Case Study: Clinical Supervision

Page 1 of 1 Ethics in Psychology © 2013 Argosy University Course Case Study Lily began supervising an intern, Jack. A few months after supervision began, Lily discovered that she would need to go on medical leave. Because the leav e would only be for about six weeks and she was the only licensed mental health professional in the office, she and Jack decided that he would be fine working without her involvement until she got back. He would simply keep all the reports she needed to sign on her desk, and she would sign them all when she returned. Jack felt very competent in his ability to carry on while Lily was out until he conducted an intake assessment on a client who seemed to be having some breaks from reality. Jack was unsure how to determine if there really was psychosis occurring a nd what to do about it. He tried to contact Lily but was unable to get in touch. Anxious, he searched online for ideas on how to work with the new client and tried out a few techniques during sessions. He reassured himself that no matter what he did, ultimately Lily was responsible anyway. A week before Lily returned to work, the client was arrested as he tried to “fly” off a building, convinced that he could fly without difficulty. Upon being ta ken into custody, the client’s demeanor concerned t he police officer and he was taken to the emergency ro om where an evaluation was conducted. It was determined that he was indeed experiencing psychosi s, and antipsychotic medication was started. Once the client was stable, he filed a complaint ag ainst Jack and Lily with the state licensing board and threatened legal action.

Understandably, Jack was scared and Lily was angry. She accused Jack of practicing without her consent, stating that he was to have continued with the clients he had when she left, not accept new ones. She subsequently informed him that she would no longer be his supervisor.

Jack was furious that he was put in the position to make decisions on his own and did not receive supp ort from his supervisor. Jack, in turn, filed a complai nt against Lily due to lack of supervision.