yea. but not here. the staff meetings and Supervision here doesn't have any thing to do with two professionals on one case. here the staff meetings are like every tuesday all the professionals at this one agency meet in one room all at the same time. Any office issues are covered and then they go around checking in on the cases. this is basically so that they all are involved a little helping to suggest ideas if theres any problems or sharing what one therapist did with their cases (no names of clients allowed) to solve a problem when someone else may be having the same problem. they talk about the good stuff too. For example I shared my Nancy J Napier stuff with my therapist. she liked it so much that she took it in to staff and showed the material around (not saying which of her 65 clients was working with it just that one was and she thought it might help the other therapists and their clients) Now apparently there are many professionals all gun hoe about this material. Supervision - Each therapy personnel at this agency has to meet with their assigned supervisor. In those meetings the therapist goes over each and every case (not in the same meeting obviously because of time) during that time. for example my therapist L meets with Supervisor N. during this meeting on this day they go over cases X,Y,Z. - X is schito, Y is depressed, DID and Z is an alcoholic court mandated domestic violence case. For each one of these cases they go over the case plan, goals, whats been accomplished, what hasn't been accomplished and any problems the therapist is having with the client, any ideas that the therapist has that may help the client, gaining the supervisors approval for any near future goals, activites and ideas. Now for my case L sees E for supervision. This is because my past therapist "Sue" had E as a supervisor since I began with the agency. So for continuity of care it was decided to keep the same supervisor that has been on the case from the beginning. So I have an advantage in that when L goes to E for supervision they spend the whole supervision time on discussing me (some would call this a disadvantage but I don't) I consider E my guardian angel. I have never met her but she like an agel sitting on my shoulder - she has gone to bat for me when I was with "Sue" against the worse DHS caseworker on earth, and she has never once steared "sue" and I wrong. E has been in the field for 45 years and knows what she's doing. Anyway when E and L get together they go over my case plan, goals, projects, ideas, E a few weeks ago gave approval for my therapist to use agency funds to get me the 8 tape set I want to go with my Nancy J napier book Recreating Yourself, and sent my therapist back to me loaded with questions about a project in the works. partly because she's curious and partly because she wanted me to think about a few things and partly because until yesterday I have been giving my therapist only bits and pieces of whats what with this project. I knew L would need time to get to know me and the type of person I am before she could help with the project I am working on. So I only told her a little at a time so I wasn't overwhelming her and end up getting the project shot down. E knows from being on the case so long that I know what Im doing and from the wording of her questions most likely she thought it was time I clued both her and my therapist in on the complete project and how they can help me accomplish my goals that I haven't disclosed yet with this project. Anyway thats what my agencys staff meetings and supervisions are like. I don't see anyone else in this agency but my therapist E. so I'm not "shared" by any two or more therapists. Its just the way United states therapy agencys are in general if its not private practice they have staff meetings to discuss any problems the staff is having and that includes their clients. All therapy personnel are supervised by someone and they have to answer to that person so its only common sense that they would discuss their clients during supervision . that way for example if a client makes an allegation against the therapist the supervisor knows the case and can help to the best of their ability. In most agencys everyone also takes turns carrying a beeper and being the therapist on call so again its common sense that all therapists in the agency get to know all the case files in case someone calls with an emergency. But they don't share and meet with the cleints separately. I am L's client and no one elses, M is G's client and no one elses, A is C's client and no one elses. I didn't have to sign any release forms for them to do this its just the way agencys work. If I was being seen in private practice - one therapist running her own therapy business where she is the only therapist there, and I saw someone outside of her and her office for meds then I'd have to sign a release form for her to talk to the other person that I am seeing. There is no professional confidentialty of shared clients there. The therapist can't just go to the other outside the agency professional to talk to them without my permission. Inside the agency the only time I am talked about is during staff and supervision.