Clinical Supervision Clinical Supervision

Art Romero, MA, LADAC, LPCCArt Romero, MA, LADAC, LPCC

Patricia McKeen, MA, LPCCPatricia McKeen, MA, LPCC

A New AwakeningA New AwakeningCounseling AgencyCounseling Agency

600 First Street NW600 First Street NW

Suite 200Suite 200

Albuquerque, NM 87102Albuquerque, NM 87102

505-224-9124505-224-9124

The Role of Clinical SupervisorThe Role of Clinical Supervisor

Gate Keeper Of Profession Vs CoachGate Keeper Of Profession Vs Coach ManagerManager Dual roles and hats Dual roles and hats

Pass it On…Pass it On…

What were your clinical supervisors like?What were your clinical supervisors like? What would have helped you early in your What would have helped you early in your

career?career?

Clinical supervision has its own set of skills Clinical supervision has its own set of skills that need to be developed.that need to be developed.

Supervision from “old style” Supervision from “old style” BOSSBOSS“New Style” Leadership“New Style” Leadership

Team BuildingTeam Building QualityQuality

Your performance is measured by Your performance is measured by team performance…team performance…

CostCost ProductionProduction Teams Health-DiversityTeams Health-Diversity Clinical StandardsClinical Standards Case ReviewCase Review ConsultationConsultation MissionMission

Power from Different SourcesPower from Different Sources

Old style of “Plant Boss” –They were the Old style of “Plant Boss” –They were the BOSS period.BOSS period.

New Style of Leadership—Personal PowerNew Style of Leadership—Personal Power

Personal Power =Personal Power =

ConfidenceConfidence ExpertiseExpertise IntegrityIntegrity SkillsSkills TrustworthyTrustworthy

Old StyleOld Style About ControlAbout Control Watch like a hawkWatch like a hawk Negative FeedbackNegative Feedback ReactiveReactive Victim ManagementVictim Management SubmissionSubmission

New StyleNew Style

CollaborationCollaboration ProactiveProactive MentorshipMentorship PrioritizePrioritize Vision of OrganizationVision of Organization EmpowermentEmpowerment ValuesValues GoalsGoals ComradeshipComradeship

Consider This in Developing a Consider This in Developing a Leadership StyleLeadership Style

PlanningPlanning Prioritize Case ReviewsPrioritize Case Reviews Forecasting-VisionaryForecasting-Visionary Team BuildingTeam Building Employee DevelopmentEmployee Development CoachingCoaching CounselingCounseling Teaching Lecture PreperationTeaching Lecture Preperation TrainingTraining Role ModelingRole Modeling

Keys to Self-DevelopmentKeys to Self-Development

Continuous Self AssessmentContinuous Self Assessment Decide To Be A Supervisor (Commitment)Decide To Be A Supervisor (Commitment) Study Successful SupervisorsStudy Successful Supervisors Continue in Supervisor TrainingContinue in Supervisor Training Volunteer LeadershipVolunteer Leadership Supervisor ImageSupervisor Image Choose a MentorChoose a Mentor

SuperviseesSupervisees

Allow proper time for supervisionAllow proper time for supervision– To supervise someone appropriately, is very To supervise someone appropriately, is very

time consuming, especially if they are internship time consuming, especially if they are internship level. Just to write and initiate a supervision level. Just to write and initiate a supervision plan can take up a lot of time.plan can take up a lot of time.

Co-Dependency in SupervisionCo-Dependency in Supervision

If your supervisee is out to “fix the world” If your supervisee is out to “fix the world” then as a supervisor you are in for it!then as a supervisor you are in for it!

This subordinate counselor may very well be This subordinate counselor may very well be an adult child of an alcoholic.an adult child of an alcoholic.

Spend time helping the counselor work Spend time helping the counselor work through co-dependency issues that could through co-dependency issues that could harm a client.harm a client.

Potential Supervisees May Not Be in Potential Supervisees May Not Be in RecoveryRecovery

How far has your supervisee healed in their How far has your supervisee healed in their own journey.own journey.

Anticipate situations and develop learning Anticipate situations and develop learning tools for supervisee.tools for supervisee.

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

Therapeutic VoyeursTherapeutic Voyeurs

Clayton an VanNostrand (Ph.D.’S) refer to Clayton an VanNostrand (Ph.D.’S) refer to these types of counselors, as “therapeutic these types of counselors, as “therapeutic

voyeurs”. Counselors are under supervision voyeurs”. Counselors are under supervision to treat clients for alcohol and drug abuse to treat clients for alcohol and drug abuse disorders not to use clients for their own disorders not to use clients for their own

personal issues.personal issues.

Dual Relationship in SupervisionDual Relationship in Supervision

Avoid dual relationship with superviseesAvoid dual relationship with supervisees

Screen for Past MalpracticeScreen for Past Malpractice

You may still decide to supervise someone You may still decide to supervise someone that has been a defendant in a malpractice that has been a defendant in a malpractice suit, however you will want some suit, however you will want some assurances that the potential supervisee will assurances that the potential supervisee will act within legal and ethical mandates.act within legal and ethical mandates.

Seek legal counsel prior to initiating Seek legal counsel prior to initiating relationship with supervisee.relationship with supervisee.

DocumentationDocumentation

Document supervisionDocument supervision Legal ramifications of supervisee’s actionsLegal ramifications of supervisee’s actions

Crises In SupervisionCrises In Supervision

Crises may arise during the supervision Crises may arise during the supervision relationship. Some crises can be handled relationship. Some crises can be handled by using the agency policies and procedures by using the agency policies and procedures manuals. Personal crises may take some manuals. Personal crises may take some counseling skills on the part of the counseling skills on the part of the supervisor. supervisor.

Keep in mind the rights of a supervisee.Keep in mind the rights of a supervisee.

Two Common CrisesTwo Common Crises

DepressionDepression OverwhelmedOverwhelmed

DepressionDepression

Can come from feeling inadequate in Can come from feeling inadequate in counseling.counseling.

Secondary trauma from client stories.Secondary trauma from client stories.

Job BurnoutJob Burnout

Job burnout may occur and probably will Job burnout may occur and probably will occur at some time during the supervision.occur at some time during the supervision.

Most times, some time away from Most times, some time away from counseling will alleviate the problem.counseling will alleviate the problem.

In some cases counselors may need some In some cases counselors may need some professional help.professional help.

Ethical Dilemmas May Cause CrisesEthical Dilemmas May Cause Crises

Counter-Transference.Counter-Transference. Competency issues must be dealt with Competency issues must be dealt with

immediately.immediately.

OverwhelmedOverwhelmed

Intern take on too much.Intern take on too much. Secondary trauma can effect family life and Secondary trauma can effect family life and

personal crisis.personal crisis.