Clinical Supervision

1. Clinical Supervision Art Romero, MA, LADAC, LPCC Patricia McKeen, MA, LPCC

2. A New AwakeningCounseling Agency 600 First Street NW Suite 200 Albuquerque, NM 87102 505-224-9124

3. The Role of Clinical Supervisor • Gate Keeper Of Profession Vs Coach • Manager • Dual roles and hats

4. Pass it On… • What were your clinical supervisors like? • What would have helped you early in your career? Clinical supervision has its own set of skills that need to be developed.

5. Supervision from “old style” BOSS“New Style” Leadership • Team Building • Quality

6. Your performance is measured by team performance… • Cost • Production • Teams Health-Diversity • Clinical Standards • Case Review • Consultation • Mission

7. Power from Different Sources • Old style of “Plant Boss” –They were the BOSS period. • New Style of Leadership—Personal Power

8. Personal Power = • Confidence • Expertise • Integrity • Skills • Trustworthy

9. Old Style • About Control • Watch like a hawk • Negative Feedback • Reactive • Victim Management • Submission

10. New Style • Collaboration • Proactive • Mentorship • Prioritize • Vision of Organization • Empowerment • Values • Goals • Comradeship

11. 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

12. Keys to Self-Development • Continuous Self Assessment • Decide To Be A Supervisor (Commitment) • Study Successful Supervisors • Continue in Supervisor Training • Volunteer Leadership • Supervisor Image • Choose a Mentor

13. Supervisees • Allow proper time for supervision • To supervise someone appropriately, is very time consuming, especially if they are internship level. Just to write and initiate a supervision plan can take up a lot of time.

14. Co-Dependency in Supervision • If your supervisee is out to “fix the world” then as a supervisor you are in for it! • This subordinate counselor may very well be an adult child of an alcoholic. • Spend time helping the counselor work through co-dependency issues that could harm a client.

15. Potential Supervisees May Not Be in Recovery • How far has your supervisee healed in their own journey. • Anticipate situations and develop learning tools for supervisee.

16. LOOK for Counselors working out their own issues with clients.

17. Therapeutic Voyeurs Clayton an VanNostrand (Ph.D.’S) refer to these types of counselors, as “therapeutic voyeurs”. Counselors are under supervision to treat clients for alcohol and drug abuse disorders not to use clients for their own personal issues.

18. Dual Relationship in Supervision • Avoid dual relationship with supervisees

19. Screen for Past Malpractice • You may still decide to supervise someone that has been a defendant in a malpractice suit, however you will want some assurances that the potential supervisee will act within legal and ethical mandates. • Seek legal counsel prior to initiating relationship with supervisee.

20. Documentation • Document supervision • Legal ramifications of supervisee’s actions

21. 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.

22. Two Common Crises • Depression • Overwhelmed

23. Depression • Can come from feeling inadequate in counseling. • Secondary trauma from client stories.

24. Job Burnout • Job burnout may occur and probably will occur at some time during the supervision. • Most times, some time away from counseling will alleviate the problem. • In some cases counselors may need some professional help.

25. Ethical Dilemmas May Cause Crises • Counter-Transference. • Competency issues must be dealt with immediately.

26. Overwhelmed • Intern take on too much. • Secondary trauma can effect family life and personal crisis.