reflective supervision: how to be and what to do learning & development in the practice of...
TRANSCRIPT
Reflective Supervision: How to Be and What to Do
Learning & Development in the Practice of Reflective Supervision
Andrea Foote, PsyD, IMH-E (IV)®Jordana Ash, LCSW, IMH-E (IV)®
Colorado Behavioral Health Care Council, September 2012
Why’d we start this way?
• Reflective practice is cornerstone of clinical practice for administration, supervisors, clinicians, other practitioners. – Without it we are acting without full awareness
of the vast majority of information and communication available to us
• Mindfulness and self awareness can be seen as the foundation for the reflective relationship
• Reflection as the foundation for safety & learning
Plan for today
• Explore the concepts & foundations of reflective supervision
• Links to Triple Aim• Administrative, clinical & reflective supervision• Small group discussion– BREAK (4:00-4:15 ish)
• How do you know it’s working?• Dyadic Experience• Wrap up
Video
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Definition
• Reflective supervision is an ongoing communication process that regulates and understands the flow of emotion, information and experience.
• Reflective supervision occurs between two or more individuals whereby the developing relationships serve as the vehicle for acceptance, trust and respect and a mindful service delivery
• The supervisor is a trained, skillful and experienced professional who creates a safe space from which a supervisee can learn and reflect about their work.
Janet Dean, LCSW
2010
How to be & What to doKey Concepts in Reflective
SupervisionoRegularity
oConsistent meeting timeoNo interruptionsoSlowing down
oContainmentoPartnering with supervisee to regulate
anxiety & emotionsoServes the purpose of being able to reflect
rather than reactoRemembering what was brought before
How to be & What to doKey Concepts in Reflective
Supervisiono Inquiry
o Curiosityo Embracing complexityoWondering together & tolerating now knowingo Cultural Considerations of the workoDirect advocacy & teaching, not just process
oReflectiono Bringing awarenesso Paying close attention to the supervisee’s
thoughts, feelings & distractionso Experiences finding one’s own answerso Exploring what’s missing ?
How to be & What to doKey Concepts in Reflective
SupervisionoReciprocity and Collaboration
o Jointly setting the agendaoTrust that what comes forward is what needs
to be looked atoEmotionally available supervisor/ emotionally
open supervisee
oParallel ProcessoWhat happens between supervisor &
supervisee is information about what is happening for supervisee & client, and client & child.
Safety & Learning in Reflective Supervision
• A nurse's perspective
Safety & Learning in Reflective Supervision
• Foundation for dealing with vicarious trauma, reducing burnout, fighting turnover
• Insurance policy: practitioners are aware of what’s being acted out non-consciously or through lack of awareness with clients: Enactment is our unresolved behavior patterns acted out
• Pays off administratively and clinically.10
Critical Distinctions or A Relationship for All Kinds of Learning
• Administrative – Performance Evaluations– Productivity– Agency/Organizational Expectations
• Clinical– Case formulation– Diagnosis and Treatment Goals– Transference & Counter-transference
• Reflective
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Compelling Forces
• Reflective supervision strives to continuously integrate compelling forces such as reflection and direct advocacy.
• The provision of attuned guidance is measured by the need to stay in inquiry.
Table Talk Conversation
oWhat is your current experience with reflective supervision in your organization or practice?
oWhat aspects of a RS practice would be most challenging to implement?
oWhich messages about RS would resonate most in your organization?
Break
Supporting Reflective Supervision: why should agencies & organizations invest?
oWhat’s the research out there?o Impacts of physical healthoMinimizing effects vicarious traumao In children & adults , increased self-regulationoConnection community and family supportso Staff retention/ staff moraleo Knowledgeable and effective practitioners
What might it take?
• Video
Some Practice Considerations
o Groupo Community Infant Program Model/adapted from NCTSNo Anxieties & inadequacies minimizedo Increases relational capacityo Team resilience
o Peero Facilitated/non-facilitatedo Small cluster
o Case consultationo Consulting to a Clinical Team
o Promoting a team cultureo Job descriptions/interviewso New employees
Today’s Reflection Supervision Experience
• Confidentiality• Respect of each other’s process and starting
place• Heighten your awareness around how you are
with another in a supervisory 1:1 interaction• Notice your own tendencies • _________________• Each person will practice each role• About 10 minutes a turn (we will let you
know)
RS Experience Reflections
oGetting centeredoWhat did you notice?oHow did that feel/ compare to other
supervisory experiences?oHow might this kind of supervision
support your work?oWhat else do you need to know?
Resources
oReflective Supervision Rating Scaleo Informing agency practiceo Introduction to new superviseesoQuality ChecksoResearch
oResource ListoCoAIMH Teach-In (www.coaimh.org)
Wrap up
• How to be & What to do • Q & A• What’s next for RS
• Some last thoughts• Jordana Ash
[email protected]• Andrea Foote