Supervision: Licensed Behavioral Practitioner
Both the Supervisor and the Supervisee are jointly responsible for insuring the requirements in Subchapter 11 of the LBP Regulations are fulfilled, the client’s rights to confidentiality are protected and the rules of their respective employers are adhered to during the course of supervision.
Click here to download LBP Subchapter 15. Supervised Experience Requirements
Failure to comply may result in the loss of supervised hours, denial of licensure, initiation of formal complaint procedures, and/or loss of approved supervisor status.
How to Begin:
In order to begin supervision you must meet the academic requirements as stated in Subchapter 13 of the LBP Regulations and you must submit an official application for licensure. An official application must include the following:
In addition to the above mentioned requirements you must also submit a completed LBP Supervision Agreement, a completed On-Site Supervisor Verification Form and a completed Candidate Statement of Professional Disclosure.
Click here to download the LBP Supervision Agreement
Click here to download the On-Site Supervisor Verification Form
Click here to download the Candidate Statement of Professional Disclosure
Once the Department has received all of the above mentioned requirements/forms supervision may commence as of the approved date on the LBP Supervision Agreement. Any hours accrued prior to the approval date on the LBP Supervision Agreement will not be credited towards your supervised experience requirements and may result in the initiation of formal complaint procedures and/or loss of approved supervisor status.
How to Document Supervised Experience:
Documentation of supervised hours, evaluation of competence, date of observations, and dates of consultation between approved supervisor and on-site supervisor must be submitted on the LBP Evaluation of Supervised Experience Form. The evaluation form must be submitted on a semi-annual basis.
Click here to download the LBP Evaluation of Supervised Experience Form