Clinical Supervision

Clinical Supervision By Dave Wilson, Executive Director MERIT Resource Services

What is/are your Goal (s)? • “If you don't know where you are going, you might wind up someplace else. “Yogi Berra

BASICS • Overall goals • Ensure the agency is running smoothly • Assisting Trainees in becoming CDP’s • Monitor CDP’s • Provide effective training so Clinical Staff are an extension of Agency philosophy

Five Rules for Supervisors • Learn from the right Mentors • Work with good Trainees/CDP’s • Allocate time and Staff • Any Decision is better than no Decision • Have Fun

Competences for Supervisors/Foundations • Theories, roles and modalities • Leadership • Supervisory alliance • Critical Thinking • Organizational Management and Administration

Competences for Supervisors/Performance • Counselor Development • Professional and Ethical Standards • Program Development and Quality Assurance • Performance Evaluation • Administration

Rules and Regulations • DBHR Rules • Administrator must employ sufficient qualified personnel to provide adequate treatment • Administrator must ensure that all persons providing counseling services are registered, certified or licensed by DOH

Rules and Regulations, cont… • Administrator must ensure full time counseling staff do not exceed 120 face to face contact hours per month • Administrator must assign the responsibilities for clinical supervision to a person (s) within the organization

Rules and Regulations, cont… • Administrator must ensure there is a current personnel file for each staff that provides or supervises for patient care, including: • Annual bloodborne pathogen training • Verification of qualifications for assigned position • Copy of CDP certificate (for CDP’s)

Rules and Regulations, cont… • For Supervisors, documentation to substantiate the person meets the qualifications of an approved supervisor • Written performance evaluations for each year of employment

Rules and Regulations, cont… • An approved Supervisor must be assigned to each CDPT • The approved Supervisor must provide the CDPT with documentation of the Supervisor’s qualifications

Rules and Regulations, cont… • Supervisors must decrease their own face to face contact hours by 20% for each CDPT • Supervisors are responsible for all patients assigned to their CDPT (s) • CDP’s must review and authenticate all clinical documentation of CDPT’s

Approved Supervisor Requirements • DOH Rules • Minimum of 4,000 hours of experience as a CDP • 28 clock hours of supervisory training my be substituted for 1,000 hours experience • Cannot be a blood relative, significant other, co-habitant, or former counselor to the CDPT

CDPT Training Goals • Become a CDP • Provide services while in training • Pass the CDP Test • Gain insight into core competencies • Learn skills necessary to function as a CDP • Complete DOH CDPT Requirements

Core Competences/Foundations • Understanding Addiction (4) • Treatment Knowledge (4) • Application to Practice (9) • Professional Readiness (6)

Core Competences/Practice • Clinical Evaluation (13) • Treatment Planning (12) • Referral (7) • Service Coordination (19) • Counseling (24) • Client, Family and Community Education (9)

Core Competences/Practice • Documentation (7) • Professional and Ethical Responsibilities (9) • Total (123)

CDPT Training Plans • DBHR (on their website) • http://www.dshs.wa.gov/DASA/services/certification/Forms/CDPTraineeForms.shtml • MERIT • davew@meritresources.org • georged@meritresources.org

Supervising CDPT’s • Training – scheduled • Training Opportunities – unscheduled • File Reviews • Letters, Summaries and other signatures

“When you arrive at a fork in the road, take it.” Yogi Berra

Supervising CDP’s • Teaching the “un-teachable” • Personnel File Reviews • Ongoing training • Sitting in on Group and Individual sessions • “You can observe a lot by just watching.” Yogi Berra

Ten Most Common Mistakes • Not allocating TIME to be a supervisor • Not reviewing CDP work – spot checks • Not recognizing that all employees have different abilities and work at different speeds

Ten Most Common Mistakes, cont. • Operating on a belief that CDPT’s “are good to go” after their initial 50 hours • Not sitting in on sessions as a supervisor • Staffing cases in the hallway

Ten Most Common Mistakes, cont.. • Not having Staff Meetings/Trainings • Believing that all your employees will act like responsible adults • Being in a rush when co-authenticating CDPT paperwork • Not having fun

Make Your Agency a Great Place to Work (Gallup’s 12 Qualities) • I know what is expected of me at work. • I have the materials and equipment I need to do my work right. • At work, I have the opportunity to do what I do best every day.

Make Your Agency a Great Place to Work • In the last seven days, I have received recognition and praise for doing good work. • My supervisor, or someone at work, seems to care about me as a person. • There is someone at work who encourages my development.

Make Your Agency a Great Place to Work • At work, my opinions seem to count. • The mission/purpose of my company makes me feel my job is important. • My associates (fellow employees) are committed to doing quality work.

Make Your Agency a Great Place to Work • I have a best friend at work. • In the last six months, someone at work has talked to me about my progress. • This last year, I have had opportunities at work to learn and grow.

Review • “It's like deja-vu, all over again.” Yogi Berra

Five Rules for Supervisors • Have Fun • Learn from the right Mentors • Work with Good Trainees/CDP’s • Any Decision is better than No Decision • Allocate Time and Staff

Questions? • “If you ask me anything I don't know, I'm not going to answer.” Yogi Berra

Thanks • “I never said most of the things I said.” Yogi Berra • davew@meritresources.org

Resources • TAP 21 - samhsa.gov • TAP 21-A - samhsa.gov • DBHR – dshs.wa.gov • MERIT Resource Services – Policy and Procedure Manual • Gallup Poll • Yogi Berra

Clinical Supervision