psychologist shall not exceed the scope of practice described in division (E) of section 4732.01 and shall be consistent with the previous academic and professional training of the supervisor and the supervisee.
• Telepsychology may be used in the provision of supervision if conducted in accord with requirements set forth in paragraph (B)(29) of rule 4732-13-04.

Question 6

4732-13-03: Supervision Definition-

B. Professional supervision in school psychology

2. “School psychological training supervision”

Answer 6

the formal provision by licensed psychologists or licensed school psychologists of systematic education and training that is primarily case-focused and evaluative.
-Telepsychology may be used in the provision of school psychological training supervision if using synchronous audiovisual communication and supervision is conducted in accord with requirements set forth in paragraph (B)(20) of rule 4732-13-04

• Supervisory relationship supports and directs the work and professional development of
  - graduate students,
  - postdoctoral trainees, or
  - other qualified individuals to help them gain experience for purposes of licensure as a psychologist

Question 7

4732-13-03 Supervision definitions.

(E). “Psychology Intern,” “Psychology Doctoral Intern ,” Psychology Predoctoral Intern,” “Psychology Fellow,” “Psychology Resident,” “Psychology Postdoctoral Intern,” “Psychology Postdoctoral Fellow,” “Psychology Postdoctoral Resident,” “Psychology Trainee,” or “Psychology Postdoctoral Trainee”

Answer 7

-Persons under appropriate supervision, working toward licensure in psychology.

Question 8

4732-13-03 Supervision definitions.

(F) “School Psychology Intern,” “School Psychology Assistant,” or “School Psychology Trainee”

Answer 8

• Persons doing school psychological work under appropriate supervision
• May or may not be working toward licensure in school psychology or psychology.

Question 9

4732-13-03 Supervision definitions.

(G) “Psychology Assistant”

Answer 9

• Person with a master’s degree in psychology

- May or may not be working toward licensure in psychology.

Question 10

4732-13-03 Supervision definitions.

(H) “Assistant”

Answer 10

• Person with a master’s degree in a field other than psychology
• Working under “psychological work supervision.”

Question 11

4732-13-03 Supervision definitions.

(I) “Psychology Aide”

Answer 11

• Person with a bachelor’s degree in psychology

- Working under “psychological work supervision.”

Question 12

4732-13-03 Supervision definitions.

(J) “Aide”

Answer 12

• Person with a bachelor’s degree in a field other than psychology or two or more years of college course work, such as a mental health technology degree
• Working under “psychological work supervision.”

Question 13

4732-13-03 Supervision definitions.

(K) “Telepsychology,”

Answer 13

practice of psychology by distance communication technology

-telephone, electronic mail, internet-based communications, and video conferencing.

Question 14

4732-13-04 Requirements pertaining to supervision.

B) Requirements for psychological work supervision and psychological training supervision. (20

Answer 14

(1) Supervisee subject to all statutes and rules
(2) Supervisor responsible for diagnosis, psychological prescription, and supervision of all clients;
(3) School psychologist same as (2)
(4) Supervisee shall carry out activities in a suitable professional setting
(5) Document type of supervision, and select/assign appropriate title to supervisee
(6) Register with board all supervisees under their authority.
(7) Deactivate supervisory relationships upon termination of work
(8) Supervisor shall keep records of supervision
(9) Supervisor ensures supervisee sees clients for whom is competent
(10) Intensity of supervision based on professional judgment of supervisee’s credentials, years of experience, and the complexity of the cases and have direct knowledge of all clients
(11) Make effort to plan for continuity of client care for illness, vacation, or other unavailability
(12) Supervisor assure client is clearly informed of the relationship between the supervisor and the supervisee, and their respective legal/professional responsibilities
(13) Supervisee evaluative reports and letters about client welfare shall be co-signed by the supervisor
(14) When sharing supervisory responsibility with another have a written supervision plan
(15) License holders receiving supervision/consultation for subspecialty need not be registered w/board
(16) Supervisors in private practice may charge for individual supervision,
(17) Supervisor requires supervisee to consult with professionals other than supervisor when counseling or intervention is indicated concerning personal problems.
(18) Supervisors are aware that the amount of supervision required for training supervisees
(19) Supervisor providing psychological training supervision shall comply with (see separate card)
(20) Licensees may conduct supervision via telepsychology as follows: (see separate card)

Question 15

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(4) Supervisee shall carry out activities in a suitable professional setting (3)

Answer 15

• Supervisor has organizational responsibility for assignment and management of activities
• All activities performed pursuant to the licensed supervisor’s directives
• Efforts made for services be compliant with the Code and rules

Question 16

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(6) Register with board all supervisees under their authority. Including: (2)

Answer 16

(a) Completely retraining for a general specialty or

(b) Being trained for the purpose of earning a different license

Question 17

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(8) Supervisor shall keep records of supervision (3)

Answer 17

• Include supervision plans and co-supervision agreements, dates of supervision meetings, and notes regarding supervision, including specific clients/cases reviewed.
• For psychological training supervision, records shall provide evidence of training activities.
• Maintain records for 5 years following termination

Question 18

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(10) Intensity of supervision based on professional judgment of supervisee’s credentials, years of experience, and the complexity of the cases and have direct knowledge of all clients (1)

Answer 18

-Knowledge may be acquired through direct client contact or through other appropriate means such as audio or video recordings, test protocols, or other client-generated material.

Question 19

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(11) Make effort to plan for continuity of client care for illness, vacation, or other unavailability (1)

Answer 19

-More than thirty working days, notify the board in advance

Question 20

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(12) Supervisor assure client is clearly informed of the relationship between the supervisor and the supervisee, and their respective legal/professional responsibilities (3)

Answer 20

• Clients be informed of supervised nature of work and ultimate responsibility of supervisor
• Provided in written statement explained and given to each client (or guardian)
• Evaluations and/or working in agencies and/or hospitals, statement may be modified or integrated into organizational informed consent, which includes:

Question 21

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(12) Supervisor assure client is clearly informed of the relationship between the supervisor and the supervisee, and their respective legal/professional responsibilities
- -Evaluations and/or working in agencies and/or hospitals, statement may be modified or integrated into organizational informed consent, which includes: (6)

Answer 21

(a) Description of services, schedule of charges, and billing will be under the supervisor’s name;
(b) Name, license number, and professional address and telephone number of the supervisor;
(c) Limits of confidentiality,
(d) Parameters of the relationships: supervisor, the supervisee, and the client;
(e) Supervisor availability to meet with the client, on request;
(f) Signatures of the supervisor, the supervisee, and the client(s) or guardian
- one copy being maintained by the supervisor.

Question 22

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(15) License holders receiving supervision/consultation for subspecialty need not be registered w/board (2)

Answer 22

• Supervisor/consultant shall maintain record of supervision/consultation relationship.
• Maintain record for 5 years following the termination

Question 23

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(16) Supervisors in private practice may charge for individual supervision, (2)

Answer 23

• Limit their fee for an individual face-to-face supervision hour that does not exceed the standard hourly fee for professional services to clients.
• If supervisor charges for supervision, the supervisee shall receive all fees from reimbursements, minus reasonable overhead expenses, for clients served by the supervisee.

Question 24

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(18) Supervisors are aware that the amount of supervision required for training supervisees (1)

Answer 24

-1 hour per 20 hours on site

Question 25

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(19) Supervisor providing psychological training supervision shall comply with: (4)

Answer 25

(a) Supervisor shall accept only persons who have completed appropriate academic or professional preparation or at an appropriate level of progress toward such completion.
(b) Supervisor and supervisee shall have a co-signed, written agreement describing the goals and content of the training experience, including clearly stated expectations for: (see separate)
(c) Supervisor shall ensure training provides adequate breadth of experience to enhance: (see separate)
(d) When appropriate to meet training needs of supervisee, supervisor arranges for consultation with other appropriate professionals.

Question 26

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(19) Supervisor providing psychological training supervision shall comply with:
(b) Supervisor and supervisee shall have a co-signed, written agreement describing the goals and content of the training experience, including clearly stated expectations for: (3)

Answer 26

• Nature of experiences offered through supervision;
• Expected working arrangements, quantity, and quality of the trainee’s work;
• Financial arrangements between supervisee and employer.

Question 27

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(19) Supervisor providing psychological training supervision shall comply with:
(c) Supervisor shall ensure training provides adequate breadth of experience to enhance: (6)

Answer 27

• Supervisee’s professional attitudes and identity as a professional psychologist;
• Professional, ethical, and legal responsibility;
• Communication skills;
• Critical judgment;
• Technical skills and competencies in broad areas of assessment, interventions, and ethical decision making.
• Training experiences shall not take place until the supervisee has initiated or completed appropriate educational preparation (both didactic and practica).

Question 28

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(20) Licensees may conduct supervision via telepsychology as follows: (3)

Answer 28

(a) Supervisors recognize telepsychology is not appropriate for all cases and supervisees, (see separate)
(b) Supervisors establish/maintain competence in providing telepsychology supervision (see separate)
(c) Supervisors providing supervision via telepsychology shall: (see separate)

Question 29

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(20) Licensees may conduct supervision via telepsychology as follows:
(a) Supervisors recognize telepsychology is not appropriate for all cases and supervisees, (2)

Answer 29

• Decisions about appropriate use of telepsychology are made on a case-by-case basis.
• Aware of additional risks incurred with supervision through telepsychology and take special care to protect the welfare of the client, ensuring the client’s welfare is paramount.

Question 30

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(20) Licensees may conduct supervision via telepsychology as follows:
(b) Supervisors establish/maintain competence in providing telepsychology supervision (2)

Answer 30

• Through continuing education, consultation, or other procedures.
• Licensees establish/maintain competence in appropriate use of the information technologies utilized in supervision.

Question 31

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(20) Licensees may conduct supervision via telepsychology as follows:
(c) Supervisors providing supervision via telepsychology shall:

Answer 31

(i) Consider and document findings specific to:
- Whether client’s presenting problems and apparent condition are consistent with the use of telepsychology in the supervisory process to the client’s benefit; and
- Whether supervisee has sufficient knowledge/skills in technology involved in supervision.
(ii) Not provide telepsychology supervision when it is inconsistent with the delivery of supervision via telepsychology
- Whether related to given case or technological knowledge/skills of the supervisee.
(iii) Upon contacts with the supervisee, make reasonable efforts to verify identity of supervisee;
(iv) Obtain alternative means of contacting the supervisee;
(v) Provide alternative means of contacting the supervisor;
(vi) Supervisors use secure communications (e.g., encrypted text messages via email or secure websites or secure real-time video);
(vii) Prior to providing telepsychology supervision, supervisor and supervisee shall enter into a written agreement with accepted professional and legal requirements, relative to: (see separate)
(viii) Ensure confidential communications stored electronically cannot be recovered and/or accessed by unauthorized persons when disposed.

Question 32

4732-13-04 Requirements pertaining to supervision.
(B) Requirements for psychological work supervision and psychological training supervision.

(20) Licensees may conduct supervision via telepsychology as follows:
(c) Supervisors providing supervision via telepsychology shall:
(vii) Prior to providing telepsychology supervision, supervisor and supervisee shall enter into a written agreement with accepted professional and legal requirements, relative to: (3)

Answer 32

(a) Potential risks of sudden and unpredictable disruption of supervision and how an alternative means of re-establishing connection will be used;
(b) When/how supervisor will respond to routine electronic messages;
(c) What circumstances supervisor and supervisee will use alternative means of communications under emergency circumstances;

Question 33

4732-13-04 Requirements pertaining to supervision.

C) Prohibitions for psychological work supervision and psychological training supervision. (13

Answer 33

(1) Supervisor shall not provide supervision of psychological work to a person who has administrative or funding authority over them.
(2) Supervisor shall not provide work or training supervision to a person with whom they are associated in any business relationship
- Except where psychologist is an employer of the supervisee for the practice of psychology
(3) Supervisor shall not assume supervisory responsibility for psychological work that they are not personally competent to perform.
(4) Supervisor shall not supervise any person whom they know is illegally providing psychological services to the public
- Either within or outside of the supervisory relationship.
(5) Pursuant to paragraph (E) of rule 4732-17-01 of the Administrative Code:
(6) Supervisor shall ensure no more than two hundred forty work hours are scheduled among all supervisees on a weekly basis
(7) Supervisor prevent exploitation of a supervisee by an agency with which they are affiliated.
(8) Supervisor shall not charge a supervisee for group supervision.
(9) Supervisee shall not use the title “Psychologist” or “School Psychologist”
- Except when supervisee holds active certificate or license granted by Ohio department of education (ODE)
(10) Supervisee shall not solicit clients or generate own case load and shall not represent self as having independent choice of clients.
(11) Supervisee shall not collect fees for psychological work in own name.
(12) Supervisee shall not: (see separate)
(13) Board may refuse to issue a license to any supervisee who violates any provision of Chapter 4732. of the Revised Code or any rules adopted by the board.

Question 34

4732-13-04 Requirements pertaining to supervision.
(C) Prohibitions for psychological work supervision and psychological training supervision.

(5) Pursuant to paragraph (E) of rule 4732-17-01 of the Administrative Code: (5)

Answer 34

(a) No direct family relationship between a supervisor and a supervisee.
(b) Supervisor shall not engage in intercourse or other sexual intimacies with supervisee.
(c) Supervisor shall not engage in sexual harassment or any verbal/nonverbal conduct that is sexual in nature with any supervisee.
(d) Supervisor shall not enter into a supervisory relationship for psychological work as an employee of a supervisee.
(e) Supervisor shall not exploit supervisee for financial gain or with excessive work

Question 35

4732-13-04 Requirements pertaining to supervision.
(C) Prohibitions for psychological work supervision and psychological training supervision.

(12) Supervisee shall not: (5)

Answer 35

• Independently advertise;
• Use business cards or other listing that identifies any procedure/technique performed;
• Announce establishment of a practice;
• Have own name included on business letterhead stationery, office building directory, office suite entrance door; or in any electronic or other directory under a title incorporating “Psychologist” or “Psychology”; or,
• Otherwise hold self out to the public as being authorized to provide independent services.
• Notwithstanding these prohibitions, the following shall be allowed:
  (a) Supervisee’s earned degrees, credentials granted by state of Ohio, and appropriate job titles (as long as they do not confuse client’s)
  (b) Supervisee may use business cards that has supervisee’s name, appropriate title, supervisor’s name and license number, and supervisory relationship are stated.