Morning SessionMorning Session Clinical SupervisionClinical Supervision

Principles and TechniquesPrinciples and Techniques Managing RiskManaging Risk Building a TeamBuilding a Team

Afternoon SessionAfternoon Session Supervisory ChallengesSupervisory Challenges

StressStress Vicarious TraumatizationVicarious Traumatization MotivationMotivation

The Art of EvaluationThe Art of Evaluation Evaluating othersEvaluating others Evaluating ourselvesEvaluating ourselves

The Goal of Clinical Supervision:The Goal of Clinical Supervision:

To have an honest sharing of work, To have an honest sharing of work, questions, and mistakes with the goal of questions, and mistakes with the goal of helping our staff help clients with their helping our staff help clients with their problems and conflicts.problems and conflicts.

Unstated Goal:Unstated Goal: For Supervisees: To look good; to impress For Supervisees: To look good; to impress

the supervisor, feel good about the supervisor, feel good about themselvesthemselves

For Supervisors: All of the above in For Supervisors: All of the above in addition to knowing everythingaddition to knowing everything

So….So….The real questionThe real question

Clinical Supervision…Clinical Supervision… A ThreatA Threat UselessUseless

An OpportunityAn Opportunity

Why Are We Lying, Avoiding, Biting Why Are We Lying, Avoiding, Biting our Nails…Discounting?our Nails…Discounting?

Clinical Supervision & Clinical Work Clinical Supervision & Clinical Work Touches Our SoulsTouches Our Souls

Reaches Into our Vulnerable PlacesReaches Into our Vulnerable Places Brings Us Back to ChildhoodBrings Us Back to Childhood Feels very PersonalFeels very Personal

How do We Really Feel?How do We Really Feel? Clinical Supervision can make us…Clinical Supervision can make us…

AnxiousAnxious Fear looking badFear looking bad Fear looking stupidFear looking stupid Fear of making a really bad mistakeFear of making a really bad mistake Fear being blamedFear being blamed Fear being no goodFear being no good Fear the burden of responsibilityFear the burden of responsibility Fear a lack of controlFear a lack of control

Supervisors Alone Can Feel…Supervisors Alone Can Feel…

You must know everythingYou must know everything Shamed by and responsible for worker Shamed by and responsible for worker

mistakesmistakes Anxieties of the “third ear”Anxieties of the “third ear” Caught in the middleCaught in the middle

Techniques that Help Techniques that Help Acknowledging VulnerabilityAcknowledging Vulnerability

Making a FrameMaking a Frame A Sacred SpaceA Sacred Space PlacePlace TimeTime PrivacyPrivacy ConfidentialityConfidentiality No interruptionsNo interruptions 70/30 Rule70/30 Rule Who owns the supervisionWho owns the supervision

Techniques that Help Techniques that Help Acknowledging VulnerabilityAcknowledging Vulnerability

Supervisory ProfessionalismSupervisory Professionalism Professional not personal; no favoritismProfessional not personal; no favoritism

Listen, but Remember the MissionListen, but Remember the Mission Goal Oriented QuestionsGoal Oriented Questions Error Expected LearningError Expected Learning Blind Spots Versus Dumb SpotsBlind Spots Versus Dumb Spots Interventions Guided by GoalsInterventions Guided by Goals

Techniques that Help Techniques that Help Acknowledging VulnerabilityAcknowledging Vulnerability

Criticize in PrivateCriticize in Private

Praise in PublicPraise in Public

Good Supervisors Give AnswersGood Supervisors Give Answers

Great Supervisors Ask QuestionsGreat Supervisors Ask Questions

Things to Teach a SuperviseeThings to Teach a Supervisee

Concepts to KnowConcepts to Know Look for Themes and PatternsLook for Themes and Patterns Notice Non-Verbal CuesNotice Non-Verbal Cues Think about your RelationshipThink about your Relationship Evaluate Your InterventionsEvaluate Your Interventions Recognize Counter TransferenceRecognize Counter Transference Address the Supervisory RelationshipAddress the Supervisory Relationship

Things to Teach a SuperviseeThings to Teach a Supervisee

Things to TryThings to Try Role PlayingRole Playing Taking TurnsTaking Turns ObservationObservation

Techniques to LearnTechniques to Learn Active ListeningActive Listening Therapeutic TactTherapeutic Tact Therapeutic HonestyTherapeutic Honesty TransparencyTransparency

Feedback/Constructive CriticismFeedback/Constructive Criticism

Criticism STINGS!!!Criticism STINGS!!! In the spirit of In the spirit of

problem-solving….problem-solving….• Use “I” StatementsUse “I” Statements• Be DescriptiveBe Descriptive• Be SpecificBe Specific• Be Well-timedBe Well-timed• Can be changedCan be changed• Make it mutualMake it mutual

Give feedback then be Give feedback then be brave…brave…

Ask for feedbackAsk for feedback

Risk ManagementRisk Management

Hope for the BestHope for the Best Prepare for the Worst…Prepare for the Worst…

Biggest RiskBiggest Risk

For Workers:For Workers: Hiding Mistakes/DenialHiding Mistakes/Denial

For Supervisors:For Supervisors: Overreaction/Punitive Reaction/DenialOverreaction/Punitive Reaction/Denial

Best ResponseBest Response Create a supportive risk management cultureCreate a supportive risk management culture

Open discussion of mistakesOpen discussion of mistakes Non-punitive reaction to mistakesNon-punitive reaction to mistakes Lessen shameLessen shame Error expected learningError expected learning AnticipateAnticipate Worst-case scenariosWorst-case scenarios Comfort with not knowing all the answersComfort with not knowing all the answers Regular meetingsRegular meetings Bad case review meetingsBad case review meetings

Create a crisis community / Open your door to Create a crisis community / Open your door to dangerdanger

Risk Review and DocumentationRisk Review and Documentation

Tracking the risksTracking the risks Document your thinkingDocument your thinking Close the loopClose the loop

Team Building:Team Building:Safety in NumbersSafety in Numbers

Team BuildingTeam Building

Why are teams effective?Why are teams effective? Less involved people often think more clearlyLess involved people often think more clearly Community ComfortsCommunity Comforts Improves moraleImproves morale Improves programsImproves programs

Team BuildingTeam Building

Team-building techniquesTeam-building techniques Build a caring communityBuild a caring community Flatten the hierarchyFlatten the hierarchy Respect differencesRespect differences Everyone has an equal sayEveryone has an equal say Remove jargon and pulling rankRemove jargon and pulling rank Give all members leadership and responsibilitiesGive all members leadership and responsibilities Joint decisionsJoint decisions Welcome criticism…Welcome criticism…butbut remember the Number #1 remember the Number #1

Rule….Rule….

NO WHINING!NO WHINING!

No complains without solutionsNo complains without solutions

Challenges for SupervisorsChallenges for Supervisors

StressStress BurnoutBurnout Vicarious traumatizationVicarious traumatization

““Recognition of stress improvesRecognition of stress improveswork functioning and is not anwork functioning and is not anexcuse to avoid responsibility.”excuse to avoid responsibility.”

Work-Related StressWork-Related Stress External causesExternal causes

High or unrealistic expectationsHigh or unrealistic expectations Lack of recognitionLack of recognition Lack of controlLack of control

Internal causesInternal causes Emotionally charged workEmotionally charged work Success hard to measureSuccess hard to measure Arouses intense personal feelingsArouses intense personal feelings

Coping strategiesCoping strategies Value process, not just resultsValue process, not just results Don’t shop for worriesDon’t shop for worries DelegateDelegate Don’t flatter yourselfDon’t flatter yourself Find supportFind support Think of your choicesThink of your choices The right to self-careThe right to self-care ChoicesChoices

Vicarious TraumatizationVicarious Traumatization DefinitionDefinition

Trauma symptoms that develop in caregiversTrauma symptoms that develop in caregivers CausesCauses

Past history of similar traumaPast history of similar trauma Repeated exposure which skews world viewRepeated exposure which skews world view Working with children in upsetting circumstancesWorking with children in upsetting circumstances

SymptomsSymptoms Numbing, acting out, anxietyNumbing, acting out, anxiety

Coping strategiesCoping strategies Repeated acknowledgementRepeated acknowledgement DebriefDebrief GroupsGroups Self-careSelf-care

How to Motivate an EmployeeHow to Motivate an Employee Bring on boardBring on board No whining without solutionsNo whining without solutions Notice talents and use themNotice talents and use them Praise statisticsPraise statistics High expectations/generous, not punitiveHigh expectations/generous, not punitive Take an interestTake an interest Tie to missionTie to mission Give special projects/responsibilityGive special projects/responsibility LeadershipLeadership IncentivesIncentives

Things to Consider for YourselfThings to Consider for Yourself

Can you…Can you…

Share your mistakes and be willing to Share your mistakes and be willing to apologize?apologize?

Treat a difficult supervisee as an exciting Treat a difficult supervisee as an exciting learning challenge for you regardless of the learning challenge for you regardless of the outcome?outcome?

And remember….And remember….

Keep your friends close…Keep your friends close…

……and your enemies closer.and your enemies closer.

The Art of EvaluationThe Art of Evaluation

Evaluation:Evaluation:A Sincere Desire to HelpA Sincere Desire to Help

A formal evaluation is just a “re-cap”A formal evaluation is just a “re-cap” Goals, expectations, and the evaluation process Goals, expectations, and the evaluation process

should be stated clearly in the very beginningshould be stated clearly in the very beginning Keep a supervisory logKeep a supervisory log Document and share all concernsDocument and share all concerns

Keep evaluation continuous and transparentKeep evaluation continuous and transparent Conceptualize areas needing improvementConceptualize areas needing improvement Detail specific ways to improve with examplesDetail specific ways to improve with examples Highlight strengths and talentsHighlight strengths and talents Give a timeline of progressGive a timeline of progress

Evaluating OurselvesEvaluating Ourselves

How do you feel when you make a mistake?How do you feel when you make a mistake? Do others feel comfortable sharing mistakes with Do others feel comfortable sharing mistakes with

you?you? What kinds of people “push your buttons”? How What kinds of people “push your buttons”? How

do you handle them? Is there anything you do you handle them? Is there anything you would like to change?would like to change?

What are your strengths as a supervisor? What What are your strengths as a supervisor? What might you like to change?might you like to change?

How would your supervisees describe you?How would your supervisees describe you?