<p> Handout #6 SUPERVISION SESSION SUMMARY</p><p>Date: ______Supervisee: ______</p><p>First names of clients/client systems discussed: ______</p><p>Updated Case Review: ______</p><p>Interventions and Client Progress: ______</p><p>Supervisee Concerns: ______</p><p>Discussion (theoretical bases, case conceptualization, clinical judgment, etc.): ______</p><p>Treatment Recommendations: ______</p><p>What student will work on over the next week: ______</p><p>Things I need to remember/Current Risk Management Issues</p><p>☐ Informed Consent ☐ Child Abuse/Neglect ☐ Supervisee Expertise ☐ Releases Needed ☐ Parental Consent ☐ Risk of Significant Harm ☐ Supervisor Expertise ☐ Vol./Invol. Hospitalization</p><p> rd ☐ Confidentiality ☐ Duty to Warn ☐ Institutional Conflict ☐ 3 Party/UR Review Handout #6</p><p>☐ Recordkeeping ☐ Substance Abuse ☐ Dual Relationship ☐ Discharge/Termination ☐ Records Security ☐ Medical Exam Needed ☐ Sexual Misconduct ☐ ______Action Taken: ______</p><p>Adapted from: Bernard, J.M. & Goodyear, R.K. (2004) Fundamentals of Clinical Supervision. New York, N.Y. Person Education, Inc.</p>