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CLINICAL Supervision BY DR.FR.ANKWSIIZE EVARIST(Psy.D)
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Aims Outline the role and background of supervision
Explore the role of supervision in the Czech republic Consider 3 supervision models Consider how supervision supports learning of career professionals Share your experiences of supervision
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What is supervision ? Your image of supervision
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What does the word mean ? Supervision
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Definitions “Working alliance between two professionals where supervisees offer an account of their work, reflect on it, receive feedback and receive guidance if appropriate. The object of this alliance is to enable the worker to gain in ethical competency, confidence and creativity as to give the best possible service to clients”. Inskipp and Proctor (2001)
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SUPERVISION “A formal process of professional support and learning, which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and safety of care in complex clinical situations. It is central to the process of learning and to the scope of expansion of practice and should be seen as a means of encouraging self-assessment and analytical and reflective skills (vision for the future 1993)”
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Clinical Supervision A professional relationship in which the supervisor is “responsible for the development of the supervisee, as well as the safety and quality of services delivered to the client (s) by him or her” (Shepard & Martin, 2012, p. 5). Shepard, B. & Martin, L. (2012). Supervision of Counselling and Psychotherapy: A Handbook for Canadian Certified Counsellors and Applicants. Ottawa, ON: Canadian Counselling and Psychotherapy Association.
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Clinical Supervision, cont.
Clinical supervision is essential to professional counselling and psychotherapy training and practice. Counsellors and psychotherapists in training must meet entry-to-practice supervision requirements (ex. CCC and regulatory colleges). All counsellors and psychotherapists have an ongoing ethical obligation for supervision (ex. CCPA Code of Ethics).
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History of counselling supervision
Freud and his colleagues Initially combined with therapy 1940’s – pure model of supervision 1970’s Developmental learning models (humanistic base) Requirement for UK counsellors and social workers Specialist models
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Roles of a Clinical Supervisor
Teacher Consultant Coach
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Responsibilities Supervisor Supervisee Ensure quality client care
Protect welfare of clients Clarify expectations Ensure contract in place Create appropriate climate/ conditions Observe supervisee counselling Provide assessments Practice a model of counselling and supervision Monitor own ethics/abilities Identify goals Be prepared and participate fully Self-evaluate Seek out and use feedback Clarify process of evaluation Provide feedback to supervisor Discuss personal impact and effectiveness of clinical work Determine a theoretical orientation Be flexible
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Clinical supervision REQUIRES Collegiality Collaboration
Skilled service Ethical conduct
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Supervision from “old style” BOSS “New Style” Leadership
Team Building Quality
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Your performance is measured by team performance…
Cost Production Teams Health-Diversity Clinical Standards Case Review Consultation Mission
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NEW STYLE HAS Personal Power =
Confidence Expertise Integrity Skills Trustworthy
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New Style Collaboration Proactive Mentorship Prioritize
Vision of Organization Empowerment Values Goals Comradeship
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Consider This in Developing a Leadership Style
Planning Prioritize Case Reviews Forecasting-Visionary Team Building Employee Development Coaching Counseling Teaching Lecture Preperation Training Role Modeling
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Dual Relationship in Supervision
Avoid dual relationship with supervisees
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Crises In Supervision Crises may arise during the supervision relationship. Some crises can be handled by using the agency policies and procedures manuals. Personal crises may take some counseling skills on the part of the supervisor. Keep in mind the rights of a supervisee.
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Ethical Dilemmas May Cause Crises
Counter-Transference. Competency issues must be dealt with immediately.
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Proctor’s model Formative Normative Restorative
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Seven Tasks of Supervision Carroll 1996
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Your supervision menu ?
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The 7 Eyed Model The Counsellor The Client Intervent-ions
Counsellor – client Relationship The Counsellor Supervisor-Supervisee Relationship The Client Intervent-ions The Supervisor The Systems Inskipp and Proctor 2001
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The 7 Eyed Model Interventions Critical Incidents Skills Career Tools
Techniques Pace Purposes Inskipp and Proctor 2001
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The 7 Eyed Model Counsellor- Client Relationship The Tape Boundaries
Transference and Counter Transference Roles Counsellor- Client Relationship Emotions Development Contract Inskipp and Proctor 2001
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The 7 Eyed Model The Counsellor Training Issues Counter Transference
Theories The Counsellor Feelings and Images Inskipp and Proctor 2001
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The 7 Eyed Model The Systems Discrimination and Power Class
Client’s organisation The Systems Race Client’s Family Culture Your profession Your Organisation Inskipp and Proctor 2001
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Your experiences of Supervision
Where do you focus most of your supervision on the Inskipp and Proctor model Map your experiences onto 7 eyes Where do you need more focus Is your supervision experience more Formative/ Normative/ Restorative
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3 elements of supervisory role
Hands Heart Head Knowledge & Concepts Skills & Techniques Personal Qualities
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The overlap Internal External It I Internal External We Them
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References BACP Information Sheet S9 (2003) Why is Supervision Important ? (member’s area) Bimrose, J. and Wilden, S. (1994) Supervision in Careers Guidance: Empowerment or Control ? British Journal of Guidance and Counselling 22 (3) pp Bernhard,J.M and Goodyear, R.K. (1998) Fundamentals of Group Supervision Boston Allyn and Bacon Carroll, M. (2006) Supervising Executive Coaches Therapy Today Vol. 17 No. 5 pp Carroll, M. and Gilbert, M. On being a supervisee: Creating Learning Partnerships Hawkins, P. and Shohet, R. (2000) Supervision in the Helping Professions 2nd ed Open University Press Hutchings. P. (2006) Practice and Theory of Supervision Metanoia course notes Inskipp F and Proctor B The art, crafts and task of counselling supervision Part 1 Making the most of supervision. Twickenham UK Cascade Mcmahon, M (2003) Supervision and career counsellors: a little-explored practice with an uncertain future British Journal of Guidance and Counselling Volume 31, Number 2, pp 177 – 187 Nathan R and Hill L. (2006) Career Counselling Sage, London Patton W. and McMahon M. (1999) Career Development and Systems Theory Brooks Cole, USA Proctor B Group Supervision London Sage Proctor, B (1997) Contracting in Supervision in Sills, C. Contracts in Counselling Sage Schon, D. (1983) The Reflective Practitioner: how professionals think in action London Maurice Temple Smith Trahar (2002) Westergaard, J. (2006) Getting support and supervision right for advisers Career Guidance Today vol.13 (4) pp 12-13
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