Ethics and Supervision
The aim of this report is to show competence in the use of managerial and clinical supervision. I will also look at health and safety issues involved in conducting counselling client work placement in a counselling agency safely ethically and to the benefit of clients. I will look at core modality in accordance with supervision and I will show an awareness of the differences I will first look at clinical supervision and then I will look at managerial supervision. Findings Why do counsellors need supervision?
Counselling makes considerable demands upon counsellors, who may become over-involved, ignored some important point, become confused as to what is taking place within a particular client, or have undermining doubts about their own usefulness. It is difficult, perhaps sometimes impossible, to be objective about one’s work. It is invaluable to have regular consultation with a trusted professional with whom there is a formal agreement (contract) which spells out the boundaries of confidential discussions. Good supervision will include good elements of training and self-development.
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Effective therapy requires the therapist to interweave and integrate theory and practise. Counsellors may experience difficulties; these may arise directly from work or come from other area of life, supervision needs to be in place to monitor such difficulties. A counsellor may experience difficulties in engaging fully with certain clients, this may be implications due to personal life, supervision provides the opportunity seeking separate therapeutic assistance for these personal issues What is clinical supervision?
Supervision is a formal arrangement for counsellors to discuss their work regularly with someone who is experienced in counselling supervision. All counsellors, psychotherapists, trainers and supervisors are required to have regular and on-going formal supervision/consultative support for their work in accordance with professional requirements Managers, researchers and providers of counselling skills are strongly encouraged to review their need for professional and personal support and to obtain appropriate services for themselves. Ethical framework 2010 p 6 Para 7) The purpose of clinical supervision to assist in the development of the reflective practitioner to support the therapist to maximise the effectiveness of the therapeutic relationship to monitor/safeguard the interest of clients to maintain ethical standards as set out in the ethical framework What is Managerial Supervision? Managerial supervision acts more of a quality control function. Managerial supervision is usually carried out by a manger that may not be a counsellor.
The purpose of managerial supervision. To ensure the building has adequate health and safety procedures To ensure and adhere to an effective complaints procedure To ensure there is an equal opportunities procedure in place and that it’s adhered to To ensure time keeping is obeyed Efficient admin system is in place Good provision of venues Effective appraisal system is in place Risk assessment Ethical issues Keeping boundaries Pressure to produce results for the benefit of the agency and not the client Justifying the cost of counselling and supervision Trying to educate other professionals to the value of counselling Creating an appropriate space in which to counsel
Being overwhelmed with number of clients/caseload Becoming burnt out due to over commitment to work Professional Conduct Problems often occur when professional conduct is not adhered to, especially if a counsellor is not fully qualified or is unfit to practice, e. g. too tired or emotionally unfit. This can lead to a breakdown of trust between the client and counsellor and could possibly prevent a client seeking the help they need. It could also damage the reputation of the counsellor and the profession in general. Insurance It is important to have adequate insurance, public liability and also indemnity.
Public liability is necessary to protect clients and myself from any accidents or injury that may occur during the session which may result in a claim. Indemnity Insurance is necessary to cover against any possible negligence claims brought against me. Confidentiality It is essential in any counselling practice that all casework is handled responsibly and professionally. At the start of the counselling relationship when the contract is being agreed it is vital that matters relating to notes/recordings are addressed. Issues such as ownership, length of time notes are held and where they are kept should also be discussed.
Any notes should be free from personal detail yet accurate. All notes and report letters should be protected from unauthorised disclosure. The reasons for keeping notes: As a record of the sessions, the content and how the client is progressing For supervision purposes to measure me effectiveness as a therapist For the assessment and management risk Legal and ethical issues: Clients must be notified if notes are to be kept Any notes must be locked away to avoid them being seen by 3rd parties Clients have the right under the data protection act 1998 to gain access to their records Factual information must be clear and accurate
Records must be factual and specific Selective and brief A summary of findings from evaluation research. Supervision in accordance with core modality Should a counselling supervisor use the same core modility as the counsellor?? Cognitive-Behavioral Supervision: As with other psychotherapy-based approaches to supervision, an important task for the cognitive-behavioral supervisor is to teach the techniques of the theoretical orientation. Cognitive-behavioral supervision makes use of observable cognitions and behaviours—particularly of the supervisee’s Professional identity and his/her reaction to the client (Hayes, Corey, & Moulton, 2003).
Cognitive-behavioral techniques used in supervision include setting an agenda for supervision sessions, bridging from previous sessions, assigning homework to the supervisee, and capsule summaries by the supervisor (Liese & Beck, 1997 Integrative Models of Supervision As with counselling there are different models for providing counselling supervision, which are associated with different schools of thought about supervision. It is there for advisable for trainee and counsellors who are relatively inexperienced to seek counselling-supervision from someone who uses the same theoretical orientation in supervision that they use in counselling. Once someone is experienced in a particular model of counselling it can be stimulating to be supervised by someone with a different approach. (Bond standards and ethics)
Haynes, R. , Corey, G. , & Moulton, P. (2003). Clinical supervision in the helping Professions: A practical guide. Pacific Grove, CA: Brooks/Cole. Liese, B. S. , & Beck, J. S. (1997). Cognitive therapy supervision. In C. E. Watkins, Jr. (Ed. ), Handbook of psychotherapy supervision (pp. 114-133). New York: John Wiley & Sons.