Supervision Survey Results
| Survey Item | Frequency | % |
|---|---|---|
| Formal written therapy policies and procedures | ||
| Residents required to inform patients that they are under supervision | 56 | 87.5 |
| Clear supervision guidelines available | 50 | 78.1 |
| Established protocol for emergency supervision when supervisor is unavailable | 47 | 73.4 |
| Policy in place that lays out appropriate resident conduct in therapy | 21 | 33 |
| Established protocol in place for supervisor–resident boundaries | 17 | 26.6 |
| Residents required to inform patients in writing that they are under supervision | 15 | 23.4 |
| Require documentation of receipt of training guidelines | 11 | 17.2 |
| Require documentation that supervisors understand expectations in terms of conduct | 5 | 7.8 |
| Require documentation that residents understand expectations in terms of conduct | 3 | 4.7 |
| Provide written material to patients regarding boundary expectations | 5 | 7.8 |
| Supervision structure | ||
| Supervision schedules are generally adhered to | 53 | 82.8 |
| Regular supervision hours established | 50 | 78.1 |
| Supervision sessions documented | 27 | 42.2 |
| Supervisors routinely review chart documentation | 23 | 35.9 |
| Supervisors assess resident competency before providing therapy with increased risk | 20 | 31.3 |
| Institutional policies and procedures | ||
| Institution's malpractice insurance covers liability for employed supervisors | 48 | 75.0 |
| Protocol in place should a patient need treatment from a more experienced clinician in case of emergency | 47 | 73.4 |
| Program uses therapy supervisors as the supervisor of record | 47 | 71.9 |
| Credentialing process for nonemployed supervisors | 33 | 51.6 |
| Billing issued in the supervisors' name | 27 | 42.2 |
| Program directors are required to make supervisors aware of concerns about a particular resident | 26 | 40.6 |
| Outside therapy supervisors must provide evidence of malpractice that covers therapy supervision | 14 | 21.9 |
| Program provides an assessment of resident competency before providing high-risk therapy (hypnosis, Amytal interview) | 13 | 20.3 |
| Institution's malpractice insurance covers liability for nonemployed supervisors | 12 | 18.8 |
| Knowledge of a law suit against a supervisor at the institution | 0 | 0 |