Pre-Supervision Worksheet
Date:
Crisis Situations: Do I have any cases with crisis situations? Yes No
These should generally be presented first in supervision.
Potential child, elder, or dependent adult abuse?
Suicide, homicide, self-harm, other forms of harm to self or others?
Domestic violence or other forms of violence or harassment?
Eating disorders?
Alcohol or substance abuse?
Prejudice, harassment or other forms of social justice issues?
If so, what do I need to know from my supervisor?
How to handle a crisis that was identified in session this week?
How to continue assessing and/or check in after crisis?
Review how crisis was handled this week.
Stuck: Do I feel stuck or lost with any client this week? Is there any client who is not progressing as I had hoped? Is there any client where I don’t feel like I have a clear conceptualization or sense of what to focus on? Yes No
If so, what type of help do I need from my supervisor?
Developing a case conceptualization: Identifying primary interpersonal and intrapersonal dynamics of the case to focus my treatment?
Diagnosis and symptom management?
Identifying interventions for next session to specifically intervene on what aspect of case dynamics (from case conceptualization)?
How to address relational issues between client and me? (e.g., tension, distance, over-friendliness, etc.)
Lack of progress or feeling stuck?
How to manage session (e.g., end on time, focus session, etc.)
How to implement theory of choice?
Personal Issues: Do I have any personal issues that are affecting my ability to be fully present with and non-judgmental of my clients? How have I tried to handle this? Is it an appropriate issue that should be raised in supervision? Yes No
Administrative: Are there any administrative issues I should address in supervision:
Hour logs?
Paperwork?
Agency policies and procedures?
Interactions with other agency personnel?
Notes: