1. Rebecca Cashman, MPH Stacey Carpenter, Psy.D.
Supervision in a Trauma Informed Environment
Rebecca Cashman, MPH Stacey Carpenter, Psy.D.

2. Goals for Today: FPCN—who we are & what we are doing with supervision
Defining Supervision
Specifically Reflective Supervision (RS)
Discussion about supervision in your program & supervision/TIC

3. FPCN Who we are & What are we doing

4. FPCN Background Services 25 year history Nurse-managed/led centers
Grown from one to five sites over time
Services
Primary Care with Integrated BH; Dental; Outpatient BH
Additional services: SW, Nutrition & Diabetes Ed, PT, Medical-Legal Partnership, Transportation, Mind/Body practices…

5. FPCN Trauma Informed Care Committee Supervision
Embracing Trauma Informed Principles
Committee & sub-committees
Supervision
Recognized the need
Aiming to implement consistently
Form, Guidance
Training

6. Types of Supervision

7. Types of Supervision
Admin
Clinical
Reflective

8. Reflective Supervision
Safety
Respect
Parallel Process
Reflective Supervision
Engaged Listening
Refueling
Being Non-Judgmental

9. Three Essential Components
Reflection
Time to ponder
Collaboration
Create a safe & secure environment
Regularity
Consistent meetings

10. Reflective Supervision for the Supervisor
Laying the groundwork
Helps ensure a successful relationship
Qualities & Abilities
Good Listening Ears
Questions without Judgment
Using the Supervisee’s past experiences

11. Which Statement do you relate to…
There are many people out there who can do this job right
I don’t understand why you are upset, what’s wrong with you?
It would be great if you could finish your paperwork on time
You are important to this team
I can see you are upset, would you like to talk about it
How can I support you in completing paperwork on time?

12. What do you see…

13. What do you see?

14. What do you see?

15. Supervision What Does Supervision Look like at Your site?
What’s Working
Supervision
Expectations?
Road Blocks
&
Challenges
Training
Needs/Wishes

16. Supervision in a Trauma Informed Environment

17. Self-Care… Encourage staff to practice it
Encourage use of PTO or appropriate time away from work –
Important to try to avoid burnout
Encourage staff to maintain boundaries, take time for other parts of their lives
Consider: Do you overtly or subtly reward or applaud the ‘workaholic’ who doesn’t take time off, is always available via text/ , even on days off?

18. Model Desired Behavior
Supervision is an opportunity to model the behavior you want service providers to exhibit with consumers/clients
Supervisor as Trustworthy
Physically & Emotionally Safe environment
Collaboration between Supervisor & Staff

19. Staff Satisfaction, Growth, Retention
Consistent supervision is an opportunity to learn about staff satisfaction
Promote professional growth, development
Strengths-based approach – celebrate milestones/achievements; acknowledge what is going well

20. FPCN Supervision & TIC Why/ how connected to TIC Handouts explanation
Recognize vicarious trauma
Preventing burnout
Model behavior sought between staff and client
Staff retention, growth
Handouts explanation

21. Balancing Act…

22. Thank You! Questions Comments

23. Again Thank You
for Your Time
And
Enjoy Your
Lunch!!