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Thank you for agreeing to participate in a study of clinical supervision. Doctoral internship sites used by APA and COAMFTE accredited programs are being surveyed and your cooperation is an important part of the success of this study. Although you have the option to withdraw from this survey at any time, it is important that you complete all of the questions in the survey as accurately as possible should you elect to submit your response. Your responses to the following survey will provide valuable information about the relationship between supervisor training and supervisor variables associated with positive experiences in supervision. Neither your name nor internship site name will be included in the survey in order to ensure that your responses are anonymous. QuestionPro.com will match responses without knowing the identify of the users and will forward the data to the research examiner. Completing this survey should take about 10 minutes. Please direct questions to the principle investigator, Justin Smith, at [email protected] or to the Faculty Advisor Dr. Robert Watson, at [email protected]. This study has been reviewed and approved by the Wheaton College Human Research Review Committee and has been designed to comply with the research policies of the American Psychological Association and the American Association for Marriage and Family Therapy.
 
 
 

Please select the appropriate form to complete.
I am the clinical supervisor. I am the doctoral intern.
 
 


DEMOGRAPHICS
 
 
 
Highest Degree Earned:
   
 

Sex:
 
Male
 
Female
 
 
Age
   
 

Professional Credentials (licensed or certified):
 
clinical psychologist
 
marriage and family therapist
 
social worker
 
professional counselor
 
Other
 
 

Professional Membership:
 
ACA
 
APA
 
AAMFT
 
AAMFT approved supervisor
 
NASW
 
Other
 

 
 
Number of years practicing psychotherapy:
   
 
 
Number of years practicing supervision:
   
 
 
Theoretical Orientation:
   
 
 
Ethnicity:
   
 
 

FORMAL TRAINING IN SUPERVISION

Please provide as accurate a response as possible, recognizing that some responses will be approximations.
 
 
 
courses in supervision
   
textbooks read
   
journal articles read
   
workshops attended
   
 
 
 
supervision cases while a practicum student
   
supervision cases while an intern
   
supervision cases since completing your degree
   
hours of post-degree supervision-of-supervision (if known)
   
 
 

How formative were the following to your practice fo supervision?
Not At All Somewhat A Great Deal
a. Clinical supervision
b. Personal therapy
c. Mentors
d. Supervision of your supervision
e. Workshops
f. Readings
g. Academic classes
h. Practicum
i. Other
 
 
 
If you ranked an "other" response, please specify what the other formative influence was:
   
 
 

How descriptive are the following statements of the supervision you provide?
Not At All Somewhat A Great Deal
Facilitate the personal growth of the supervisee.
Facliate the development of technical skills by the supervisee.
Establish a collaborative relationship with the supervisee.
Focus on solving clinical issues and problems.
Maintaining the frame or structure of supervision.
Ensure ethical conduct and practice by the supervisee.
Give advice, sometimes before fully understanding the clinical situation.
Facilitate the development of a professional identity by the supervisee.
Address therapeutic issues of supervisee.
Evaluate the supervisee's skills.
Not At All Somewhat A Great Deal
Strong enforcement of supervisor-supervisee boundaries and roles.
Provide emotional support to the supervisee.
Facilitate the development of a solid theoretical foundation in the supervisee.
Demonstrate patience and flexibility with the supervisee.
Closely manage cases.
Difficulty being prepared or prompt for supervision sessions.
Provide conceptual and technical guidance.
Encourage the supervisee to develop his/her own style of therapy.
Avoid confronting problems.
Discourage supervisees from ideas and interventions that will not work.
Ensure the safety of the client.
Regularly read publications and attend workshops on supervision.
Pass on your knowledge and experience.
Openly address issues of diversity, discrimination, and use of power.
 
 

Thank you for your time. Your assistance is greatly appreciated!

 
 


DEMOGRAPHICS
 
 
 
Highest Degree Earned:
   
 

Sex:
 
Male
 
Female
 
 
Age
   
 

Current program:
 
Clinical psychology
 
Counseling psychology
 
Rehab psychology
 
School psychology
 
Marriage and family therapy
 
Other
 
 

Current professional credentials (licensed or certified):
 
clinical psychologist
 
marriage and family therapist
 
social worker
 
professional counselor
 
Other
 

 

Is this your first supervised clinical experience?
Yes No
 
 
If not, how many years of supervised practice have you completed?
   
 
 
Theoretical orientation:
   
 
 
Ethnicity:
   
 
 


SUPERVISION


Please provide as accurate answers as you can, realizing that some responses will be approximations.
 
 
 
times per month
   
hours per month
   
 
 
times per month
   
hours per month
   
 

How available is supervision outside of set supervision times?
 
always available
 
usually available
 
sometimes available
 
only available in an emergency
 
supervision is not available outside of set times
 

What is the primary format for supervision?
 
case review
 
audio tape review
 
video tape review
 
live supervision
 
reflecting team
 
 
What is your supervisor's theoretical orientation?
   
 
 
How descriptive are the following statements of your supervisor and the supervision you receive?
Not at all Somewhat A great deal
Facilitates your personal growth.
Facilitates your development of technical skills.
Maintains a collaborative relationship with you.
Gets distracted by trying to solve clinical issues and problems in your cases.
Maintains the frame or structure of supervision.
Ensures your ethical conduct and practice.
Gives advice before fully understanding the clinical situation.
Facilitates the development of your professional identity.
Blurs supervision and therapy.
Evaluates your skills.
Not at all Somewhat A great deal
Rigidly enforces supervisor-supervisee boundaries and roles.
Provides emotional support.
Facilitates your development of a solid theoretical foundation.
Demonstrates patience and flexibility.
Micromanages cases.
Has difficulty being prepared or prompt for supervision sessions.
Provides conceptual and technical guidance.
Encourages you to develop your own style of therapy.
Avoids confronting problems.
Discourages you from ideas or interventions s/he does not like or thinks may not work.
Not at all Somewhat A great deal
Discourages you from ideas or interventions s/he does not like or thinks may not work.
Neglects ongoing training in supervision.
Passes on his/her knowledge and experience.
Appropriately addresses issues of diversity in supervision.
Has harassed or discriminated against you because of your gender, race, ethnicity, religion, age, or sexaul orientation.
I have learned a lot from this supervisor.
This has been a very positive supervision experience.
I would definately recommend this supervisor to other interns.
 
 


Thank you for taking the time to complete this survey! Your responses are anonymous and confidential. You can direct questions to [email protected]. Preliminary results of this survey will be available online after December 1, 2003 at: http://www.mhtc.net/~mkzsmith
 
 
 
Highest Degree Earned: