The professional context of supervision

Katherine Hildyard,

Senior Clinical Tutor,

Sheffield DClinPsy

March 2018

THE CONTEXT OF SUPERVISION

Theneeds/expecta.onsof:

�  -Research

�  -Na.onal

�  -theTrainingIns.tu.on

�  -theTeam/Organisa.on

�  -theSupervisor

�  -theSupervisee

�  -theserviceuser

Research �  Areviewofthetheefficacyofsupervision(notsa.sfac.on

withsupervision)wasconductedbyWatkinsin2011

�  Thispaperbuiltonpreviousreviewse.gEllisandLadany,(1997)&Freitas(2002),WheelerandRichards(2007).

�  ThereisveryliSleevidenceoftheimpactofsupervisiononclientoutcomes,apartfromonecrediblestudy(Bamblingetal.,2006).

�  Thisstudyfoundasignificantimpactofsupervisionontheoutcomesforthoseworkingwithpeoplewithmajordepression

The National Context �  DROSS/STAR/CSAG�  BPSandCPD�  HealthandCareProfessionsCouncilstandardsof

proficiency�  BPSaccredita.oncriteria

�  Traineesmust‘developskillsintheprovisionofsupervision’

�  BPSGuidelinesforClinicalSupervision(2010)�  AgendaforChange�  NewWaysofWorking�  IAPT

SUPERVISION COMPETENCIES

�  AnIAPTsupervisionexpertreferencegroupwasestablishedinFebruary2008

�  Thisgroupwasmul.-disciplinaryandaimedtodeviseacompetencyframeworkforsupervision

�  Thesehavebeencompletedandcompriseof:�  -Genericsupervisioncompetencies�  -Specificsupervisioncompetencies�  -Applica.onsofsupervisiontospecificmodels/contexts

�  -Metacompetencies�  -www.ucl.ac.uk/clinical-psychology/CORE/

supervision_framework.htm

Metacompetences Competencies used by supervisors to work across all these levels and to adapt supervision to the needs of each individual supervisee

Generic Supervision Competences

used in any form of supervision

Specific Supervision competences

specific supervision tasks

Application of supervision to specific models

techniques employed to supervise in a particular modality

BPS GUIDELINES 2010 �  Averyhelpful(andbrief)paper�  Selectedhighlights:�  -whocansupervise:doesn’talwayshavetobeaCPbutquality

needstobemaintained

�  -aimsoftheplacementshouldbeagreedwithinthefirsttwoweeks

�  -thesupervisorshouldplananinduc.onforthetrainee

�  -traineeneedssharedofficespace,telephoneandadesk,plussecretarialandITsupport

BPS Guidelines (cont’d)

�  -supervisorshaveclinicalandlegalresponsibilityfortheirtrainees

�  -supervisionmustbeatleast1hour(11/2!)perweekwithtotalcontact.meof3hours

�  -traineesandsupervisorsmustobserveeachotheratwork

�  -therearemechanismsformonitoringtheplacementandfordealingwithpoten.alfailedplacements

�  www.bps.org.uk/system/files/documents/pact_guidelines_on_clinical_supervision.pdf

RAPPS �  TheRegisterforAppliedPsychologyPrac.ceSupervisors�  Startedin2010�  Costs:£50toapply,plus£35peryear�  Youcanapplywhenyouhavecompletedyourporholio

�  Membershiplastsfor5years,whenyouwillhavetoshowevidenceofsupervisorprac.ceandCPD

�  hSp://www.bps.org.uk/what-we-do/developing-profession/register-applied-psychology-prac.ce-supervisors-rapps/register-applied-psychology-prac.ce-sup

Local Registers �  Thethreeprogrammeskeeptheirownregistersasaquality

assuranceprocess.

�  Informa.onheldonthesevariesbetweenprogrammesbutmayinclude:�  Datesofintroductorytraining�  HCPCregistra.on�  Supervision-relatedCPD�  Informa.onaboutpreferredmodelsofworking�  Datesofplacementprovision

Your supervisory context Talk together on your table in small groups to consider the following questions:

�  What is the reality of supervision in your service?

�  What are the important considerations for you when thinking about being a supervisor?

Team/ organisational context

�  Local service guidance

�  Context to the work

�  Culture of supervisory practice

Supervisor and supervisee �  Skills

�  Style

�  Preferences

�  Previous experiences

�  Expectations

�  Responsibilities

Service user �  How does supervision benefit the service user/

client/ patient?

THE REGIONAL TRAINING CONTEXT

�  Thethreecoursesdidsomeworktogetherbetween2011-15,basedontheevidencethattherapistslearnmoreeffec.velywhentheyaregivenregularserviceuserfeedback.

�  Thisresultedinachangeofculturewheretheuseofoutcomeandsessionalmeasurestogetfeedbackfromserviceusersandtoinfluenceprac.ce,hasbecomemuchmoreprevalent

�  TheHullandLeedsprogrammecon.nuetouseCORE-NETastheirloggingsystemfortrainees.Sheffieldusepebblepad.