ACSW Conference 2008. MAKING THE CASE FOR CLINICAL SOCIAL WORK SUPERVISION March 14, 2008 by Sue Ramsden, Manager, Social Work & Spiritual Care Linda Dziuba, Coordinator, Regional Clinical Ethics Service Marlene Clay, Clinical Consultant, Dept of Social Work. ACSW Conference 2008.
ideas about clinical supervision
b) to assist the leadership team
in finalizing the format for
Conducted 4 focus groups – 2 at FMC (due to staff numbers), 1 at PLC and 1 at RGHFOCUS GROUPS
Is there value in highlighting a role for Clinical Supervision?FOCUS GROUPS cont’d
How would you value:
Individual case discussions?
Group case discussions?
Live observation or shadowing?
7. How can Clinical Supervision assist you in
continuing to reflect upon your practice and
professional development needs?FOCUS GROUPS cont’d
To support Social Work staff in their work, we have committed to providing a Clinical Supervision structure that will facilitate enhanced clinical relationships and professional development.PHILOSOPHY OF SUPERVISION
Supervision is a continual process of self-reflection, accepting that every group member is the best they can be at any moment in time.Values and Beliefs about Supervision
The supervision process needs to recognize and support that all staff have expertise to share and that we all benefit by our shared experiences.Values and Beliefs cont’d
Effective supervision requires a strong commitment to the process by all involved parties.Values and Beliefs cont’d
In individual supervision, case discussion or direct practice observation may be used.Supervision Guidelines cont’d
Role of the supervisor within the group
i.e. performance management issues to
be addressed outside of the group
Format of supervision (case discussion, reviewing articles, exploring themes, etc)Staff Preparation cont’d
Some groups reviewed the article in an initial supervision session
Discussion about Clinical Supervision at Regional Social Work meeting as well as site based meetingsStaff Preparation
Specific objectives were:
To determine the social worker’s perception of their current skill level
To determine the social worker’s comfort level with the range of interventions they use with patients and families
To assess the social worker’s comfort level with supervisionClinical Supervision Survey – April 2006
44% of staff felt a moderate level of comfort with having adequate opportunity for receiving encouragement, support and de-briefing in dealing with challenging and traumatizing practice issues
61% of staff felt a high level of comfort with their current level of self-reflection in clinical practiceClinical Supervision Survey Analysis – August 2006
Supervision primarily refers to group supervision.Clinical Supervision Survey – June 2007
45 were returned
76% of staff who responded found supervision to be beneficial
64% of staff felt they had gained more knowledge and skills to apply in their daily practice
69% of staff felt they have adequate opportunity for receiving encouragement and support in dealing with complex situations through the supervision processClinical Supervision Survey Analysis -November 2007
An opportunity to debrief difficult and complex cases
Develop different strategies, hear other perspectives
Appreciate support, not critique and criticismClinical Supervision Survey Analysis – November 2007 cont’d
Opportunity to address systemic issuesClinical Supervision Survey Analysis – November 2007 cont’d
Step Five – Supervision – what does this mean in terms of time/cost to the system? Request by Senior Admin to Cost Out Supervision
Step Six – Engage Staff in Conversations about Clinical Supervision
Step Seven – Staff Preparation (focus groups, surveys, article, etc.)Practical Steps
Step Twelve - New Issues (documentation, adjustment of supervisors to groups, being asked to supervise staff from other areas, etc.)Practical Steps
Consultation with Legal Services re Documentation
Development of a Form for Supervision/Documentation
Going with the process (hard for task focused individuals)-allowances that it is new for all and all groups are differentWhat’s Next?
How does supervision fit within the performance evaluation process?
How do we provide clinical supervision to our new casual staff? (when you’re new, you need the opportunity to discuss cases and issues, even more than when you’re a senior staff)What’s Next?
How to ensure that new Leadership Team members have the credentials to be able to supervise (attendance at Clinical Supervision courses and registry as clinical supervisors with ACSW)?What’s Next?
Staying current in the field
Support for our Leadership Team – clinical supervision is one of many other dutiesWhat’s Next?