Supervision Smörgåsbord

Take some time to go through your processes as if you are going through them for the first time. This can help you think through bumps, bottlenecks and holes in your process. 
Pro-tip - Once you address any problems, tape your process with something like Loom (for things that don't have any PHI) so that interns can watch these and know what to expect! 

Take a look at your calendar and block off time for your supervisees. Don't know how much to block off - do a time study this week of how much time is spent on supervision duties each week. Anytime you read a note, an email, have a conversation - track that time on a note pad, in an app or write it down on your hand! Then take a look at how many hours it takes. 
Pro-Tip: Write down that time on your Job description. (You have a job description for your job right? If not, email me for a systems conversation today!

Set your system up Schedule time

Links to Tara's Training Course
Intern Manual Checklist

Overview of episode
Creating a Manual from a template
Be Specific to your company
Be clear in your expectations
Give them all the info they need to do their job.

Takeaways for today!
What can you apply today right after the episode. Think about adding an HR component to your team.
Once you have more than just you in your practice, you will need to think about the legal responsibilities of being a business owner with employees, volunteers or other human bodies doing work for your company. 
You can find Independent HR professionals through programs that are connected to the SBA or independent HR professionals. Here are a few links for you: 
SCORE
Tom Engel (Vantage Point HR)
https://www.hranswers.org/

Evaluate what you want them to get out of your internship site
Take a few minutes today and write down a list of things you want your interns to walk out of your internship knowing.
After you have made a list - take a moment and see if you can put them in an order that makes sense to how folks navigate your site and see if you can put together a timeline for what you need to help them develop the skills.

Links to Firelight Supervision Website
Links to Firelight Supervision's Social Media

Overview of episode
Helping supervisees be prepared for session.
What to do when the supervisor hits a plateau?
Burnout for Clinicians

What can you apply today right after the episode.

Think today about what you really need to know about the clients or the supervisee in the session. 

Here are some things you might want to think about including: 
Name of client
Age of client
Demographics/Culture of Client
Diagnosis 
Goals
Transference/Counter-Transference

Other questions you might think about adding to your repertoire: 
1. Asking them "What is your question about this client?" 
2. What is coming up for you when you think about your time with that client?

Take stock today of your supervision journey.

1. List all your supervisors,
2. What were their credentials?
3. What is your memory of those experiences?
4. What are the things you want bring to your work as a supervisor? 
5. What are the things you don't want to bring into your work as a supervisor? 
6. What are the gap areas of what you need to know? 
7. Would it be beneficial to get some supervision of your supervision to make sure you are doing it right? 

Interested in getting some supervision for your self? Check out Firelight Supervision's individual and group supervision programs.

Links to Jason's website: Wellspace PDX

Links to Jason's Social media: @wellspacepdx

Take a look at your board requirements and think about what you need both as a clinician and as a supervisor. Look for trainings by experts who would really challenge you to grow. 

Here are some links to some great CEU opportunities as a supervisor: 

TelementalHealth Supervision Series (Free quarterly trainings, most others cost about 25-50 per CEU)

Person Centered Tech Supervision and Ethics Series (by moi!)

Make connections with others! Here are 4 things you can do today: 
1. Join Clinical oriented Facebook Groups (local and national) and see what questions you can answer. 
Here's a link to a national Clinical supervisor group! 
2. Get connected with local clinical associations.
3. Ask a colleague for a zoom coffee date or to actual coffee if that is safe for you! Get to know them, what they are looking for in referrals and see if you can be a resource to them. 
4. Get to know your licensing board. Think about the questions you are asking on facebook (or that someone else is) and ask the board for clarification so you are in the know and get the answers straight from their mouth!

Take a few moments and jot down some things you wish you had known or had taken the time to talk about in your supervision. Make it a priority today to have that list handy next time a supervisee says "Everything is going well, I am not sure what to talk about!"

Links to Amy's Website: Motivated Wellness Solutions

Links to Amy's Social media: @amysmitke

If it is possible to tape your supervisees doing their therapy - it can be extremely beneficial. Here is a cool option for programs like DBT that need fidelity for the model: 

Dreamaker.io

Take time today to read through one document that your clients or your supervisees see and see if it still works for you. If you can add this practice in once a week or month you can make sure your paperwork is reflecting what you want it to. 

Check out Dr. Maelisa McCaffrey from qaprep.com who helps folks with documentation!

Look over your supervisees caseload for how they are diagnosing and challenge your supervisees to review the DSM diagnosis for their clients to make sure we are all on the same page.

Links to the DBT Clinic where Vanessa works! 

Take 10 minutes today and make a list of things you think you would like done in your practice and see what shakes out for you. Then compare it to the ethical requirements and school or board requirements. Once you have your list together move to the next tip! 

You are welcome to start with my list as a starter! I broke my list up into 6 categories to help them think through what would be beneficial to them in this moment.

In your orientation and training (and in your supervisory contract) make sure it is really clear the amount of hours you are expecting them to be doing tasks for your practice, and what tasks those are. Nobody likes the line "Other duties as assigned". We want to know what we should be doing! 
It is helpful to let supervisees know if they need to tell you that someone no-showed or late-cancelled and get assigned a thing to do - or if they can pick from the list and move on. Also good to know if you are always expecting them to do other things or if they can take time off and away from work.

Link to Dr. Sanderson course: 

https://www.drtarasanderson.co/howtohaveinternsinyourpractice

In order to be proactive in your own self-care - Why not add a consultant to your own practice! Adding a supervisor or consultant that helps you navigate your own cases, your supervision of other folks and give you some support as we go through this intense world of being a therapist and supervisor! 

One neat thing of adding a consultant when it is not required is that there may not be any state line issues! 
Check out: Firelight Supervision (Individual and Group Supervision)

What is my stuff in the room? 
Is this feeling I am feeling, how the client feels? 
Is this how others in the clients world experience them?

Think about your developmental model of each of your supervisees - are they in Process Oriented Supervision mode or Skill Acquisition Mode? 
Taking time to review with your supervisees to figure out where each supervisee is at throughout your time working with them. 

Check out my developmental model of supervision flow chart here. 

Links for Firelight Firelight Supervision: Firelight Supervision

Links to Social Media: @firelightsupervision

Google puts out new stuff all the time and some of it is so cool! But, it is not all approved for the type of work we do! When a new thing comes out I always check it out with Person Centered Tech. In their membership package they offer a weekly Office Hours where they answer questions and walk through practice technology issues or new things that are out there! 

Person Centered Tech Office Hours

No one is going to like this answer - but really - You need to make sure you have set up your google workspace to be HIPAA secure. 

If you need help going through this - I would LOVE to support you. Schedule a consultation with me today!

Talk about the relationship and how the client's mental health has been impacting family. Demonstrate how to ask these questions in your supervision. 

Here are some questions you might ask: 
- Who all is in this family circle? 
- How does the client's mental health impact each of those people? 
- What are the outcomes that each member is looking for? 
- How are the behaviors of the rest of the family circle engaging in the clients growth or keeping them stuck? 

What other questions do you ask? Drop me a line here and share! 

Role play out the steps of what you are asking your supervisee to do in session. Make role play an active part of your training so that it stops being such a uncomfortable situation.

See where the parent is coming from and building on the strengths of that person in the kids life. If something that you are offering isn't working - find out why and see what ways you can shift to make something else work.

Links for Kaleigh: 

Family Roots Therapy: https://familyrootstherapy.com/

Kaleigh's Social media: @familyrootstherapy