Bond University Psychology Clinic Supervision Agreement

Psychologist Intern:______

Address:______

Telephone:______

E-Mail:______

Clinic Director:______

Telephone:______

E-Mail:____________

Secondary Supervisor:______

Telephone:______

E-Mail:______

1Outline of Supervised Practice at the Clinic

The Bond University Psychology Clinic is a private university teaching clinic with a mission to: prepare post-graduate students in the practice of professional psychology, through integration of academic and theoretical knowledge with applied clinical practice in psychological assessment, formulation, intervention and consultation; by promoting an engaging learning environment, resourced by expert clinical supervision and faculty, delivered within a context of professional ethics, quality processes, and professional and best practice standards; addressing needs of clients and community, providing service to the University, and supporting appropriate research activities.

The Clinic provides a structured and directly supervised clinical work experience enabling the Psychologist Intern to consolidate academic training and development of competencies in professional psychology. Interns develop a wide range of competencies and clinical skills in areas such as: clinical assessment, psychological testing, psychological formulation; individual, couple, family and group psychotherapy; behavioral and other treatment interventions, consultation and report writing. Outcomes are expected to be at a general standard and level of competence of a professional psychologist.

Psychologist Interns provide services under the supervision of qualified, Registered and experienced faculty. The Clinic draws from a range of theoretical perspectives, including cognitive-behavioural, humanistic, dynamic and systemic, and is informed by contemporary research and practice. The Clinic provides services to adults, adolescents, children, families and couples. While the clinical experience promotes a foundation based upon understanding and intervening with the individual, it also includes a perspective of considering the context and systems within which the individual functions. The populations served come from a variety of cultures and backgrounds in the community.

Learning objectives for Psychologist Interns include:

  • Establishment and personalisation of role and identity as professional psychologist, and appropriate application of ethics to practice;
  • Knowledge of and practical skills in accessing relevant research regarding the psychopathology of a range of psychological problems and disorders;
  • Knowledge of and supervised practice in the use of relevant assessment and diagnostic procedures, and development of psychological formulations;
  • Knowledge of and supervised practice in accessing and applying appropriate psychotherapies and evidence-based interventions; and
  • Knowledge of and supervised practice in professional communications, preparation of psychological reports, and case reviews.

Psychologist Interns are expected to come to the Clinic with basic competencies related to the professional practice of psychology, including: awareness of professional identity, awareness of ethical issues, facilitative and counselling skills, communication skills, assessment skills, behavioural observation skills, cultural awareness / sensitivity, report writing skills, ability to use psychological tests, knowledge of scientific method, knowledge of psychopathology, knowledge of psychological theories of personality and psychotherapy, and knowledge of relevant legislation.

Psychologist Interns have day to day accountability to the Clinic Director and may also have an Assistant Supervisor designated to provide clinical supervision. Psychologist Interns contribute to the day to day operation of the Clinic and relate collegially to one another. The practice of psychology occurs in accordance with the Code of Ethics of the Australian Psychological Society, the regulations of the Queensland Psychologists Board and other applicable laws.

1Period of the Supervision Agreement

This Supervision Agreement begins on 15 May 2006 (Bond University semester 062) and concludes on 16 December 2006 (Bond University semester 063).

Date of proposed mid placement review XXXXXXXXXXXX

Psychologist Intern’s weekly individual supervision appointment and schedule:

Monday / Tuesday / Wednesday / Thursday / Friday
9:00 – 1:00 / Clinic Seminar
9:00 – 12:00
1:00 – 5:00

1Hours of Supervised Professional Practice

A Psychologist Intern typically attends the Clinic 20 hours per week during a semester as part of enrolment in a designated course. The Clinic internship involves approximately 400 Clinic hours, comprised of 150 – 200 client contact hours, 100 supervision hours and the balance in associated clinical and administrative tasks. This is usually completed over a period of two semesters, though some may extend into a third semester.

Other Requirements

  • Satisfactorily complete first demonstration of competency video
  • Observe clinical consultations and complete session observation rating scales
  • Participate in triad peer reviews accompanied by videotape play back
  • Maintain an accurate and up-to-date database of clients
  • Maintain ongoing diary of clinical self-development
  • Videotape all client contact and provide for review during supervision
  • Satisfactorily complete two written case studies
  • Complete psychological reports as agreed with Clinic Director
  • Satisfactorily complete second demonstration of competency video
  • Satisfactorily demonstrate professional demeanor and self-presentation
  • Fulfill desk duty and intake responsibilities
  • Contribute to the operation of the Clinic
  • Maintain a neat, robust weekly log book and other required records
  • Submit all files for review at closure or prior to completion of the internship
  • Present a complete folio at conclusion of internship
  • Satisfactorily participate in weekly seminar
  • Satisfactorily participate in regular individual clinical supervision

Clinical supervision may utilize a variety of modalities, including: case review, file review, letter and report review, direct observation, replay of audio/video recording, co-therapy, case presentations, and may be individual and in groups.

Self-disclosure to an appropriate level is anticipated from time to time during clinical supervision as part of this course, which is advised in accordance with the Australian Psychological Society’s Code of Ethics, in particular Section D, No 2 as follows:

It is unethical for psychologists, who are providing supervision or training, to require or coerce supervisees or trainees to disclose personal information either directly or in context of any training procedure. Where self-disclosure is a normal expectation of a given training procedure, participation must be genuinely voluntary and informed consent must be obtained from participants prior to training.

Personalised Professional Development Goals

  • X
  • X
  • X
  • X
  • X

Other Conditions of Agreement

  • X

I understand and accept the components of this agreement and further agree to adhere to the policies and procedures of the Clinic, and to seek clarification from the Director of the Clinic as needed.

Page 1 of 4