Included in the base scope
Supervision and alignment
- Scheduled individual or group supervision
- Hour tracking and verification
- Scheduled ethics, risk, and documentation consultation
- One monthly leadership alignment meeting
- Defined response windows
For Washington behavioral-health agencies
External clinical supervision with responsibility made explicit
A 90-day pilot for small agencies that need dependable supervision capacity without blurring clinical supervision, program leadership, HR authority, emergency coverage, or record responsibility.
Separately scoped
Additional responsibility
- Chart or record review when added in writing
- Program consultation
- Urgent-access window with explicit response limits
- Additional leadership meetings or implementation work
Not included
Agency responsibilities stay with the agency
- HR or employment decisions
- 24/7 crisis coverage
- Unscoped chart review
- Medical-director duties
- Legal advice
Role clarity
Before the first supervision meeting
These responsibilities are assigned in writing so staff know whom to contact and when.
| Responsibility | External supervisor | Agency leadership |
|---|---|---|
| Scheduled clinical supervision | Provides and documents | Protects staff time and attendance |
| Licensure-hour tracking | Reviews and verifies agreed hours | Provides accurate employment/context records |
| Risk and ethics consultation | Addresses within scheduled scope | Owns urgent procedures and on-site response |
| Clinical records | Reviews only if separately scoped | Owns custody, access, quality controls, and retention |
| Employment and performance | Not responsible | Owns HR, discipline, and role decisions |
| Emergency coverage | Not included unless separately contracted | Owns crisis and after-hours protocols |
Response limits
Routine response within 2 business days; urgent access, chart review, or program consultation requires separate written scope and pricing
Scheduled supervision never replaces immediate emergency services, agency crisis policy, program leadership, or required reporting and consultation paths.
Termination and review
The planning standard is a 90-day paid pilot, reviewed against attendance, documentation quality, response expectations, staff usefulness, leadership burden, and revenue per total delivery hour.
The written agreement defines 30-day termination notice, record handoff, final hour verification, and the handling of already scheduled time.
Launch dependencies
The pilot does not begin until these gates are green
- 1 Contract and legal review complete
- 2 Malpractice coverage confirmed for the actual scope
- 3 Record, risk, diagnosis, and leadership responsibilities assigned
- 4 Schedule, response limits, payment, and termination terms signed
Agency supervision
Start with a scope conversation
The first consultation uses no client details and creates no commitment.