c. Payment for supervision rendered is a necessary but insufficient condition for the submission of a signed Experience Verification Form to the BACB.
d. Adequate progress and payment must be completed before such documentation is signed.
e. Supervisees will receive an emailed receipt following the completion of the supervision session.
f. Should the supervisee fail to pay within 30 days of receipt of payment, the supervisor has the right to terminate this agreement and superivsion due to failure of payment.
g. Supervisees must notify supervisor of cancellation or rescheduling 48 hours prior to the scheduled supervision session. If supervisor is not notified within this time, supervisees will be charged for the entire session's cost.
10. Supervisor agrees to accept no remuneration from supervisee above the negotiated hourly consultant rate or salary.
11. Supervisee agrees to begin Supervised Independent Fieldwork only after supervisee has started attending courses required to meet the BACB coursework requirements.
12. Supervisee and supervisor both agree to maintain a copy of each signed supervision document including all feedback forms identified in Clause 13, below, and this signed contract for supervision.
13. During the supervision period, there will be progress reviews conducted after every 100 hours of supervision have been acquired. At these reviews, the supervisor will provide feedback to the supervisee and document whether adequate progress is being made. After two progress reviews during which inadequate progress has been made, the supervisor must determine whether supervision should continue, and provide in writing the required steps to allow for continued supervision. If the determination is made that supervision should stop, the supervisor must provide in writing to the supervisee what areas were lacking adequate progress and determine if any of the hours during that period should be counted toward supervision. As such, there is no guarantee that the supervisor will sign off on hours accrued during the 100-hour period during which supervisee performance was inadequate.
14. The Experience Verification Form will be signed by the supervisor when either of the following occur:
All experience hours are completed satisfactorily.
The supervisor-supervisee relationship is terminated under positive conditions (e.g. either party relocates).
15. The following circumstances would justify a supervisor refusing to sign off on a supervisee’s accrued hours on the Experience Verification Form (i.e., even though those hours were tracked through individual Supervision Documentation Forms).
A. Supervisee receives 3 unsatisfactory performance evaluations.
B. Egregious violation of the BACB’s Guidelines for Responsible Conduct for Behavior Analysts (see language below) and/or behavior that jeopardizes the well-being of clients or other team members.
C. Supervisee fails to: perform well on performance evaluations, maintain adequate and timely documentation and reports, follow BACB ethical guidelines, arrive in a timely manner to professional meetings.
D. Should supervisor determine at any point that supervisee is inadequately performing, supervisor will immediately notify supervisee and they will discuss if/how to maintain the relationship. If it is not appropriate to maintain the relationship, supervisee will be allowed to keep the completed forms, but no further supervision will occur with Mindy Rothstein/Stephanie Thompson.
E. Likewise, if supervisee does not feel comfortable with the supervision relationship supervisee can request to terminate relationship at any time (see term and termination section). If this occurs, supervisee will be allowed to keep the completed forms, but no further supervision will occur with Mindy Rothstein/Stephanie Thompson.
Both supervisor and supervisee herein referred to as “both parties” agree to adhere to high standards of professional behavior. This includes behavioral discussions grounded in scientific and professionally derived knowledge.
The supervisor will provide supervision to the supervisee only within the boundaries of his/her competence.
Both parties agree to maintain confidentiality in accordance with the guidelines for responsible conduct and all pertinent legal regulations.
Both parties have read, understood, and will adhere to the BACB’s Guidelines for Responsible Conduct for Behavior Analysts. Particular attention will be given to sections 1 through 6 as it relates to conduct, responsibility to clients, and assessing behavior.
Confidential Information. On and after the date of this agreement, supervisor and supervisee shall keep confidential all information relating to current or potential clients including, but not limited to, any medical or clinical information, in whatever form. Supervisor and supervisee shall be jointly responsible for ensuring that clients have consented to the observation of service delivery and sharing of confidential client information.
Supervisor Records. All records related to the activities described in this contract are and shall remain the property of Mindy Rothstein, PhD, LBA, BCBA-D. Supervisee shall not, except in the ordinary and usual course of his/her duties and obligations under this agreement, remove from supervisor’s premises, copy, or retain any of Mindy Rothstein’s records. Upon termination of the agreement, supervisee agrees to return promptly to Mindy Rothstein, any of Mindy Rothstein’s records, copies of records and all other property that are in supervisee’s possession or under supervisee’s control or custody.