(A) Requirements for mental health worker
supervision.
(1) Work done under
mental health worker supervision shall not be represented to any party or
included in any report or official form as the practice of
psychology.
(2) A treatment plan
shall be prepared for each recipient of services as part of the initial
evaluation and shall be signed by the mental health worker delivering the
services and the recipient or his/her legal guardian.
(3) Within a reasonable
time period thereafter, the supervising licensed psychologist shall review the
plan and shall either:
(a) Sign it as submitted;
(b) Require modifications prior to signing it;
or
(c) Refuse to sign it if in his/her professional judgment
in conformance with the standards of the profession of psychology it is
unsatisfactory or unnecessary.
(4) A licensed
psychologist shall exercise reasonable professional judgment, consistent with
the standards of the profession of psychology, when providing mental health
worker supervision.
(B) Requirements for psychological work
supervision and psychological training supervision.
(1) A supervisee is
subject to all relevant statutes and rules of the board.
(2) A supervisor is
responsible for the psychological diagnosis, psychological prescription, and
psychological client supervision of all clients; these functions may be
delegated to a psychological work supervisee or psychological training
supervisee in accord with paragraph (B)(7) and paragraph (B)(8) of this
rule.
(3) A supervisor has
responsibility for the school psychological diagnosis, school psychological
prescription, and school psychological client supervision of all clients; these
functions may be delegated to a school psychological work supervisee or school
psychological training supervisee in accord with paragraph (B)(7) and paragraph
(B)(8) of this rule.
(4) A supervisee shall carry out his/her
psychological or school psychological activities in a suitable professional
setting over which the supervisor has organizational responsibility for
assignment and management of the supervisee's professional activities. All
psychological activities of the supervisee shall be performed pursuant to the
licensed supervisor's directives. Reasonable efforts shall be taken to
ensure that the supervisee provides services in compliance with the provisions
of Chapter 4732. of the Revised Code and associated administrative
rules.
(5) A supervisor shall document the type
of psychological supervision being provided, and select and assign an
appropriate title to the supervisee from the titles found in paragraphs (E),
(F), (G), or (H), (I), and (J) in rule 4732-13-03 of the Administrative Code,
and shall so inform the supervisee and, when applicable, the work setting
administrator.
(6) A supervisor shall register with the
board, in a manner prescribed by the board, all supervisees who will perform
psychological or school psychological work under his/her authority, that is
restricted under rule 4732-5-01 of the Administrative Code, including a license
holder of this board who is:
(a) Completely retraining for a general specialty of
psychology pursuant to paragraph (F) of rule 4372-13-02 of the Administrative
Code; or
(b) Being trained for the purpose of earning a different
license pursuant to paragraph (F) of rule 4732-13-02 of the Administrative
Code.
(7) A supervisor shall
deactivate supervisory relationships, in a manner prescribed by the board, upon
termination of psychological or school psychological work under his/her
authority
(8) A supervisor shall keep records of
supervision. These records shall include any training supervision plans and
co-supervision agreements, dates of supervision meetings, and notes regarding
supervision, including specific clients/cases reviewed. For persons under
psychological training supervision, these records shall also provide evidence
of training activities. These records shall be maintained for a period of five
years following the termination of supervision and shall be available for
inspection by the board.
(9) A supervisor has responsibility to
make reasonable efforts to ensure that the work of the supervisee is conducted
only for clients for whom the supervisee is competent to provide services and
that such services are performed in compliance with the provisions of Chapter
4732. of the Revised Code and associated administrative rules.
(10) A supervisor shall base the intensity
of the supervision on his/her professional judgment of the supervisee's
credentials, years of experience, and the complexity of the cases under
supervision and shall have direct knowledge of all clients served by his/her
supervisee. This 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.
(11) A supervisor shall make reasonable
efforts to plan for continuity of client care in the event that his/her
supervision is interrupted by factors such as illness, vacation, or other
unavailability as listed in paragraph (C)(11) of rule 4732-17-01 of the
Administrative Code. When a supervisor arranges such back-up supervision for a
period of more than thirty working days, he/she shall notify the board in
advance.
(12) A supervisor has responsibility to
assure that each client is clearly informed of the relationship between the
supervisor and the supervisee, and their respective legal and professional
responsibilities for the services rendered to or received by the client. All
clients shall be informed of the supervised nature of the work of the
supervisee, and of the ultimate professional responsibility of the supervisor.
In the case of adult, legally competent clients receiving psychotherapy and
other psychological interventions as described in rule 4732-5-01 of the
Administrative Code, this information shall be provided in the form of a
written statement explained and given to each client at the initial
professional contact. In the case of other clients, this information may be
provided in the form of a statement given to the guardian of the client. In
terms of clients receiving services for psychological evaluations as described
in rule 4732-5-01 of the Administrative Code and/or from individuals working in
agencies and/or hospitals, such a statement may be modified or integrated into
organizational informed consent documents to meet the circumstances unique to
the facility and the client. The statement shall include, but not be limited
to, the following:
(a) Brief description of services to be provided, schedule
of charges, and an indication that billing will come from the supervisor,
agency, or institution under the supervisor's name;
(b) Name, license number, and professional address and
telephone number of the supervisor;
(c) Statement on the limits of confidentiality, including
the possible need to report certain information according to law, and the
supervisor's review of the client's progress;
(d) Statement about the parameters of the professional
relationship involving the supervisor, the supervisee, and the
client;
(e) Statement about the availability of the supervisor to
meet with the client, on request;
(f) Signatures of the supervisor, the supervisee, and the
client(s) or guardian, with one copy being maintained by the
supervisor.
(13) Supervisee evaluative reports and
letters dealing with client welfare shall be co-signed by the
supervisor.
(14) Supervisors who shares ongoing
supervisory responsibility for the psychological or school psychological work
of a supervisee with another license holder, including but not limited to those
in academic and other training settings, shall prepare a written supervision
plan, available to the board, that is agreed upon and signed by each supervisor
and the supervisee.
(15) License holders of this board who are
receiving supervision/consultation to add a subspecialty skill pursuant to
paragraph (F)(1) of rule 4732-13-02 of the Administrative Code need not be
registered with the board, although the supervisor/consultant shall maintain a
record of the supervision/consultation relationship. These records shall be
maintained for a period of five years following the termination of
supervision/consultation and shall be available for inspection by the
board.
(16) Supervisors in private practice
settings may charge for individual supervision only, and shall limit their fee
for an individual face-to-face supervision hour that does not exceed the
supervisor's reasonable and standard hourly fee for professional services
to clients. If the supervisor charges per individual face-to-face hour of
supervision, the supervisee shall receive all fees from reimbursements, minus
reasonable overhead expenses, for clients served by the
supervisee.
(17) A supervisor shall require the
supervisee to have consultation with relevant professionals other than the
supervisor when counseling or intervention is indicated concerning personal
problems.
(18) Supervisors are
aware that the amount of supervison required for training supervisees is
specified in rule 4732-9-01 of the Administrative Code.
(19) A supervisor providing psychological
training supervision to assist the supervisee toward licensure in psychology or
school psychology shall comply with the following:
(a) A supervisor shall accept for psychological training
supervision only persons who have completed appropriate academic or
professional preparation for that area or are at an appropriate level of
progress toward such completion.
(b) A supervisor and supervisee shall have a co-signed,
written agreement describing the goals and content of the training experience,
including clearly stated expectations for:
(i) The nature of the
experiences offered through supervision;
(ii) The expected working
arrangements, quantity, and quality of the trainee's work;
and
(iii) The financial
arrangements between the supervisee and his/her employer.
(c) A supervisor shall ensure that the training provides
adequate breadth of experience to enhance: the supervisee's professional
attitudes and identity as a professional psychologist or school psychologist;
professional, ethical, and legal responsibility; communication skills; critical
judgment; and technical skills and competencies in the broad areas of
psychological and/or school psychological assessment, psychological and/or
school psychological interventions, and ethical decision making. Training
experiences shall not take place until the supervisee has initiated or
completed appropriate educational preparation, including both didactic course
work and practica.
(d) When appropriate to meet the training needs of the
supervisee, the supervisor shall arrange for consultation with other
appropriate professionals.
(20) In accord with paragraphs (A)(1),
(A)(2), (B)(1) and (B)(2) of rule 4732-13-03 of the Administrative Code,
licensees may conduct psychological supervision or school psychological
supervision via telepsychology as follows:
(a) Supervisors recognize that the use of telepsychology is
not appropriate for all cases and supervisees, and decisions regarding the
appropriate use of telepsychology are made on a case-by-case basis. Licensees
providing supervision via telepsychology are aware of additional risks incurred
when providing supervision through the use of distance communication
technologies and take special care to conduct their supervision in a manner
that protects the welfare of the client and ensures that the client's
welfare is paramount.
(b) Supervisors establish and maintain current competence
in the conduct of psychological supervision via telepsychology through
continuing education, consultation, or other procedures, in conformance with
prevailing standards of scientific and professional knowledge. Licensees
establish and maintain competence in the appropriate use of the information
technologies utilized in the rendering of psychological
supervision.
(c) Supervisors providing supervision via telepsychology
shall:
(i) Consider and document
findings specific to:
(a) Whether a given
client's presenting problems and apparent condition are consistent with
the use of telepsychology in the supervisory process to the client's
benefit; and
(b) Whether the
supervisee has sufficient knowledge and skills in the use of the technology
involved in rendering the supervision.
(ii) Not provide
supervision via telepsychology services to any supervisee when the outcome of
the analysis required in paragraphs (B)(29)(c)(i)(a) and (B)(29)(c)(i)(b) of
this rule is inconsistent with the delivery of supervision via telepsychology,
whether related to issues involving a given case or issues involving the
technological knowledge and skills of the supervisee.
(iii) Upon initial and
subsequent contacts with the supervisee, make reasonable efforts to verify the
identity of the supervisee;
(iv) Obtain alternative
means of contacting the supervisee;
(v) Provide to the
supervisee alternative means of contacting the supervisor;
(vi) Supervisors,
whenever feasible, use secure communications with supervisees, such as
encrypted text messages via email or secure websites or secure real-time
video;
(vii) Prior to providing
supervision via telepsychology services, the supervisor and supervisee shall
enter into a written agreement, in plain language consistent with accepted
professional and legal requirements, relative to:
(a) Potential risks of
sudden and unpredictable disruption of supervision dependent on telepsychology
services and how an alternative means of re-establishing electronic or other
connection will be used under such circumstances;
(b) When and how the
supervisor will respond to routine electronic messages from the
supervisee;
(c) Under what
circumstances the supervisor and supervisee will use alternative means of
communications under emergency circumstances;
(viii) Ensure that
confidential communications stored electronically cannot be recovered and/or
accessed by unauthorized persons when the licensee disposes of electronic
equipment and data.
(C) Prohibitions for psychological work
supervision and psychological training supervision.
(1) A supervisor shall
not provide supervision of psychological work to a person who has
administrative or funding authority over him/her.
(2) A supervisor shall
not provide work or training supervision to a person with whom he/she is
associated in any business relationship except one where the psychologist or
the school psychologist is an employer of the supervisee for the practice of
psychology or school psychology.
(3) A supervisor shall
not assume supervisory responsibility for psychological work that he/she is not
personally competent to perform.
(4) A supervisor shall
not supervise any person whom he/she knows 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:
(a) There shall be no direct family relationship between a
supervisor and a supervisee.
(b) A supervisor shall not engage in sexual intercourse or
other sexual intimacies with any supervisee.
(c) A supervisor shall not engage in sexual harassment or
any verbal or nonverbal conduct that is sexual in nature with any
supervisee.
(d) A supervisor shall not enter into a supervisory
relationship for psychological work as an employee of a
supervisee.
(e) A supervisor shall not exploit the supervisee for
financial gain or with excessive work demands.
(6) A supervisor,
emergency situations excepted, shall ensure that there are no more than two
hundred forty work hours scheduled among all supervisees on a weekly basis,
inclusive of both direct client contact hours and other non-clinical
activities. This limitation on supervision does not apply to mental health
worker supervision as described in paragraph (A) of this rule.
(7) A supervisor shall
not allow exploitation of a supervisee by an agency with which the supervisor
and the supervisee are affiliated.
(8) A supervisor shall
not charge a supervisee for group supervision.
(9) A supervisee shall
not use the title "Psychologist"; a supervisee shall not use the
title "School Psychologist," except when the supervisee holds an
active certificate or license granted by the Ohio department of education (ODE)
to render school psychological services under the authority of the
ODE.
(10) A supervisee shall
not solicit clients or generate his/her own case load and shall not represent
himself/herself as having independent choice of clients.
(11) A supervisee shall
not collect fees for psychological work in his/her own name.
(12) A supervisee shall
not independently advertise; use a business card or other listing that
identifies any procedure or technique performed; announce the establishment of
a practice; have his/her 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 himself/herself out to the public as
being authorized to provide independent psychological services. Notwithstanding
these prohibitions, the following shall be allowed:
(a) A supervisee's degrees earned from accredited
universities, credentials granted by the state of Ohio, and appropriate job
titles may be published or posted so long as they do not confuse the
client's understanding that the work is psychological in nature and that
the supervising psychologist or school psychologist is professionally
responsible for the work.
(b) A supervisee may use a printed business card on which
the supervisee's name, appropriate title, supervisor's name and
license number, and supervisory relationship are stated.
(13) In accordance with section 4732.17 of
the Revised Code, the 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.
