Supervision is the relationship between the qualified
supervisor and intern that promotes the development of responsibility, skills,
knowledge, attitudes and adherence to ethical, legal and regulatory standards
in the practice of clinical social work, marriage and family therapy and mental
health counseling. Supervision is contact between an intern and a supervisor
during which the intern apprises the supervisor of the diagnosis and treatment
of each client, client cases are discussed, the supervisor provides the intern
with oversight and guidance in diagnosing, treating and dealing with clients,
and the supervisor evaluates the intern's performance.
(1) An intern shall be credited for the time
of supervision required by Section
491.005, F.S., if the intern:
(a) Received at least 100 hours of
supervision in no less than 100 weeks; and,
(b) Provided at least 1500 hours of
face-to-face psychotherapy with clients; and,
(c) Received at least 1 hour of supervision
every two weeks.
(2) The
supervision shall focus on the raw data from the intern's face-to-face
psychotherapy with clients. The intern shall make the raw data directly
available to the supervisor through such means as written clinical materials,
direct observation and video and audio recordings. Supervision is a process
distinguishable from personal psychotherapy or didactic instruction.
(3) The supervisor and intern may utilize
face-to-face electronic methods to conduct the supervisory sessions; however,
the supervisor and intern must have in-person face-to-face contact for at least
50% of all of the interactions required in subsection (1), above. Prior to
utilizing any online or interactive methods for supervision, the supervisor and
the intern shall have at least one in-person face-to-face meeting. The
supervisor and the intern are responsible for maintaining the confidentiality
of the clients during both in-person and online or interactive supervisory
sessions.
(4) If an intern obtains
group supervision, each hour of group supervision must alternate with an hour
of individual supervision. Group supervision must be conducted with all
participants present in-person. For the purpose of this section, individual
supervision is defined as one qualified supervisor supervising no more than two
(2) interns and group supervision is defined as one qualified supervisor
supervising more than 2 but a maximum of 6 interns in the group.
(5) A qualified supervisor shall supervise no
more than 25 registered interns simultaneously.
(6) "Face-to-face psychotherapy" for clinical
social workers, marriage and family therapists, and mental health counselors
registered pursuant to Section
491.0045, F.S., includes
face-to-face by electronic methods so long as the registered intern establishes
and adheres to the following:
(a) The
registered intern has a written telehealth protocol and safety plan in place
with their current qualified supervisor which includes the provision that the
qualified supervisor must be readily available during the electronic therapy
session; and
(b) The registered
intern and their qualified supervisor have determined, through their
professional judgements, that providing face-to-face psycotherapy by electronic
methods is not detrimental to the patient is necessary to protect the health,
safety, or welfare of the patient, the registered intern, or both, and does not
violate any existing statutes or regulations.
(7) Notwithstanding subsections (3) and (4)
above a qualified supervisor may utilize face-to-face electronic methods,
including telephone only communication, to conduct all supervisory sessions for
internship hours if the qualified supervisor determines, through their
professional judgment, that such methods are not detrimental to the registered
intern's patients and are necessary to protect the health, safety, or welfare
of the qualified supervisor, the registered intern, or both. Any clinical hours
obtained via face-to-face psychotherapy by electronic means shall be considered
clinical hours for the purpose of meeting internship requirements.
(8) No later than 90 days prior to June 30,
2026, the Board shall review and amend, modify, or repeal subsections (6) and
(7) above if it determines that same creates barriers to entry for private
business competition, is duplicative, outdated, obsolete, overly burdensome,
imposes excessive costs, or otherwise negatively impacts the quality of
psychotherapy received by Florida citizens.
Notes
Fla. Admin.
Code Ann. R. 64B4-2.002
Rulemaking Authority
491.004(5),
491.0045,
491.005(1)(c), (3)(c),
(4)(c) FS. Law Implemented
491.005(1)(c), (3)(c),
(4)(c)
FS.
New 7-6-88, Amended
3-21-90, Formerly 21CC-2.002, 61F4-2.002, Amended 1-7-96, 12-16-96, Formerly
59P-2.002, Amended 11-13-97, 10-28-98, 1-1-07, 3-14-07, Amended by
Florida
Register Volume 42, Number 016, January 26, 2016 effective
2/9/2016, Amended by
Florida
Register Volume 45, Number 243, December 17, 2019 effective
1/2/2020, Amended by
Florida
Register Volume 46, Number 185, September 22, 2020 effective
10/4/2020, Amended
by
Florida
Register Volume 47, Number 125, June 29, 2021 effective
7/15/2021.
New 7-6-88, Amended 3-21-90, Formerly 21CC-2.002,
61F4-2.002, Amended 1-7-96, 12-16-96, Formerly 59P-2.002, Amended 11-13-97,
10-28-98, 1-1-07, 3-14-07, 2-9-16, 1-2-20, 10-4-20,
7-15-21.
