Behavioral Health Supervision Survey

Exit Survey »

What is your current age?

Gender:

Please indicate the type of academic training program your supervisees are trained in:

Clinical Psychology, Psy.D.

Clinical Psychology, Ph.D.

School Psychology, Ph.D.

Counseling Psychology, Ph.D.

Counseling Psychology, Psy.D.

Clinical/counseling Psychology, M.S.

Clinical/counseling Psychology, M.A.

At what point in their academic program are students able to start at your facility?

Are you primarily a practicum, internship, or fellowship site?

Practicum

Internship

Fellowship

What type of facility do students work in?

Private primary care practice (Independent or Group)

Community Health Center (i.e. Federally Qualified Health Center, rural health center, Indian Health Center)

VA Medical Center

Private or Public Medical Hospital

School Clinic

Public Health Department

How many on-site supervisors are involved in training your facility?

How many adjunct supervisors are affiliated with your facility (e.g., off-site University supervisor):

Total Number of supervisees per semester:

Number of hours/week in the clinic for supervisors:

Number of hours/week in the clinic for supervisees:

Frequency of scheduled group supervision:

Duration of scheduled group supervision:

Not Applicable

1-2 Hours/week

3-4 Hours/week

5 or more hours/week

Frequency of scheduled individual supervision:

Duration of scheduled individual supervision:

Variable

1-2 Hours/week

3-4 Hours/week

5 or more hours/week

Communication methods with supervisor outside of scheduled supervision:

Who attends your scheduled supervision sessions? Please check all that apply.

Frequency of supervisor consultations with PCP:

1/week

2/week

3/week

4 or more/week

Purpose of consultation with PCP:

Medication issues

Diagnostic information

Patient Recommendations

Trainee-specific issues

If your training site incorporates a peer supervisor, please indicate all of their primary responsibilities below:

Review Notes

Individual supervision with supervisees

Attends group supervision

PCP Education

Frequency of didactic trainings for students

Weekly

Monthly

Other

If you provide educational trainings at your practicum site, please indicate the topics these trainings have included:

Introduction to Behavioral Health

Motivational Interviewing

Psychoeducation regarding common health behaviors

Medical model of treatment

Mental/Behavioral health conditions that may mimic medical disorders

Understanding and adapting evidenced-based treatment in primary care

Not Applicable

Supervision Model

Do Supervisees shadow supervisors?

Yes

Percentage of supervision time spent on:

100

Learning practical techniques

Clinical/Administrative activities

Evidenced-based intervention

Consultation skills

Documentation

Patient care/case discussion

Reviewing video recording of patient consultations

Support and advice/process

Diversity variables

How do you provide feedback (check all that apply)?

Verbal feedback during supervision

End of semester face-to-face feedback

Evaluation form

Other

Who contributes to trainees’ formal evaluative feedback?

Which of the following are competencies to be achieved by practicum students at your site?

Clinical Practice Knowledge and Skills (e.g., role definition, problem identification, assessment, problem focus, population-based care, biopsychosocial approach, use of empirically-supported interventions, intervention design, multi-patient intervention skills, pharmacotherapy)

Practice Management Skills (e.g., visit efficiency, time management, follow-up planning, intervention efficiency, visit flexibility, triage, case management, community resource referrals)

Consultation Skills (e.g., referral clarity, curbside consultations, assertive follow-up, PCP education, recommendation usefulness, value-added orientation

Documentation Skills (e.g., concise and clear charting, prompt PCP feedback, appropriate format)

Administrative Knowledge and Skills (e.g., BHC policies and procedures, risk-management protocols, coding documentation)

Team Performance Skills (e.g., fit with primary care culture, knows team members, responsiveness, availability)

Who is responsible for developing supervisee competencies to be achieved?

Supervisor only

Supervisee only

Collaboration with supervisees

Other

How much training have you received about supervision?

0 Hours/None

1-2 Hours/Minimal

3-4 Hours/Satisfactory

5 or more hours/Outstanding

How useful was the supervision training?

Not useful

Somewhat useful

Very useful

How were you trained?

Hands-on experience

Workshops

Seminars

Other

What theoretical models did the training include?

If you believe there are some barriers to providing adequate supervision, please indicate below:

Not Applicable

Lack of Time

Lack of Space

Other

How much supervisory experience do you have in your current setting?

Less than a year

1-2 years

3-5 years

More than 5 years

How long have you been a clinical supervisor in total?

Less than a year

1-2 years

3-5 years

More than 5 years

If you have worked as a supervisor in other clinical positions (i.e., traditional psychotheapy), please indicate your satisfaction level with your responsibilities in behavioral health as compared to those experiences.

Satisfactory

Somewhat satisfactory

Unsatisfactory

How often do diversity issues arise in supervision?

Never

Rarely

Sometimes

Often

What types of diversity issues have you encountered?

Did you receive training on how to deal with diversity issues?

Yes

If yes, what type of training did you receive?

Is diversity issue a patient issue, trainee issue, or staff/team issue?

Patient

Trainee

Staff/Team

Other

During the course of a semester, how frequently does your supervision team discuss issues related to diversity?