148E.126 PROVISIONAL LICENSE; DOCUMENTATION OF SUPERVISION.
(a) An applicant granted a provisional license must submit, on a form provided by the board, a supervision plan for meeting the supervision requirements in section 148E.116.
(b) The supervision plan must be submitted no later than 30 days after the licensee begins a social work practice position.
(c) The supervision plan must include the following:
(1) the name of the supervisee, the name of the agency in which the supervisee is being supervised, and the supervisee's position title;
(2) the name and qualifications of the person providing the supervision;
(3) the number of hours of one-on-one supervision and the number and type of additional hours of supervision to be completed by the supervisee;
(4) the supervisee's position description;
(5) a brief description of the supervision the supervisee will receive in the following content areas:
(i) clinical practice, if applicable;
(ii) development of professional social work knowledge, skills, and values;
(iii) practice methods;
(iv) authorized scope of practice;
(v) ensuring continuing competence; and
(vi) ethical standards of practice; and
(6) if applicable, a detailed description of the supervisee's clinical social work practice, addressing:
(i) the client population, the range of presenting issues, and the diagnoses;
(ii) the clinical modalities that were utilized; and
(iii) the process utilized for determining clinical diagnoses, including the diagnostic instruments used and the role of the supervisee in the diagnostic process.
(d) The board must receive a revised supervision plan within 30 days of any of the following changes:
(1) the supervisee has a new supervisor;
(2) the supervisee begins a new social work position;
(3) the scope or content of the supervisee's social work practice changes substantially;
(4) the number of practice or supervision hours changes substantially; or
(5) the type of supervision changes as supervision is described in section 148E.116.
(e) The board must approve the supervisor and the supervision plan.
(a) When a licensee's supervisor submits an evaluation to the board according to section 148E.0551, subdivision 6, the supervisee and supervisor must provide the following information on a form provided by the board:
(1) the name of the supervisee, the name of the agency in which the supervisee is being supervised, and the supervisee's position title;
(2) the name and qualifications of the supervisor;
(3) the number of hours and dates of each type of supervision completed;
(4) the supervisee's position description;
(5) a declaration that the supervisee has not engaged in conduct in violation of the standards of practice in sections 148E.195 to 148E.240;
(6) a declaration that the supervisee has practiced competently and ethically according to professional social work knowledge, skills, and values; and
(7) on a form provided by the board, an evaluation of the licensee's practice in the following areas:
(i) development of professional social work knowledge, skills, and values;
(ii) practice methods;
(iii) authorized scope of practice;
(iv) ethical standards of practice; and
(v) clinical practice, if applicable.
(b) The supervisor must attest to the satisfaction of the board that the supervisee has met or has made progress on meeting the applicable supervised practice requirements.
Notwithstanding the requirements of subdivision 2, the board may accept alternative verification of supervised practice if a supervisee demonstrates that the supervisee is unable to locate a former supervisor to provide the required information.