Diane, Marjory& Jonathan High Quality Supervision as a Model for Change Solution Lab 2016 CMHO Conference November 22, 2016 Diane, Marjory& Jonathan

Ontario Supervision Community of Practice Supervision-cop@lists. cmho Ontario Supervision Community of Practice Supervision-cop@lists.cmho.org Diane Walker Marjory Phillips Jonathan Golden

Join the Ontario Supervision – C.O.P. Agenda Join the Ontario Supervision – C.O.P. Supervision-cop@lists.cmho.org 1:30 -- 2:45 1) General Supervision + C.A.S.E. Model 2)Applying C.A.S.E. Individual/Staff Level Program Level – SNAP Organizational Level - NEOFACS Discussion: CASE at NEOFACS What aspects of this CASE are you doing already? Where does this fit? Which bucket are you spending most time in? Do you see any challenges for the CASE model in general? Do you see any challenges in any of the specific buckets?

Agenda 3:00 – 3:30 -- Break into groups Define C.A.S.E. categories Apply C.A.S.E. supervision session template 3:30 – 4:00 -- Small group discussion Discuss wicked questions, challenges, observations 4:00 – 4:30 -- Large group discussion Report back… Feedback… Recommendations Need to check with Cathy about whether she wants a deep dive on Perf Management. Generation of concrete tools?? Uniform or harmonized across the agency? Or brainstorm a generic approach to templates? requirements? Eg from child welfare What like/ what to change?

What is Supervision? Supervision involves: Mentoring, monitoring, teaching, supporting and evaluating Accountability/responsibility – for both supervisor & supervisee - involves: Professional Development , Performance Management (competencies), Quality Assurance and Risk Management

Why is supervision important? Quality agency work requires Competent staff, which require a Quality system of ongoing learning, support and accountability, which requires Quality processes and structures within the organization and Quality oversight by a person in authority, Which depends on high quality CASE-based supervision Quality agency work: regardless of what you do

EIPs and Supervision? Training in evidence-informed practice is necessary but not sufficient to improve (client) outcomes (Dorsey et al, 2013) Developing (clinical) competencies in EIPs requires ongoing supervision and support (Falender & Shafranske, 2012) – How much do you really know after two days of training…. ? Supervisors have significant influence on service providers/frontline staff and have lower rates of turnover (Dorsey et al, 2013) Essential to invest in supervision and the ongoing educational support of supervisors. The clinical depth across the supervisor team is a cornerstone for overall agency strength and quality client work. Clinical services rely on the contributions and quality of supervisors Need to invest in this level … Very significant quality control mechanisms – and this is where ratios come in to play

E S A C MP slide lead – 16 to 32 Which leads us to the CASE model When we started, we developed this for clinical supervision but realized that the model has broader application. Our colleague, Diane, came up with the idea of calling the core elements ‘buckets’, and she colour coded the components

Four Bucket Model of Supervision (adapted from A Four Bucket Model of Supervision (adapted from A. Kadushin (1992, 2002)) Clinical – application of skills to cases; part of learning framework Administrative – administer, organize & control the bureaucracy Supportive - mitigate the stress, care for the caregiver (not therapy) Evaluative – measure outcomes, evaluate performance, performance management We adapted this idea from Kadushin. We’ll go through each of the ‘buckets’ in more detail, but to first give you the overview… Content = subject matter expertise? Ongoing learning, developing your craft, continuous learning – context changes, field is learning, new innovations, sector/legislative changes,

How it is all connected …. Client Clinician Outcome Clinical Admin This visual gives you an idea of the big picture and how the model connects together. Fundamentally, we are working in the service of clients – whether we work directly in clinical, child welfare, youth justice or early years; or whether we work indirectly to support the service, in IT, finance, admin, and so forth. And our chief aim to is provide effective, high quality services. We are all in helping professions - the outcomes of our professions are typically to improve well being, or healthy child development, or to support family functioning, etc. Evaluation Support

What it could look like? C A S E Live/Video Supervision Policies & Procedures Program Evaluation EAP Supervision Check-ins Supervisor Staff Assessment tools Efficient use of IT Peer Learning External Expertise Client Satisfaction Client Information Available Anchor’s – NSEW – Clinical Supervision Bucket Go in order inclusive Workplace Wellness Trauma Debriefing Clear Decision authority Performance Reviews Regular Content Supervision