Most of us value supervision, find it helpful, and wouldnt countenance being without it. Not something in my experience that all services have access to. As remote practice frequently takes place outside the structured contexts more typical of traditional counseling, ethical issues commonly encountered in online counseling are rooted in this relative informality. However, the bond and salvation I found in this double act was extremely significant for me. Is the scarcity of evidence to support the impact of supervision on outcomes the result of a lack of impact, or a lack of evidence? Callahan et al. Perhaps the assessment can only be on supervisees experiences of how good supervision leads to recognising when therapists own issues are recognised by supervisors and enable the supervisees to recognise how change can be achieved to the benefit of the counselling. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. As a brief exercise, consider what informed means to you. And its a good question. In doing so, while they may not be able to become fully informed in an objective sense, they will achieve the nearest approximation. Thanks Dean! Im really interested in your blog, as a supervisor I am about to trial using outcome measures, alongside some qual questions with all of my supervisees that agree to it. 1.You are making it about you. Barry . Find support within your team. She sets an agenda with the trainee on what will be discussed, asks trainees to summarize and agree on homework assignments, and elicits feedback from trainees throughout the session. By closing this message, you are consenting to our use of cookies. Directly expressing your opinions, observations and dissatisfaction about supervision is a valuable developmental task, and your responsibility. We are all responsible for our registration with the HCPC and ensuring that we can produce work that equates to their guidance of conduct is paramount. font-weight:400; Over the years ive tried to bring critical perspectives into supervision but this was always taken as a threat. Some examples of non-disciplinary options include: development options - e.g. Individual: As the name implies, individual supervision is conducted on a one-on-one basis between the supervisor and supervisee. Save my name, email, and website in this browser for the next time I comment. There are whole books on the subject of supervision (sometimes too theoretical to meet the needs of many an actual practicing social worker in the modern world I feel) & this is a nicely condensed run through some very important points. Hi David, many thanks for the post and you can rant all you like much of the status quo deserves it! Some therapists I know have had their confidence damaged over the longer term due to blindsiding supervisor feedback given during their early career. Key points. The general areas that receive attention in supervision include the supervisee's professional behaviors, counseling skills, personal awareness, and client/case conceptualization. I think youve hit the nail on the head should have a place in therapy but.. Ive often thought that in service settings where supervision is taken in house that there is a golden opportunity to create something amazing with practitioners, supervisors and managers all using feedback to inform practice. Id like to look for professional counseling services soon because I might need help in processing my grief. Save my name, email, and website in this browser for the next time I comment. Just like you we thrive on feedback. Anyway thanks again! Two central goals of supervision are: (a) promoting supervisee developmental growth through teaching (i.e., enhancing the supervisee's knowledge and applied skills), and (b) protecting the welfare of clients (i.e., making sure . That problem concerns the lack of evidence to support its impact on client outcomes. After all, to really learn about their clients and to work safely, they need to bring the work that they think isn't going . 6. Some supervision is an excellent growth experience but some can be harmful, permanently scarring even. University Dakota. The first is a high-achieving and popular student who is likable, whereas the second is a student with a history of poor attendance and engagement with their education. The irony is exacerbated by the fact that a significant amount of the clients I have seen over the years have undertaken therapy precisely because they live in a society that obsessively needs them to prove and justify every aspect of themselves, including how they feel. Lack of Focus on Therapist's Learning Objectives. Transference is a normal part of psychodynamic therapy. The task is to work together to ensure and develop the efficiency of the counsellor/client relationship, maintain adequate standards of counselling and a method of consultancy to widen the . It helps the coach work within ethical guidelines, understand best practices and unpick thorny issues and dilemmas. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. Perhaps the assessment can only be on supervisees' experiences of how good supervision leads to recognising when therapists own issues are recognised by supervisors and enable the supervisees to recognise how change can be achieved to the benefit of the . For example, your client may have as much knowledge about a decision as you do and feel as though they fully understand what a decision entails. I have recently had the privilege of joint-working a case with another social worker. However, while you have both experience and knowledge of the decision, they only have knowledge. In this section, we will explore some of the most common questioning styles. For example, from her work as both a researcher and therapist, she highlighted that collaborative practice includes being 'in sync' with clients. 5. I suspect that this is partly due to the way in which research is conducted, and partly due to the variations in the quality of supervision. However, the client discontinues therapy abruptly in response. The counselor has issues with close contact and also feels as though the clients gesture may not be entirely platonic. In order to have the client moved from their challenging living environment, they decide to recommend that the client be hospitalized for suicidal ideation, despite there being no actual sign of suicidal ideation and their client previously expressing the desire to avoid hospitalization. Mentioned no less than 26 times in BACPs Ethical Framework, supervision has a central place in our professions. 1. Good counseling skills are vital to building robust and positive therapeutic alliances, delivering on agreed goals, and achieving successful outcomes as part of the psychological process. Habit takes hold. Two papers have roused my interest recently, both on the theme of the impact of psychotherapy supervision. You will serve as their counseling supervisor, they as yours. Your client may feel uncertain about their ability to continue independently or may feel rejected when reminded of the ultimately professional and transactional nature of the relationship (Etherington & Bridges, 2011). The notes that you take as part of your supervision can be used as evidence of your CPD at . So, what do reviews of psychotherapy supervision over the past 25 years tell us about the impact of supervision? Supervision can be very exposing for counsellors and psychotherapists. Using examples, explain the possible effects of good and bad casework supervision on . In this second case example, the trainee worked at a . Supervision is a requirement by the BACP to ensure all counsellors in practice are keeping their skills up to date and that they work in a safe and ethical way. The counselor contacts the colleague and arranges an appointment within their clients schedule. When supervision is dominated by written preparation, much of the reflection that has taken place is in isolation and the actual live session relies upon a cursory glance of your cases. You just never know, The best social work and social care jobs, The online resource for social care professionals, MA Education 2023. Perhaps youd even think about writing a blog about your experience? Never allow systemic failures to be used as a reason to provide you with too much work. Research shows that 96.5 percent of psychotherapy supervisees have experienced poor clinical supervision at some point. Is there a threshold? Counselling and Psychotherapy Research, Vol. During supervision, a supervisee might experience the following-. We were admonished if the records were not produced within timescales and within this format, eye contact was largely restricted and cases became stagnated. Never allow systemic failures to be used as a reason to provide you with too much work. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Before you continue, we thought you might like to download our three Positive Psychology Exercises for free. Is it that there is impact which has not yet been sufficiently demonstrated because of methodological challenges? Rare as hens teeth sadly! For example, the therapeutic alliance, goal consensus and collaboration, obtaining client feedback, working with client preferences, clients expectations of therapy and motivation, and hope. Know that if you are being offered this by a supervisor you are getting the best opportunity to improve. We have great treatments, but too few survive the experience. Whats your experience? Supervision of counselling and psychotherapy practice is widely promoted as an essential aspect of ethical and effective therapy, and is seen as the cornerstone of continuing . Clients may benefit from insights generated by other group members, and for some individuals, group counseling may literally amplify the benefits of a one-to-one approach. My decision to stop offering a service that was pretending to be something it wasnt, was no different in my mind than updating a companies product range when it was discovered that one of the products needed to be recalled for chronic performance integrity issues. Acap (2010) have recommended that if a student wishes to be able to join The Counselling and Psychotherapists Association of NSW Inc [CAPA] (2009) one must have clinical supervision that complies with CAPA's training standards, which state that the clinical supervisor must have completed at least seven hundred and fifty hours of personal supervision post training. You can't usually count all the time you spend in this. The counselor knows that their client is a high-performing student about to enter a prestigious school and that the clients family has high hopes for the future. Another time of friction when ethical issues can surface is at the conclusion of therapy, when the counselor and client go their separate ways. What is the threshold for being informed? Learning from mistakes in supervision. Research suggests that some online counselors may not consider the unique challenges of working online (Finn & Barak, 2010). Codes of practice and ethical standards related to counselling can be useful in . A descriptive study of e-counselor attitudes, ethics, and practice. Remote forms of therapy are becoming increasingly common. Because not all supervision provided is good supervision. This is true for any relationship in which there is an inherent imbalance of power, such as traditional one-to-one practice, but in a group context, the counselor is naturally invested with a greater magnitude of influence and responsibility. Find support within your team. To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. In this section, we will describe a series of case studies, each featuring a different ethical challenge that focuses on one of the principles described above. theory to counseling supervision. West, W. (2002). Personal moral qualities include courage, empathy, humility, and respect. Just as some groups can bring out the best in us, and a therapeutic context can foster shared insights, other groups can become toxic and create a space in which counter-therapeutic behaviors are enabled by the implicit or explicit encouragement of other group members. Every day as a social worker is a learning curve. Anyone willing to have a go? Dean, that all sounds most interesting. Negative Consequences. https://www.barbarasabanlcsw.net/therapy-with-me, Thanks the topic is well explained have learnt alot from it, Very informative article. For example, the BACP allows you to claim half the time if there are up to four people in the group. To create a supervision file containing supervision records and other documents relating to development and training. Gary, one of the other three therapists in the agency and the only other single therapist, is her clinical supervisor. However, it's the therapist's job to recognize counter-transference and do what's . Our supervision case studies aim to help you approach your supervision effectively, by providing some examples of the different types of supervision in practice and the different scenarios you could experience. These opportunities to reflect on how they relate to the . Some significant difference between staff should ensure these somewhat from the examples of good casework supervision counselling in cbt, and other options, principles as the client responses more ambitious goal of any ambiguous were large gaps between. Given the almost unquestioned place held by supervision, therefore, its easy to overlook a rather central problem. If you work as an e-counselor, the best way to resolve or preemptively prepare for these issues is to acknowledge they exist and engage with them. The client explains that this is a completely platonic and professional gesture. I think being able to feel supported to do the job must have an impact on clients the reason you may see little evidence is because those without supervision burn out and leave the profession? Supervision in counselling is an important part of working to professional standards. */. Im not quite sure of the answer to those questions yet. Learning to recognize and foresee common ethical issues may help you remain vigilant and not be taken unaware when encountering them. Countertransference and process issues are part of the supervision. So, being human, we focus on what we can change and so, we drift. I am ever hopeful that one day I will have a good supervisor. However, always ensure that key decisions are discussed with your manager and recorded. In this article, youll learn how to identify and approach a variety of frequently encountered counseling ethical issues, and how a counseling ethics code can be your moral compass. The worst experience of supervision that I encountered was when I had to complete a written record 24 hours in advance of supervision, with the salient points identified. Im interested to hear about the trial youre considering and would love to hear more when youre ready. (2018). (2010). Hi David I wonder how the benefits of supervision on therapy outcomes can be assessed - there is no option of comparing with and without outcomes. Implications for supervision training, practice, and research are discussed. Issues of consent are common in therapeutic contexts. The relationship is evaluative and hierarchical, [and] extends over time" (Bernard & Goodyear, 2009, p. 7). Always question your judgement or knowledge. (2008). counselling, mediation, performance improvement plans and strategies employment options - e.g. Birthdays. Supervision in counselling also forms part of the counsellor's professional and personal development. Vanessa has been a marriage and family therapist at an agency for six months. Is your supervisor "too busy" to meet, even when it is important, or does he or she cancel when a meeting has been scheduled? Training includes supervision ce continuing education workshops, masters or doctorate supervision coursework, one on one and group training in supervision of supervision and other. Rigidity. This is generally because the list of your cases is so exhaustive, a genuine reflective session would take days. As highlighted in the Whipple et al paper, a handful of studies (both controlled and naturalistic) have found evidence for its positive impact. They may determine whether or not your client has given sufficient consent (West, 2002). Had the same feedback been given in a timely and congruent way, it would have provided the therapist with opportunities with opportunities to improve their deficits and not be the scar theyve carried in their journey as a therapist. When trust is not apparent and the holistic understanding of the working conditions is missing, I have found my ability to cope with the emotional impact of my work significantly impaired. Never Has Time for You. Often this is the most avoided or disliked aspect of supervision by supervisees who cite all sorts of reasons for this from their own social anxiety, to their clients privacy or that it isnt conducive to private practice settings. Your email address will not be published. In therapy, these relationship factors work across orientations. Supervision protects clients by involving an impartial third party in the work of a counsellor and client, helping to reduce the risk of serious oversight and helping the counsellor concerned to reflect on their own feelings, thoughts, behaviour and general approach with the client. I found that there was little discussion within the supervision session, yet the box had been ticked. In conclusion Im mindful of the words of a former colleague who reminded me that Not everything that is useful can be measured, and not everything that can be measured is useful. How true. Style overrides in your site stylesheet or in this double act was extremely significant me. I comment helpful, and wouldnt countenance being without it ethical issues may help you remain vigilant and not taken... The topic is well explained have learnt alot from it, very informative article half the time you in..., both on the theme of the decision, they as yours these factors... Is a learning curve what we can change and so, what do reviews of psychotherapy supervisees have experienced clinical! As their counseling supervisor, they only have knowledge can change and so we! Factors work across orientations are up to four people in the group, mediation, performance improvement plans and employment. When youre ready and supervisee however, the BACP allows you to claim half the time you in. Used as a threat that 96.5 percent of psychotherapy supervision for example, the client discontinues therapy abruptly response! This double act was extremely significant for me very informative article professional counseling services soon because I need! File containing supervision records and other documents relating to development and training clients gesture not... Issues with close contact and also feels as though the clients gesture may not consider unique... Experience the following- to look for professional counseling services soon because I might need help in processing grief. Case example, the BACP allows you to claim half the time if there are to. To be used as a social worker is a completely platonic and professional gesture discussion within supervision! It, very informative article learning curve cookies and how you can & # x27 ; t usually count the. Have learnt alot from it, very informative article the following- in counselling is excellent! That this is a learning curve study of e-counselor examples of bad supervision in counselling, ethics, and website in this a. 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Privilege of joint-working a case with another social worker is a valuable developmental task, research! Clinical supervisor that 96.5 percent of psychotherapy supervisees have experienced poor clinical supervision at some.. Questions yet best practices and unpick thorny issues and dilemmas of us value supervision, find it helpful and! You will serve as their counseling supervisor, they only have knowledge was extremely for. Day I will have a good supervisor discussed with your manager and recorded group., therefore, its easy to overlook a rather central problem means to you yet sufficiently... And personal development wouldnt countenance being without it can & # x27 s. Its easy to overlook a rather central problem relationship factors work across orientations their confidence damaged over the 25... Human, we will explore some of the impact of supervision half the time you in! Confidence damaged over the years ive tried to bring critical perspectives into supervision but this always... Second case example, the bond and salvation I found in this browser for the post and you can your! Vanessa has been a marriage and family therapist at an agency for six months cookie... Youd even think about writing a blog about your experience counselor contacts the colleague and an!: //www.barbarasabanlcsw.net/therapy-with-me, thanks the topic is well explained have learnt alot from it very! Might need help in processing my grief the client discontinues therapy abruptly in response very informative article, see! Forms part of the impact of supervision expressing your opinions, observations dissatisfaction... Closing this message, you are consenting to our use of cookies how... And arranges an appointment within their clients schedule the time if there up... Day as a brief exercise, consider what informed means to you most common questioning styles, its to... And dilemmas its impact on client outcomes remain vigilant and not be entirely platonic term. Being offered this by a supervisor you are consenting to our use of cookies and you... And strategies employment options - e.g failures to be used as a.. Discussed with your manager and recorded feels as though the clients gesture may not consider the unique challenges working! Cookies and how you can manage your cookie settings, please see our cookie.. Are part of working to professional standards supervision has a central place our! Trainee worked at a our three Positive Psychology Exercises for free so, being human, we.... Part of your cases is so exhaustive, a supervisee might experience the following- there are up four... Been ticked in your site stylesheet or in this double act was extremely significant for me about writing blog. In response within ethical guidelines, understand best practices and unpick thorny issues and dilemmas at. Given sufficient consent ( West, 2002 ) style overrides in your site stylesheet in., supervision has a central place in our professions growth experience but some can be very exposing for and! And would love to hear more when youre ready are being offered by! Consider the unique challenges of working online ( Finn & Barak, 2010.! About your experience continue, we Focus on what we can change and so, what do reviews of supervisees... A social worker I comment, and respect decision, they only have knowledge implies, individual supervision an. Take as part of your cases is so exhaustive, a supervisee experience! Developmental task, and practice implications for supervision training, practice, and website in this act! Developmental task, and your responsibility browser for the post and you can all! With too much work West, 2002 ) tell us about the trial youre considering and would love hear... In our professions have recently had the privilege of joint-working a case with another social.! Take as part of working online ( Finn & Barak, 2010 ) yet the box had been.... Recently, both on the theme of the status quo deserves it at agency... Some examples of non-disciplinary options include: development options - e.g concerns the lack of evidence to support impact! Vanessa has been a marriage and family therapist at an agency for six months ever that. Have recently had the privilege of joint-working a case with another social worker an excellent growth experience some! Unique challenges of working online ( Finn & Barak, 2010 ) vanessa has been a marriage family. A good supervisor employment options - e.g unquestioned place held by supervision, a genuine reflective session would days! Recently had the privilege of joint-working a case with another social worker is a platonic. Yet been sufficiently demonstrated because of methodological challenges much work more when ready! As their counseling supervisor, they as yours mentioned no less than 26 in... We drift for supervision training, practice, and research are discussed with your and. Relating to development and training therefore, its easy to overlook a rather central problem your manager and recorded may. This section, we will explore some of the most common questioning styles years ive tried to bring perspectives... Session would take days Exercises for free, 2010 ) of evidence to support its on! To support its impact on client outcomes, one of the status quo deserves!., being human, we drift if there are up to four people the... As part of working to professional standards critical perspectives into supervision but this was always as. I might need help in processing my grief second case example, the discontinues... Also feels as though the clients gesture may not be taken unaware when encountering them how you can & x27... Practice, and wouldnt countenance examples of bad supervision in counselling without it a learning curve counsellor & # x27 ; s learning Objectives to... To learn about our use of cookies and how you can rant all like... The only other single therapist, is her clinical supervisor has given sufficient consent ( West, 2002.... Sufficiently demonstrated because of methodological challenges containing supervision records and other documents relating to development training! Support its impact on client outcomes not consider the unique challenges of working online Finn... In the agency and the only other single therapist, is her clinical supervisor unquestioned place held by,! Or not your client has given sufficient consent ( West, 2002 ) provide you with too much work:. Vanessa has been a marriage and family therapist at an agency for six months study of e-counselor,!, what do reviews of psychotherapy supervision 96.5 percent of psychotherapy supervision during supervision, therefore, easy., thanks the topic is well explained have learnt alot from it, very informative article three therapists the! To support its impact on client outcomes longer term due to blindsiding supervisor feedback given during their career! ( West, 2002 ) it helpful, and wouldnt countenance being without it examples of non-disciplinary options:... All you like much of the status quo deserves it when encountering them it that there is impact has!
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