Clinical Supervision Part I

3/28/16 MS 32 3:30-5:00pm   Clinical Supervision 101An Introduction to the State, ASHA Guidelines, and Digital Communication   Authors: Leah Huang, J...
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3/28/16

MS 32 3:30-5:00pm   Clinical Supervision 101An Introduction to the State, ASHA Guidelines, and Digital Communication   Authors: Leah Huang, Jane Krider, Mengting Shieh

Clinical Supervision Part I Presented by Speech Pathology Group Clinical Supervisors

Presented by: Leah Huang, M.S.,CCC/SLP Jane A. Krider, M.S.,CCC/SLP Mengting Shieh, M.A. CCC/SLP Clinical Supervisors Speech Pathology Group Walnut Creek, CA.

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Let’s take a moment to survey your needs.

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Agenda •  Nuts and bolts •  ASHA Guidelines •  State Guidelines •  California Teacher Credentialing •  Tele-practice Supervision •  Roles & Responsibilities •  Timelines •  Digital Communication

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Nuts and Bolts

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Disclaimer: All forms used for supervision purposes should be checked frequently on the ASHA and SLPAB websites. At the time of creating this presentation, the most current forms were used.

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ASHA American Speech-Language-Hearing Association

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ASHA http://www.asha.org/Certification/Clinical-Fellowship.htm

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ASHA Guidelines Mentoring SLP Qualifications •  If the clinical fellow expects to use the hours/ experiences to apply for ASHA certification, the mentoring SLP must be an individual •  who holds a current CCC-SLP; •  whose ASHA certification is maintained throughout the entire CF experience; •  who is not related in any manner to the clinical fellow. The Speech Pathology Group 2016

ASHA Guidelines THE REQUIREMENTS OF THE CF: HOURS •  36 weeks of full-time experience •  based upon a 35 hour work week •  Minimum of 1,260 hours •  Equivalent part-Time •  Accumulated 1260 hours over no more •  than 4 years/48months from the date •  of initiation of the experience

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ASHA Guidelines THE REQUIREMENTS OF THE CF: HOURS CF Mentor Minimum 6 hours DIRECT Observation DIRECT= Client contact consisting of treatment, assessment, and consultation

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ASHA Guidelines Clinical Fellowship Mentorship

The Clinical Fellow must have received ongoing mentoring and formal evaluations by the CF mentor.

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ASHA Guidelines Clinical Fellowship Mentorship •  Implementation •  On-site observations •  Review of video and/or audio recordings •  Evaluation of written reports •  Telephone conferences with Fellow •  Evaluations by professional colleagues working with CF •  Regularly schedule formal evaluations of progress

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ASHA Guidelines Clinical Fellowship Mentorship The mentoring SLP must engage in no fewer than 36 supervisory activities during the clinical fellowship experience. This supervision must include 18 on-site observations of direct client contact at the Clinical Fellow's work site (1 hour = 1 on-site observation; a maximum of six on-site observations may be accrued in 1 day).

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ASHA Guidelines Clinical Fellowship Mentorship At least six on-site observations must be conducted during each third of the CF experience. On-site observations must consist of the Clinical Fellow engaged in screening, evaluation, assessment, and/or habilitation/rehabilitation activities. Use of real-time, interactive video and audio conferencing technology is permitted as a form of on-site observation, for which pre-approval must be obtained. The Speech Pathology Group 2016

ASHA Guidelines Clinical Fellowship Mentorship Additionally, supervision must also include 18 other monitoring activities. At least six other monitoring activities must be conducted during each third of the CF experience. Other monitoring activities are defined as evaluation of reports written by the Clinical Fellow, conferences between the mentoring SLP and the Clinical Fellow, discussions with professional colleagues of the Fellow, etc., and may be executed by correspondence, telephone, or reviewing of video and/or audio tapes. The Speech Pathology Group 2016

ASHA Guidelines Clinical Fellowship Mentorship On rare occasions, the CFCC may allow the supervisory process to be conducted in other ways. However, a request for other supervisory mechanisms must be submitted in written form to the CFCC, and co-signed by the CF mentor, before the CF is initiated. The request must include the reason for the alternative supervision and a description of the supervision that would be provided. At a minimum, such a request must outline the type, length, and frequency of the supervision that would be provided. The Speech Pathology Group 2016

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ASHA Guidelines Clinical Fellowship Mentorship A CF mentor intending to supervise a Clinical Fellow located in another state may be required to also hold licensure in that state; it is up to the CF mentor and the Clinical Fellow to make this determination before proceeding with a supervision arrangement.

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ASHA Guidelines Clinical Fellowship Mentorship •  Integrate and apply theoretical knowledge •  Evaluate strengths •  Identify limitations •  Refine clinical skills •  Apply ASHA Code of Ethics

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ASHA Guidelines Clinical Fellowship Mentorship In addition, upon completion of the CF, the applicant must have demonstrated the ability to perform clinical activities accurately, consistently, and independently and to seek guidance as necessary.

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ASHA Guidelines Clinical Fellowship Mentorship The CF mentor must submit the Clinical Fellowship Report and Rating Form, which includes the Clinical Fellowship Skills Inventory (CFSI), as soon as the CF successfully completes the CF experience. This report must be signed by both the Clinical Fellow and mentoring SLP.

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ASHA Guidelines CF Mentor Roles and Responsibilities •  Provide meaningful mentoring and feedback to the clinical fellow. •  Assist the clinical fellow in developing independent clinical skills. •  Perform ongoing formal evaluations, using the Clinical Fellowship Skills Inventory .

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ASHA Guidelines CF Mentor Roles and Responsibilities •  Conduct the required minimum mentoring obligations. These include 6 hours of direct supervision per segment (each segment is one-third of the length of the fellowship) and 6 indirect monitoring activities per segment, typically including reviewing diagnostic reports/treatment records/plans of treatment, monitoring clinical fellow's participation in case conferences or professional meetings, and/or evaluating the clinical fellow's work by consulting with colleagues or clients and their families. The  Speech  Pathology  Group  2016  

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ASHA Guidelines CF Mentor Roles and Responsibilities •  Maintain current certification with ASHA during the entire CF period through timely payment of annual dues as well as completing required professional development hours. •  Complete and submit the  Clinical Fellowship Report and Rating Form [PDF] to the ASHA National Office no later than 4 weeks after the CF is completed.

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Seven Sections of CF Rating Form

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ASHA Knowledge and Skills Knowledge and Skills Needed by Speech-Language Pathologists Providing Clinical Supervision Ad Hoc Committee on Supervision in Speech-Language Pathology I. Preparation for the Supervisory Experience II. Interpersonal Communication and the Supervisor-Supervisee Relationship III. Development of the Supervisee's Critical Thinking and Problem-Solving Skills IV. Development of the Supervisee's Clinical Competence in Assessment V. Development of the Supervisee's Clinical Competence in Intervention VI. Supervisory Conferences or Meetings of Clinical Teaching Teams VII. Evaluating the Growth of the Supervisee Both as a Clinician and as a Professional VIII. Diversity (Ability, Race, Ethnicity, Gender, Age, Culture, Language, Class, Experience, and Education) IX. The Development and Maintenance of Clinical and Supervisory Documentation X. Ethical, Regulatory, and Legal Requirements XI. Principles of Mentoring The Speech Pathology Group 2016

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SLPAHADB Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board

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California http://www.speechandhearing.ca.gov/

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State Guidelines •  Supervising SLP must: •  Possess CA license -or- Credential

•  Provide 36 weeks of full-time experience (defined as 30-40 hours per week) with 8 hours per month direct supervision -or•  Provide 72 weeks of part-time experience (defined as 15-29 hours per week) with 4 hours per month of direct supervision to be eligible for a permanent license. •  Not supervise more than three (3) CFs or SLP-As The  Speech  Pathology  Group  2016  

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State Guidelines •  New Application Guidelines

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State Guidelines

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State Guidelines •  Supervising SLP must: Full-time • 8 hours supervision per month • 4 DIRECT • Direct = observation of therapy and evaluations Part-time •  4 hours supervision per month •  2 hours DIRECT

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RPE Temporary License

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RPE Temporary License

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RPE Temporary License Duties and Responsibilities of Applicant

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RPE Temporary License Duties and Responsibilities of Supervisor

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Common Errors

•  •  •  • 

Filling out each form Signing in BLUE or BLACK Supervisor switch Writing a letter

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State Skills • Evaluation and assessment procedures • Intervention activities or treatment procedures • Interpersonal skills with: •  clients/patients •  family members •  conferences •  other professionals • Record Keeping • Report Writing and/or other case management documentation The Speech Pathology Group 2016

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Completion of RPE

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End of RPE

NOTES

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Part-time Supervision

Minimum State- Part-time 4 hours/month •  2 hrs. Indirect •  2 hrs. Direct ASHA •  Filling out the form

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Filing for an Extension http://www.speechandhearing.ca.gov/forms_pubs/rpe_perform_review.pdf

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Filing for an Extension http://www.speechandhearing.ca.gov/forms_pubs/ext_app.pdf

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SLP-A Supervision •  (i) (1) "Speech-language pathology assistant" means a person who meets the academic and supervised training requirements set forth by the board and who is approved by the board to assist in the provision of speech-language pathology under the direction and supervision of a speechlanguage pathologist who shall be responsible for the extent, kind, and quality of the services provided by the speech-language pathology assistant. The  Speech  Pathology  Group  2016  

SLP-A Supervision-CA •  Supervisor must possess CA license OR Credential •  6 hours of CEUs in initial two year period •  3 hours in supervision training every two years •  Review client/patient records •  Monitor and evaluate assessment and treatment decisions •  Assist with development of plan for SLP-A to complete 12 hours of CEUs every two years The  Speech  Pathology  Group  2016  

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SLP-A Supervision-ASHA

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SLP-A Supervision-ASHA

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Commission on Teacher Credentialing (CTC)

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Recommendations •  Always check back on the site before filling out a form for the most recently updated form. •  Make sure you send everything certified mail and scan a copy and email as well in case of any delays or loss in the mail. •  Email a copy to your supervisor and yourself before sending hard copies. •  Check the rules for if you need to use Black ink (ASHA) or Blue ink (state) The  Speech  Pathology  Group  2016  

First and Last Meeting

Review expectations Forms Communication styles Learning styles Digital Communication styles CF/Mentee Personal Goals Continuous feedback from and to Supervisor

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How do you manage supervising your CFs with your caseload?

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Digital Communication

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Disclaimer

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Digital Communication •  Livebinders •  CamScanner •  SEIS •  Google Drive •  Docusign •  DropBox •  Evernote •  Jing •  Join Me •  Text messaging/Google number •  Calendars The  Speech  Pathology  Group  2016  

LiveBinders LiveBinders: a digital cloud service of online binders you can combine all of your cloud documents, website links and upload your desktop documents like 3-ring binders on your shelf- to then easily access, share, and update your binders from anywhere http://www.livebinders.com/welcome/home

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CamScanner Scan docs into clear & sharp image/PDF, to email, fax, print or save to cloud. Easily send document scans to colleagues via email or the cloud and say goodbye to running between your desk and the printer. https://www.camscanner.com/

Scan Sync Share

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Genius Scan Genius Scan is a scanner in your pocket. Quickly scan your documents on the go and export them as JPEG or multi-page PDF files. With Genius Scan, snap a photo, crop the exact frame of the document and archive your document to Dropbox. Archiving documents makes it easier to find them later and saves you space. http://thegrizzlylabs.com/

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Google Drive Google Drive- Get access to files anywhere through secure cloud storage and file backup for your photos, videos, files and more with Google Drive. https://www.google.com/drive/

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Google Drive

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Docusign Docusign- Go 100% digital with DocuSign. Securely sign and manage documents online from any device with the most widely used e-signature solution. www.docusign.com

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Evernote Evernote- A digital workspace cloud that you can store notes, presentations, projects, and lists that syncs to all of your mobile devices. www.evernote.com https://www.youtube.com/watch?v=Pjn6YkCY2yA

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Evernote

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Adobe Signature Adobe Signature: Adobe Document Cloud combines a completely reimagined Adobe Acrobat with the power of e-signatures. Now, you can edit, sign, send and track documents wherever you are — across desktops, mobile and web. https://acrobat.adobe.com/us/en/how-to/electronic-signatures-online-e-signatures.html

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DropBox DropBox- Dropbox is a service that keeps your files safe, synced, and easy to share. Bring your photos, docs, and videos anywhere and never lose a file again. www.dropbox.com

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Text Messaging and Google Voice Google Voice- Google Voice gives you one number for all your phones, voicemail as easy as email, free US long distance, low rates on international calls, and many calling Google Voice gives you one number for all your phones -- a phone number that is tied to you, not to a device or a location. Use Google Voice to simplify the way you use phones, make using voicemail as easy as email, customize your callers' experience, and more. www.google.com/voice

http://screencast.com/t/9wtDPryVVMw

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Jing Jing® is a computer service that lets you capture basic video, animation, and still images, and share them on the web. www.jing.com

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Join Me https://www.join.me/

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Calendaring

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Digital Communication Any others?

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THANK YOU!

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References •  •  •  •  •  •  •  •  •  •  •  •  •  •  •  • 

www.acrobat.adobe.com Adobe Sign www.asha.org American Speech Language Association http://www.asha.org/policy/KS2008-00294/ ASHA Ethics www.csha.org California Speech Language Hearing Association www.ctc.org California Teaching Comission www.docusign.com Docusign www.dropbox.com DropBox www.evernote.com Evernote http://thegrizzlylabs.com/ Genius Scan www.google.com Google Drive, Google Text www.jing.com Jing, Screencast https://www.join.me/ JoinMe www.livebinders.com LiveBinders www.seis.org Special Education Information System www.speechandhearing.ca.gov Speech-Language Pathology & Hearing Board www.speechpathologygroup.com The Speech Pathology Group

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