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Clinical Supervision Handbook - CAMH Knowledge Exchange ...

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As a clinical supervisor I agree to<br />

• Keep all information you reveal in the clinical supervision sessions<br />

confidential, except for these exceptions:<br />

– You describe any unsafe, unethical, or illegal practice that you are<br />

unwilling to go through the appropriate procedures to address.<br />

– You repeatedly fail to attend sessions.<br />

• In the event of an exception arising, I will attempt to persuade and<br />

support you to deal appropriately with the issue directly yourself.<br />

If I remain concerned, I will reveal the information only after informing<br />

you that I am going to do so.<br />

• At all times work to protect your confidentiality.<br />

• Not allow procedural issues of the work to monopolize the clinical<br />

supervision session.<br />

• Offer you advice, support, and supportive challenge to enable you<br />

to reflect in depth on issues affecting your practice.<br />

• Be committed to continually developing myself as a practicing<br />

professional.<br />

• Keep a record of our clinical supervision sessions.<br />

• Ask for feedback for the purpose of evaluating the clinical supervision<br />

process.<br />

• Use my own clinical supervision to support and develop my own<br />

abilities as a clinical supervisor and clinician, without breaking<br />

confidentiality.<br />

Anything else?<br />

Frequency of Meetings<br />

Venue<br />

Duration of <strong>Clinical</strong> <strong>Supervision</strong> Relationship<br />

Next Review Date<br />

<strong>Clinical</strong> <strong>Supervision</strong> <strong>Handbook</strong><br />

Signed Signed<br />

(Clinician) (<strong>Clinical</strong> Supervisor)<br />

Thank you for completing this questionnaire!<br />

Adapted from Bolton Primary Care Trust (2003). <strong>Clinical</strong> <strong>Supervision</strong> Guidance Document. Available at<br />

www.bolton.nhs.uk/foi_pubscheme/policy_store. Accessed January 15, 2008<br />

118

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