Karen Kerschmann, LCSW

Cognitive Behavioral Therapy and Clinical Supervision

 

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

LCSW Supervision: 8 Answers to Common Questions and 1 Nobody Asks (But Should)

Earning your clinical license opens up a world of possibilities, so you want to begin gaining ASW supervision hours as soon as possible. Regardless, the process can be confusing for the best of us. Throughout my years of providing ASW and LCSW supervision, there are certain questions that I’m asked on a regular basis.  Here’s a nice compilation of many of these inquiries, as well as one vital tidbit that is often overlooked:

I have all of my hours, but I’ve been putting off the exam for months/years. Is there a timeline?

 So, there are a couple of key points to remember:

The 6-Year Rule-

You can spend 10+ years earning IMF/ASW supervision hours, however, the only ones that count are the ones accrued during the last 6 years.  FAQs for MFT & LCSW Supervision

Abandonment of Application-

You don’t want this to happen! The consequences of abandonment can range from paying a new application fee to starting from square one. Per the BBS website, the criteria for abandonment are the following:

  • Associate Social Worker does not submit the remaining documents or information requested in the application deficiency letter within one (1) year from the date of the deficiency letter
  • Applicant does not complete the application within one (1) year after it has been filed
  • ASW does not sit for an examination within one (1) year after being notified of initial eligibility to take the examination
  • Applicant does not take an examination within one (1) year from the date the applicant was notified of failing an examination
  • The applicant fails to pay the initial license fee within one (1) year after notification by the Board of successful completion of ASW requirements.

I’d like to obtain my ASW/LCSW supervision through video conferencing. Am I eligible?

 Per the California Business and Professions Code section 4996.23 videoconferencing can be used for LCSW supervision when an intern works/volunteers at one of the following:

  • Any government entity
  • A school, college, or university
  • An agency that is both charitable and non-profit. You can find out if your workplace meets these criteria by checking if they are considered a ‘501(c)(3); by the IRS

The ASW supervisor is responsible for ensuring client confidentiality, including a HIPAA compliant platform for video sessions. Skype is not HIPAA compliant, but there are other programs that are- your supervisor should be able to tell you what platform they are using and how they know it’s in line with privacy regulations.

My hours are complete, and my exam is scheduled! Am I still required to maintain weekly LCSW supervision?

Until you have your license in hand, you want to complete an hour of individual or two-hours of group LCSW supervision.

Do I really have to sit for the Law and Ethics exam? Is this something I need to retake annually until I earn my license?

 Yes! There are no loopholes on this one- no matter how much training and classes you have taken.

Once you pass the Law and Ethics exam, you have completed your requirement as long as you keep your license active. Get this done quickly, as you may not be able to complete your annual renewal without a passing score.

Which study guide do you recommend?

The majority of my interns recommend the Therapist Development Center (TDC) programs for both the exams. TDC not only provides materials on content but also test taking strategies that will help IMF/PCCI/ASW interns approach the exams in a logical and educated manner.

When can I start collecting LCSW Supervision hours?

 It’s exciting to finally earn your graduate degree, and you’re probably chomping at the bit to start collecting hours. Many have contacted me and said, ‘I’m waiting for my BBS number, but I want to start supervision this week!’

In this case, patience is the key. Don’t spend time and money on clinical supervision until you have that intern number in hand, as hours won’t count until then.

My former supervisor can’t be found. How can I verify my hours?

At the beginning of ASW intern supervision, it’s critical that you and your supervisor create and sign the following documents, all located on the BBS’s website.

  • Supervisor Responsibility Statement
  • Supervisory Plan
  • Any letters of agreement or other documentation agreeing to the ASW Supervisor/ Intern relationship.

Just as important, discuss how you plan to document logged hours. I encourage all of my supervisees document their hours in detail and have me initial and sign it each month.

As soon as your time with each supervisor is complete, print out the Experience Verification Form and complete this together.

ASWs are fully responsible for all original paperwork. If you follow these guidelines, you will be in good shape if for any reason you can’t connect with your previous supervisor(s)

I am the only social worker/counselor at my job. How can I earn my hours if I don’t have a clinical supervisor at my agency?

There are a lot of ASWs in a position where clinical supervision is not readily available. Fortunately, your intern supervisor does not need to be employed by your agency.

If you are the lone ranger in your company, I recommend searching out some group supervision to expand your support system, increase your exposure to new opportunities, and see what others in the field are doing. Several of my interns that were in group have helped connect one another to jobs, resources, and even have partnered in private practices!

There’s one question I’ve never been asked, but what everyone should know……

The 104- week rule

Several years ago, an ASW Intern I had been supervising for a year came to my office to get her last hours signed. She had been working with several supervisors throughout her time and worked hard to get her hours wrapped up as soon as possible, often putting in 60+ hours a week so that she could meet that 40-hour clinical max.

As we were finishing up her paperwork, we came to the realization that although she had easily met 3200 clinical hours, she was two months under the 104-week requirements. She was terribly disappointed, and we spent two more months getting those last few weeks in.

The story has a happy ending- Margaret Miller, LCSW now has a thriving private practice at my office- you can check her website out here. So now you know- in addition to the 6-year window, interns have to meet a minimum of 104 weeks of ASW supervision, so expect to spend between 2-6 years gathering your experience.

If you find this article down your alley, check out some similar blog posts:

All Interns Should Ask Themselves these 3 Questions….

FAQs: ASW and LCSW Supervision

FAQs: Receiving Clinical Supervision Online

In the State of California, most Associates (AMFT, ASW, APCC) can receive their supervision via teleconferencing. This move is allowing interns to break some of the past barriers to obtaining hours, and also grants more freedom to find a clinical supervisor that meets your needs….regardless of distance!

Am I able to receive supervision via videoconferencing?

Per the California Board of Behavioral Sciences, if you are working for a non-profit charity you are able to obtain your supervision through teleconferencing. Governmental entities, colleges, universities and most schools also meet this criterion.

The American Association of Marriage and Family Therapy (AAMFT), the National Association of Social Workers (NASW) and the California Association of Professional Clinical Counselors (CALPCC) have all recognized the value of using videoconferencing in supervision as well as therapy.

How do I know that my supervision is confidential and follows HIPAA regulations?

As with all intern supervision, a letter of agreement will be signed by all members establishing confidentiality in group sessions, with the exception of mandated reporting. Sessions will be held through VSee, a videoconferencing platform designed specifically for HIPAA compliant sessions. VSee is free for interns to download and use.

 How much does supervision cost?

Most LCSW intern supervision can be completed online in California

ASW Supervision throughout California

One hour of individual supervision is $100

Two hours of group supervision is $80

How many hours can I complete under group supervision?

For Associate Social Workers (ASWs), Marriage and Family Associates (AMFTs) as well as Associate Professional Clinical Counselors (APCCs), groups will satisfy up to 52 of the 104 required weeks of supervision.

What is covered in the group process?

Most interns I have worked with come with various levels of competence and needs depending on their professional responsibilities and career trajectory. I create a plan with you at the beginning of supervision to establish your professional goals and what skills are needed to reach them, as well as how to know when they have been met. Each plan addresses all of the following areas of competency: Biopsychosocial and risk assessment, ICD-10 and DSM-5 diagnostics, treatment plan development, cultural competency, therapeutic interventions, developmental theories, community resource coordination as well as legal and ethical standards.

The California Board of Behavioral Sciences Board Examinations is broad and covers what each LPCC, LCSW and MFT should know as a licensed practitioner. The general content in each exam is addressed consistently throughout our work together. It’s strongly encouraged that you use one another to build ‘study teams’ when you are six months away from your first test.

What are the expectations of each participant?

The goal of supervision is to increase your clinical acumen and skill; my job is to ensure that you receive a rich and collaborative environment to do so. Group work provides a unique opportunity to receive constructive feedback and ideas from a diverse group of peers. It is expected that all participants will take turns presenting case consult as well as provide helpful input during to others. There will be times that either one of us may request an individual session as appropriate.

My goal for all interns who come for supervision is to create a stimulating, safe environment that encourages open thought and professional growth. Group supervision is a place where you can feel free to ask questions and to come to a better understanding of how to best help your clients. You can be assured that we will work specifically on cases that you bring to the session and address the clinical issues of your clients, and help you reach your goals.

Interested in reading more? Click on these links below for additional information:

Clinical Supervision for ASWs and IMFs

LCSW and MFT Supervision: 8 Answers to Common Questions

MFT – LPCC – LCSW Supervision

All ASWs and MFT Interns should ask themselves these three questions:

All ASWs and MFT Interns should ask themselves these three questionsFor ASWs and MFT associates, choosing a clinical supervisor is an important choice. This is the person you will be depending on to help hone your skills, enhance your potential, and help you best prepare for the board exams and your next career step. Before you even begin your search, you want to take time and reflect:

What are my career goals?

By now, you likely have a general idea what your ideal career trajectory looks like. You’ll want to find an LCSW Supervisor who is where you want to be is a great way to access a mentor to show you the skills to be successful in achieving your goals.  When interviewing a prospective LCSW supervisor, you will want to ask if they are open to sharing their experiences with you during your sessions.

What would you like supervision to look like?

Will you prefer to have individual or a multidisciplinary group to consult on cases with? Would you like in-person or video conferencing? Which aspects of practice would be of benefit to focus on, such as clinical interventions and theory, risk assessment, countertransference? How would you prioritize each goal?

How do you define your personal ‘best practice’?

Of course, you don’t want a ‘yes’ person, but knowing you have someone that aligns with your larger values and beliefs can make you the clinician you want to be.

It can be a challenge for ASWs and MFT associates to navigate the waters of finding your MFT or LCSW supervisor, choose carefully so that you can reap the rewards and invest in yourself!