Clinical Supervision:

Mental Health and Chemical

Dependency

Fall ‘99 Bain

“How, then, does anyone help another to grow in the practice of an art? The only answer we know is to study the process of natural growth and cooperate with it.” Reynolds, Bertha (1965). Learning and Teaching in the Practice of Social Work, 2nd Ed.

Bain

SW 360K/395K

Fall 1999

COURSE AT A GLANCE Clinical Supervision: Mental Health and Chemical Dependency

Course Prerequisites: An undergraduate degree is a prerequisite for enrolling in the course without instructor approval. Enrollment is limited to 20, and on a first come - first serve basis. Enrollment limits will be strictly enforced to insure the quality of the educational experience. Students are expected to come to class prepared, to turn in weekly logs, and to complete one major written assignment and presentation. More than three absences will result in withdrawal from the course. Dates

Title

8/31-9/14

Unit I

History, Philosophy, Role of Professional Supervision (NO CLASS ON 9/7/98)

9/21-9/28

Unit II

Organizational & Practice Realities

10/5, 10/12 10/19

Unit III

Supervisory Functions & Models

10/26 & 11/2

Unit IV

Relationship and Management Style

11/9 & 11/16

Unit V

Tools & Techniques

11/23 & 11/30

Unit VI

Student Presentations of Major Paper

Dates

Assignments

12/4/98

A. B. C. D.

Logs turned in weekly

Mid-term exam Presentation Paper (optional)

2

100 pts. each

50 pts. 100

Bain

SW 360K/395K

Fall 1999

T HE U NIVERSITY OF T EXAS AT A USTIN U NIVERSITY EXTENSION Course Number:

SW 360K/SW395K

Unique Number: Semester:

Fall 99

Meeting Time/Place: Mon. 6:30-9:30 p.m./Rm. 2.116

Instructor’s Name:

Bain, Bonnie

Office Number:

3.124H

Office Phone:

471-0528 or 451-0298 or 331-0141

Office Hours:

By Appointment

CLINICAL S UPERVISION : M ENTAL H EALTH /C HEMICAL DEPENDENCY I.

Course Description This course is designed for social workers, chemical dependence counselors and other professionals who are licensed in their respective fields of clinical practice. This course will promote understanding of clinical supervision and its critical role in professional growth. Students will develop knowledge and skills in the supervision relationship and process. Documentation and evaluation will be emphasized as well as important elements of support in grappling with today’s practice realities.

II.

Course Objectives By the end of the course students will: 1.

Appreciate the tradition and role of supervision in clinical practice and the heritage of an ecological, systems perspective.

2.

Become familiar with basic models and related theories which influence the nature of the supervision;

3.

Recognize the organizational and practice realities which shape clinical supervision within and beyond a given agency setting;

4.

Examine and be able to apply various techniques and relationship styles of supervision; with an appreciation for ethnic, gender, age, etc. diversity.

5.

Identify professional ethical and boundary issues in supervision;

6.

Understand the concept of parallel process;

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Bain

SW 360K/395K

Fall 1999

7.

III.

Understand how to apply the basic tools for supervision with an appreciation for the strengths and diversity of supervisees, administrators, and clients.

Teaching Methods Some lecture, but emphasis will be on group discussion experiential learning, and student presentation. Creative and critical thinking will be encouraged in written an oral assignments and in examining how we learn.

IV.

Required Shulman, Lawrence (1993). Interactional supervision. Washington D.C.: NASW Press. Recommended: Munson, Carlton E. (1993). Clinical social work supervision, 2nd ed., New York, NY: Haworth Press Powell, David J. (1993). Clinical supervision in alcohol and drug abuse counseling. New York, New York: Lexington Books. Additional Readings to be Assigned

V.

Course requirements 1.

Weekly logs (see hand-out for written guide). No points unless logs are not turned in. Failure to turn in logs will lower grade by 1 letter.

2a.

Major paper and presentation (see outline provided) on a supervisory issue, problem 15-20 pages 150 total (OR) Major paper and presentation on the development of a tool to enhance effective clinical supervision.

2b. 3. VI.

Midterm exam

100 points

Class policies An appreciation for diverse experiences and opinions is critical for all of us to feel safe in voicing opinions and exploring ideas. You are expected to come to class; come to class on time and prepared; to re-evaluate your own ideas and to respect other points of view. I reserve the right to add or subtract 5 pts from you final grade for the quality of your class participation. More than 1 unexcused absence will lower your grade by 1 letter. Three absences will require you to drop the course. If you must be absent, please notify me (471-0528). I am eager to get to know and to learn from all of you.

4

Bain

SW 360K/395K

Fall 1999

VII.

Course Schedule

Aug. 30th

Unit I - History and Role of Clinical Supervision Part I

Readings:

A.

Handouts: Top 10 questions for Supervisors to Ask Themselves

Orientation to course and assignments and getting acquainted. B. What exactly is supervision? Is it really viable today? C. What is clinical SW? What is an LCDC? Similarities/Differences? Sept. 6 th

Labor Day Holiday

Sept. 13th

A.

Sept. 20th

History and Philosophy of Supervision cont’d. B. The use of theory in supervision C. Supervision as Process, Art and Science

Readings:

Unit II - Organizational and practice realities: Impact on Supervision

Readings:

A. B. C.

Bureaucracy: Resource and obstacle The Middle Management Morass Scarcity of Resources

Sept. 27th

A.

No log

B.

Supervision for Clinical Practice in MH-CD Today Gender, Ethnicity, and Age: Does it Matter? Impact of Managed Care Conflicting Demands

C. D.

Oct. 5th

Module - Basic Functions & Models of Supervision A. B.

Munson. Ch. 8, “The use of Theory.” Munson. Ch. 3, “Values and Ethics.: “Code of Ethics” (LMSW, LPC, LCDC, and LMFC) 1st Log Due Ethical Decision Making ladder

Ginsberg, L. “Concepts of New Management.” Edwards, R. and Yanky, J. “Managing Organizational Decline.” Readings: Asanisah, Y. “Managing the New Multicultural Work Place” Healy, L. “Women & SW Management” Shulman, L. Ch. 2, “An Interactive Approach for Supervision.” Readings: Shulman, L. Chps. 6 & 7 Shulman, L. Ch. 3, “Prep & Beginning Skills in Supervision.” Powell, D. Ch. 6, “A Developmental Approach to Supervision.”

Mentor and Manager Beginning Skills

5

Bain

SW 360K/395K

Fall 1999

Oct. 11th

A. B. C. D.

From practitioner to supervisor: Is it progress? Ethical dilemmas in supervision Micro/Macro balance Working Phase Skills

Oct. 18th

A. B. C.

Oct. 25th

Midterm Exam

Nov 1st

Unit IV - The Supervisory Relationships A. B. C.

Nov. 8th

A. B.

Shulman, L. Ch. 4, “Work Phase Skills in Supervision.” Peremulter, F. “The Total Administrator.” Lowe, J & Austin, M. “Using Direct Practice Skills in Administration.”

Group Supervision and Team Building Readings: Task and Process Learning and Communication Styles Shulman, L. “Working With Staff Groups” Jacobs, C. “Violations of the Supervisory Relationship.”

Parallel Process Therapy/Professional Growth boundaries Authority & Trust

Readings: Itzhaky, H. & Itzhaky. “The Therapy-Supervision Dialectic”. Holloway, E. Ch. 3, “The relationship of supervision Gender reading Nelson, M.L. “An Interactional Model for Empowering Women in Supervision.”

Leadership Style Empowering supervisee to use supervision effectively Conflict and Morale Endings & Transitions

Readings:

Unit V - Tools and Techniques

Readings:

A. B. C.

Gardner, J. “Supervision of Trainees...” Munson, C. Ch. 6, “Technique in Supervision. “. Munson, C. Ch. 9, “Evaluation of practice.”; Ch. 10, “Working

C. D.

Nov. 15th

Readings:

Skills in Supervision Contracts Evaluation of Performance

6

Powell, D. “Key Issues in Clinical Supervision.” Miller, P. (1997). “The Spirit of 9 to 5,” Yoga Journal, Nov./Dec. Kurland, R. and Salmon, R. “When Problems Seem Overwhelming:...” Shulman, L. Ch. 5, “Supervisory Endings/Transitions.”

Bain

SW 360K/395K

Fall 1999

with the System.” Powell, D. Ch. 12, “Basic Supervisory Techniques.” Nov. 22nd

A. B. C. D.

Audio/visual and action techniques Time management and professional role modeling Self-Care Documentation, documentation, documentation

Nov. 29th – Dec. 6th

Unit VI - Student

presentations/demonstrations

Dec. 6th

Final Paper Due

7

Readings: Brashears, F. “Supervision as SW Practice....” DiPadova, L. and Faerman, S. “Managing Time in the Organizational Setting.” Reamer, F. “Liability Issues...” Bernard, J. & Goodyear, R. Ch. 4, “The Individual Case Conference Methods and Techniques.”

Bain

SW 360K/395K

Fall 1999

VIII. Bibliography Brashears, Freda. Supervision as social work practice: A reconceptualization. Social Work, Vol. 40, No. 5, September 1995. Edwards, R. And Yankey, J., Eds. (1995). “Skills for effective human services management.” “Managing time in the Organizational setting”, by DiPadova, L., and Ferman, S., NASW Press: Washington, DC. Ibid. Edwards, R. And Yankey, J. Managing organizational decline.” Gardner, J. (1995). “Supervision of trainees: Tending the professional self.” Clinical Social Work, Vol. 23, No. 3. Ginsberg, Leon and Keys, P. (1995). New management services, 2nd ed. NASW Press, Washington, DC. Ibid. Asamoah, Y. “Managing the new Multicultural workplace,” Ch. 7.

Ibid. Ginsberg, L. “Concepts of new management,” Ch. 1.

Ibid. Healy, L. Et al. “Women and social work management,” Ch. 8.

Goldstein, Eda. (1996). “What is clinical social work? Looking back to move ahead,” Clinical Social Work Journal, Vol. 24, No. 1, Spring. Harkness, Daniel and Hensley, Harriet. (1991). “Changing the focus of social work supervision: Effects on client satisfaction and generalized contentment.” Social Work, Vol. 36, No. 6, November. Holoway, Elizabeth L. (1995). Clinical supervision: A systems approach. Sage Publications: Thousand Oaks, CA. Kahn, Eva. (1979). “The parallel process in social work: Treatment and supervision,” Social Casework, November. Klein, W. And Bloom M. (1991). “Practice wisdom.” Social Work, Vol. 40, No. 6. November. Kurland, Roselle and Salmon, Robert. (1992). “When problems seem overwhelming: Emphasis in teaching, supervision and consultation.” Social Work, Vol. 37, No. 3, May. Jacobs, C. (1991). “Violations of the supervisory relationship: An ethical and educational blind spot.” Social Work, Vol. 36, No. 2, March. Lowe, Jane I. and Austin, Michael. (1997). “Using Direct Practice Skills in Administration,” The Clinical Supervisor, Vol 15(2). Nelson, Mary L. (1997). “An Interactional Model for Empowering Women in Supervision,” Counselor Education & Supervision, Vol. 37. Perlmutter, Felici D. (1990). “Changing hats from social work practice to administration: The total administrator.” NASW Press: Washington, DC.

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Bain

SW 360K/395K

Fall 1999

Powell, David J. (1993). Clinical supervision in alcohol and drug abuse counseling. Lexington Books: New York, NY. Rauktis, Mary E. And Koeske, G. (1994). “Maintaining social worker morale: When supportive supervision is not enough.” Journal of Administration in Social Work, Vol. 18. Reamer, F. (1989). “Liability issues in social work supervision.” Social Work, Vol. 34, No. 5, September. Williams, Ali B. (1997). “On parallel process in social work supervision.” Clinical Social Work Journal, Vol. 25, No. 4.

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Bain

SW 360K/395K

Fall 1999

Guide for Special Topic Paper and Presentation Course on Clinical Supervision 15-20 pages Options for Paper or Project: 1.

Select a topic that you would like to research to enrich your knowledge of supervision. Ex. a. b. c. d. e. f. g. h. i.

2.

a. b.

3.

Grant writing or proposals for research, policy analysis, administrative change to enhance staff education/training Your evolving model of clinical supervision

Tools/Techniques for Individual or Group Supervision a. b. c. d. e.

4.

Relationship and its role with adult learners Process: Its demise or significance in today’s practice world Active/critical teaching/learning Evaluations in practice performance Shifting from practitioner or supervisor: Making the transition Agency assessment and the impact of the agency organization on the qualify of clinical supervision Trends in managed care: implications for clinical supervision. Supervisory liability Private practice in social work: Professional & ethical issues

Developing leadership for meeting the challenges of diversity Maintaining or improving staff moral Decision making with multiple accountability Engaging rigid or resistant staff in performance evaluation Improving informal/formal lines of communication

Issues in management/supervisory roles: Suggested practice/policy guides

See me if you wish to deviate from these suggestions. Thanks and Good Luck!

10

Bain

SW 360K/395K

Fall 1999

Guide for Special Topic Paper and Presentation Course on Clinical Supervision

(Provide relevant hand-outs & bibliography to classmates.)

I.

Rational for topic selection and brief introductory background

II.

Review & summary of related literature, interview, survey results, etc. (Attach Bibliography or recommended sources.)

III.

Identify underlying assumptions, values and the practice implications.

IV.

Suggest tentative, specific, realistic goals that would ameliorate the problem issue, condition being addressed.

V.

Assess supports /constraints for making changes or maintaining status quo and containing losses in your agency, program or department or in your private practice.

VI.

Recommended at least two points of entry or places to begin to work with rationale. Or, suggest how a technique or strategy or tool might be used in a variety of ways.

VII.

Indicate next steps.

VIII. Indicate how your plan is related to your overall views of supervision and how people grow and change and your own professional growth. IX.

Discuss your experience (pro & con) with this assignment.

X.

General creativity and/or original thinking.

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Bain

SW 360K/395K

Fall 1999

Log Guide Supervision Course Sept. 13th

Reflect on and note briefly: 1. 2. 3. 4.

Who or what has most nurtured you as a learner? As a MH-CD Professional? What do you know about your own needs and style as a learner? Organizationally, what do you need most for your professional satisfaction and growth? Give an example of supervision as an art or process.

General Comments, thoughts:

Sept. 20th

1. 2. 3. 4.

What does the term “clinical” conjure up for you? What theories of human behavior are your conscious of applying in your practice most often. What do you do regularly to keep current and improve your effectiveness? How is the agency/setting where you work impacting staff morale?

General Comments, thoughts:

12

Bain

SW 360K/395K

Fall 1999

Sept. 27th

1.

2.

Reflect & comment on your experiences in being supervised by or in supervising others whose age, ethnicity, gender were different from your own. What made those experiences challenging and rewarding? What would you do different by now? What I always wanted to know about (discipline other than your own) but was afraid to ask?

General Comments, thoughts:

Oct. 4th

1. 2. 3.

What has been or might be the most difficult obstacle for you in making the transition from practitioner to supervisor and/or combining these roles? What ethical issues have your confronted related to role conflicts/expectations in your practice? How, in your experience have the administrative function and the educational function of supervision been operationalized and with what effect?

General Comments, thoughts:

13

Bain

SW 360K/395K

Fall 1999

Oct. 11th

1. 2.

In general do you think of yourself as a leader? What if anything is uncomfortable about that notion? What do you like about the possibility of assuming more leadership in your agency/profession? What tools or techniques have you grown to appreciate as a supervisor/supervisee?

General Comments, thoughts:

Oct. 18th

1. 2. 3. 4.

How do you apply the concept of “process” in your work with clients or supervisees? Notice and comment on the balance or lack of it between task and process emphasis in your work. What contributes to team building or working cooperatively with other staff in your agency? What can we do to change or enhance team effectiveness?

General Comment, thoughts:

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Bain

SW 360K/395K

Fall 1999

Oct. 25 th

No logs. Exam Date.

Nov. 1st

1. 2.

Give an example of parallel process in your work. How does the concept enhance your effectiveness - or not? Where are boundaries most troublesome/helpful in your role?

General Comments, thoughts:

Nov. 8th

1. 2.

Think about and list two ways authority in your role helps get the job done without alienating people. How do you use personal influence on the job? Describe your experience with a meaningful ending - personal or professional and discuss what made it meaningful for you.

General Comments, thoughts:

15

Bain

SW 360K/395K

Fall 1999

Nov. 15th

1. 2. 3.

What are your greatest assets as a professional? How would you use them differently in a supervisory position? What is helpful about an evaluation process for supervisor and worker? Suggest some ways you would like to change the evaluation process with your supervisees?

General Comments, thoughts:

Nov. 22nd

1. 2. 3.

What have you developed from your practice experience in the way of managing your professional responsibilities that has been most useful, effective for you? What tool or techniques have you come to appreciate as a supervisor/supervisee? How do you take care of yourself as a social worker? How is that relevant to supervision?

General Comments, thoughts:

16

Bain

SW 360K/395K

Fall 1999

Nov. 29 th

1. 2. 3.

What would you do to streamline the paper trail or make case documentation more manageable in your agency? What is most difficult for you in evaluating supervisees? How does your agency support that process? What has been the most valuable to you in the course? Least valuable? Suggestions?

General Comments, thoughts:

Dec. 6th

No logs due during student presentations

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