1. Clinical Supervision: Based on Solution Based Casework
Supervisor’s Academy

2. Welcome and Ice Breaker
Pair up in groups of two
Interview partner and discover what is their vision for their unit; and explore the strengths, resources and talents they bring to their team.
Introduce partner and share what you discovered about them….
Find someone you don’t know well

3. What is Clinical Supervision?

4. Clinical Supervision The Supervisor’s Role in Case Management
“As the supervision goes, so goes the casework”
Developing partnerships
Focusing on everyday life events
Promoting skills
Asking questions
SAFETY IS ALWAYS OUR FIRST PRIORITY

5. What isn’t Clinical Supervision?

6. Clinical Supervision What it is not “Hallway” supervision
Telling the worker what to do
Timelines only
Performance measures only

7. It’s about Time….
How will we find the time to guide our workers into using best practice?
Quality supervision lies in the ability to pull valuable time out of a demanding schedule to work more efficiently.
Supervisors will reduce their crisis supervision time as they promote worker’s skills and focus on case plan management.

8. It’s About Time…. Some of our Challenges
Quick decisions often lead to poor outcomes… “slowing down to speed up”.
Clinical Supervision means less crisis management.
What is good for families is good for workers.

9. Solution Based Casework: What is it and how does it fit in?
SBC is the common conceptual map between supervisor and caseworker
How do we help our workers focus on best practice?
How do we help workers focused on the family and what they need to accomplish in this crazy environment?
Quick overview of SBC
Supervisors are the GPS for our system

10. Case Consultation Process
Our goal is to work in partnership with people to help identify their strengths, focus on everyday life events, and help them build the skills necessary to manage situations that are difficult for them.
Solution Based Approach
Refocus when staffing goes negative and critical
Useful and productive ideas that build curiosity and critical thinking
Cooperation and positive thinking
Demonstration of respectful, collegial relationship with staff

11. Case Consultation Process
1. Help the workers get to know the family by introducing the family’s members with a genogram.
Remind the team of the development challenges family’s like theirs face.
Exercise:
Draw a genogram of our family as an example and point out the family developmental stages.
Ask each person to draw a genogram of their family and then share it with the people at your table. Now discuss the family developmental stages of those families.
Now introduce a case scenario and work with the group drawing a genogram on the board discussing family development.

12. Case Presentation Guide
2. List and discuss the family’s strengths and skills.
What does the family do well? What are they proud of? What gives them a sense of self worth and satisfaction?
Train as you have been doing it!

13. Case Presentation Guide
3. Discuss what is difficult for the
family.
What situations in everyday life are high risk for difficulty for them? What is their current pattern for trying to accomplish these tasks?

14. Case Presentation Guide
4. Discuss what individual problems family members might have that serve as barriers to resolving the problems in the family.
What do you know about those individual patterns of behavior?

15. Case Presentation Guide
5. If you have co-developed plans with the family (or individual family members), what are they? (Please bring enough copies for the team).
How are the plans going so far? Is the family keeping track of their successes? If so, bring some copies of their accomplishments
In a 100% review you will not go through this entire process with each family but you will want to use pieces of it when it fit with the needs of the case. If a worker has completely lost focus on a case you might want to quickly go over the process.

16. Solution Based Casework: Partnership
The optimal supervisory relationship is one in which both the supervisor and worker are transformed by the interaction.

17. Supervision with Individual Workers
What will work for you and your team?
What does this worker need at this time to work with this family? What are the challenges in developing a case consultation model within your team? How do we get there?

18. The Building Blocks of Clinical Supervision
Maintaining a Partnership
Ask about specific situations
Notice competency
Ask about problem exceptions
Elicit potential solution strategies

19. The Building Blocks of Clinical Supervision
Tracking Problem Patterns
Individual
Family
What is the developmental stage of the family?
What was each member of the family trying to accomplish?
What led up to the incident that resulted in the child’s injury?

20. The Building Blocks of Clinical Supervision
Keeping tasks concrete,
specific
and documented
The worker must get out the plan every time the case is discussed with the supervisor .

21. Small Group Discussion
Break up into groups of four.
Think about a recent supervision interaction. Given what we have discussed, how might you do things differently.
Report back to the large group
Help participants dig deep into their supervision style….help them stay away from performance measures…

22. You Are The Experts
What would Clinical Supervision look like in your discipline using the concepts and skills We have been discussing?
Would be good to have tables break up and for supervisors from like unit discuss, i.e. all voluntary supervisors, CWS, Adoption, etc.

23. You are the Experts
What should a case transfer look like using the Clinical Supervision concepts we have been talking about?
How can the family be involved?
The original crisis is a “teachable” moment for the family.
An opportunity for the family to see the problem in a new solution oriented way.
Transfers must be deliberate; paying attention to the details of how the problem will be defined.
Some offices workers go out together…

24. Practice Case Consultation
Depending on the group, you may break them into two groups to have them practice, may have a supervisor run the consultation. Make sure you have the Case Presentation and Genogram guides available.

25. Tips for Quality Clinical Supervision
Keep your social worker thinking developmentally…What are the developmental stages of the family?
Focus on everyday life tasks...what specific tasks are they struggling with?
Tracking the problem.
Helping social worker remain solution based.
“Teaching rather than telling”

26. More Tips for Quality Supervision
Where is the family doing well?
What do they need to do to move the case forward?
What family tasks do they need to work on?
What individual skills do they need to develop?

27. What is your Plan?
Break up into groups of two and develop a written outline of how you will take what we have discussed to day and implement it into your unit.
Remember to be SMARRT about your plan!
Report back to the large group

28. Let’s use it to mentor social workers and develop great practice.
Clinical Supervision
The supervisory relationship is our greatest training and practice tool.
Let’s use it to mentor social workers and develop great practice.