Clinical Supervision

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Clinical Supervision

• Art Romero, MA, LADAC, LPCC
• Patricia McKeen, MA, LPCC

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A New AwakeningCounseling Agency

• 600 First Street NW
• Suite 200
• Albuquerque, NM 87102
• 505-224-9124

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The Role of Clinical Supervisor

• Gate Keeper Of Profession Vs Coach
• Manager
• Dual roles and hats

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Pass it On

• What were your clinical supervisors like?
• What would have helped you early in your career?
• Clinical supervision has its own set of skills
  that need to be developed.

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Supervision from old style BOSSNew Style
Leadership

• Team Building
• Quality

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Your performance is measured by team performance

• Cost
• Production
• Teams Health-Diversity
• Clinical Standards
• Case Review
• Consultation
• Mission

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Power from Different Sources

• Old style of Plant Boss They were the BOSS
  period.
• New Style of LeadershipPersonal Power

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Personal Power

• Confidence
• Expertise
• Integrity
• Skills
• Trustworthy

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Old Style

• About Control
• Watch like a hawk
• Negative Feedback
• Reactive
• Victim Management
• Submission

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New Style

• Collaboration
• Proactive
• Mentorship
• Prioritize
• Vision of Organization
• Empowerment
• Values
• Goals
• Comradeship

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Consider This in Developing a Leadership Style

• Planning
• Prioritize Case Reviews
• Forecasting-Visionary
• Team Building
• Employee Development
• Coaching
• Counseling
• Teaching Lecture Preperation
• Training
• Role Modeling

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Keys to Self-Development

• Continuous Self Assessment
• Decide To Be A Supervisor (Commitment)
• Study Successful Supervisors
• Continue in Supervisor Training
• Volunteer Leadership
• Supervisor Image
• Choose a Mentor

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Supervisees

• Allow proper time for supervision
• To supervise someone appropriately, is very time
  consuming, especially if they are internship
  level. Just to write and initiate a supervision
  plan can take up a lot of time.

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Co-Dependency in Supervision

• If your supervisee is out to fix the world then
  as a supervisor you are in for it!
• This subordinate counselor may very well be an
  adult child of an alcoholic.
• Spend time helping the counselor work through
  co-dependency issues that could harm a client.

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Potential Supervisees May Not Be in Recovery

• How far has your supervisee healed in their own
  journey.
• Anticipate situations and develop learning tools
  for supervisee.

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

• Clayton an VanNostrand (Ph.D.S) refer to these
  types of counselors, as therapeutic voyeurs.
  Counselors are under supervision to treat clients
  for alcohol and drug abuse disorders not to use
  clients for their own personal issues.

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Dual Relationship in Supervision

• Avoid dual relationship with supervisees

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Screen for Past Malpractice

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

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Documentation

• Document supervision
• Legal ramifications of supervisees actions

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Crises In Supervision

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

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Two Common Crises

• Depression
• Overwhelmed

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Depression

• Can come from feeling inadequate in counseling.
• Secondary trauma from client stories.

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Job Burnout

• Job burnout may occur and probably will occur at
  some time during the supervision.
• Most times, some time away from counseling will
  alleviate the problem.
• In some cases counselors may need some
  professional help.

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Ethical Dilemmas May Cause Crises

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

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Overwhelmed

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