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Tele-Supervision: Legal, Technical, and Clinical Concerns

Online Course Materials:    AudiosVideos   ArticlesArticles   

All materials are available as audios with transcripts.

Developed by Ofer Zur, Ph.D.

Requirement Icon

Course fulfills the "Supervision-Related Regulation Changes for Individuals Pursuing LMFT, LCSW or LPCC Licensure and Supervisors, Effective January 1, 2022". It also fulfills, in part, the requirements for Supervision in CA and other states. Verify requirements with your state board.

General Course Description

With the rapid shift to teletherapy, as a result of the pandemic beginning in 2020, the practice of tele-supervision became not only common, but in some situating necessary. For some supervisors, the switch to online supervision raises basic technological concerns. Additionally, in terms of pragmatics and how to best assist supervisees, tele-supervision has its own unique concerns and considerations.

This intermediate course is comprised of two audio interviews conducted by Aviva Lev-David, Ph.D., with experts in the field of technology and clinical concerns. Each interview is broken into two parts and transcripts are provided. In the first interview, Roy Huggins discusses appropriate use of technology as it applies to HIPAA, privacy and security concerns. He also discusses legal considerations pertaining to licensing boards requirements, along with practical suggestions for those relatively new to tele-supervision.

During the second interview, Anne Stokes discusses clinical concerns and applications. She provides an overview of ways to create a productive supervisory relationship, and addresses ways to mitigate lack of technological expertise on the parts of both supervisor and supervisee. She discusses ways to promote advanced clinical skills for supervisees who are engaging in both face to face and remote therapy.

Educational Objectives:

    This course will teach the participant to:

  • Evaluate HIPAA compliance as it pertains to online supervision.
  • Utilize pragmatic steps supervisors new to online interactions can undertake to enhance their efficacy.
  • Prepare supervisees to address clinical challenges specific to teletherapy.
  • Create an online environment that promotes more effective supervision.


  • HIPAA considerations pertaining to online supervision
    • What does HIPAA compliant mean
    • Encryption
  • Getting Started
  • The importance of online supervision for those providing online therapy
  • Working through lack of technological prowess
    • For supervisors
    • For supervisees
  • Challenges supervisees face unique to teletherapy
    • Silence
    • Different presentation from face to face
  • The supervision contract
    • Privacy during supervision
    • Communication outside of formal supervision
  • Ethical considerations
    • Multicultural competency
    • Supervisees informing clients
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Cost: $39.00


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