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CLINICAL SUPERVISION IN
ALCOHOL AND DRUG ABUSE COUNSELING
INTRODUCTION Based on the highly acclaimed author,
David J. Powell Originally printed in 1993 and revised in
2004 Makes the case for substance abuse
counseling as a unique discipline with its own model of supervision
Disputes the notion that a good counselor automatically makes a good supervisor
COMMON ERRORS OF AN UNTRAINED SUPERVISOR Confusing clinical supervision with case
management, focusing on the client’s rather than the counselor’s needs
Counseling the counselors giving rise to role confusion
Taking a laissez-faire attitude Becoming judgmental, authoritarian,
and overly demanding
INTRODUCTION Most counselors need a mentoring and
support system, which translates into a coach, cheerleader, handholder, and wise advisor
According to studies, better clinical supervision led to greater job satisfaction and better retention rates
Good clinical supervision improves client outcomes
INTRODUCTION
A good supervisory relationship is one of the most satisfying aspects of the counselor’s work
KEY FEATURES OF A GOOD RELATIONSHIP Openness to feedback (supv. &
counselor) Supv.’s helping the counselor feel
relaxed & open to criticism Supv’s ability to listen to the counselor
& respect the counselor’s therapeutic style
Consistency of therapeutic orientations Emotional support provided by
supervisor Sharing clinical responsibilities
RECOMMENDATIONS CONCERNING CLINICAL SUPERVISION Managers of tx facilities need to be
trained in the value of good clinical supervision
Clinical supervisors need more thorough training in how to supervise
More sophisticated mechanisms are needed for supervising counselors
PART ONE: PRINCIPLES
Towards a Working Definition of Supervision
ADMINISTRATIVE SUPERVISION Firstly, understanding the difference
between administrative and clinical supervision.
The administrative supervisor helps the supervisee function more effectively within the organization, with the overall intent of helping the organization run smoothly
Addresses areas such as case records, referral procedures, continuity of care, accountability, hiring/firing, and performance evaluations.
CLINICAL SUPERVISION Clinical supervision focuses on the
development of the supervisee specifically as an interpersonally effective clinician (Hart, 1982)
Clinical supervision attends to the supervisee’s professional and personal needs as they directly affect the welfare of the client.
DIFFERENT CLINICAL DEFINITIONS Supervision as a Therapeutic
Process – becoming aware of one’s personal issues and its impact on clients
Supervision as Education – learning skills and developing professional competence
DEFINITION OF SUPERVISION
“Clinical supervision is a disciplined, tutorial process wherein principles are transformed into practical skills, with four overlapping foci: administrative, evaluative, clinical, and supportive.”
EXAMINING THE DEFINITION Disciplined – regularly scheduled, time
limited, specific agenda & expectations Tutorial – instruction and guidance with
an individualized training plan A Process – supervisor as coach,
cheerleader, mentor, friend, handholder, educator, and colleague
Principles into practice – help counselor identify what they did and why they did it
EXAMINING THE DEFINITION: THE FOUR FOCI Administrative – involves
organizational management issues Evaluative – assess counselor’s skills,
clarify performance standards, negotiate objectives for learning, utilize sanctions for poor performance. Involves goal setting & feedback
EXAMINING THE DEFINITION: THE FOUR FOCIClinical – the clinical, educational, and training functions of supervision include: Developing counseling knowledge &
skills, Identifying learning issues & problems, Determining counselor strengths &
weaknesses, Promoting self-awareness & professional
& personal growth and, Transmitting knowledge for practical
use.
The best supervisor teaches by example – not just instructing but modeling clinical competencies
The most effective way to teach: to let the student watch you work
FOUR FOCI - CONTINUED Supportive – the supportive functions
of clinical supervision include handholding, cheerleading, coaching, morale building, burnout prevention, and encouragement of personal growth
When a counselor reveals a personal issue that is impeding the clinical process, the supervisor must see that he/she gets the support needed to resolve the impasse
LEADERSHIP PRINCIPLES FOR SUPERVISORS Leadership is not the same as
management, and management is not the same as supervision
Leadership transforms people by raising their sights & aspirations to a higher level, thereby engendering a greater sense of purpose
LEADERSHIP ABILITIES To establish trust with co-workers &
subordinates To serve as a team leader To define & set dept. & organizational goals
& communicate these goals companywide To inspire staff by encouragement &
motivation To communicate enthusiasm & capability To keep up staff morale, including one’s
own To take appropriate risks & be decisive in
action
LEADERSHIP ABILITIES - CONTINUED To possess the ability to change in
response to needs To have vision, drive, clear judgment,
initiative, poise, and maturity of character
To command enthusiasm, loyalty, sincerity, courtesy, and confidence
To exercise control through inspiration rather than command
MANAGEMENT ABILITIES get work done through staff make effective use of dept. resources get results in achieving goals & objectives control through command identify, analyze, and solve problems adapt to change & growing needs of org. organize work as needed to get the job
done Intervene to bring about positive results See all aspects of operations
SUPERVISION ABILITIES Know the responsibilities of staff Clearly communicate these
responsibilities Effectively utilize the performance
appraisal system to get max. productivity of staff
Write clear job descriptions & quarterly & annual goal & work statements for all staff
Delegate responsibilities to all staff Promote staff’s professional
development
LEADERSHIP QUALITIES IN THE NEW ORGANIZATIONAL CONTEXT Take full responsibility for decisions you
make Always put the well-being of those
reporting to you above your personal well-being
Give subordinates full credit for successes
Don’t be afraid to take risks when they’re in the best interest of the company or client
Protect your supervisees to superiors when they’re being unfairly attacked or punished
LEADERSHIP QUALITIES IN THE NEW ORGANIZATIONAL CONTEXT
6. Take a personal interest in the welfare of your staff7. Make decisions promptly even if, at times, you don’t have full information8. Be a teacher9. Do not play favorites10. Don’t give orders just to prove you’re the boss
SUPERVISION & LEADERSHIP Good supervision is largely a matter of
caring for staff Supervision is not about structures, but
about people: their needs, concerns & growth
The ultimate goal of leadership is to create a sense of community at work
SERVANT LEADERSHIP The leader is a servant first. That’s the
key to the leader’s influence The power to lead comes from giving up
personal need for power in order to serve the group
“Leaders bear pain. They do not inflict it.”
The servant leader cares for people The goal is to motivate people; tap into
it
THE 6 STAKEHOLDERS OF AN AGENCY Owners Employees Customers – most critical element of
agency Vendors Competitors The Community at Large
THE NEW WORK ENVIRONMENT
“When organizations empower employees to be part of the decision-making process, establish a bottom-up management structure, practice servant leadership, and balance the needs of all stake-holders, they become great places to work.”
COMMON THEMES OF SUCCESSFUL COMPANIES Camaraderie De-emphasis on Politics (through
trust, openness, & fairness throughout company)
Growth Values (employee empowerment)
Family and Community (give a sense of being part of a family)
TRAITS OF AN EFFECTIVE CLINICAL SUPERVISORThe Four A’s of supervision1. Available: open, receptive, trusting,
non threatening2. Accessible: easy to approach and
speak freely with3. Able: having real knowledge & skills
to give4. Affable: pleasant, friendly, reassuring
TRAITS OF AN EFFECTIVE CLINICAL SUPERVISOR Two Essential Qualities1. Sound Clinical Experience – must be
a good clinician
2. A Passion for Counseling – the source being a desire to help others
PART TWO:Models of Supervision