Confidentiality & Boundaries
What a supervisor should do if a trainee shares that they’re struggling emotionally but asks to keep it confidential.
Respect the trainee’s privacy but clarify supervisory responsibilities and consult if performance or safety is affected.
This must be included in informed consent with clients in a training setting.
Disclosure that services are provided by a trainee under supervision, and who the supervisors are.
Documentation is important in supervision in order to provide_____, _____, and ________. (2 out of 3 is acceptable)
A record of trainee progress, evaluation, and it protects against legal liability.
One key component of a healthy supervisor-trainee relationship.
Clear communication about expectations, goals, and boundaries from the outset. (many acceptable answers at the discretion of the game host)
Cultural humility is important in ethical supervision because...
It helps supervisors avoid assumptions that can lead to biased evaluations.
A supervisor can discuss a trainee's _______with another senior staff member without the trainee's permission if in the service of the trainee's evaluation
Progress
This person holds ultimate responsibility for client welfare in a training case.
The supervisor, even though the trainee is providing direct care.
These 4 things should be included in supervision session notes. (Need to get 2 of them)
Goals discussed, clinical decisions, feedback given, and any concerns or incidents.
How a supervisor should respond to a power imbalance felt by the trainee.
Acknowledge the imbalance, foster an open and safe environment, and actively invite feedback.
A supervisor should ______ if a trainee feels a cultural issue has been dismissed in supervision?
Explore the concern openly, reflect on personal bias, and repair the rupture collaboratively.
A potential dual relationship in supervision is ____ and is problematic because ______.
Supervising a close friend; it can impair objectivity and create power imbalances.
Supervisor’s duties if a trainee is struggling but refuses additional support or training
The supervisor must document concerns, offer clear guidance and resources, and initiate formal remediation if necessary to protect client welfare.
Supervision documentation should be retained for __ years.
Retention policies vary, but records are typically kept for at least 7 years or according to institutional and legal guidelines.
One sign that a supervisory alliance is breaking down.
The trainee becomes avoidant, defensive, or hesitant to disclose challenges or clinical concerns.
The role that cultural responsiveness plays in evaluating trainee performance is...
Supervisors must be aware of cultural influences on communication, expression, and values, and ensure that evaluations are fair, culturally informed, and free from bias.
It is imperative that you teach your supervisee to verbalize these limits of confidentiality when starting therapy with a new client.
The client is at risk of imminent harm to self or others; disclosure of abuse to elderly, children, folx with disabilities; a judge or magistrate requires release of records.
Supervisor’s ethical duty if they become aware a client is deteriorating and the trainee has not recognized it.
Intervene to protect the client and provide immediate feedback and remediation to the trainee.
These are the risks of inadequate supervision documentation.
Legal vulnerability, inability to demonstrate due process, and compromised client care.
This strategy can help maintain a strong supervisory relationship during difficult feedback.
Provide feedback respectfully, with empathy, and link it to professional development and growth
This is how a supervisor should respond when a trainee consistently misinterprets culturally influenced client behaviors as symptoms of pathology.
Providing education, fostering reflective discussion, offering culturally informed training, and guiding the trainee in ethically differentiating cultural expression from clinical symptoms
Supervisors must do this if they believe a supervisee poses a risk to clients.
Intervene or restrict the supervisee’s clinical activity
Legal and ethical considerations for using client material in trainee assignments or presentations
Supervisors must ensure that all client information is fully de-identified, obtain client consent when necessary (such as recordings), and comply with HIPAA, and institutional guidelines to protect confidentiality and client rights.
True, in most cases, unless access would compromise an ongoing evaluation or institutional policy restricts it.
A trainee's personal values or beliefs appear to be interfering with their clinical work or interactions with clients. The supervisor should...
The supervisor should engage the trainee in a reflective conversation, exploring the impact of personal values on professional practice, offer supervision to address potential biases, and provide guidance on maintaining professional boundaries in client interactions.
These ethical codes address multicultural considerations in supervision.
APA Ethical Principles, particularly Principles E (Respect for People’s Rights and Dignity) and Standard 2.01(b).