ELOISE: I see what you mean. I don't feel that it's something that we should address in supervision though, except to the extent that it affects your job performance. Peer supervision has the added benefits of being of low or no cost, intellectually stimulating, and fun for supervisees. BILL: That's what we can explore in supervision. What does it cost us to train a new counselor when someone leaves? September 2021 I thought after last year's suicide that we beefed up our oversight. This system will meet that requirement. Ten years ago he enrolled in a part-time master's degree program in counseling and completed the degree in 5 years. I'd like to hear more about the clients you work with. Perhaps at our next session we can start developing a learning plan to apply your studies to clinical work. Since this is our first session together, perhaps we can explore what you want from supervision and how I can help you. GLORIA: Larry, I clearly hear your concerns about interfering with your relationship with your clients and about us losing our roots. And about the missed days, I think that is beyond me now. Your individual clinical supervisor will get to know you very well throughout the supervision process. Here the word "supervision" means to guide and stimulate the activities of teachers with a view to improve them, i.e., teaching as well as instruction and promoting professional growth. Your clinical skills are excellent, you always complete your paperwork on time, and you're a joy to supervise. 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. 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. Jan has been assigned to the IOP and is expected to participate in a structured internship program of 3 months wherein she will receive training in the substance abuse treatment field. Her husband is a recovering alcoholic, and Juanita has been active in Spanish-speaking Al-Anon. Frankly, I'm not sure if I really need that. He has a bachelor's degree and has worked in the field for about a year. The session ends with an agreement to begin writing an IDP and decide on the next steps for their mentorship. endstream
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AL: I'm not sure what I need. No, we would not be doing this simply for money. I want you to know I'm not sponsoring her. Master Supervisor Note: When conceptualizing, justifying, and implementing a new comprehensive supervision program each level of staffagency administration, supervisory staff, counselors providing direct services, and support staffhave unique concerns about the needs and effects of clinical supervision. Despite its numerous advantages which supervisors have it has several limitations when it is used. Ask about the supervisors experience working with clients who have similar issues to yours. The terms clinical supervisor and clinical supervision are often used in reference to the training and education of student clinicians, recognizing that supervision is part of the training and education process. I know that what's happening is stressful to you. ELOISE: I told her I could not be her counselor and was there at the activity in my civilian clothes. So, they might not see it as a boundary violation. And she knows some of my sponsees. Not all how-tos will apply in every situation, but this information can be adapted to meet the specific needs of your case. What do you think of that idea? Depression, Anxiety, Stress or something else - we are here to help! You may recall we recently had a lawsuit over dual relationships that put the agency in jeopardy. You take great pride in working with recovering people, helping them, and doing everything you possibly can to ensure their recovery. Having a good personality can range from having good self-esteem, having a need for achievement and success, to organization skills. ELOISE: Right. We encourage and support any efforts you might make toward professional development, such as getting your various levels of social work licensure. May 2021 Let me go back to what you said. They used a lot of cognitivebehavioral counseling approaches at the EAP. The smoke-free campus has been a real benefit to all. STAN: When I walked through the lobby a few minutes ago I heard you say something to Alicia about seeing her at a barbecue. AL: Maybe it would be better if I saw tapes of others doing counseling first. The professional orientation of nursing staff significantly influences student learning in the clinical environment. A Level 1 supervisor might react angrily to Eloise's tone of voice, seeing this as a clear disciplinary issue. Now you're our boss. ELLA: It does, but only partly. When looking for a supervisor, be sure to ask about their training and experience, as well as their approach to supervision. I took a course in school on clinical supervision and that's exactly what the professor said. %PDF-1.5
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How could this situation have been handled differently? You'll begin the observation in 6 weeks. Another response might be to avoid the issue without affirming her. Academic Strand Updates KATE: You, a cynic, Kevin? Master Supervisor Note: It takes a Level 3 supervisor to be able to mentor someone else. To demonstrate leadership in the face of staff who are resistant and reluctant to incorporate EBPs into their counseling. Linda had also described that supervising for so long over several years' time, it becomes second-nature to oneself. [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.]. Lately, Stan's been concerned about Eloise's relationship with a younger female client, Alicia, who completed the 10-week IOP 2 months ago and participates weekly in a continuing care group. I know that 12-Step facilitation does that. GLORIA: We do have time for more training. [Another pause while Kate waits expectantly.]. Coaching vs. Mentoring in Teaching | Differences, Strategies & Benefits, Human Resources Best Practices in Schools, School Vision Statements | Overview, Features & Examples, Financial Management in Education Systems. We need to know and do more? [Kate, Maggie, and Kevin meet over lunch to discuss Kate's new position.]. 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. Psychologists ensure that all individuals under their supervision who are using animals have received instruction in research methods and in the care, maintenance, and handling of the species being used, to the extent appropriate to their role. Isn't that an administrative issue if people are not doing their jobs? Methods of clinical supervision were obtained by Morris Cogan and Robert Goldhammer in Harvard around 1960's. Methods of clinical supervision were clarified as: The major implication for clinical practice is supervisors should interact with teachers in the manner that teachers, as individuals, learn best. MELISSA: The EAP is for the whole family, and I'm sure they would be available to see Jorge too, either with you or separately. There exists a dearth of literature focusing on the ethical practice and development of supervisees when using computer-based supervision. And, the focus of this model is on developing a shared understanding of the clients presenting problem. How will supervision enhance my skills? Simply because a person is a good counselor does not qualify them to be a supervisor. 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. GLORIA: Your 12-Step approach works for you, and we heartily endorse it, too. Thank you for sharing that clinical supervision is important as it will ensure that the student will know how to navigate themselves when the type comes. 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. 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. I had weekly clinical supervision with my supervisor and the senior counselors. Differentiated supervision is effectively using evaluations to provide meaningful feedback to teachers based on their individual needs and level of expertise. MELISSA: And I appreciate that, and I want you to know that I value your work. This is a place where I'm able to make a contribution to my community. You can find more information about our expectations and requirements for registration renewal on our CPD webpages here. Margie outlines the roles and requirements of being a supervisor.]. Educating staff about what quality supervision is and what to expect in the new system. To demonstrate how these functions can be integrated into a consistent model of clinical supervision with fidelity to the methods and adaptability to the unique needs of each organization. 122 0 obj
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MARGIE: I hope you continue working here. At first, she was reluctant to step into the great responsibility, but then saw some advantages of accepting the offer. improvement of instruction. For example, Bill's supervisor might wish to explore with Bill the following questions: What feelings does Jan bring out in you? It occurs when school leaders recognize that teachers vary greatly in their readiness levels, skill sets, and in their confidence resulting in significant variation in teacher . Larry and Jaime, with your help and support, I'd like to establish a year-long training plan. Time to implement the system, acknowledging and working through staff resistance to change. You've been supportive of that. Without the implementation of ethics in the workplace, a supervisor will not be able to gain their employees faith and trust. It's important to . I'd also like you to introduce the program at our next all-staff meeting. Skillful supervisors assist counselors in understanding cultural variables while continuing to make sound ethical decisions. Do all counselors here get supervision and are they all observed? So, I won't go. She now conducts educational and support groups by herself, does intake interviews, provides individual counseling to her caseload, and has recently increased her caseload to accommodate the increased number of clients at the agency. Now, if it is okay with you, I'd like to summarize a little. One grapples with the challenges of a new position, and another works to create a legacy. However, anecdotal evidence from RCN members and CPN colleagues has shown that one-to-one clinical supervision in nursing is being eroded, especially in community mental health teams. I highly recommend you use this site! So let's start there. Procedures for Short-Range & Long-Range Instructional Planning, Analyzing Different Types of Data for School Improvement, Acquiring, Allocating & Managing Resources in Education, Cognitive Resource Theory | Principles, Application & Summary, Curriculum Enrichment: Definition & Resources, Finding Meaning in Visual Media: Strategies & Examples. PM @ smackhappy.com | My son=everything / empathetic realist / mythology/fantasy nerd / serial learner / deaf community close to my / unafraid of no. JUANITA: I appreciate that. They'd then follow the same individual in small group supervision discussion. Choose a supervisor whose style matches your needs. Observation was very helpful to me. Therefore, this topic of the advantages and disadvantages will most likely vary between supervisors in different industries, but generally, supervisors see eye to eye on the basics of management. Business is always up and down, peoples availability changes constantly, new people are hired and let go, and sometimes even seniority comes into question. More is going to be expected of you. ELOISE: Do I have to cut off all my recovery relationships and not go for coffee after meetings? 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. When choosing a model of clinical supervision, it is important to consider your needs and preferences. BILL: I appreciate your concerns about supervision. March 2019 Master Supervisor Note: It is important for you to prepare the counselor for what will happen during the session. Some were just assessments, but I did get to work longer term with several clients. I need to understand more about substance abuse treatment, and try to marry the social work and substance abuse fields. Supervisors might need to provide additional time for close supervision of trainees, interns, or counselors needing specific attention. Much of what we do in these sessions is administratively oriented, addressing new policies, procedures, and paperwork, compliance issues, and personnel concerns. A Level 1 supervisor might respond by saying The timeframe is not negotiable. Second, we're now required by the State to eventually have all counseling staff be certified addiction counselors. The rewards for fulfillment of the contract (such as clinical privileging or increased compensation). Reply Connie 21/5/2018 10:18:10 am They strategize on how to best handle the situation in a way that would be clinically supportive of Alicia.]. To define goals and boundaries of supervision. [A discussion continues about Jan's course work in school and her training in the field placement, and how she can continue that learning in the agency. I understand that you were interested in the position. It's not something that we'll become instant experts at. And, if you are looking for a supervisor, remember to keep these things in mind: finding someone who is a good fit for you, understanding the different types of supervision, and knowing what questions to ask. Sarah was having this barbecue and asked me because we go to the same home group. Finding a social worker within or outside the agency who can assist her in fulfilling the requirements for her social work licensure. We know you're good. With these things in mind, you will be on your way to finding the right clinical supervisor for you. Mentorship is an important aspect of helping us all meet our IDP goals. It is useful to remember what it felt like being in that position. She acknowledges that her reaction to the client who has relapsed is in part a response to her current life situation with her husband. My intent is to be helpful. They then discuss what skills they need to develop in the next year.]. To start with, in group supervision individual work is not measured rather the group work is the one which the supervisor focuses on thus individual effort in a group setting is of minimal importance (Blomberg, 2016). Try refreshing the page, or contact customer support. GLORIA: There are several different ways we can approach the implementation. Recall when you were in the counselor's role and perhaps how you experienced resistance to change in supervision. What are our counselors actually doing behind closed doors? December 2017 Work in health and social care can be challenging, and its important that you look after your own health and wellbeing. The interesting thing is that the clients are not bound by the same rules as we are. Can I come to you at other times to review cases, especially while I am learning the ropes of how things are done here? When you asked me to look at a quality assurance plan, it was clear our weekly staff meetings and training sessions only address some of the needs. To identify and avoid the slippery slopes! I have a call for papers for a counselors' conference in Cincinnati this fall. KATE: Maggie, I can sure understand your feeling that way. Supports continuing professional development (CPD). In this model, there is a mentor teacher who is experienced and has proven themselves to be successful in the classroom. I understood when I took this position that you do an excellent job of providing training opportunities for staff, something I really liked about the organization. Supervision can therefore help you develop insight and help maintain and refine your good practice. In addition to his supervisory duties, he is director of the program's intensive outpatient program (IOP). Get unlimited access to over 84,000 lessons. November 2021 I'm not sponsoring Alicia. WALT: Perhaps we can discuss what the new supervision system will look like, how it will work, and what's in it for you. 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? 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? Both Larry and Jaime are aware of the mandate but have not had an opportunity to discuss the change with Gloria until their regularly scheduled supervisory session this morning. =^[iH![o Aj9VD#J1x"5kWV
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The objective is to help us look at what we do well, give us new options, build a bigger tool box of skills, and help us to look at the larger process of our counseling, rather than just getting stuck in applying techniques with people. MAGGIE: Like I said, I'm not upset with you, but with Gene and Susan. CARRIE: That would be fine with me. I'd like to hear more from you about your concerns regarding MI. Over the past year we've made incredible progress toward this goal, thanks to all the staff's efforts. It is that supervision method that focuses on the improvement of teachers' performance through direct interaction of supervisors and teachers in natural teaching settings, (Caruso and Fawcett 1986). Collegial supervision is a way of developing as professional teachers by observing teaching and talking about teaching. I understand it is going to be a little different, for instance, calling you boss. But the three of us have had a good thing going here. [Eloise cries as she expresses her concern for Alicia.]. It's been a while since I was observed, but I don't have any problem with it. There are four issues that came to me. [Together, Juanita and Melissa watch the tape, cued to the segment about clients actively drinking while in treatment. MELISSA: I hear that you were concerned about missing some sessions so you made a strong effort to reconnect with your clients later. Margie is a certified clinical supervisor with 25 years' experience in the field. It's been fun for this last year. Peer group supervision decreases professional isolation, increases professional support and networking, normalizes the stress of clinical work, and offers multiple perspectives on any concern. The agency is a private, nonprofit organization providing comprehensive addiction treatment and education services. The participants learn better ways to manage clinical issues, thus increasing their professionalism. KEVIN: I'd like to hear about any changes you are planning or how things might be different now that you are running the show. If we can provide better training and supervision, we can save the agency considerable expense. Since receiving her license as a substance abuse counselor, Juanita has been given new job assignments that involve working with more complex and difficult clients. The vignette focuses on how Margie can mentor her successor and the next generation of personnel so they could be promoted upon her retirement. 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. 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. Clinical supervision was developed at Harvard University by Morri Cogan. That would be one place for us to begin, Carrie. MARGIE: I like that you want to stay anchored in clinical work. And I admire your professional goals of wanting to be in private practice although I must say that I have difficulties with people just passing through our agency on the way to something else. I guess I'd rather see you or Maggie get the promotion rather than having someone new come in from the outside. Isn't that supposed to address those issues? [Stan and Eloise review what has been discussed and what actions might be appropriate for Eloise to take at this point. Ask them if they have any questions about that. It can also have significant benefits for the wider service and service users. Having no faith or trust in a supervisor can create major disbelief in ones superior and could most likely create slight chaos in business being that the manager is not doing their job. When I see her and how hard she's working, it inspires me because I know that struggle. I like the idea of talking to others and getting their impressions of the process and their suggestions on how to best make it work. How do we know what the ethical wall looks like before we hit it? I like that I get to try new things. 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. ELOISE: Yes, it means the world to me. How To Ask Questions in Ethical Decisionmaking. 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. How is this affecting your relationship (more). After all, you know what a cynic I am. I'm going to make sure I get the paperwork and everything done, and I will be on time tomorrow. ELOISE: Sure. That's what I mean by our vicarious liability. Administrative staff are most likely to be concerned about some of the issues noted below: Legal and ethical requirements for supervision, such as vicarious liability, scope of competence and practice requirements, and recent court rulings requiring clinical supervision. I love to surround myself with people who can take over my job on a given day. It was the first time I ever had to reschedule those clients, and we caught up on their visits later in the week. JAN: Good. While I'm on that topic, we also want to receive more input from clients about how we're doing. LARRY: Maybe Jaime can do the MI stuff and I can do my 12-Step facilitation. The worst mistake you can make as a new supervisor promoted from within is to try to take the reins of leadership abruptly and without consideration of staff reaction to your promotion. Educational supervision is a complex and heterogeneous process, the nature and quality of which depends on many factors. Then, when you're feeling more comfortable with it, we can discuss what times work best for you to be observed, and what cases you'd like me to observe. Consider the following points when you need to confront a supervisee in clinical supervision with problems of job performance that are exacerbated by personal difficulties, such as emotional, familial, interpersonal, financial, health, or legal concerns: You can help your supervisees see the relationship between their personal difficulties and work-related problems. Next, comes the hard part: data analysis. I am fluttering inside. You should also feel free to ask for references from past or current supervises Clinical. We need to be mindful of those boundaries just because of the closeness of our community. ELOISE: You think I had power over Alicia? That's what helps my clients. Although you'll have to get a new wardrobe and dress more like a manager. Ethical decisionmaking can be difficult at times. I'll need to have a sense of what you've learned and where you see your skills. I certainly don't seek any personal gain from our time together. I don't really like the idea of your taping my session. First, let's review why we are implementing MI for staff as a tool in their counseling. There are a few ways to find open clinical supervision opportunities: There are several benefits of clinical supervision. She is an excellent counselor and is well respected by colleagues in the agency. lessons in math, English, science, history, and more. 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. However, I have concerns about our liabilities in general. We used process recordings in school and that was really sufficient because I would write the verbatim, give it to my supervisor, she'd make comments, and we'd talk about it. BETTY: I don't know. Since everyone had appointments already scheduled for the morning, lunchtime was the first available opportunity for the meeting. You said that you were concerned about mistakes, but it really won't be about mistakes. (Sergiovanni and Staratt, 1979). Further information about reflecting on your practise, and how to do this effectively, can be found on our website here. [A discussion follows about Margie's job and what it means to be in a supervisory position at that agency. In her position, she needs to make sure a wide variety of tasks are set in place to be completed. CARRIE: I found it helpful in grad school for us to help each other, to avoid throwing anyone into the process alone. Master Supervisor Note: As a Level 3 supervisor, Bill doesn't react to this comment. 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