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Rebecca Cashman, MPH Stacey Carpenter, Psy.D.

Supervision in a Trauma Informed Environment. Rebecca Cashman, MPH Stacey Carpenter, Psy.D. Goals for Today:. FPCN—who we are & what we are doing with supervision Defining Supervision Specifically Reflective Supervision (RS) Discussion about supervision in your program & supervision/TIC.

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Rebecca Cashman, MPH Stacey Carpenter, Psy.D.

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  1. Supervision in a Trauma Informed Environment Rebecca Cashman, MPH Stacey Carpenter, Psy.D.

  2. Goals for Today: • FPCN—who we are & what we are doing with supervision • Defining Supervision • Specifically Reflective Supervision (RS) • Discussion about supervision in your program & supervision/TIC

  3. FPCN Who we are & What are we doing

  4. FPCN • Background • 25 year history • Nurse-managed/led centers • Grown from one to five sites over time • Services • Primary Care with Integrated BH; Dental; Outpatient BH • Additional services: SW, Nutrition & Diabetes Ed, PT, Medical-Legal Partnership, Transportation, Mind/Body practices…

  5. FPCN • Trauma Informed Care Committee • Embracing Trauma Informed Principles • Committee & sub-committees • Supervision • Recognized the need • Aiming to implement consistently • Form, Guidance • Training

  6. Types of Supervision

  7. Types of Supervision Clinical Admin Reflective

  8. Safety Respect Parallel Process Reflective Supervision Engaged Listening Refueling Being Non-Judgmental

  9. Three Essential Components • Reflection • Time to ponder • Collaboration • Create a safe & secure environment • Regularity • Consistent meetings

  10. Reflective Supervision for the Supervisor • Laying the groundwork • Helps ensure a successful relationship • Qualities & Abilities • Good Listening Ears • Questions without Judgment • Using the Supervisee’s past experiences

  11. Which Statement do you relate to… • There are many people out there who can do this job right • I don’t understand why you are upset, what’s wrong with you? • It would be great if you could finish your paperwork on time • You are important to this team • I can see you are upset, would you like to talk about it • How can I support you in completing paperwork on time?

  12. What do you see…

  13. What do you see?

  14. What do you see?

  15. What Does Supervision Look like at Your site? What’s Working Supervision Expectations? Road Blocks & Challenges Training Needs/Wishes

  16. Supervision in a Trauma Informed Environment

  17. Self-Care… • Encourage staff to practice it • Encourage use of PTO or appropriate time away from work – • Important to try to avoid burnout • Encourage staff to maintain boundaries, take time for other parts of their lives Consider:Do you overtly or subtly reward or applaud the ‘workaholic’ who doesn’t take time off, is always available via text/email, even on days off?

  18. Model Desired Behavior • Supervision is an opportunity to model the behavior you want service providers to exhibit with consumers/clients • Supervisor as Trustworthy • Physically & Emotionally Safe environment • Collaboration between Supervisor & Staff

  19. Staff Satisfaction, Growth, Retention • Consistent supervision is an opportunity to learn about staff satisfaction • Promote professional growth, development • Strengths-based approach – celebrate milestones/achievements; acknowledge what is going well

  20. FPCNSupervision & TIC • Why/ how connected to TIC • Recognize vicarious trauma • Preventing burnout • Model behavior sought between staff and client • Staff retention, growth • Handouts explanation

  21. Balancing Act…

  22. Thank You! QuestionsComments scarpenter@fpcn.com rebecca.cashman@rhd.org

  23. Again Thank You for Your Time And Enjoy Your Lunch!!

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