2-way Supervision Contract Template

 

 
 
1. Between Rosemary Nash, Supervisor, and, ……………………….. ....................Supervisee.
 
Address;..........................................................................................................................
 
Work ph. ……………………………….mobile....................................Hm:...............................
 
2. The Purpose of this Contract.
This contract is to clarify our accountability to, and expectations of, each other within our respective roles.
The Supervisor and Supervisee are responsible for informing each other about their training, experience, values and skills, and their specific expectations and requirements of Supervision.
3. Definition of Supervision
·       Professional Supervision is based on a formally arranged relationship between Supervisor and Supervisee that creates a safe supportive situation conducive to learning through reflection, exploration and discovery, and application.
    Our process will be based on Adult Learning theory supported by neuro science findings, and can be likened to a spiral which initially captures relatively unformed ideas and issues, identifies them and eventually deepens and clarifies understanding and meaning, ending in a plan for practical application.
·       Professional Supervision between Rosemary as Supervisor and you as Supervisee involves reflective conversation around topics of your choice with the aim of enhancing your development as a professional.
·       Professional Supervision takes into account professional and personal objectives within the context of your organisational expectations.
·       Professional Supervision provides an opportunity to:
o      Continually develop Competent Practice
o      Ensure practice is ethical and accountable to client, organisation, and Professional Standards
o      Strengthen Professional Identity
o      Support the Integration of the personal –professional interface
 
4. Supervisee Goals
 
 



 
 
5.Structure of Supervision
 
a)    Frequency: …………………..
 
b)    Duration: 1 Hour
 
c)    Preferred Time: ………………..
 
d)    Cost: ……………..per session
 
e)    Location……………………………………
 
g)    Commencement, ……………………………………..
 
 
f)   Review date: ……………………………………….
 
 
 
h)    Reporting requirements………………………………..
 
 
i)      Additional telephone support between sessions for brief consultation or queries will be provided at no charge, for in-depth additional support a fee will be charged at a pro rata of the hourly rate.
 
 
6. General Expectations
a)    Both Supervisee and Supervisor to diary future appointments at the end of each session.
b)    The Supervision will begin at the agreed time. If the appointment cannot be kept, another appointment is to be negotiated at the time of cancellation.
c)    Cancellations/non-attendance will be notified by Supervisee by TEXT to mobile at least 3 hours in advance, or will incur a cancellation fee of half the normal session fee plus travelling costs.
d)    Cancellation/ non attendance by the Supervisor will be notified at least 3 hours in advance or the next session will be provided at half the usual fee.
e)    Each will prepare adequately for supervision.
f)      It is the Supervisee’s responsibility to determine the topics of conversation for each session.
g)    It is the Supervisor’s responsibility to ensure that the conversation follows a constructive learning process.
h)   The Supervisor and Supervisee will negotiate the most effective way of recording Supervision learning for the Supervisee’s use.
i)      Personal issues will be dealt with insofar as they affect the Supervisee’s work but the responsibility to raise these issues rests with the Supervisee.
 j)      Supervision Time will be maintained as a sacred space. Both Supervisor and Supervisee will take every step to
       ensure  the period of supervision will not be interrupted.
k)    Supervision will be reviewed at least annually.
l)      Should the Supervision be considered unsatisfactory by either party, appropriate steps are to be taken to resolve the issues.
 
7. Supervisor Responsibility
a)    Consider with the Supervisee what her learning goals are and help find ways to achieve them
b)    Enquire into the way the Supervisee learns best, in order to help the Supervisee achieve identified Supervision goals
c)    Support the Supervisee:
  •     to develop in-depth reflectiion skills to assist identification of ‘what works’ in practice
  •     to develop strategies for enhanced application of ‘what works’
  •     to strengthen the Supervisee’s sense of identity in his/her chosen profession
d)    to a use a range of supportive and challenging responses to the Supervisee’s conversation appropriate to the Supervisee’s learning style and support needs.
e)    Maintain a supervision record for the purposes of Supervision. This record is only available to the Supervisor and Supervisee.
 
8 . The Supervisee is expected to:
a)    Clarify her learning objectives and the way she learns best
b)    Diary scheduled sessions. Reminders will not automatically be sent.
c)      Maintain her/his own attendance record.
d)    Prepare for Supervision by identifying starting points for the Supervision conversation .
     ensure prompt payment of supervision fees.
e)  provide or develop with the Supervisor, an Annual Professional Development Plan.
 
 
9. Management of Issues impacting on the ability of the supervisee to continue to practice in a competent, safe, and ethical way (to be determined ).
 
 
 
 
 
10. Cancellations
a) Where the appointment cannot be kept, it will be rescheduled wherever possible.
b) If the supervisor is notified by mobile phone within 3 hours of the appointment time, there will be no charge for cancellation or postponement.
c) where notice is not given there will be a fee of half the normal session fee plus travelling costs.
d) if the supervisor fails to attend or to advise a cancellation of a scheduled appointment the next scheduled session will be provided at half the normal cost.
 
11. Confidentiality
m)  Each will respect the confidentiality of the session, only what is learned in the session may be shared out side the session unless with explicit agreement.
n)    The Supervisor’s notes are for her use only.
o)    Confidentiality may be broken if any party identifies risk to self or others, with prior notice to the other party where ever possible.
p)    Casework Discussions will remain confidential to the supervision session.
 
12. Complaints.
a)    Should the Supervision be considered unsatisfactory by any party, appropriate steps are to be taken to resolve the issues.
b)    Complaints against the Supervisor should if possible, in the first instance, be addressed to the Supervisor.
c)    Assistance with the Complaint could be obtained from the Supervisee’s management, and/or the ANZASW Complaints Advisory Service. , PO Box 1072, Dunedin.
d)    Unresolved Complaints should be addressed to the Social Worker Registration Board, PO Box 10-150, The Terrace, Wellington, 6143.
 
 
____________________________________________Supervisor        /     /      
 
 
_____________________________________________Supervisee      /     /