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Professional Disclosure Statement For Clinical Supervision

Professional Disclosure Statement For Clinical Supervision 2025

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The document is a Professional Disclosure Statement for clinical supervision by Sara M. Baldwin, a Licensed Mental Health Counselor based in Seattle, WA. It outlines her educational background, counseling experience, and supervision approach, emphasizing a developmental model tailored to supervisees' needs. The document details the goals of supervision, evaluation procedures, confidentiality considerations, fee schedule, and emergency protocols.

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What is self-disclosure in supervision?

Self-disclosure in supervision is defined as supervisors or supervisees revealing information about themselves, or revealing their reactions or responses to others as they arise in supervision (Knox, 2015, p. 152).

What are 3 rules for using self-disclosure?

Be certain that the disclosure is really for the clients benefit and not the clinicians. Make the point of the disclosure relevant to the clients discussion. Self-disclose for a definite purpose. Make the disclosure brief and simple.

What is the professional disclosure statement was designed for the purpose of providing prospective clients with?

A professional disclosure statement for therapy, also known as an informed consent statement, defines the terms and conditions of the therapist-client relationship.

Which of the following should be included in a professional disclosure statement?

The Standard Contents of a Professional Disclosure Statement Your name, contact information and professional registration status. Professional associations that you belong to. Your qualifications, including education, training and experience. Your practice philosophy.

What is the meaning of self-disclosure?

Self-disclosure is a process of communication by which one person reveals information about themselves to another. The information can be descriptive or evaluative, and can include thoughts, feelings, aspirations, goals, failures, successes, fears, and dreams, as well as ones likes, dislikes, and favorites.

What are the 5 steps in clinical supervision?

The five steps (supervision of pre-conference or pre observation, observation of classroom teaching, lesson observation or analysis of feedback strategy, supervision conference and post-conference analysis supervision) are the main requirements in clinical supervision.

What is an example of a professional disclosure statement?

I will keep confidential anything that you say to me, with the following exceptions: a) you direct me to tell someone else, b) I determine that you are a danger to yourself or others, c) I am ordered by a court to disclose information, d) I suspect or am made aware of physical/sexual abuse of minors, persons with

What should be included in an information disclosure statement?

Disclosure can take many different forms, but essentially it is a process of informing a prospective client about the qualifications of a counselor and the nature of the counseling process so that the client can make an intelligent decision regarding use of that particular counselors services.

What are the 4 types of self-disclosure?

There are four different types of self-disclosures: deliberate, unavoidable, accidental and client initiated.

What is a professional disclosure statement?

See MPEP 609.04(b), subsection VI and form paragraph 6.51. Each information disclosure statement must include a list of all patents, publications, U.S. applications, or other information submitted for consideration by the Office.

Professional Disclosure Statement For Clinical Supervision 2025

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