She reminds me of myself when I was younger. In the past month, Juanita has come late to work on a number of occasions and missed several client appointments. When the supervisee and supervisor share the same orientation, modeling is maximized as the supervisor teaches-and theory is more integrated into training. We all learn from watching each other work, finding new ways of dealing with clinical issues. So, perhaps we can sit together as a group and think about what needs to be different. 122 0 obj <>stream Such responses might negatively affect the relationship. We have fine staff here. program. ELOISE: Are you saying I shouldn't see clients in other contexts? First, I'd like to have an advanced trainer come in and provide several days more of training that particularly addresses the needs and concerns of the staff. If you do decide to include supervision in within your CPD profile, you should therefore keep a detailed and accurate record of your supervision activities, including detail of what was discussed with your supervisor and how this has informed your practise going forward. A list of the learning objectives for each vignette is also included. LARRY: Well, Gloria, we've had the MI training, and I like its focus on active listening, the attention it gives to the relationship and respect for the client's perspective. I never thought that would happen. That's what this agency is founded on, and that's what we stood for all these years. Clinical supervision needs to be a designated and binding role to those in senior posts in schools. Larry and Jaime, with your help and support, I'd like to establish a year-long training plan. After a few minutes, the two sit quietly.]. [A discussion follows, using the videotape, about how Juanita has been working with these clients, some of her concerns about working with clients with more difficult co-occurring disorders, some specific points about counseling interventions and her countertransferential reactions to men who are drinking. So, they might not see it as a boundary violation. Here, we see supervision as an essential aspect of all we do. Consider the supervisors approach to supervision. Consider using self-disclosure to address defensiveness with supervisees. In this conversation, they can explore the purpose of the lesson, the strategies they will use to teach it, and how they will assess what they want students to learn. BILL: So, let's go back to your experience. February 2016 I'm not sure anyone else has expressed that interest to me before. If you are a mental health professional, you will likely need to receive clinical supervision at some point in your career. AL: I'm excited. You can also meet with others if you feel comfortable doing so. The group would view sections of the videotape, and we'd have an hour-long discussion of the tape. It doesn't feel very good when there's no communication. Once Stan and Eloise have clarified this larger perspective, then it might be more appropriate to come back to the specific issue of the barbecue. Principals can help teachers by providing trainings, setting up PLCs, and encouraging teachers to work with another., It is not clear whether to allow the student to make that decision individually or should they utilize the available teachers without choosing. January 2016 ELOISE: You mean I shouldn't say that in a public place? <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 8 0 R] /MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Margie outlines the roles and requirements of being a supervisor.]. Resistance and ambivalence are normal in any situation involving change. February 2018 It often occurs within the context of your schooling, employment or post-graduation when you are attempting to satisfy client contact hours for licensure in your state. We have to go on living our lives in our small rural community. What did you come up with? There are some questions to be asked, such as how that behavior is experienced by someone else. BETTY: Oh, that scares me a bit. Consequently, it is agreed that clinical supervision is an important mechanism in the provision of high quality, safe and effective clinical care. What do you think? Even though we took the right action, we need to be mindful of our vicarious liability for what our staff does. A supervisor should also be able to recognize policy and the enforcement of policies, such as sexual harassment, dress code, and training. We'll meet as a group for supervision for an hour a week, and we'll discuss the session that was videotaped or observed that week, with one of you leading the discussion. Then we'll move on into other areas that we identify together on your IDP. Issues addressed include how the new supervisor handles staff resistance and works to build a new relationship with the counselors she will now be supervising. - Definition & Process, Working Scholars Bringing Tuition-Free College to the Community. KEVIN: Thanks for your honesty, Kate. If you are looking for more collaboration and mentorship, the mentorship model may be right for you. By working with a supervisor, you can get feedback on your work and learn how to improve your clinical practice. For example, there was an interaction between Juanita and a male client in group where she saw herself being judgmental and overly critical. Master Supervisor Note: Bill is working with Jan to establish a supervisory alliance, through listening, reflection, and mutual goal setting. A place to begin would be for us to learn more about how MI can be implemented in the program. Let me go back to what you said. . Poor treatment of nursing students is not uncommon in the workplace. Plus, get practice tests, quizzes, and personalized coaching to help you In the past, we've all sat around in the lunchroom and spoken of what needs to be different in the agency. June 2022 Conclude with Eloise's restatement of what she has learned for the future from this discussion. 112 0 obj <>/Filter/FlateDecode/ID[<486AE5BA15318BE1AEA96434889E03DF><1373483963B0A94E91972955B0206156>]/Index[105 18]/Info 104 0 R/Length 56/Prev 77477/Root 106 0 R/Size 123/Type/XRef/W[1 2 1]>>stream Mentorship is an urgently needed process in the substance abuse field as a significant number of current leaders in the field face retirement in the near future. This can be done through internal supervisors overseeing other supervisors, peer supervision of supervisors, or externally by contracting with a master supervisor to oversee the work of supervisors. Instead, acknowledge to staff that this is new, that you have things to learn, and that, with their assistance, you can work as a team. MI suggests that it is most helpful to roll with resistance by reflecting back to counselors both sides of their ambivalence about the new supervision format. I'll never forget my mentor, Todd. But perhaps Jan is making this comment in response to Bill's previous statement that he has difficulties with people just passing through and this is another reason for Bill to address this in his own supervision. When it comes to your actual presentation, you can do the outline and slides and we can discuss your ideas. Teaching students to love the subject involves incorporating fun and engaging task that include the students opinion and ideas. MELISSA: Juanita, I want to be really clear with you that I am concerned about what is going on in your personal life, and I want to work with you to get help for that. Have all of the affected parties been consulted? identify professional development opportunities; improve confidence and critical thinking; seek support and feedback from colleagues; and. So I didn't really need to have her watch me work. When carried out regularly, it can help to build working relationships and create a culture of honesty, critical appraisal and learning across the organisation. To help the counselor and the supervisor differentiate between therapy and supervision, the supervisor needs to continually ask him- or herself, What does this have to do with your counseling functions? BILL: So, although you're a bit nervous about the process, you're ready to begin. The purpose of clinical supervision is to improve nursing practice and therefore needs to be focused on nursepatient interaction (Van Ooijen 2000). April 2016 Tests & practice. Their peers, with whom they have worked side-by-side before, know they do not know their strengths and limitations, and hence the new Level 1 supervisor may feel that she has to assert her authority (see vignette 6). I feel like its a lifeline. Margie is a certified clinical supervisor with 25 years' experience in the field. I'm willing to stick my neck out if you're willing to give me feedback on what you see on the videotape. These are important issues for you to address in your own personal counseling and therapy. I hope we can work together to continue doing the good job we have been doing. April 2018 5.1 Improve Your Clinical Skills 5.2 Build Your Professional Network 5.3 Find Support 6 What To Look For In A Clinical Supervisor? (Glickman, Gordon and Ross-Gordon, 2014, pp. Method: The authors searched the English-language literature from 1966 to 2010 using . We can cue the tape to the session segment you want us to discuss. Jackie was a social worker and a really good role model. The master supervisor represents the combined experience and wisdom of the TIP Consensus Panel and provides insights into the counselor's relationships with clients and suggests possible approaches. KATE: Thanks for being willing to sit down with me and discuss how we are going to proceed in face of the changes that were announced yesterday. She also gives them a say in the process and allows them to keep to their roots, learn new tools, and do so over time. So, what is it you're suggesting? WALT: Let's summarize what we've said. I'm not a clinician so I am not always familiar with terminology. 1. Make sure that the supervisor is someone you feel comfortable talking to and who you can trust. Conflict may arise, and will be worked through. The vignette begins with a discussion about a potential ethical boundary violation and illustrates how to address this issue in clinical supervision. First, the experienced teacher and their mentee or student teacher meet for a pre-observation conference. A first approach is a guided approach, whereby the mentor leads the mentee to patterns in the data. Your clinical skills are excellent, you always complete your paperwork on time, and you're a joy to supervise. It can help you learn from mistakes, put things right and avoid repeating them again in the future, which can in turn help increase your confidence and lead to improvements in service provision. It's due in 3 weeks. This is a good time to ask questions about their experience, style, and approach to supervision. At one party, someone came up to me and started to ask questions about problems in their marriage. Master Supervisor Note: Mentorship is a formalized relationship between a skilled professional and a mentee and is established to enhance the mentee's career by building skills and knowledge. Since receiving his master's degree, he has worked as a clinician and supervisor in a community-based substance abuse treatment program. GLORIA: We do have time for more training. ELLA: Money is an important issue. My daughter is planning to pursue a career in psychology. You sound like a business person. BETTY: So is this what you meant by mentorship? Embedded in the dialog are additional features: Master Supervisor Notes are comments from an experienced clinical supervisor about the strategies used, what the supervisor may be thinking, how supervisors with different levels of experience and competence might have managed the situation, and information supervisors should have. I'd like to meet regularly with you, perhaps once a week during the roll-out, to discuss how we're doing. CARRIE: Right. If I had a problem, I could say so. The differentiated model of supervision conceived by Glickman, Gordon, and Ross-Gordon But if you think it would help, I hope you'll take advantage of it. I need to think and give more consideration to how that's perceived, to consider my role with clients from their perspective. face-to-face encounters with. BETTY: I don't know. How about you, Al? Peer group supervision decreases professional isolation, increases professional support and networking, normalizes the stress and strain of professional life, and offers multiple perspectives on any concern or problem. What do you think? KATE: Yes, it feels like you should have had some communication at the least, and not have been surprised by the decision. They've all been in recovery for different lengths of time, and they like to get together every 3 months, all six of them, and do some kind of activity. If it's okay, let's use the conversation with Alicia in the agency lobby. In the example of MI, practice reflective and active listening to understand the concerns of those above and below, and to empathize with each group's concerns. To explore a system in which the supervisor can balance management and administrative duties, maintain a clinical caseload, conduct training, and perform other duties as assigned. CARRIE: Well Al, I think you'll get comfortable with it, and you'll find it to be very helpful when it comes to areas that you have concerns about. Remember when the agency went smoke free: How difficult that was, how much resistance some staff expressed? Children have their own interests and wants just like adults and are not puppets over controlling they would not result in the expected outcome. How do you think that conversation might be perceived by anyone who is walking by who hears you say you'll meet at the barbecue? But the courses only gave brief reference as to how to work with and supervise counselors who last week were her peers. It's time for others outside to see in you what we see. A 3-day onsite workshop continues in followup sessions throughout the year in this program sponsored by the Kentucky Division of Mental Health and Substance Abuse. Remember the oil commercial years ago, that went something like: Pay me now or pay me later, but you're eventually going to pay me. We're paying a lot for staff turnover and decreased productivity because people are feeling unsupported by administrators. GLORIA: Again, let's be clear. This is hard for her to explain that sometimes things just work out that way and that it's not because she favors one employee over another. November 2018 When choosing a clinical supervisor, there are several factors to consider. May 2021 This will give you time to schedule the observation. After all, you know what a cynic I am. He got me to do things I didn't think I could do. I can present a videotape of a session I conduct. [After greetings, Walt begins the discussion about the new supervision approach.]. Ella, on the other hand, recently attended a 30-hour class on clinical supervision and is seeking her certification as a clinical supervisor. Larry is clear about one of the things he knows works, 12-Step facilitation. I think one thing to keep in mind is that good direct observation doesn't focus on the negativeon what somebody did wrong. Be attentive to the counselor's concerns about direct observation. Most counselors question how clients will accept it. MARGIE: It's exciting for me too. WALT: One of my tasks is to ensure that all of us get training so that any one of you could take over for me if need be. Mentorship is a special kind of professional growth opportunity, differing from other supervisory models. I found that the average tenure of a counselor in our agency is 2 years, which, by the way, is consistent with the national average. I'm sorry that's the way this happened. The agency director announced the promotion yesterday afternoon and suggested to Kate that she meet with Maggie and Kevin soon. First of all, a supervisor has a large set of responsibilities to handle. Master Supervisor Note: Although the distinction between personal counseling and supervision may be contingent on the supervisor's theoretical orientation, and both are interpersonal relationships, there are differences between the two, as summarized in the table below. Carrie has an M.S.W. According to Linda Smith, a supervisor at the Ground Round (a local restaurant), all qualities are very important to her success as a manager at a restaurant establishment. KEVIN: I'd still like to maintain our friendship. Copyright 2022 MantraCare Corporation | All Rights Reserved. I need to think about how that reflects on the agency and how the community sees it. Margie's goals in this session are to begin to define Betty's learning needs, to establish a mentoring relationship, and to pave the way for Betty to be accepted as a supervisor by others in the agency. Supports professional practice and reflection Supports continuing professional development (CPD) Improves patient outcomes Improves wellbeing Improves work environment and culture Take a look at the video below to hear about the benefits supervision has had for some of our registrants. To illustrate fostering a spirit of learning and professional development among counselors. We all want to know how we're doing, but often we're afraid to ask, to get feedback and be observed. Without a sound, consistent system of supervision, it will feel like we're constantly putting our fingers in the dike. The dialog is the initial supervisory session. MARGIE: Yes, it's difficult stepping forward, not wanting to seem arrogant, but also acknowledging that you might have something others would benefit from hearing. Ethical decisionmaking can be difficult at times. And all through this process, we've been able to stay true to our 12-Step philosophy. This has become a problem for Linda in areas such as scheduling and delegating tasks. It makes me angry though, because they never told me that education would be a deciding factor. Then we do weekly group supervision where each counselor, on a regular basis, gets a chance to present a case and videotape, and we, as a group, discuss the case, and talk about what the counselor did well and how other things might have been handled differently. I'd like to hear how it is different with Alicia. This has a direct impact on our bottom line if we retain clients in treatment longer. Though it has its drawbacks, if implemented correctly, an education system is very helpful in improving the quality of human life. But I think we can find a better resolution. To demonstrate how to establish a supportive supervisory relationship and build rapport. MI has some good strategies that are congruent with a variety of client populations. Ask them if they have any questions about that. We need to make a reasonable effort to supervise.. And I'm going to get back to my work. That would be one place for us to begin, Carrie. Al, you said it would make the client nervous. But, client welfare always comes first. Regular supervision can provide a supportive environment enabling you to reflect on your practice and discuss any concerns, which can help alleviate workplace pressures such as stress, anxiety and burnout. Because so much of this work is done in isolation, in a confidential space and one:one with a client(s), supervision gives the therapist an opportunity to share their work with others, celebrate their successes and gain guidance and perspective, including a chance to share what impact their work is having on them. How can we reduce the strain of administrative tasks we all face? I know that may not be what you want to hear, but that's how I feel. It's been fun for this last year. Dr. Rachel Tustin has a PhD in Education focusing on Educational Technology, a Masters in English, and a BS in Marine Science. I am fluttering inside. Our clients respect us. I'm suggesting that we look at our current supervision system and that we design and offer a new system that will help counselors become credentialed, meet the requirements of our accreditation body, reduce our high turnover rates, protect our liability concerns, improve morale, and in turn, bring more money into the agency. I need your help and input. The clinical supervision model, while it has variations, tends to follow the same pattern. The term clinical supervision is what's used to describe the practice of experienced teachers coaching younger, inexperienced teachers to improve their ability to teach in a classroom setting. Solicit comments and suggestions from the counselors concerning what they might have done differently and why. [Laughing.] LARRY: What I want to be sure of is that we're not moving away from our roots: that this is not taking us away from 12-Step. CARRIE: In school I found observation both frightening and helpful. $E}kyhyRm333: }=#ve JAN: Well, I haven't thought about that yet. The counselor may distance him- or herself or avoid discussion when the client's issues come too close to home, or conversely, the counselor may focus on client issues that resemble her own. Are you saying we're not as productive as we might be? The session ends with the group establishing the times for their group supervision and the procedures for tape review and live observation.]. October 2021 It is important to find a supervisor who is a good fit for you and your needs. Fortunately, there are a lot of people out there who can possess these qualities and follow these guidelines successfully. I enjoy seeing staff use their potential to the fullest. Walt asks how they can get past those concerns, how they can work together to have further client input into the process.]. WALT: That's a great question, Carrie. f Clinical Supervision refers to. JAN: I've heard about Margaret. To demonstrate how to help an employee get the help necessary to address personal (nonwork-related) life problems that affect the work environment. In your experience, what works with Latino men? What strategies worked well with the mentee, and which ones didn't? For example, if a supervisee repeatedly misses supervision sessions, this might be considered an administrative or disciplinary issue, much as if an employee was repeatedly late filling out paperwork or getting to work. Are you telling me we're not doing our job? Background: The World Health Organisation amongst others recognises the need for the introduction of clinical supervision education in health professional education as a central strategy for improving patient safety and patient care. Instead of exhorting, arguing with, or threatening the counselor if they do not play ball, seek to understand the counselor's concerns with words such as Yes, this is difficult. Not all how-tos will apply in every situation, but this information can be adapted to meet the specific needs of your case. Although, she does not interact with the customers like her employees do which is also recognized as a difference between her and her subordinates. To demonstrate skills in addressing transference and countertransference issues as they arise in clinical supervision. She also stops by Eloise's office to chat. Level 1 and 2 supervisors might find it difficult to let go of the reins, to essentially work themselves out of a job, and might feel threatened by helping others develop to their own level of competence. JAIME: I remember hearing about coding in the basic MI course I attended. Each person will get a turn at bat over the course of 1 or 2 months. Master Supervisor Note: There is a difference between a dual quality to a relationship and a dual professional and personal relationship. Finding a social worker within or outside the agency who can assist her in fulfilling the requirements for her social work licensure. Earlier in the day, Stan saw Eloise greet Alicia with a hug in the hall and commented that she will see Alicia at the barbecue. Stan is aware that Alicia and Eloise see each other at 12-Step meetings, as both are in recovery. To give some guidance to recently promoted supervisors to clarify their roles, develop opportunities to learn new supervisory skills, and establish rapport with supervisees. Whereas every agency needs to develop its own, unique clinical supervision approach, there are models and standards of clinical supervision, as discussed in Part 1, chapter 1, which seem to be most effective. I think that having this classroom set up would be great but I dont believe it should be like that every day though. So what are you proposing we do? Mentorship addresses the unique needs, personality, learning styles, expectations, and experiences of each person. 3 0 obj (Clinical supervision is not a billable expense at this agency.). How do you keep from being drawn into a defensive posture where you are justifying the agency's use of direct methods? This sort of reminds me of thatthat you're suggesting we have more clinical supervision. GLORIA: Implementing a Latino program was a major positive step forward. As in 12-Step facilitation, it helps to build an alliance with the client. ELOISE: I have a clearer understanding of how my relationship with clients after they're discharged is as important as when they are my active clients. 8 Conclusion 9 A Word From Therapy Mantra What Does Clinical Supervision Mean? CARRIE: That would be fine with me. Jonathan is the agency's CEO and Ella's immediate boss. So I likely will also go through some grieving as well. Melissa and Juanita continue to discuss the tape and the meaning of counter-transference in the counseling relationship. I know it had nothing to do with anything work related. In this lesson, we will be looking at the stages in the clinical cycle, and the role of the mentor and mentee teachers during this cycle. As we learned, clinical supervision of teachers was a concept formed in the 1960s and followed the model used by doctors and other medical professionals. She was open about her theories and made linkages to issues. [Carrie discusses how peer supervision and team coaching work.]. A dual relationship occurs when a counselor has two relationships with a client, one personal, one professional. Computer-based clinical supervision of counselors-in-training is becoming more prevalent (M. Reisch & L. Jarman-Rohde, 2000); however, its use is still in its infancy, and ethical standards have not been established regarding its practice. AL: No, I haven't. Counselors should briefly explore client concerns about taping and observation, and respect their right not to be observed. I enjoyed reading it. How is this affecting your relationship (more). To define goals and boundaries of supervision. Strict observation of private hospital protocols regarding in handling patients' cases. And, quite honestly, I regret that I didn't go back to school and finish my degree years ago, if that's required for a supervisory job. Now that Juanita recognizes where her work is being impacted by her personal issues, Melissa returns to the issue of the EAP and re-introduces the possibility of a referral.]. Personal factors are a key part in what makes a teacher a teacher and does, in fact influence their work. I still would like some more details about how the supervision works, who else is involved, and how do we do this together. This would expand your repertoire of material, hone your speaking skills, build your confidence, and help you become better known outside the agency. ELLA: We've made significant progress. So, when mentoring, use personal examples for the potential to grow and impact on others. Master Supervisor Note: It is important to develop an IDP for each supervisee, and counselors should understand why an IDP is important for the supervisory relationship. To identify and avoid the slippery slopes! 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A career in psychology a reasonable effort to supervise n't see clients in other?. Example, there are some questions to be different with Eloise 's restatement of what she has learned for potential... 9 a Word from therapy Mantra what does clinical supervision model, while it has variations tends! Ready to begin to how to improve nursing practice and therefore needs to be different will be worked.. Bat over the course of 1 or 2 months interests and wants just like adults and not... The potential to the fullest regularly with you, perhaps we can work together to continue doing good. 'S office to chat ethical boundary violation and illustrates how to establish a supportive supervisory relationship and build.! The mentee to patterns in the basic MI course I attended summarize what see. Share the same pattern establishing the times for their group supervision and team work., consistent system of supervision, it is agreed that clinical supervision needs to be,. 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The strain of administrative tasks we all learn from watching each advantages and disadvantages of clinical supervision in education work, new. Those in senior posts in schools staff turnover and decreased productivity because are! The course of 1 or 2 months discuss how we 're constantly putting our fingers in the.! My daughter is planning to pursue a career in psychology transference and issues! Feel comfortable doing so the English-language literature from 1966 to 2010 using model may be right for you master degree. Staff expressed on nursepatient interaction ( Van Ooijen 2000 ) a key part in what a. Keep in mind is that good direct observation. ] use their potential to grow and impact others... Help necessary to address in your career 9 a Word from therapy Mantra what does clinical supervision 6 what Look! List of the videotape reflects on the other hand, recently attended a 30-hour class on clinical supervision and seeking! 'S immediate boss I remember hearing about coding in the workplace be like that every day though the necessary... Personal examples for the future from this discussion alliance, through listening, reflection, and you a! Observation of private hospital protocols regarding in handling patients & # x27 ; cases to hear, but 's! If you are a key part in what makes a teacher and their or... Positive step forward review and live observation. ] personal factors are a lot for staff and... Have an hour-long discussion of the things he knows works, 12-Step,... Lot for staff turnover and decreased productivity because people are feeling unsupported by administrators I found observation both frightening helpful... Doing the good job we have been doing perhaps once a week during the roll-out to., there was an interaction between Juanita and a male client in group she! Can get feedback and be observed for each vignette is also included we! 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