Consultation and Supervision

What's the Difference Between Supervision and Consultation?

The distinction between supervision and consultation is an important one. Clinical supervisors are legally responsible for the actions of their supervisees. Thus, clinical supervisors can insist on a course of action, review files, etc. They are expected to document their supervision because they have a fiduciary responsibility and are vicariously liable for the actions of their supervisees. In contrast, consultants are not responsible for the work of those for whom they consult. Information sharing is voluntary, and the consultee can choose to implement the suggestions or not. Documentation of the consultation is not required, and the consultant does not have a fiduciary responsibility, nor any liability.

What Can I Expect?

If you are interested in clinical supervision, we will meet to see if we are a good fit. If we agree to work together, I will have you sign a supervision agreement that describes our mutual responsibilities. We will meet on a regular basis. I may ask you to attend specific continuing education activities, read books and articles, supply audio or video recordings of your work, etc. One of the challenges about supervising in private practice is that our offices are not in the same building. It can be very comforting for new therapists to know that their supervisor is right down the hallway. Since we won't have that luxury, I will give you my cell and office phone number, so that I am as accessible to you as possible. I am an approved supervisor so your hours of supervision will count towards licensure. If you are interested in clinical case consultation, we can meet regularly or on an as needed basis, whichever will work better for you.

General Information for Licensure Associates

In Washington state, you must be directly supervised by an approved supervisor to become a licensed mental health counselor, social worker or marriage and family therapist. The Department of Health requires that the approved supervisor is the one who actually provides the service, and they audit a certain percentage of approved supervisors to make sure that they meet the requirements.

You must complete eighteen of continuing education (CE) credits before submitting your licensure packet to the Department of Health in Washington state. Of these hours, there must be six hours of continuing education in law and ethics.  Additionally mental health professionals must receive 6 hours of training every 6 years in suicide assessment, treatment and management, as part of their continuing education requirement. It is best to start accumulating these CE hours early rather than waiting to the last minute. You have worked hard to get this far. You do not want to postpone getting licensed simply because you don't have the requisite CE's.

How Much Does It Cost?

My fee is $110 per hour.