But Alicia is different. A Level 3 supervisor listens to Jaime's statement, affirms and supports him in that, and tries to engage Jaime in the discussion. supervisions objectives are normative (e.g. GLORIA: Here is a coding sheet that the trainer of that course recommended. I'm not sure anyone else has expressed that interest to me before. There are many different types of supervision models, so it is important to find one that fits your needs. It might be a good place for us to start the process. Margaret is an LCSW and we can ask her to provide the supervision you need for social work licensure. JUANITA: Sure, if you have the tape there. I think I have good individual and group counseling skills, but I also know administration involves another whole set of competencies. Your mental health Your psychological, emotional, and social well-being has an impact on every aspect of your life. How would a person discern his or her intentions? I am fluttering inside. Supervisees confer in the group, discuss key topics of their counseling, and suggest solutions for difficult situations. I had a chance to review a videotape of a session you did last week. 2. Master Supervisor Note: Again, it is important to be prepared for this presentation with a clear statement of funding requirements, training needs, mechanisms of how these needs will be met, and benchmarks for success. The critical aspects in rolling out a clinical supervision system include: Administrative support. ELOISE: Well, it's hard to not go to social activities in this small community when I'm invited. March 2021 I'm willing to stick my neck out if you're willing to give me feedback on what you see on the videotape. Online courses are also available. Let's get back to the countertransference. Melissa was uncomfortable agreeing to this but also was uncomfortable not responding to Juanita's distress. The clinical supervisor has to address their resistance while achieving the mandate of the agency. JUANITA: Well, first maybe I shouldn't see any more male patients? 2. Will that be possible for us? JAN: Again, I never really thought about that. We've had the basic MI training. For example, stakeholders (such as the board of directors) might be concerned about the risks of legal liability for the agency, the media and community with the public image of the organization, and peers with the clinical implications of a possible boundary violation. MARGIE: Here are some other ideas where you might consider growing professionally: learning about leadership, creating a vision, business and financial management, continuous quality improvement, organizational development, conflict resolution, and on and on. Most important, not giving orders just to prove who's boss. LARRY: I like the idea that we can implement the strategies that work best for our agency because that allows us to stay close to our roots of 12 Steps. I like the form and find it simple and easy to use. One grapples with the challenges of a new position, and another works to create a legacy. My model for counseling is eclectic, whatever is needed for the client. I hope it will broaden my skills and further my career goals. Walt asks how they can get past those concerns, how they can work together to have further client input into the process.]. For some mentees, they will immediately see the patterns, and understand the areas they need to address in their teaching practice. CARRIE: I'm told I'll be doing more group counseling. Perhaps we could look at your goals and how supervision with observation can assist us in meeting your goals. Staff should hear a consistent message about supervision over time, lest they see the supervision system as the current flavor of the month, and believe this will pass as soon as another priority comes along. Staff need to hear that administrators have a long-term commitment to a consistent program of quality assurance in their supervision program. hmo0_n/T!-&Z+!^ALJ@ $)m aC)T) We need $1,000 for this purchase. This is often the result of: Staff shortages; increased workload; Lack of teaching skills; Staff feeling threatened by nursing students (Davey, 2003). March 2018 %PDF-1.5 % He made me really stretch and taught me some invaluable lessons I still remember. JAN: Yeah. Our counselors are excellent at what they do. Increases ability for reflection and conscious choice. No matter what model of clinical supervision you choose, it is important that you find a supervisor who you feel comfortable with and who has the expertise to help you meet your goals. The supervisees' scope of practice and competence. She hesitatingly said that they could discuss this at the next supervisory meeting. In mentorship, the mentee asks questions, shares concerns, and observes a more experienced professional in a safe learning environment. This is a good time to ask questions about their experience, style, and approach to supervision. 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. Each week, our therapists and interns meet with a licensed clinical supervisor who oversees their training and development as well as treatment of clients in their schools. But, when we care deeply, we are drawn into the emotional world of our clients. 122 0 obj <>stream 5:05mins. Linda has found that there is a fine line between having a business relationship with her employees and having a personal one. I had excellent training and experience at the EAP [Employee Assistance Program] in the county health clinic. teachers about teaching, usually. Mentorship should include something of attraction; people should see something in you that they want. BILL: You mentioned that Jackie was a good supervisor. Jonathan is the agency's CEO and Ella's immediate boss. The dialog begins with a discussion about current and future personnel issues and Margie's pending retirement. It's like looking into the eyes of children and seeing the future in them that I will never realize myself. For right now, let's focus on what else needs to change. [Laughter.]. How the taped material will be stored and destroyed after use. [Jonathan and Ella summarize the advantages of a model for clinical supervision that includes workforce development and a means to implement evidence-based practices, address risk-management issues and vicarious liability, create consistency within the agency, minimize reactivity, address accreditation issues, and support counselor wellness.]. If you are looking for more collaboration and mentorship, the mentorship model may be right for you. A master supervisor is able to manage staff confrontation and avoid becoming defensive. You'll be surprised. To demonstrate a range of supervision methods, with an emphasis on direct observation through videotaping and live observation. BETTY: And you would be willing to make that kind of investment in me, Margie? copyright 2003-2023 Study.com. 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. What direct observation did you have? Tests & practice. Maybe we can return to the training issue you raised earlier. We may decide that MI works better with some client populations than others. We try to help counselors improve their skills by offering the opportunity to work with a variety of different clients, using a variety of treatment modalities, such as individual, group, couples therapy, family therapy, and psychoeducation. Surely more than the cost of three cameras. I also think it's consistent with what we do as counselors, and it reinforces our efforts to listen better to clients. [Further discussion follows about Jan's anxiety about supervision. You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission. It is useful to provide any research data available in the field or from your agency. (Sergiovanni and Staratt, 1979). It gives us all a chance to observe and learn from each other. First, they arrange to begin to revise and update her IDP and the strategies to reach her learning goals. You're having a great impact now on your clients. I'm curious how you feel about that. [Her crying continues, and Eloise speaks of her concern for Alicia. So I'm sure I can learn something from her. BILL: We're excited to have you here, Jan. You may already know that supervision is an essential part of how we help counselors in the agency. It makes me angry though, because they never told me that education would be a deciding factor. I certainly need further training and feedback on my group skills. Michael E. Townsend Leadership Academy (http://kentuckyoar.net/about_us.htm). Actually, we're the ones who're most nervous. ELLA: Absolutely. You'll begin the observation in 6 weeks. Another response might be to avoid the issue without affirming her. South Carolina Addiction Fellows Program (http://academicdepartments.musc.edu/psychiatry/education/res_fell/addict/addict.htm). Effective clinical supervision is not a straightforward process. @H$H1@ Y BILL: I'd like to explore that with you. First, I have six sponsees. January 2016 So, we'll work on a training plan and I'll suggest times for you to observe a session and videotape. Each person will get a turn at bat over the course of 1 or 2 months. CARRIE: I found it helpful in grad school for us to help each other, to avoid throwing anyone into the process alone. There are some questions to be asked, such as how that behavior is experienced by someone else. AL: Maybe it would be better if I saw tapes of others doing counseling first. These principles are put into practice through the application of a model of clinical governance to show how clinical supervision supports the quality improvement agenda and lifelong learning. BILL: We do individual observation and group supervision where we find common issues in our counseling, using videotape and case presentation to trigger discussion of related issues. We need to make a reasonable effort to supervise.. To demonstrate leadership by a clinical supervisor toward meeting agency goals and mission. Changes in counseling methods are difficult for staff who are attached to their model of counseling and know that it is working for them. Although some immediate results will be seen, long-term results can best be measured over the long term. Juanita appears surprised to see her response to the client on tape and notes the impact she might be having on clients. I hope you'll use our EAP for that. I'd also like you to introduce the program at our next all-staff meeting. The agency is a private, nonprofit organization providing comprehensive addiction treatment and education services. Gene had a really good system in place for clinical supervision. Create your account, 57 chapters | We hope to observe each counselor at least once a month. We all learn from watching each other work, finding new ways of dealing with clinical issues. Crack CBSE Class 12 with Unacademy Get subscription and access unlimited live and recorded courses from India's best educators. I guess we can rationalize a lot of our behavior when we care so deeply. You said that you were concerned about mistakes, but it really won't be about mistakes. JAN: I'm a little worried about how I'll meet my licensure requirements about being supervised by a social worker. This will take timelikely about a year for everybody to be on board. At one party, someone came up to me and started to ask questions about problems in their marriage. This is especially so for supervisors who have been promoted from within the organization. The differentiated model of supervision conceived by Glickman, Gordon, and Ross-Gordon 12-Step facilitation is an essential part of everything we do at the agency. Kevin, also a counselor, is in process of becoming licensed. September 2020 How did you learn from that process? For the mentee, this means thinking about the lesson and its outcomes and planning the next instructional steps. January 2018 It makes sense. Supervision is hierarchical. Because it's essential to know ourselves. 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. JAIME: Three years ago we had few Latino clients and no Latino program. If we can provide better training and supervision, we can save the agency considerable expense. Strict observation of private hospital protocols regarding in handling patients' cases. Recall when you were in the counselor's role and perhaps how you experienced resistance to change in supervision. She pops in just to say hi, for not more than 5 minutes. Often it is best to return to the issue at a later time. You were her counselor. Supervision supports your CPD by helping to identify and respond to any learning gaps you might have, which will help ensure that your skills and knowledge are up to date. The vignette begins with a discussion about a potential ethical boundary violation and illustrates how to address this issue in clinical supervision. Staffing costs, such as personnel retention and turnover rates, hiring costs and expenses associated with retraining of personnel, and impact on staff morale. 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 difference between running into clients in the supermarket and going to social activities together involves the potential impact that action might have on the client and our use of the power we have in the relationship. You know the pressure we're under to increase billable hours and decrease activities that don't generate revenue. Master Supervisor Note: Stan really wants to keep the focus on the larger issue of dual relationships. They inspire rather than command staff. Participants meet in six 3-day sessions during the year. Educational Leadership Theories & Traits | What is Educational Leadership? I guess she figured that since I'm a counselor, she could get some free assistance. GLORIA: Wow, Larry! It doesn't feel very good when there's no communication. JAN: Wow, there is so much to tell you about that. If it would be helpful to discuss your concerns with Susan, either together or alone, I'd be willing to help you with that. They express their concerns about Alicia and how she might be hurt if Eloise abruptly cuts off the relationship with Alicia. STAN: Yes, we do need to be mindful of the various relationships we develop with clients. [Discussion continues about Jan's experience at her placement and academic training.]. He anticipates program growth in the next few years and wants to mentor key staff who can assume supervisory responsibilities in the future. I love to surround myself with people who can take over my job on a given day. It's difficult jumping into a new approach if we don't feel like we're adequately prepared for the change. Most important, MI aids in establishing and enhancing the therapeutic alliance between the counselor and the client. [Walt starts a discussion on clinical issues that might be topics for discussion in supervision, such as caseload size and complexity, work with clients with co-occurring disorders, the impact of dual relationships with clients, and confidentiality. The agency director announced the promotion yesterday afternoon and suggested to Kate that she meet with Maggie and Kevin soon. We all want to know what's in it for us. The goal of our supervision time is to help you to be the best counselor possible. 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