SOP 508.07-att-2: Semi-Annual Report of Clinical Supervision
Summary
Key Topics
- clinical supervision
- mental health staff evaluation
- supervisory assessment
- professional boundaries
- clinical practices
- confidentiality compliance
- ethical conduct
- supervisor report
- staff performance evaluation
- mental health services
Full Text
SOP 508.07
Attachment 2
8/15/22
GEORGIA DEPARTMENT OF CORRECTIONS – MENTAL HEALTH SERVICES
SEMI-ANNUAL REPORT OF CLINICAL SUPERVISION
Institution: ______________________________________ Date: _______________________________
Supervisee’s Name/Title: ________________________________________________________________
Comment on the following areas:
a. The supervisee’s attendance of weekly supervision sessions.
b. The supervisee’s attitude toward supervision.
c. The supervisee’s compliance with the supervisor’s instructions.
d. The supervisee’s observation of professional boundaries with offenders and other staff.
e. The supervisee’s attitude toward offenders.
f. The supervisee’s adherence to the limits of confidentiality.
Form no. M15-01-02 Page 1 of 2
Retention Schedule: Upon completion, this form will be placed in the staff member’s supervision file
SOP 508.07
Attachment 2
8/15/22
g. The supervisee’s clinical practices.
h. Any ethical or clinical concerns about the supervisee’s clinical practice.
i. The supervisor’s overall impression of the supervisee.
_______________________________________________ _________________________
Supervisor’s Signature/Title Date
Form no. M15-01-02 Page 2 of 2
Retention Schedule: Upon completion, this form will be placed in the staff member’s supervision file