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Supervision Preparation Form: Organisational ConsultingTo save time, please complete as much as possible/relevant of this form and submit it to Julie before the start of the session. As you type the boxes will stretch to suit. Once items have been completed you need only re-submit parts if/when they need updating. If the basic information is unchanged, you can just submit the revised section about the supervision you want. Your name:Organisation name (use a pseudonym for confidentiality):Organisation overview - e.g. legal status, sector, geographic area, employment size, financial, etcHow contact was initiated e.g. direct contact with you, via a centre, via a third party (by whom/what role)With whom are you in contact – use pseudonyms and job titles - indicate who is your primary contact and their relationship with other contactsPresenting problem, and by whom this has been presented to you so farEnvironment -use a model such as the Sailship Success to provide brief summaries of the relevant elements:Surroundings – sea, sunshine, storms, hidden threats, etcHardware – strategies, structure, systemsSoftware – (psychological) safety, stroking patterns, stimulationTA Diagnosis and Evidence you have used (e.g. behaviour, appearance, content, etc) of those you are most in contact with and for any of the other members of the organisation - for example:Main contactsOthersego states observed Patterns of transactionstime structuring patterns noticedpsychological games being playedlife position(s) exhibiteddrivers noticedBerne’s Organisational Structure models or Hay’s Organisational Conedescribe or add a sketchGroup imagoes that might be helddescribe or add a sketchYour own group imagodescribe or add a sketchother TA concepts considered – state whichMulti-party Contracting – who are the stakeholders - who is or will be involved and how; will they be direct contacts or only at the psychological level?Contracting - your expectation of what the contract might become or, if already agreed with organisation members and/or any other stakeholders, what does the contract comprise:At the procedural/practical levelAt the professional levelAt the psychological level – and how much of that have you brought to the attention of the group or any members of it, or how much are you planning to bring to their attention or your rationale for doing that at the current stage of the working allianceAre there any considerations at other levels, such as perceptual, political, etc?Interventions/Plans - how have you framed your ideas about the overall plan of interventions:In the short-term (how long or for how many sessions) – what do you anticipate? In the medium-term (how long or how many sessions) - what do you anticipate?In the longer term (how long or how many sessions) – what do you anticipate?Date form completed/updated to this partPlease provide your name and the name of the client on this page for reference purposes if you are only submitting this section this time:Supervisee:Organisation:What is your supervision question or supervision topic?What result do you think is realistic for you to arrive at during the time allotted to the supervision session? (e.g. review of your analysis, analysis of specific segments of your process with the organisation, identifications of patterns of interaction within the organisation, review of progress, identification of (at least 3) potential options for you with this organisation, etc)What relationship between you and the supervisor do you anticipate will be the most appropriate?How do you describe the way in which responsibility will be shared between supervisor and supervisee?Date of planned supervision:There is no need to send the previous pages again if you have submitted them for an earlier supervision, unless you have amended/updated them - please type YES or NO in this box to confirm whether updated information is being provided ................
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