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What is an OAP Clinical Supervisor?

The Clinical Supervisor is the person responsible for developing and overseeing behavioural services purchased through the Ontario Autism Program (OAP) Childhood Budget. This person may be called a clinical supervisor, a clinician-in-charge, a clinical director, or something similar. All behavioural services purchased through the OAP Childhood Budget must be supervised by a Clinical Supervisor who meets the OAP’s qualification requirements.

Clinical Supervisors are required to have direct contact with the child/youth and their family. Ideally supervision is in-person or, in exceptional cases, if this is not possible, through a secure remote connection. Tasks involving direct contact with the child/youth and family may include but are not limited to:

  • Assessing the child/youth through informal and formal observations.
  • Developing, evaluating and updating behaviour plans.
  • Discussing assessment results, goals, service options and progress with the family.
  • Training staff and caregivers as they deliver new or revised behavioural services.
  • Observing interventions and assessments carried out by staff and/or caregivers, and monitoring intervention fidelity.
  • Working with the family to plan a range of transitions (e.g., school-related, personal transitions, post-secondary or employment-related, into adult services).

Clinical Supervisors also carry out a number of tasks outside of their interactions with families, in collaboration with other clinicians. These tasks may include (but are not limited to):

  • Assigning team members to implement behaviour plans.
  • Providing ongoing direction and guidance to staff to ensure services are being delivered correctly and effectively.
  • Reviewing behaviour plans and assessment outcomes.
  • Reviewing data and measuring progress.
  • Maintaining detailed notes of progress, key decisions and update points.
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While Clinical Supervisors assume full responsibility for the oversight of a child or youth’s behavioural services, Clinical Supervisors may delegate some of their duties to front-line behavioural therapists under their supervision and are responsible for confirming that these therapists are competent, and continue to be competent, to perform the tasks assigned to them, taking into account numerous factors, including skills, education, and experience.

For more information on case supervision, and the appropriate balance of direct and indirect supervision, Clinical Supervisors may wish to consult the Behavior Analyst Certification Board’s Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers.

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