WELCOME TO THE GEORGIA SCHOOL : 2012 • CLINICAL SUPERVISION TRAINING SHELDON L. ROSENZWEIG, M.A., LPC, CCS & CARL SHANTZIS, Ed.D.
PURPOSE of this Track* is to: ENGAGEinthe ‘supervisory conversation ’ PARTICIPATE in various learning activities ENHANCE knowledge & skillin the area of Clinical Supervisors INFORMthose takingThe IC&RC Written Exam ADVOCATEfor current & future supervisors (*As developed by David Powell & endorsed by IC&RC, AODA, Inc.)
DISCLAIMER Completion of this training does notimplythat you have obtained mastery of competencies needed for the position of Clinical Supervisor. Completion of this training does notimply that you are ready to successfully sit for the IC&RC,AODA, Inc. Clinical Supervisor written examination.
AGENDA: DAY ONE • Welcome & Brief Introductions • Housekeeping • Expectations • Ground Rules • Game Plan • Work • Breaks/Lunch/Breaks • Work Some More • Feedback form • EOT
AGENDA: DAY TWO • SOT • Housekeeping • Ground Rules • Game Plan • Work • Breaks/Lunch/Breaks • Work Some More • Evaluations • EOT
Clinical Supervision: ______________ We work in a profession faced with challenges: Meeting financial; ethical; legal & credentialing requirements, demands of management. Sound business practices help ‘insure’ quality TX. Clinical supervision provides a rich opportunity to develop professionally & personally. Clinical supervision improves morale, care & outcomes. Clinical responsibility is shared. Supervision provides an effective way to monitor staff performance, behavior & professional growth. Supervisors have an ethical & legal responsibility to supervise. Supervision is an avenue of communicating/monitoring the ongoing changes in our work.
SHARED CLINICAL SUPERVISION ASSUMPTIONS The number one task of supervision is to _______ _______ well being The supervisor is _______ ___________ than the supervisee Counselor performance is monitored through ______&/or_________observations YOU CAN OBSERVE A LOT JUST BY WATCHING
GUIDING PRINCIPLES The goal of supervision is to help a person be a _______ _______ … not necessarily a better person. A Clinical Supervisor’s most important tasks are _________ ____ _________ & ensuring the highest quality of service delivery. Remember:You ____ ____ their ________.
_________ __________… …is a legal principle that holds that individuals who have control and authority over others will be held accountable for the _____________________________________. …The degree that the supervisor will be held responsible is directly proportional to the amount of _________________________________________.
Bureau of Labor Statistics: 2008 665,000 Counselor Jobs (ESTIMATED in USA) • Educational/School/Vocational… 275.800 • Rehabilitation Counselors………. 129,500 • Mental Health Counselors………. 113,300 • SA Disorder Counselors…………. _______ • Marriage & Family therapists…. 27,300 • Counselors (All other)…………… 33,400
BLS PREDICTED CHANGES2008-2018 • Expected increase for SA = ____% • ________than “average growth” • MH Counselor growth expected by 24%
WHAT OUR FIELD LOOKED LIKE In 2003, there were 135,000 (estimated) CD workers… By 2010 Mental Health Workers could comprise _____% of the National Work Force The 26th ‘fastest growing field of employment ’(Bureau of Labor Statistics) Mental Health Workers were approximately 5% of the National Work Force Majority of direct service staff were…__________… 70% of new counselors Majority of management staff were… __________ Work force was 75% _______.Private agencies had fewer _________ staff than publicagencies The main reason people enter the CD field was ___________________… …it surely wasn't to get rich! Other reasons most often mentioned included: __________ _________ or family involvement in CD Dr. David Powell
More…2003 OUR FIELD LOOKED LIKE 75% of workforce was over ____ years of age… Only 50 to 55% of direct service staff were CD… The average reported case load was ________ _____% of all work-time was reported as dedicated to paper work… Annual turnover in management was almost ________ % Counselors turned over jobs every ____ years… WHY?
DECREASING TURNOVER & INCREASING PROFESSIONAL CONTINUITY Improved, ongoing __________ ______________* Greater job autonomy* Better communication between management & staff* Assistance with paperwork/paperwork reduction* More & improved _________ __________for personnel* Improved recognition/reward system for performance * What/how is this impacted by technology?
XRCIZ 4UR MNTL MSCLS Fold your paper in thirds…
Aqualityof your _____ ______supervisor ? • A quality of your _____ _____ supervisor ? • One of my supervisory‘___________’is… • One of my supervisory‘___________’is…
_____________________________ • Clinical knowledge, skills & experience • Has been supervised & is currently supervised • Professional education & training • Good teaching, motivational & communication skills • A desire to “_____ ____ _____” of knowledge & skills • A sense of humor, humility & balance in ones life • Good helping skills, observation skills & affective qualities • Good time-management, executive & delegation skills
More:_________________________ • Ability to create an open, trusting atmosphere • Respect among peers, colleagues & supervisees • Familiarity with legal & ethical issues, policies & procedures • Cognitive & conceptual abilities • Concern for the welfare of the client, the agency & ones community • A non-threatening, non-authoritarian, diplomatic manner • Decision making & problem solving skills • C_____ _________M__________________skills
SUMMARY QUIZKY What are the 5A’s of being a quality supervisor? • A ble • A ble • A ble • A ble • A ble “Honor is better than honors.” Abraham Lincoln
Traits of an __________________ The most ___________ ____________ weaknesses: • Difficulty in exercising management authority • Poor decision making • Not giving constructive feedback • Unable to advocate on behalf of staff • Insufficient time allocated for staff needs • (-) Personal qualities (rigid, loud, insensitive, overwhelmed, impatient, unrealistic) • Lack of supervisory knowledge, skills & experience • Inability to manage crisis THE ROAD TO HELL IS PAVED WITH GOOD INTENTIONS
DIFFERENCES BETWEEN ________________ SUPERVISION & CLINICAL SUPERVISION ____________ supervisors aim to maintain healthy functioning of the organization and to accomplish the organization’s mission. ____________ supervisors are responsible for firing, promoting, scheduling, raising salaries, and other personnel duties. ____________ supervisors focus on productivity, workload management, and accountability. ____________ supervisorsmake decisions in terms of benefit or harm to the organization system, not individuals (clients/staff?).
___________ Supervisorstarget helping supervisees to develop skills, overcome obstacles, increase competency, and to practice ethically. • ___________ supervisors focus on the supervisee’s activities with clients. • ____________ supervisors make suggestions and provides corrective feedback concerning cases. • ____________ supervisors provide a final evaluation as to the fitness of the supervisee to continue preparation or to practice independently. “You must be the change you wish to see in the world.” Gandhi
CLINICAL SUPERVISION ________ Philosophical ___________ Reflects the Supervisors Therapeutic approach Generic or competency-based ___________ A counselor … is a counselor … is a counselor Discipline-specific ______________ Defines the tasks & issues of supervision based upon the requirements of the clinician's discipline … Can an LPC supervise an MSW … etc.? Developmental _______________ Defines the stages through which a counselor develops skills Impacts the supervisory expectations & time spent supervising
The “__ ________” Model • Assumes that an outstanding counselor will be an outstanding supervisor. • Represents a reactive, retrospective approach to supervision. They focus on what the supervisee identifies as ‘a problem’… and rely on the supervisee’s awareness of ‘needing help’. • Has a… “let me know if/when you have a problem” attitude.
THEBLENDED___________ It’s what we call … Eclectic! A ____________ process with a regular schedule & stated goals. A ____________ process … teaching the Supervisee … what they need to know. Has aspects of a _________ __________ between the Supervisor & the Supervisee … without the Supervisor becoming the Supervisee’s therapist. _______________… Supervisee strengths & weaknesses. _______________… the Supervisee with realistic support & the expectancy of eventual competency. Since all approaches appear to have …____________ _______________ it is important to ________ Supervisee needs with the approach chosen.
The _____ _____of Clinical Supervision The philosophical foundations are: People can __________________ with the help of a guide… People do not always know what is best for them … there is something, particularly in addiction, __________________ 3. The key to growth is a blending of insight/attitudinal & behavioral change in the right amounts … at the right time 4.__ __ __ __ __ __is constant & inevitable In counseling & supervision, the guide focuses on what is changeable, solutions vs. problems. We accomplish much more when we look forward to where the person wants to be. It is not necessary to know a great deal about _______________________ of an issue to resolve it. … there’s more…
The _______ ______of Clinical Supervision Philosophical foundations (continued): There is more than one way to see the world & more than one way to do counseling The aim of counseling & supervision must always be on whether it brings about __________ _________. If it doesn’t work… try something else. We’re talking about you … not the client or the supervisee. YOU are the _______ ______, as well as the _______ __ _______! People ____________________________________, although they might be blinded to that by their current ‘false self’. AND, all human beings have a ‘True self’
WHAT OTHERS SAY: * _______ _________ ________for all levels of staff to encourage staff to view themselves as professionals ____________ an executive management curricula to train the next generation supervisors, managers & leaders Focus on _________ ___________ _________ ______________ for in-service training & clinical supervision Develop standard guidelines for internships *Note… No specific mention of Supervisory _________!
______________________ In 1974, Dr. Powell generated the following: ___1. Clinical supervision training for managers & supervisors ___2. Leadership development & successful planning for the next generation of leaders ___3. A system of credentialing counselor training programs ___4. Development of credentialing systems for counselors & a career path for supervisory, clinical & management personnel in the field With the creation of a Supervisory credential & examination the ________ began the long over-due process of enhancing our profession & our potential to better serve our clients.
____________________________ According to Powell, a multi-faceted approach is needed to address the lack of supervisory preparedness: 1. Increase emphasis on leadership & supervisory development… Including an emphasis on ____________________________ managers & supervisors The _______________________________________needs to become “the gold standard” of & for the SA field 2. Training of clinical supervisors is needed based upon the development of consistent & standardized models for clinical supervision in SA practice 3. Create accreditation standards for training & trainers 4. Develop statewide systems of supervisory training & credentialing
What constitutes… “FACE TO FACE” ?
_________________________ What is IC&RC,AODA, Inc. ? Where did Supervision credentialing come from? What is the current statusof the Clinical Supervision credential? Licensed trumps credentialed THE FUTURE AIN’T WHAT IT USED TO BE
IC&RC’s CS __________ ______________ Credentialed as an AODA Counselor at the reciprocal level. Verification of 5 years (10,000 hours) of counseling experience as an AODA Counselor. Verification of 2 years (4,000 hours) of clinical supervisory experience in the AODA field. Verification of 30 hours of approved didactic training specific to clinical supervision. Submission of 3 references from individuals familiar with the applicant’s work as a clinical supervisor, one of whom must have supervised the candidate’s clinical supervision. Passing a written examination approved by IC&RC. IT’S NOT TOO FAR. IT JUST SEEMS LIKE IT IS.
GA CCS ____________________ • Applicants must live or work at least 51% of the time within the jurisdiction of ADACB-Ga., or live or work in a jurisdiction not offering the ICRC CCS credential. • Certified at the reciprocal level. • Payment of $125 application fee. • Total of five (5) years of addiction counseling experience. • Verification of two years (4,000) hours of clinical supervision experience in addictions. These two years may be included in the 5 years of addiction counseling experience. • Verification of 200 hours of face to face supervision of clinical supervision. • Verification of thirty (30) hours of didactic training in the six performance domains of clinical supervision, with a minimum of five (5) hours in each domain. • Three letters of reference: • A professional who can attest to supervisory competence • An individual who has been supervised • The director or immediate supervisor of the candidate • Signed code of ethics • Successful completion of the ICRC written examination for clinical supervisors. Fee = $170.00 • Recertification is every two years. The 40 hours of CEU’s for recertification must include six clock hours specific to the performance domains of clinical supervision. The 40 hours may include CEU’s within the past 2 years that were used for counselor recertification.
______ _________ ________ 1 Counselor Development 36 mc?s/ 24% 2 Professional & Ethical Stndrds 30 mc?s/ 20% 3 Prgrm Devel & Qlity Assurance 18 mc?s/ 18% 4 Performance Evaluation 18 mc?s/ 18% 5 Administration 15 mc?s/ 10% 6 Treatment Knowledge33 mc?s/ 22% Six _________________ 150 mc?s/ 100%
D I. COUNSELOR DEVELOPMENT: 9 TASKS (____?s) Task 1 = 12 K & 12 S Task 2 = 9 K & 9 S Task 3 = 5 K & 5 S Task 4 = 7 K & 6 S Task 5 = 6 K & 10 S Task 6 = 7 K & 9 S Task 7 = 5 K & 6 S Task 8 = 4 K & 4 S Task 9 = 7 K & 7 S
Task 1 = 7 K & 5 S Task 2 = 7 K & 5 S Task 3 = 6 K & 3 S Task 4 = 8 K & 5 S Task 5 = 5 K 7 6 S Task 6 = 4 K & 2 S Task 7 = 6 K & 4 S Task 8 = 3 K & 3 S Task 9 = 7 K & 5 S Task 10 = 8 K & 4 S Task 11 = 5 K & 4 S Task 12 = 4 K & 3 S Task 13 = 7 K & 5 S Task 14 = 2 K & 3 S Task 15 = 5 K & 4 S Task 16 = 4 K & 3 S D II. PROFESSIONAL & ETHICAL STANDARDS: 16 TASKS (___?s)
D III. PROGRAM DEVELOPMENT & QA: 9 TASKS (___?s) Task 1 = 5 K & 9 S Task 2 = 3 K & 4 S Task 3 = 6 K & 3 S Task 4 = 6 K & 3 S Task 5 = 7 K & 5 S Task 6 = 5 K & 9 S Task 7 = 5 K & 5 S Task 8 = 7 K & 11 S Task 9 = 8 K & 10 S
Task 1 = 6 K & 7 S Task 2 = 5 K & 3 S Task 3 = 6 K & 4 S Task 4 = 6 K & 7 S Task 5 = 3 K & 3 S Task 6 = 4 K & 5 S Task 7= 4 K & 4 S Task 8 = 4 K & 5 S Task 9 = 3 K & 3 S Task 10 = 3 K & 3 S Task 11 = 3 K & 5 S D IV. PERFORMANCE EVALUATION: 11 TASKS (____?s)
DV. ADMINISTRATION: 5 TASKS (__?) Task 1 = 7 K & 3 S Task 2 = 8 K & 5 S Task 3 = 10 K & 4 S Task 4 = 5 K & 5 S Task 5 = 11 K & 3 S
D VI. TREATMENT KNOWLEDGE: 6 TASKS (__?s) Task 1 = 5 K & 5 S Task 2 = 5 K & 6 S Task 3 = 6 K & 3 S Task 4 = 5 K & 4 S Task 5 = 3 K & 3 S Task 6 = 3 K & 3 S
___________________________ Know Your Learning Style Relax… Don’t Plan-To-Cram Relax…Relax… Early on… Review the material, identify which Domains you think are your strengths, which Domains are your weakness Relax... Relax… Relax… Concentrate on your weak areas first Relax… Relax… Relax… Relax… Reserve time … As the test draws nearer… expand your study/prep to a complete review
Ready To Test Familiarize yourself with Multiple Choice Question Exams Keep in mind that the IC&RC exam is asking you for the BEST response. This is different than simply asking you to choose theCORRECT response Use the practice exams Purchase & read the Job Task Analysis (RDS) Set time aside… prioritize the time you set aside Don’t put off studying Get an early start to help you to be ‘ready’ Use your best studying & retention techniques… You know what works for you Organize/Join a study group… You are not alone!!! Warning: Study Groups may involve bad eating habits! I DON’T WANT TO MAKE THE WRONG MISTAKE
___ __ ____An Examination Be rested. Don’t be hungry. Be positive. Arrive early, learn ‘the lay of the land’ Listen carefully to & follow all instructions Look at/over the Test booklet Take a deep breath… Relax… Read slowly, carefully & completely. This is a professional exam, no one is trying to trick you. Read all the answers to every question Answer the questions you know you know first Don’t expect to know all the answers If you’ve studied, you are bound to know something Avoid Changing Answers. First choice is usually the correct choice, especially if you have studied. ________________________________! …there’s more SLUMP? I AINT IN NO SLUMP. I JUST AINT HITTING.
More:_______ The Written Exam Use ‘the process of elimination’.Unsure of an answer… eliminate the choices that are obviously wrong & then make a reasonable choice. Leave no unanswered questions. There is no penalty for guessing. Don’t worry about your neighbors. Some one will likely finish before you. That is not a reflection of your knowledge or competence. It just means someone finished before you did. Be careful with your answer sheet. Only put down an answer when you are sure, otherwise write your choice on the test booklet & transfer it to the answer sheet after reviewing your choices. WHEN YOU COME TO THE FORK IN THE ROAD…TAKE IT
A TYPE # ONE ? What is the capital of South Dakota? A. Rapid City B. Bismarck C. Sioux Falls D. Pierre “That place is so popular, no one goes their anymore”
A TYPE # TWO ? Both the development of and recovery from addiction depends upon: • Biological factors • Behavioral factors • Bio-psychosocial factors • Social contextual factors “I can resist everything, except temptation.” Oscar Wilde
___________for CLINICAL SUPERVISION Without proper supervision there is risk that the following can/will happen: Supervisors can become a counselors therapist… blurring tasks & expectations Excessive familiarity can lead to boundary violations Judgementalism & authoritarianism by the supervisor Poor supervision as a counselor, begets poor supervision as a promoted counselor Supervisor & counselor burnout High levels of staff turnover Confusion between clinical supervision & case management Have you ever had any of these problems?
STAGES of__________ ___________ Level 1: Counselors in the field 1-5 years. Focused on basic skills Driven by anxiety & enthusiasm Looking for ‘cookbook answers’ Can become dependent on their supervisor Tend to repeat client’s words verbatim Due to lack of knowledge they think anecdotally We like telling stories. Have difficulty with probing, confrontation & self-disclosure Or …they talk too much, probe when they shouldn’t & confront everybody! See the Supervisor as a role model “I ain’t no role model, I’m a basketball player.” Charles Barkley
STAGES of_________ ____________ Level 1: They initially treat counseling as ‘painting-by-numbers’ They ‘don’t know what they don’t know’& that can be very scary They like clients who look like them& often lack confidence stepping outside their own life style & culture They have been known to take on the client’s problems as their own They need structure & feedback They may have limited or grandiose self-awareness They struggle with termination of client issues They are afraid that the relapse will be on their shoulders