Psychology In Seattle Podcast Unethical Group Practice
May 13, 2026
A malpractice case review about risks in growing group practices. Discussion of whether clinical skill equals supervision skill. An alleged conflict from a supervisor proposing a joint real estate venture. Examination of donation, disclosure failures, client discharge, and a costly lawsuit. A warning about hands-off supervision and the value of robust supervisory training.
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Rapid Rise Of Group Practices Has Supervision Risks
- Group practices have surged as experienced therapists hire recent grads to bill under their panels, trading supervision for a revenue split often around 30–50%.
- Dr Kirk Honda links this growth to convenience for novices, higher pay than agencies, and owners seeking supplemental income, which can dilute supervision quality.
Good Therapist Is Not Automatically A Good Supervisor
- Clinical skill does not equal supervisory skill; supervision requires distinct training and roles beyond being a competent clinician.
- Honda emphasizes research and his own experience showing many supervisors are mediocre or harmful because supervision is treated as an assumed byproduct of clinical success.
Create A Written Supervisory Agreement Immediately
- Do establish a formal supervisory contract that defines expectations like documentation review, reporting obligations, and frequency of contact.
- Honda recommends written agreements so supervisors can point to explicit duties when supervisees fail to report important clinical or boundary issues.