Ardent Grace
Counseling

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Supervision Handbook

Performance Improvement Plan

Used when concerns arise regarding an Associate's clinical competence, documentation, ethical practice, professionalism, or compliance with supervision requirements.

Date of improvement plan meeting Date for follow-up meeting

Name of Associate Supervisor

Any additional pertinent supervisors

Description of the Problem

Professional Problems (examples)

Not receptive to feedback from supervisor

Not open to self-examination

Exhibits inappropriate boundaries with clients, peers, colleagues, supervisor, and faculty

Not able to retain clients

Procedural Compliance (examples)

Not following policies and procedures of the counseling setting or licensing council

Not attending supervision weekly

Not participating in required staff meetings

Not adding Supervisor's name to all advertising and e-mails

Professional Identity

Does not demonstrate ethical behavior

Counseling Skills (examples)

Does not demonstrate basic counseling skills

Does not consult with other professionals and coordinate services

Does not show advanced counseling skills

Does not demonstrate a theory orientation

Unable to diagnose or conceptualize client cases

Documentation (examples)

Does not complete application for clinical work

Does not submit logs on time

Does not submit evaluations on time

Is not documenting treatment plans or notes for client sessions

Is not documenting call log

Is not documenting termination forms

Steps Already Taken by the Supervisor

Tasks / Expectations for Acceptable Performance

Consequences for Unsuccessful Remediation

Acknowledgment

I have reviewed the above performance improvement plan with my supervisor and fully understand it.

Response:AgreeDisagree

Comments

Associate signature

Associate Signature

Date

Supervisor signature Date

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© 2026 Ardent Grace Counseling · Christi Kersten, LPC-S · 713-886-6309 · therapist@ckerstenlpc.com
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