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E-Supervision

E-Supervision. An online supervision package connecting clinical supervisors and students over distance. 1.1 Preface. This project has been supported by two funding allocations. The progress and outcomes are achieved through a combination of these two grants.

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E-Supervision

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  1. E-Supervision An online supervision package connecting clinical supervisors and students over distance

  2. 1.1 Preface • This project has been supported by two funding allocations. The progress and outcomes are achieved through a combination of these two grants. • HWA (2012) awarded to C.Gonsalvez & Frank Deane • HWA, HETI and the Illawarra and Shoalhaven ICTN, that builds on the previous HWA

  3. 1.2 Background • Psychologists: The 3rd largest professional group of health professionals (29,000 members) • One in 5 persons suffers a mental health problem • Increased demand for services • Need to increase capacity of workforce • Major problem is availability and access to clinical supervision

  4. 1.2 Background: Clinical Supervision • Clinical supervision -- the most expensive component of psychology training • Most supervision is delivered one-to-one • Enduring dilemma • Rural and remote Australia have an urgent need for psyc. services and abound in placement opportunities • Supervisors/experts congregate in urban settings • Supervision by phone reduces effectiveness • Videoconferencing: expensive and limited access

  5. 1.3 Vision • To build excellence and expertise in clinical supervision in psychology and other health professions • To provide access to clinical expertise and supervisors for staff and students located anywhere in the country (esp. regional and remote)

  6. 1.4 Project objective • To design and test a web-based application to provide E-supervision for psychology staff and students

  7. 2. Key components Multiple components (6) in a staged manner. First 3 components are essential • 1. Application portal and supervisor data base • Rationale: broad discipline with multiple specialisations, severity levels, age ranges • 2. Web-based meeting platform • Similar to Skype, but with enhanced reliability and security

  8. 2. Key components • 3. Video annotation tool: An important tool in supervision: • Competent therapist-client interactions – pivotal to effectiveness of psychological therapies • Observation of trainee-client interactions by supervisor is important to shape competencies • 4. Billing facility • Rationale: Payments for upkeep of IT system • Payment to supervisors if required

  9. 2. Key components • 5. Resource libraries. • Best practice guidelines, tests, tools, and other resources for supervisors • Key resources for students • 6. Evaluation Tools • Tests, scales and questionnaires to evaluate all aspects of supervision – online. • Storage and analyses of these data

  10. 3. Project activities Time frame: From 2012 on • Researching available technologies • Computer programming • Recruitment of supervisors and students to trial the system • For each component: Test and feedback => revise => feedback => revise and fine tune • IT support and training of users

  11. 4.1 Achievements: Portal and supervisor data base • Supervisor profiles: photo, qualifications, registration and supervisor accreditation, domain expertise, availability (time), fees for supervision • Student profiles: photo, qualifications, requirements, availability • Ability to have multiple supervisor-student dyads • Go to: http://aine.its.uow.edu.au/E_Supervision/

  12. 4.2 Achievements: Meeting platform • Trialled several options • Use of CISCO’s web-ex • Reliable and secure • Meetings Module: Enables booking, revision, and cancellation of meetings

  13. 4.3 Achievements:Video-annotation tool • Enables secure upload and viewing of trainee-client videos • Videos encrypted as they are uploaded • Stored securely on a server • Access only through password and only to specific supervisor • Videos archived and deleted after a month

  14. 4.3 Achievements:Video-annotation tool • Supervisor reviews video and inserts comments that are time-tagged • Download by supervisee of in-text annotated remarks by supervisor • Joint video-review by supervisor-supervisee dyads on the web application, if required

  15. 4.4 Achievements:Billing module • Preliminary work done, requires additional testing • When operational, will provide users • Rental to use the web-application • By time: 1 hour + 15-minute segments, through Paypaloption • Others: to be determined • Various billing options for supervisor • Free supervision • Payment for supervision (mutual agreement) • Through Paypal option • Helps ensure sustainability of application

  16. 4.5 Achievements:Others • 5. Resource libraries. • Key resources for supervisors and students • Initial work completed; additional work in progress • 6. Evaluation Tools • Tests, scales and questionnaires to evaluate all aspects of supervision – online. • Initial work completed; additional work in progress

  17. 4.6 Achievements: Summary • Demonstrated feasibility and functionality • Demonstrated acceptability among supervisors and students • All 3 main components are functional, minor aspects are being refined • E-Supervision portal and data base • E-Supervision meeting platform and meeting scheduling • Video-annotation tool • Preliminary work on other components, including graphics

  18. 5. Merits • Scope: Extensive need for clinical supervision in psychology • Students, registrars, professionals • Portable and convenient • From computer in own home, unlike video-conferencing that requires sophisticated studios • Flexible and versatile • Bridges urban-rural divide • Provides multiple supervisors for same trainee • Peer consultation among supervisors

  19. 5. Merits • Increased capacity • Huge increase in placement opportunities because of the availability of casual/associate supervisors • Cost efficiency • Saves travel time • Meetings over E-platform is less expensive • Reduces unemployment/underemployment of skilled workforce • Career breaks • Women constitute 80% of workforce

  20. 5. Merits • Huge potential for growth • In Psychology • Other health professions • Sustainability • Cost efficient to sustain

  21. 6. Way Forward • Essential components: operational • Scalable: need final trial before roll out • Security: needs testing • Further work through follow up funding or through other initiatives

  22. Acknowledgements • Project leaders • Assoc Prof Craig Gonsalvez, Prof. Frank Deane, Assoc Prof Daniel Saffioti • Partner for ICTN grant • Assoc Prof. Vida Bliokas, Principal Psychologist, Illawarra and Shoalhaven Local Health Network • Project Officer & Supervisors • Russell Blackman, Katie Elcombe • Programmers • Tong Li & YongshuoWang • Supervisors and students • Too many to name

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