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![Page 1: Reflective Supervision: How to Be and What to Do Learning & Development in the Practice of Reflective Supervision Andrea Foote, PsyD, IMH-E (IV)® Jordana.](https://reader035.fdocuments.net/reader035/viewer/2022062421/56649c9f5503460f9495f0fc/html5/thumbnails/1.jpg)
Reflective Supervision: How to Be and What to Do
Learning & Development in the Practice of Reflective Supervision
Andrea Foote, PsyD, IMH-E (IV)®Jordana Ash, LCSW, IMH-E (IV)®
Colorado Behavioral Health Care Council, September 2012
![Page 2: Reflective Supervision: How to Be and What to Do Learning & Development in the Practice of Reflective Supervision Andrea Foote, PsyD, IMH-E (IV)® Jordana.](https://reader035.fdocuments.net/reader035/viewer/2022062421/56649c9f5503460f9495f0fc/html5/thumbnails/2.jpg)
Why’d we start this way?
• Reflective practice is cornerstone of clinical practice for administration, supervisors, clinicians, other practitioners. – Without it we are acting without full awareness
of the vast majority of information and communication available to us
• Mindfulness and self awareness can be seen as the foundation for the reflective relationship
• Reflection as the foundation for safety & learning
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Plan for today
• Explore the concepts & foundations of reflective supervision
• Links to Triple Aim• Administrative, clinical & reflective supervision• Small group discussion– BREAK (4:00-4:15 ish)
• How do you know it’s working?• Dyadic Experience• Wrap up
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Video
![Page 5: Reflective Supervision: How to Be and What to Do Learning & Development in the Practice of Reflective Supervision Andrea Foote, PsyD, IMH-E (IV)® Jordana.](https://reader035.fdocuments.net/reader035/viewer/2022062421/56649c9f5503460f9495f0fc/html5/thumbnails/5.jpg)
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Definition
• Reflective supervision is an ongoing communication process that regulates and understands the flow of emotion, information and experience.
• Reflective supervision occurs between two or more individuals whereby the developing relationships serve as the vehicle for acceptance, trust and respect and a mindful service delivery
• The supervisor is a trained, skillful and experienced professional who creates a safe space from which a supervisee can learn and reflect about their work.
Janet Dean, LCSW
2010
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How to be & What to doKey Concepts in Reflective
SupervisionoRegularity
oConsistent meeting timeoNo interruptionsoSlowing down
oContainmentoPartnering with supervisee to regulate
anxiety & emotionsoServes the purpose of being able to reflect
rather than reactoRemembering what was brought before
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How to be & What to doKey Concepts in Reflective
Supervisiono Inquiry
o Curiosityo Embracing complexityoWondering together & tolerating now knowingo Cultural Considerations of the workoDirect advocacy & teaching, not just process
oReflectiono Bringing awarenesso Paying close attention to the supervisee’s
thoughts, feelings & distractionso Experiences finding one’s own answerso Exploring what’s missing ?
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How to be & What to doKey Concepts in Reflective
SupervisionoReciprocity and Collaboration
o Jointly setting the agendaoTrust that what comes forward is what needs
to be looked atoEmotionally available supervisor/ emotionally
open supervisee
oParallel ProcessoWhat happens between supervisor &
supervisee is information about what is happening for supervisee & client, and client & child.
![Page 9: Reflective Supervision: How to Be and What to Do Learning & Development in the Practice of Reflective Supervision Andrea Foote, PsyD, IMH-E (IV)® Jordana.](https://reader035.fdocuments.net/reader035/viewer/2022062421/56649c9f5503460f9495f0fc/html5/thumbnails/9.jpg)
Safety & Learning in Reflective Supervision
• A nurse's perspective
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Safety & Learning in Reflective Supervision
• Foundation for dealing with vicarious trauma, reducing burnout, fighting turnover
• Insurance policy: practitioners are aware of what’s being acted out non-consciously or through lack of awareness with clients: Enactment is our unresolved behavior patterns acted out
• Pays off administratively and clinically.10
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Critical Distinctions or A Relationship for All Kinds of Learning
• Administrative – Performance Evaluations– Productivity– Agency/Organizational Expectations
• Clinical– Case formulation– Diagnosis and Treatment Goals– Transference & Counter-transference
• Reflective
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Compelling Forces
• Reflective supervision strives to continuously integrate compelling forces such as reflection and direct advocacy.
• The provision of attuned guidance is measured by the need to stay in inquiry.
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Table Talk Conversation
oWhat is your current experience with reflective supervision in your organization or practice?
oWhat aspects of a RS practice would be most challenging to implement?
oWhich messages about RS would resonate most in your organization?
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Break
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Supporting Reflective Supervision: why should agencies & organizations invest?
oWhat’s the research out there?o Impacts of physical healthoMinimizing effects vicarious traumao In children & adults , increased self-regulationoConnection community and family supportso Staff retention/ staff moraleo Knowledgeable and effective practitioners
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What might it take?
• Video
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Some Practice Considerations
o Groupo Community Infant Program Model/adapted from NCTSNo Anxieties & inadequacies minimizedo Increases relational capacityo Team resilience
o Peero Facilitated/non-facilitatedo Small cluster
o Case consultationo Consulting to a Clinical Team
o Promoting a team cultureo Job descriptions/interviewso New employees
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Today’s Reflection Supervision Experience
• Confidentiality• Respect of each other’s process and starting
place• Heighten your awareness around how you are
with another in a supervisory 1:1 interaction• Notice your own tendencies • _________________• Each person will practice each role• About 10 minutes a turn (we will let you
know)
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RS Experience Reflections
oGetting centeredoWhat did you notice?oHow did that feel/ compare to other
supervisory experiences?oHow might this kind of supervision
support your work?oWhat else do you need to know?
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Resources
oReflective Supervision Rating Scaleo Informing agency practiceo Introduction to new superviseesoQuality ChecksoResearch
oResource ListoCoAIMH Teach-In (www.coaimh.org)
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Wrap up
• How to be & What to do • Q & A• What’s next for RS
• Some last thoughts• Jordana Ash
[email protected]• Andrea Foote