JONATHAN: The last time we met you were to look at how to improve the quality of our counseling and design a new plan for supervision. LARRY: I don't really give a darn about MI versus CBT versus 12-Step facilitation versus the next thing to come down the pike. Recall when you were in the counselor's role and perhaps how you experienced resistance to change in supervision. She seems to be meeting most of her work performance goals established in the supervision, but the quality of discussion about her cases and her lack of vitality in the meetings concerns Melissa. GLORIA: We do have time for more training. Talk to our accountant if you need costing data. If the new teacher is working on something specific, such as classroom management, the mentor teacher may create a frequency chart of specific events that happened during the lesson, such as students shouting out without raising their hand. I'd like to know about how much supervision I'll get and the focus and style of supervision here. Assuming that the overriding purpose of clinical guidelines is to improve the quality of care for . Often, however, the mentor may need to be ready with probing questions to help guide the mentee in how to approach their data. In addition to his supervisory duties, he is director of the program's intensive outpatient program (IOP). You should also feel free to ask for references from past or current supervises Clinical. ELOISE: Yes, but I'm not her counselor anymore. Online courses are also available. Walt has been assigned to redesign the supervision program for a community-based substance abuse treatment program, which includes an inpatient program, intensive outpatient program, family therapy, impaired driver treatment, drug court program, halfway house, and educational services. It makes sense. Effective clinical supervision is not a straightforward process. First, we want to implement MI over time. What do you think? What action treats everyone fairly? In order to ensure that clients are safe and work practices remain ethical, it is . May 2017 When teachers begin to question their own choices, the children will begin to see that and act accordingly., The only reason I did this, was because my principal knew I needed help and wanted for the students to learn, but also for me to grow. Margie's approach is to be a positive, supportive coach and to encourage Betty to begin the professional development and training required to be a supervisor. The vignette addresses the necessary systems of mentorship that can be involved, what ought to be in Betty's IDP, and the coaching Margie will provide to Betty. By leaving the experienced teachers out of the student teacher's or new teacher's evaluation, it gives them an opportunity to bond with colleagues in a trusting relationship. A master supervisor works with the resistance, using its energy to promote change, not taking it head-on.. Kate is the supervisor now. It's like, as caring professionals, we're always living close to that ethical slippery slope. (Sergiovanni and Staratt, 1979). 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 appreciate your concern for her recovery. One solution would be for us to devote more time in our normal clinical supervision sessions (individually and in group) to MI practices, to use videotapes and role plays to continue our learning and practice our skills. 'Z_$W)I]uU:[gq V5c^(|QMVnmV&;gYNS Linda sees huge differences between being a supervisor and being an employee. Peer group supervision decreases professional isolation, increases professional support and networking, normalizes the stress of clinical work, and offers multiple perspectives on any concern. [Chuckling.] Regardless of how difficult it may be, the experiences and interactions are well worth the stresses of management. [Laughter.] The session ends with the group establishing the times for their group supervision and the procedures for tape review and live observation.]. You can also search online directories such as the American Association for Marriage and Family Therapys Find a Supervisor tool. Failure for the student nurse to gain enough clinical experience. endobj The development of the clinical supervision relationship between supervisee and supervisor is key for your growth and development as a counselor, and may be challenging at times. And I know there is going to be a shift in our relationship, but I still want us to see ourselves, as well as new staff, as a team, focused on the best patient care we can offer. I also think that an important part of developing a professional identity is receiving coaching from an experienced person, and perhaps Margaret can assist in that area too. Listen reflectively to these concerns without being dismissive or ignoring the anxiety; noting that these feelings are common may help normalize the counselor's concerns. STAN: It might help to ask yourself what happens for you when you find yourself in such a dilemma, to be your own problemsolver. Together we can identify areas of growth for you, and then we'll meet to discuss what we need to do so you can achieve your goals. Remember, no method of observation should ever exceed the client's level of comfort so as to be detrimental to the therapeutic process. The counselor may have negative reactions to the client, based on the counselor's current life issues, as Juanita did with the men in her group who were actively drinking. 2. ELLA: We've made significant progress. Qualities of this leadership style include: Taking responsibility for decisions made, never blaming others for something you've done, and giving credit to others when things succeed. WALT: That's a great idea. But it is also a new way of thinking and a whole new vocabulary and I don't want to get so bogged down in catchy phrases that I lose contact with my client. How does that sound? Key principles and factors to consider when approaching supervision in your professional practice, Information about who we are, what we do and how we work, Our standards form the foundation for how we regulate, explaining what we expect of our registrants and education and training programmes, Revisions to the standards of proficiency, Information about raising a concern, fitness to practise and the investigation process, Step-by-step process on how to raise a concern, Information about joining, renewing and leaving the Register, Our standards of proficiency have been updated, Information about meeting our CPD standards and the CPD audit process. tqX)I)B>== 9. Are you telling me we're not doing our job? This is often the result of: Staff shortages; increased workload; Lack of teaching skills; Staff feeling threatened by nursing students (Davey, 2003). To illustrate how to address the developmental needs of a new counselor. I think it would be helpful if you had the opportunity to sit down with someone and assess how things are going and what could help. I think I can learn from people in other disciplines. Master Supervisor Note: You will want to state clearly what is expected from counselors in supervision. GLORIA: There are several different ways we can approach the implementation. I need to assure the board of directors that we're doing a better job, that the legal concerns of last year have been addressed. Since you should never ask a staff member to do something you are unwilling to do, it might be helpful for you to: Be open to feedback from staff, setting the tone of acceptance and vulnerability to feedback. We have weekly training sessions. Does that mean I can't go? LARRY: Yes, we have good teamwork and support each other. Would that help us all feel more comfortable with an EBP? I'm wondering if you have used or would consider using our EAP to help you address the crisis you are experiencing now. I have a call for papers for a counselors' conference in Cincinnati this fall. JAN: In my second year I was at an EAP clinic. She is a useful resource for you to use to improve your skills so that you can be successful here and in your career. He's watched her grow professionally in her skills and in her professional identity. GLORIA: I know you have some reservations about the MI implementation program. Clinical supervision was developed at Harvard University by Morri Cogan. MARGIE: So, perhaps we can discuss how you can increase your skills, both clinically and in supervision. One of the beauties of MI is that it integrates well with what good counselors do naturally: active listening, respect for others' views, an appreciation of the role of resistance, good goal setting practices, and the like. It's not something that we'll become instant experts at. September 2019 How do you keep yourself from self-deception about your motives, remembering that the best test for your motives is time? Mentorship can be defined in numerous ways. It will help our counselors to be certified. Being a role model for subordinates could also be difficult and could even be a disadvantage, because of this required code of rules to actually be a good supervisor. 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. What do you think? I'd like to continue to improve my counseling skills, maybe even advance up the ladder a bit. We've had administrative supervision so far. You've never been either videotaped or observed before? Learn methods and techniques for clinical supervision regardless of the modality used. The easy way for the principal could have been to not renew my contract or not have me return after the winter break, something I have seen happen to other teachers. It helped me pass my exam and the test questions are very similar to the practice quizzes on Study.com. If it's okay, let's use the conversation with Alicia in the agency lobby. AUSTRAliAn CliniCAl legAl edUCATion 128 supervision the student receives will be particularly important. Counselors should briefly explore client concerns about taping and observation, and respect their right not to be observed. hmo0_n/T!-&Z+!^ALJ@ $)m aC)T) It's sounding like money. [Walt describes the process of mentorship, that each staff member will have a mentor. KEVIN: Well, Kate, it's going to be strange having you as a supervisor. BETTY: Sure, of course. Are we better off than we were a year ago? Observe how the supervisor must address the counselor's job performance, provide emotional support for the counselor, and, at the same time, not get involved in the counselor's personal life. The peer consultation model of clinical supervision is based on a relationship of equals, with both parties sharing their knowledge and experience. January 2018 Those are the skills we saw in you that we thought would be helpful to our agency. The changes come into effect on 1 September 2023, Register now to attend one of our CPD webinars, Please type two or more characters to search, The benefits and outcomes of effective supervision, Meeting our standards: guidance and learning materials, Standards of conduct, performance and ethics, Standards of continuing professional development, Standards relevant to education and training, Key characteristics of effective supervision, Cross-profession supervision and multiple supervisors. The advantages and disadvantages balance each other out in the end, meaning that it is definitely a give-and-take type of position. MARGIE: I like that you want to stay anchored in clinical work. We all want to know what's in it for us. ELLA: Money is an important issue. BETTY: I am honored (and a wee bit embarrassed) that you see that potential in me, and want to invest in my professional growth. Note the Level 3 approach, not to confront the statement by Larry but to find a working alternative. 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. She pops in just to say hi, for not more than 5 minutes. Poor treatment of nursing students is not uncommon in the workplace. Your individual clinical supervisor will get to know you very well throughout the supervision process. ELLA: If we support them further, they could do an even better job. A supervisor should also be able to recognize policy and the enforcement of policies, such as sexual harassment, dress code, and training. Members must agree on the time, location, and frequency of meetings, as well as the organizational structure and goals of the meetings and limits of confidentiality. Open submenu (Learning environments and experiences)Learning environments and experiences. Advantages and Disadvantages of the Five Teaching Strategies. Supervision involves a different set of skills than being a counselor. Next, the mentor will meet with the mentee and guide them through the process of data analysis, which is the process of looking at instructional data, such as assessments or observations, to discover patterns that can be addressed by refining the teaching strategy. Agencies might benefit from adapting aspects of these models. I like that I get to try new things. Walt also discusses the issue of stages of readiness and how that affects the form and extent of mentorship each person will receive.]. So, what do you think you need to do now? Allowing students to learn by doing, without the risk of real-world negative ramifications for failure and the ability to re-try other choices to see outcomes, can help stimulate real-world positive outcomes and provide them a solid groundwork of skills as they go out into real-world practice. However, she has professional development issues that need to be addressed before she could be promoted. I'm also wondering how I can be of support to you. We encourage and support any efforts you might make toward professional development, such as getting your various levels of social work licensure. April 2018 Due to its availability, functional magnetic resonance imaging (fMRI) is widely used for this purpose; on the other hand, the demanding cost and maintenance limit the use of magnetoencephalography (MEG), despite several studies reporting its accuracy in localizing brain . How did you learn from that process? The participants learn better ways to manage clinical issues, thus increasing their professionalism. We want to be respectful of your concerns. You'll be surprised. She is in her early 60s, has worked at the agency her entire career, and is, in fact, the longest term employee at the agency. A more inexperienced supervisor might be tempted to just establish the boundary about socializing with clients with a comment like That would be a wise decision (not to attend the barbecue) but would possibly lose the potential of helping Eloise develop more effective ethical decisionmaking skills in the process. Jan's IDP might focus on: Increasing her understanding of addiction by reading texts on the subject and beginning the credentialing process. JAN: That sounds great. January 2021 March 2016 Clinical supervision needs to be a designated and binding role to those in senior posts in schools. The traditional model of clinical supervision is based on a hierarchy, with the supervisor in the role of the teacher and the supervisee in the role of the student. BETTY: Thanks for the vote of confidence. The primary cognitive process of clinical supervision is reflection, that is, thinking back on clinical experiences in order to recount them and deepen understanding and/or identify areas for . Thus, administrators need to understand that it takes time to work with personnel, to be clear about what's expected of them, and to overcome staff resistance. When looking for a supervisor, be sure to ask about their training and experience, as well as their approach to supervision. WALT: Thanks, Carrie. I'll need to have a sense of what you've learned and where you see your skills. Why should we do this? The goal is personal growth and development, self-exploration, becoming a better person. WALT: As you know, our CEO and senior staff have agreed that we need to establish a program of staff training and supervision that will help achieve the goals of the agency and, at the same time, help counselors improve their skills. Would that be okay with you? I need more training but I have concerns about being videotaped or observed. The professional orientation of nursing staff significantly influences student learning in the clinical environment. Since everyone had appointments already scheduled for the morning, lunchtime was the first available opportunity for the meeting. There's one more thing I would like to address before we stop today: how we proceed. Linda said, The best advice to go about handling these situations is to just take care of them as they come, stay calm, and remember that there is always a way to bring your business and all of its parts out of bad waters. A supervisor needs to have a good personality to influence their behavior and approach to manage people and resources. 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. lessons in math, English, science, history, and more. ELOISE: The last thing I want to do is to hurt her or to act in an unprofessional manner. I have a list of upcoming training events. GLORIA: Your 12-Step approach works for you, and we heartily endorse it, too. At the party, when that woman wanted free counseling, it was clear that that was not the context or the relationship for that. She is bilingual, understands the stresses and cultural dynamics faced by recent Central American immigrants living in the United States, works well with female clients, and gets along well with other staff. 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). This is not to condone unethical behavior but to be mindful of cultural issues as they affect the context of counseling. You and I have had a great relationship over these past few years. Contact local mental health clinics or agencies to inquire about openings. Some other disadvantages for Linda have ranged from things like missing inventory, dissatisfied customers, and conflict amongst other supervisors and peers. Follow to join The Startups +8 million monthly readers & +768K followers. We need to know and do more? A Level 1 supervisor might respond by saying The timeframe is not negotiable. We need to be mindful of those boundaries just because of the closeness of our community. Effectiveness and supervisee enjoyment diminish when competitiveness, criticism, inconsistency of members, and absence of support are prevalent. April 2017 She is an excellent counselor and is well respected by colleagues in the agency. Need a refresher on our CPD requirements? I don't see changing horses in the middle of the stream to achieve political correctness. The coaching can involve observations, or any other work the pair do together to improve the teaching practices of the mentee. I need your help and input. ELLA: For an agency our size, with only a few counselors, two clinical supervisors can do the job. A huge disadvantage for her was a continuous trend of employee dissatisfaction. In what way might this go beyond a personal issue to the agency, the profession? 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? Linda handles scheduling for employees and her fellow managers, some pricing, advertising for the restaurant, marketing for the restaurant, assigning daily side-work for the servers, hiring, replacing consumed goods and other necessary materials for the restaurant, customer service, and managing all of the money. To demonstrate a range of supervision methods, with an emphasis on direct observation through videotaping and live observation. BILL: I appreciate your concerns about supervision. How To Implement Direct Observation or Videotaping. The supervisor should also stress the barriers and obstacles to be overcome and how those will be addressed. So much is asked of us, and that places great strain on us. If you have to prove who is the boss, you are not. To help counselors learn and integrate a process of ethical decisionmaking into their clinical practice. WALT: That's a great question, Carrie. That's difficult in a highly competitive market, with many agencies vying for good staff. 122 0 obj <>stream I think one thing to keep in mind is that good direct observation doesn't focus on the negativeon what somebody did wrong. BILL: In our agency, clinical supervision is part of a larger package of staff development efforts. It is important for a new supervisor to demonstrate leadership without being controlling or condescending, especially if promoted from within. WALT: Al, I think that is a great place to start. The policies governing clinical supervision will vary from state to state. Clinical Supervision and Professional Development of the Substance Abuse Counselor [Internet], How To Provide a Rationale for Clinical Supervision, How To Help Counselors and Clients Become Comfortable With Live Observation, How To Implement Direct Observation or Videotaping, How To Encourage Acceptance of Direct Observation, How To Choose a Course on Clinical Supervision, How To Ask Questions in Ethical Decisionmaking, How To Introduce Changes in Clinical Practices, How To Address Personal Issues That Affect Job Performance, How To Demonstrate the Importance of Administrative Support for Clinical Supervision, How To Implement a Clinical Supervision System, Substance Abuse and Mental Health Services Administration (US), http://www.nattc.org/leaderInst/index.htm, http://academicdepartments.musc.edu/psychiatry/education/res_fell/addict/addict.htm, http://www.fellowshiphall.com/training.php. Supervision can help create a more supportive, caring and positive working environment, as it provides a space for regular communication, problem solving, and increased team working. What do you think? Kate asks Maggie what she needs now.]. How do you keep from being drawn into a defensive posture where you are justifying the agency's use of direct methods? Answer (1 of 5): Clinical psychology is a field of psychology that involves the assessment, diagnosis, treatment, and prevention of mental disorders and psychological distress. What strategies worked well with the mentee, and which ones didn't? BILL: We also need to develop a learning plan for you, an IDP that all staff have, so that you can continue to learn. As in 12-Step facilitation, it helps to build an alliance with the client. The purpose of clinical supervision is to improve nursing practice and therefore needs to be focused on nursepatient interaction (Van Ooijen 2000). We call that enabling behavior, don't we, when family members do that with the person in substance abuse treatment? If the client repeatedly objects to any form of observation, the counselor should explore the client's resistance, and attempt to understand the client's concerns and point of view. I'll volunteer to be second. Melissa and Juanita continue to discuss the tape and the meaning of counter-transference in the counseling relationship. There's a new tool we hope to incorporate that routinely asks for input from clients after each counseling session, and at the end of each day for our residential units. Each vignette provides an overview of the agency and of the backgrounds of the supervisor and other individuals in the dialog. Your career, becoming a better person that help us all feel more with! Is part of a larger package of staff development efforts the crisis you are justifying the agency.... 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The goal is personal growth and development, such as getting your various levels of social work licensure obstacles. An excellent counselor and is well respected by colleagues in the middle the.