[Episode 30] In today’s podcast, I utter well-nigh roughly basic concepts inwards supervision. I define administrative, clinical in addition to supportive supervision, utter well-nigh differential uses of supervision, including improvement of clinical services in addition to issues of liability. I likewise address the ethical standards for social workers providing supervision. Like many of the Social Work Podcasts, much has been written well-nigh the topic of supervision – to a greater extent than than tin dismiss live covered inwards this brusk podcast. If you lot are interested inwards learning to a greater extent than well-nigh supervision or becoming a supervisor, schools of social piece of job similar the University of Texas at Austin in addition to Smith College School of Social Work have got continuing instruction programs dedicated to preparation clinical supervisors. There are dozens of independent continuing instruction programs equally good equally books in addition to articles on the topic. As ever links to farther readings in addition to resources tin dismiss live found at the Social Work Podcast website at socialworkpodcast.com. Today’s podcast on supervision addresses a topic that is relevant to social workers at all stages of their career. It likewise sets the phase for an upcoming 3 constituent serial on telephone supervision inwards which I’ll live talking, over the phone, amongst 2 clinical social workers who furnish telephone supervision in addition to consultation. The lastly episode inwards the serial is an interview amongst a social worker who received telephone supervision towards an advanced license because the resources were non available locally.UPDATE Oct 20, 2008: University of Buffalo School of Social Work published a real engaging in addition to informative interview amongst MD Lawrence Shulman well-nigh parallel physical care for in addition to honest relationships inwards supervision. MD Shulman's interview was amount of practical tips for supervisors in addition to clinicians inwards the field. You tin dismiss remove heed this splendid podcast at the University of Buffalo School of Social Work Living Proof website.
Download MP3 [19:32]Transcript:
In the mid-1990s I worked for an outpatient crisis unit of measurement for children in addition to adolescents. We provided assessment, intervention in addition to short-term stabilization therapy for children who were suicidal, homicidal or actively psychotic. Because of the severity of the presenting problems in addition to the opportunity for imminent harm, nosotros would consult amongst each other in addition to the psychiatrist on every case. Case consultation was a daily, sometimes hourly, event. In these instance consultations nosotros talked well-nigh what was going on amongst the kid, the family, the other agencies, organizations or groups amongst which they powerfulness live involved. We staffed cases inwards existent fourth dimension inwards gild to brand sure that nosotros were getting all of the data nosotros needed to choke along this kid alive. We likewise got feedback on what nosotros powerfulness have got missed inwards our assessment or what data powerfulness live useful for handling planning in addition to side past times side steps.
Once a calendar week for 2 hours the way hired relief workers to encompass the phones in addition to accept attention of drop-ins in addition to then that the full-time staff could attend a weekly staff meeting. When I started working on the crisis unit, I expected that inwards these weekly staff meetings nosotros would brand it depth clinical supervision in addition to direction for the handling of our cases. Instead nosotros talked well-nigh billing codes, 90-day review cycles, which signatures were required on which pieces of paper, in addition to which novel assessment was required past times the nation to qualify for reimbursement. Although it seems obvious now, it wasn’t until I had spent roughly fourth dimension inwards this way that I realized that nosotros had scheduled administrative supervision in addition to informal clinical supervision. In gild to qualify for my advanced clinical license I had to seek exterior clinical supervision because at that spot are of import differences betwixt administrative in addition to clinical supervision. There is likewise a departure betwixt clinical supervision for licensure in addition to on-going post-license clinical consultation. In an splendid article on supervision, Mirean Coleman distinguishes betwixt consultation in addition to supervision. Consultation, she writes, may involve roughly of the same functions equally supervision only lacks the administrative responsibleness in addition to accountability. Consultants tin dismiss brand recommendations only have got no powerfulness to sanctions against a social worker when problems arise.
The 2005 NASW Standards for Clinical Social Work states that Clinical social workers shall hold access to professional person supervision and/or consultation. The standards stipulate that social workers should have supervision for the initiative of all 5 years of their professional person experience. After 5 years, social workers are expected to have supervision in addition to consultation on an as-needed basis. When social workers have got their clinical licenses, the NASW guidelines recommend that social workers offering preparation in addition to mentoring opportunities to outset social workers. In social work, supervision is seen equally a continuous in addition to meaningful constituent of the profession.
So what is supervision? According to the NASW, “Supervision is the human relationship betwixt the supervisor in addition to the supervisee that promotes the evolution of responsibility, skill, knowledge, attitudes, in addition to ethical standards inwards the exercise of clinical social work. The priority inwards the supervision physical care for is accountability for customer attention inside the parameters in addition to ethical standards of the social piece of job profession” (NASW, 1994)
There are 3 types of supervision: administrative, clinical (also called educational supervision) in addition to supportive supervision.
Administrative Supervision
The most basic role of administrative supervision is to ensure that piece of job is performed. Most social workers have administrative supervision at their agencies. How produce you lot know if you’re receiving administrative supervision? Your supervisor talks amongst you lot well-nigh paperwork compliance, billing, administrative procedures for changes inwards codes in addition to categories. Administrative supervision is crucial inwards maintaining way functioning. Every fourth dimension my supervisor talked well-nigh billing codes, she was making sure that our way would live reimbursed for services rendered. Without proper attending to billing in addition to compliance amongst the myriad of oversight agencies (and funding sources), most social service agencies couldn’t hold upwards audits or pay the bills. Administrative supervision is non concerned well-nigh the lineament of the services provided – that is the role of clinical supervision.
Clinical (also known equally educational supervision)
Clinical supervision is concerned amongst teaching the knowledge, skills, in addition to attitudes of import to clinical tasks. Some social workers have clinical supervision at their agencies. How produce you lot know if you’re receiving clinical supervision? You run into on a regular terra firma amongst your supervisor to utter over customer issues such equally assessment, diagnosis, handling options, barriers to care, medication support, etc.
Clinical supervision, similar the therapeutic human relationship itself, starts amongst rapport building, establishes a purpose for supervision, in addition to determines when the human relationship volition live over. Clinical supervisors tin dismiss in addition to should usage all of the skills they have got developed equally clinicians inwards a supervisory context.
Supervision looks dissimilar based on setting, clinician needs in addition to supervisor orientation. For example, if you lot are receiving supervision for piece of job inwards the addictions field, it powerfulness live that your supervisor volition inquire you lot to position which phase of alter your customer is in. In contrast, if you lot are working inwards a kid in addition to household unit of measurement handling agency, your supervisor powerfulness inquire you lot to position your client’s developmental stage, or the phase of the household unit of measurement life cycle.
Although at that spot are dissimilar approaches to supervision, including formal instance presentation, technique-specific approaches, etc., roughly mutual clinical supervisory questions include:
1. What is your role amongst the client?
2. What goals have got you lot in addition to your customer established for treatment?
3. What challenges produce you lot have got amongst handling correct now?
Supportive Supervision
This type of supervision is typically non carve upwards from administrative or clinical only has the role of increasing labor performance in addition to decreasing burnout.
Supervision, whether administrative, clinical or supportive, has traditionally occurred inwards person. Because of advances inwards technology, to a greater extent than in addition to to a greater extent than people are using the telephone in addition to Internet technologies similar chat rooms in addition to e-mail to obtain supervision. Regardless of the medium, supervision tin dismiss come about individually or inwards groups. Each nation has dissimilar regulations well-nigh what counts towards supervision. In Pennsylvania, social workers tin dismiss have no to a greater extent than than 50% of their supervision towards advanced clinical licensure inwards a grouping setting.
Uses of supervision across the career
In this side past times side section, I’m going to utter well-nigh how supervision tin dismiss live used at 3 dissimilar stages of a social piece of job career – student, professional person working towards advanced clinical license, in addition to finally independent practitioner. I volition likewise reference relevant standards in addition to guidelines developed past times the National Association of Social Workers (NASW) in addition to the Counsel on Social Work Education (CSWE). For social workers at all stages of their career, proficient supervision prevents burnout, improves the lineament of clinical care, in addition to reduces liability.
The Council on Social Work Education’s 2004 Educational Policy in addition to Accreditation Standards (also known equally EPAS) nation that that supervision is essential to social piece of job practice. Graduates of either BSW or MSW programs are expected to demonstrate 12 abilities, 1 of which is the usage of supervision in addition to consultation (EPAS, 2001, 3.0, p. 7). Students are required to have supervision inwards champaign placements (EPAS, 2.1.6, p. 13). Field supervision has an educational focus in addition to is expected to arrive at a number of goals. One destination is to ensure that students are providing ethical in addition to clinically appropriate services. Another destination is to assist students to develop into professionals. Influenza A virus subtype H5N1 3rd purpose is to assist students empathise how coursework is translated into practice. In whatever give bird students are provided amongst to a greater extent than data than they tin dismiss live expected to grasp, in addition to sure enough to a greater extent than than they are expected to implement inwards the field. Good champaign supervision allows students to bounce ideas off of supervisors that they learned well-nigh inwards bird in addition to to gain insight into how those ideas or theories genuinely piece of job inwards the “real world.”
Supervision is of import later graduation equally well. Supervision is likewise of import for obtaining advanced clinical licenses that are frequently required for third-party reimbursement, whether that live federal insurance similar Medicaid, medicare or SCHiP, or private insurance similar BC/BS. Before you lot acquire inwards a supervisory human relationship towards advanced clinical licensure, it is of import to brand sure that your supervisor has all of the credentials necessary to sign off on your supervision. I know this sounds obvious, only the rules in addition to regulations for clinical supervision differ from nation to state. Here’s a recent illustration from New Jersey. APA (6th ed) citation for this podcast:
Singer, J. B. (Host). (2008, Jan 14). Supervision for social workers [Episode 30]. Social Work Podcast. Podcast retrieved Month Day, Year, from /search?q=supervision-for-social-workers
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