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DR. JOSEPH'S RESOURCES

Dr. Joseph has handpicked these resources for Clinical Supervisor Trainers, Qualified Clinical Supervisors, Supervisors-in Training, Supervisors- in Practice, Licensed Mental Health Professionals, Graduate Practicum Students, Registered Interns in Social Work, Marriage and Family Therapy, and Mental Health Counseling, Clients/Clinical Families, and the curious ones. Click on the hyperlink/underlined items to access these resources.

Common Rules Regarding Supervision (and verification of clinical experience)

Post Interview Reflection checklist by Queensland Centre for Mental Health Learning

Qualified Supervisor Comprehensive Curriculum PPT

Qualified Supervisor Requirements Comparison Chart (Use Draft View w/ full screen)

Qualified Supervisor Training Syllabus/Agenda 12 CEUS

Requirements to Become a Registered Intern

Qualified Supervisor Statement Instructions and Form – APPLICATION FORM DH-MQA 5049

Certificate of Completion By Dr. Joseph

1.      Qualified Supervisor statements and instructions and FORM/ Application Form for qualified supervisor Qualified Supervisor Statement Instructions and Form Completed forms must be submitted by email to: mqa.qualifiedsupervisor@flhealth.gov or by fax to (850) 413-6982.  

2.      Consent for clients with trainees – trainees disclosing to be under supervision and confidential info shared with trainees’ qualified supervisor (Re: Kellie G.) 

3.      Contract or agreement for supervision (Re Dr. Falender) 

4.      Supervised experience LOG (by Dr. Joseph) 

5.      Supervisor agreement letter to supervise intern (by Dr. JOSEPH) 

6.      Supervision agreement letter - more sophisticated (by Dr. JOSEPH) 

7.      Record of supervision meeting (modified by Dr. Joseph) 

8.    Verification of clinical experience PDF or at Dr. Joseph’s resources on GoogleDrive. Where to email this form?  info@floridasmentalhealthprofessions.gov     Same FORM w/ rules and tutorials PDF https://floridasmentalhealthprofessions.gov/forms/qualified-supervisor-info.pdf 

9.    Links to guide interns: apply for licenses and services 

Apply for full licenses, registered internship, dual licensure, qualified supervisor, limited licensure, certified master social worker, and out of state telehealth (pen paper forms and online applications) 

 

10.  Forms – click on hyperlink below to access forms  

Practicum forms, education worksheet, supervision plan, qualified supervisor information (common rules regarding supervision), Florida statutes, Florida administrative codes, etc   

Measures of Impact and Outcome 

Supervisory Satisfaction Questionnaire -- Supervisee 

Supervisory Relationship Questionnaire – Supervisee 

 

Measures of Alliance & Collaboration 

Supervisor Working Alliance Inventory -  SWAI – Supervisor Version 

Supervisor Working Alliance Inventory - SWAI- Supervisee Version 

 

 Measures of supervisees needs, Qualities & Functioning 

Supervisee Needs Index 

 

Measure Supervisee Competence Efficacy & Style 

Counselor Supervisor Self-Efficacy Scal

Supervisor Competency Self-Assessment 

Multicultural Supervision Competency Questionnaire 

Supervisory Styles Inventory (Supervisee and Supervisor FORM) 

Michigan State University Family Therapy Questionnaire MSU-FTQ –client eval his therapist--- 

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**Supervision Strategies and Feedback Strategies Based on Psychological Type 

**Selective Theory Sorter Revised (assessment to discover your theoretical orientation in conjunction w/ Myers Briggs personality type)  

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Measure Supervision Process 

Evaluation process within supervision inventory (EPSI) 

Group Supervision Scale 

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BOOKS 

Baird, B. N. (1996). The internship, practicum, and field placement handbook: A guide for the helping professions. Prentice-Hall, Inc.  

 

Bernard, J. M., & Goodyear, R. K. (2019). Fundamentals of clinical supervision (6th ed.).  Pearson.  

 

Faiver, C., Eisengart, S., & Colonna, R. (2004). The counselor intern's handbook. Thomson-Brooks/Cole.  

 

Halbur, D., & Halbur, K. V. (2019). Developing your theoretical orientation in counseling and psychotherapy. Pearson. 

 

Lee, R. E., & Everett, C. A. (2015). The integrative family therapy supervisor: A Primer. Routledge. 

LINKS

CeBroker.com 

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FLORIDA Board of  

Clinical Social Work, 

Marriage & Family Therapy and  

Mental Health Counseling 

P.O. Box 6330 Tallahassee, FL 32314-6330 Fax: (850) 413-6982 

https://floridasmentalhealthprofessions.gov/ 

Completed forms must be submitted by email to 

mqa.qualifiedsupervisor@flhealth.gov or by Fax to (850) 413-6982.  Phone 850-245-4292 

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PsychologyToday.com 

SAMHSA.gov 

Copyright © 2023 Dr. Joseph Therapy

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