Clinical supervision in a competency-based era

Abstract

Since clinical supervision has become recognized as a distinct professional practice, competency-based supervision has gained considerable traction internationally. Competency-based supervision enhances accountability and is compatible with evidence-based approaches. Competency-based supervision is defined by supervisor and supervisee collaboratively and explicitly identifying the knowledge, skills and attitudes comprising each clinical competency, determining specific learning strategies, and monitoring and evaluating the development of those. Recommendations for supervision practice are described based on the growing evidence base for practice and responsive to emerging ethical and legal issues.

Keywords

Clinical supervision competence competency-based supervision

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References

American Psychological Association. (2010). Ethical principles of psychologists and code of conduct (2002, Amended June 1, 2010). Retrieved from http://www.apa.org/ethics/code/index.aspx

Aspland

Lleweylen

Hardy

Barkham

Stiles

(2008). Alliance ruptures and rupture resolution in cognitive-behavioral therapy: A preliminary task analysis. Psychotherapy Research, 18, 699–710. doi:10.1080/10503300802291463

Association of State and Provincial Psychology Boards. (2010). Study of the practice of licensed psychologists in the United States and Canada. Retrieved from http://c.ymcdn.com/sites/ www.asppb.net/resource/resmgr/EPPP_/ASPPB_PA_July_2010.pdf

Association of State and Provincial Psychology Boards. (2013, July 7–9). Definitions of competence. Day 2, 5th International Congress on Licensure, Certification and Credentialing in Psychology, Stockholm, Sweden.

Association of State and Provincial Psychology Boards. (in press). ASPPB supervision guidelines.

Australian Psychology Accreditation Council. (2012). Accreditation standards for programs of study in psychology. (Consultation draft). Melbourne, Australia. Retrievedfrom: http://www.psychologycouncil.org.au/Assets/Files/APAC_Standards_Consultation_Draft_Sept_2012.pdf

Bernard

J. M.

Goodyear

R. K.

(2014). Fundamentals of clinical supervision (5th ed.). Boston: Pearson.

Board of Educational Affairs, American Psychological Association. (2013). Proposed guidelines for competency-based clinical supervision in health service psychology education and training programs (Task Force on Supervision Guidelines draft). Washington, DC: Author.

Borders

L. D.

DeKruyf

Fernando

D. M.

Glosoff

H. L.

Hays

D. G.

Page

Welfare

L. E.

(2011). Best practices in clinical supervision. Alexandria, VA: Association for Counselor Education and Supervision. Retrieved from http://www.acesonline.net/wp-content/uploads/2011/10/ACES-Best-Practices-in-clinical-supervision-document-FINAL.pdf

10.

Bordin

E. S.

(1983). Supervision in counseling: II. Contemporary models of supervision: A working alliance based model of supervision. The Counseling Psychologist, 11, 35–42. doi:10.1177/0011000083111007

11.

British Psychological Society. (2003). Policy guidelines on supervision in the practice of clinical psychology. Leicester, UK: Author.

12.

British Psychological Society. (2006). Continued supervision. Leicester, UK: Author.

13.

Brosan

Reynolds

Moore

R. G.

(2008). Self-evaluation of cognitive behavioral therapy performance: Do therapists know how competent they are? Behavioural and Cognitive Psychotherapy, 36, 581–587. doi:10.1017/S1352465808004438

14.

Canadian Psychological Association. (2000). Canadian code of ethics for psychologists. Retrieved from http://www.cpa.ca/cpasite/userfiles/Documents/Canadian%20Code%20of%20Ethics%20for%20Psycho.pdf

15.

Canadian Psychological Association. (2004). Mutual recognition agreement (MRA). Retrieved from http://www.cpa.ca/documents/MRA.pdf

16.

Canadian Psychological Association. (2009). Ethical guidelines for supervision in psychology: Teaching, research, practice, and administration. Retrieved from http://www.cpa.ca/aboutcpa/committees/ethics/ethicalguidelinesforsupervisioninpsychology/

17.

Crook-Lyon

R. E.

Presnell

Silva

Suyama

Stickney

(2011). Emergent supervisors: Comparing counseling center and non-counseling center interns’ supervisory training experiences. Journal of College Counseling, 14, 34–49. doi:10.1002/j.2161-1882.2011.tb00062.x

18.

DeCamp

Koenig

T. W.

Chisolm

M. S.

(2013). Social media and physicians’ online identity crisis. JAMA, 310, 581–582. doi:10.1001/jama.2013.8238

19.

DeJong

S. M.

Benjamin

Meyer

A. J.

Nadvah

Boland

R. J.

Lomax

Rostain

A. L.

(2012). Professionalism and the Internet in psychiatry: What to teach and how to teach it. Academic Psychiatry, 36, 356–362. doi:10.1176/appi.ap.11050097

20.

DiLillo

Gale

E. B.

(2011). To Google or not to Google: Graduate students’ use of the Internet to access personal information about clients. Training and Education in Professional Psychology, 5, 160–166. doi:10.1037/a0024441

21.

Dunning

Heath

Suls

J. M.

(2004). Flawed self-assessment: Implications for health, education, and the workplace. Psychological Science in the Public Interest, 5(3), 69–106. doi:10.1111/j.1529-1006.2004.00018.x

22.

Ellis

M. V.

Berger

Hanus

Ring

E. E.

Siembor

M. J.

Swords

B. A.

(in press). Inadequate and harmful clinical supervision: Revising the framework and assessing occurrence. The Counseling Psychologist.

23.

Falender

C. A.

Burnes

Ellis

(2013). Introduction to major contribution: Multicultural clinical supervision and benchmarks: Empirical support informing practice and supervisor training. The Counseling Psychologist, 41, 8–27. doi:10.1177/0011000012438417

24.

Falender

C. A.

Cornish

J. A. E.

Goodyear

Hatcher

Kaslow

N. J.

Leventhal

…Sigmon

S. T.

(2004). Defining competencies in psychology supervision: A consensus statement. Journal of Clinical Psychology, 60, 771–785. doi:10.1002/jclp.20013

25.

Falender

C. A.

Ellis

M. V.

Burnes

(2013). Response to reactions to major contribution: Multicultural clinical supervision and Benchmarks. The Counseling Psychologist, 41, 140–151. doi:10.1177/0011000012464061

26.

Falender

C. A.

Shafranske

E. P.

(2004). Clinical supervision: A competency-based approach. Washington, DC: American Psychological Association (APA).

27.

Falender

C. A.

Shafranske

E. P.

(2007). Competence in competency-based supervision practice: Construct and application. Professional Psychology: Research and Practice, 38, 232–240. doi:10.1037/0735-7028.38.3.232

28.

Falender

C. A.

Shafranske

E. P.

(Eds.). (2008). Casebook for clinical supervision: A competency-based approach. Washington, DC: American Psychological Association (APA).

29.

Falender

C. A.

Shafranske

E. P.

(2012a). Getting the most out of clinical training and supervision: A guide for practicum students and interns. Washington, DC: American Psychological Association (APA).

30.

Falender

C. A.

Shafranske

E. P.

(2012b). The importance of competency-based clinical supervision and training in the twenty-first century: Why bother? Journal of Contemporary Psychotherapy, 42, 129–137. doi:10.1007/s10879-011-9198-9

31.

Falender

C. A.

Shafranske

E. P.

(2014). Supervision. In W. B.

Johnson

N. J.

Kaslow

(Eds.), Oxford handbook of education and training in professional psychology. New York, NY: Oxford University Press.

32.

Falender

C. A.

Shafranske

E. P.

Falicov

(Eds.). (2014). Multiculturalism and diversity in clinical supervision: A competency-based approach. Washington, DC: American Psychological Association (APA).

33.

Farnan

J. N.

Petty

L. A.

Georgitis

Martin

Chiu

Prochaska

Arora

V. M.

(2012). A systematic review: The effect of clinical supervision on patient and residency education outcomes. Academic Medicine, 87, 428–442. doi:10.1097/ACM.0b013e31824822cc

34.

Fouad

N. A.

Grus

C. L.

Hatcher

R. L.

Kaslow

N. J.

Hutchings

P. S.

Madson

M. B.

…Crossman

R. E.

(2009). Competency benchmarks: A model for understanding and measuring competence in professional psychology across training levels. Training and Education in Professional Psychology, 3, S5–S26. doi:10.1037/a0015832

35.

Frawley-O’Dea

M. G.

Sarnat

J. E.

(2001). The supervisory relationship: A contemporary psychodynamic approach. New York, NY: Guilford Press.

36.

Gottlieb

M. C.

Robinson

Younggren

J. N.

(2007). Multiple relations in supervision: Guidance for administrators, supervisors, and students. Professional Psychology: Research and Practice, 38, 241–247. doi:10.1037/0735-7028.38.3.241

37.

Grus

C. L.

Kaslow

N. J.

(2014). Professionalism: Professional values and attitudes in psychology. In Johnson

W. B.

Kaslow

N. J.

(Eds.), Oxford handbook of education and training in professional psychology. New York, NY: Oxford University Press.

38.

Hadjistavropoulos

Kelher

Hadjistavropoulos

(2010). Training graduate students to be clinical supervisors: A survey of Canadian professional psychology programmes. Canadian Psychology, 51, 206–212. doi:10.1037/a0020197

39.

Hansen

N. D.

Randazzo

K. V.

Schwartz

Marshall

Kalis

Frazier

…Norvig

(2006). Do we practice what we preach? An exploratory survey of multicultural psychotherapy competencies. Professional Psychology: Research and Practice, 37, 66–74. doi:10.1037/0735-7028.37.1.66

40.

Hatcher

R. L.

Fouad

N. A.

Grus

C. L.

Campbell

L. F.

McCutcheon

S. R.

Leahy

K. L.

(2013). Competency benchmarks: Practical steps toward a culture of competence. Training and Education in Professional Psychology, 7, 84–91. doi:10.1037/a0029401

41.

Hoffman

M. A.

Hill

C. E.

Holmes

S. E.

Freitas

G. F.

(2005). Supervisor perspective on the process and outcome of giving easy, difficult, or no feedback to supervisees. Journal of Counseling Psychology, 52, 3–13. doi:10.1037/0022-0167.52.1.3

42.

Hunsley

Barker

K. K.

(2011). Training for competency in professional psychology: A Canadian perspective. Australian Psychologist, 46, 142–145. doi:10.1111/j.1742-9544.2011.00027.x

43.

Inman

A. G.

Ladany

(2008). Research: The state of the field. In Hess

A. K.

Hess

K. D.

Hess

T. H.

(Eds.), Psychotherapy supervision: Theory, research, and practice (2nd ed., pp. 500–520). Hoboken, NJ: John Wiley & Sons.

44.

Jain

S. H.

(2009). Practicing medicine in the age of Facebook. New England Journal of Medicine, 361, 649–651. doi:10.1056/NEJMp0901277

45.

Jernigan

M. M.

Green

C. E.

Helms

J. E.

Perez-Gualdron

Henze

(2010). An examination of people of color supervision dyads: Racial identity matters as much as race. Training and Education in Professional Psychology, 4, 62–73. doi:10.1037/a0018110

46.

Kaslow

N. J.

Borden

K. A.

Collins

F. L.

Forrest

Illfelder-Kaye

Nelson

P. D.

…Willmuth

M. E.

(2004). Competencies conference: Future directions in education and credentialing in professional psychology. Journal of Clinical Psychology, 60, 699–712. doi:10.1002/jclp.20016

47.

Kaslow

N. J.

Grus

C. L.

Campbell

L. F.

Fouad

N. A.

Hatcher

R. L.

Rodolfa

E. R.

(2009). Competency assessment toolkit for professional psychology. Training and Education in Professional Psychology, 3, S27–S45. doi:10.1037/a0015833

48.

Kaslow

N. J.

Rubin

N. J.

Bebeau

M. J.

Leigh

I. W.

Lichtenberg

J. W.

Nelson

P. D.

…Smith

I. L.

(2007). Guiding principles and recommendations for the assessment of competence. Professional Psychology: Research and Practice, 38, 441–451. doi:10.1037/0735-7028.38.5.441

49.

Kavanagh

D. J.

Spence

Sturk

Strong

Wilson

Worrall

…Skerrett

(2008). Outcomes of training in supervision: Randomised controlled trial. Australian Psychologist, 43, 96–104. doi:10.1080/0005006080205056534

50.

Koocher

G. P.

Keith-Spiegel

(2008). Ethics in psychology and the mental health professions: Standards and cases (3rd ed.). New York, NY: Oxford University Press.

51.

Ladany

Lehrman-Waterman

Molinaro

Wolgast

(1999). Psychotherapy supervisor ethical practices: Adherence to guidelines, the supervisory working alliance, and supervisee satisfaction. The Counseling Psychologist, 27, 443–475. doi:10.1177/0011000099273008

52.

Magnuson

Wilcoxon

S. A.

Norem

(2000). A profile of lousy supervision: Experienced counselors’ perspectives. Counselor Education and Supervision, 39, 189–202. doi:10.1002/j.1556-6978.2000.tb01231.x

53.

Milne

Reiser

R. P.

(2012). A rationale for evidence-based clinical supervision. Journal of Contemporary Psychotherapy, 42, 139–149. doi:10.1007/s10879-011-9199-8

54.

Myers

S. B.

Endres

M. A.

Ruddy

M. E.

Zelikovsky

(2012). Psychology graduate training in the era of online social networking. Training and Education in Professional Psychology, 6, 28–36. doi:10.1037/a0026388

55.

New Zealand Psychologists Board. (2010). Guidelines on supervision. Wellington, New Zealand: Author. Retrieved from http://www.psychologistsboard.org.nz

56.

Porter

(2014). Women, culture, and social justice: Supervision across the intersections. In Falender

C. A.

Shafranske

E. P.

Falicov

C. J.

(Eds.), Multiculturalism and diversity in clinical supervision: A competency-based approach. Washington, DC: American Psychological Association (APA).

57.

Porter

Vasquez

(1997). Covision: Feminist supervision, process, and collaboration. In Worell

Johnson

(Eds.), Shaping the future of feminist psychology: Education, research, and practice (Psychology of women book series, pp. 155–171). Washington, DC: American Psychological Association (APA).

58.

Professional Board for Psychology, Health Professions Council of South Africa. (2010). Handbook for intern psychologists and accredited institutions. Pretoria, South Africa. Retrieved from http://www.hpcsa.co.za/downloads/psychology/intern_psychology_hand_book.pdf

59.

Psychology Board of Australia. (2013). Guidelines for supervisors and supervisor training providers. Retrieved from http://www.psychologyboard.gov.au/Standards-and-Guidelines/Codes-Guidelines-Policies.aspx

60.

Reiser

R. P.

Milne

(2012). Supervising cognitive-behavioral psychotherapy: Pressing needs, impressing possibilities. Journal of Contemporary Psychotherapy, 42, 161-171. doi:10.1007/s10879-011-9200-6

61.

Rodolfa

Greenberg

Hunsley

Smith-Zoeller

Cox

Sammons

…Spivak

(2013). A competency model for the practice of psychology. Training and Education in Professional Psychology, 7, 71–83. doi:10.1037/a0032415

62.

Roth

A. D.

Pilling

(2009). A competence framework for the supervision of psychological therapies. Retrieved from http://www.ucl.ac.uk/clinical-psychology/CORE/competence_frameworks.htm

63.

Shen-Miller

D. S.

Forrest

Burt

(2012). Contextual influences on faculty diversity conceptualizations when working with trainee competence problems. The Counseling Psychologist, 40, 1181–1219. doi:10.1177/0011000011431832

64.

Walfish

McAlister

O’Donnell

Lambert

M. J.

(2012). An investigation of self-assessment bias in mental health providers. Psychological Reports, 110, 639–644. doi:10.2466/02.07.17.PR0.110.2.639-644

65.

Wall

(2009). Psychology interns’ perceptions of supervisor ethical behavior (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (AAT 3359934)

66.

Wester

S. R.

Danforth

Olle

(2013). Social networking sites and the evaluation of applicants and students in applied training programs in psychology. Training and Education in Professional Psychology, 7, 145–154. doi:10.1037/a0032376