EKU Site Supervisor Training Training for Internship and Practicum Supervisors Timothy Robertson,...

EKU Site Supervisor TrainingTraining for Internship and Practicum Supervisors

Timothy Robertson, MA,NCC,LPCCCarol Sommer, PhD, NCC, LPC,ACS

EKU Site Supervisor Training

•Thank-you!▫We appreciate your willingness to accept

our students and work with them.

•Introductions

Topics Covered

•Review of Learning expectancies as an internship/practicum site▫Discussion of EKU Internship/Practicum

Handbook

•Overview of specific Supervision models

•Questions related to supervision

InternshipCOU 881• The internship is the final and most comprehensive

professional experience in Counseling and Educational Psychology. The intent of the internship is to provide the student with continued supervised training at a site outside the university environment which is congruent to his or her orientation within the program.

• • In order to insure that the student’s individualized

career goals are met in the internship experiences, arrangements are negotiated between the student, the on-site supervisor, the internship site and the student’s supervising professor at the Counseling and Educational Psychology Department at Eastern Kentucky University.

Internship Requirements• What is required in internship? • Internship is currently offered in the fall, spring for SC & MHC and summer

session for MHC. It is the culminating field experience in counseling that consists of 600 hours for school counseling students and 600 hours for mental health counseling students.

• Internship requires that at least 40% of the required hours (240 for school students and 240 for mental health students) must be completed in direct client counseling services, and a maximum of 60% of the hours in indirect activities.

• Internship class is typically scheduled on Thursday nights and meets approximately every other week generating a minimum average of at least 1.5 hours per week of group supervision.

• Individual site supervision must occur weekly for at least one hour each week. Site supervisors may require more individual or group supervision at their discretion.

• Individual supervision conducted by site supervisors may include one or two students per session, but no more than two students (triadic

• 3 semester hours of internship = 300 minimum hours of field experience.

PracticumCou 881•The practicum is one of the first

comprehensive professional experiences the counseling student will have. It is conducted in a professional setting outside the university to provide a clinical training experience under supervision and the student will have the opportunity to deepen their counseling skills in a field based experience.

Practicum (Cont.)• Practicum Skill Objectives• The practicum is designed to provide the student with an opportunity to practice and expand

his or her counseling skills in a setting other than the university environment. On-site supervisors will closely monitor student activities, provide effective and appropriate feedback, work in cooperation with university supervisors and encourage student participation in a variety of on-site activities.

• By the end of the practicum experience, students will be expected to demonstrate the following skills:

• Establishing and maintaining a client caseload.• Demonstration and application of appropriate counseling skills.• Development of specialized skills relevant to the requirements of the host site.• Establishing and maintaining effective working relationships with staff, supervisors and

colleagues.• Demonstration of willingness to meet professional obligations.• Demonstration of enthusiasm and commitment to the counseling profession.• Demonstration of a willingness to learn and sensitivity to feedback.• Demonstration of personal traits conducive to effective counseling, learning and professional

development.• Demonstration of ability to perform all counseling and related activities in an ethical and legal

manner.• Demonstration of willingness to explore and use community resources for referrals.

Practicum• What is required in practicum?• Practicum is currently offered only in the fall and spring semesters.

It is a field placement in counseling that consists of a minimum of 100 hours in a counseling setting plus individual and group supervision. This will include a minimum of 40 hours in direct client counseling services and a maximum of 60 hours in indirect counseling activities (what defines direct and indirect hours included below). Weekly individual supervision by the site supervisor and individual and group supervision provided by the university supervisor is in addition to the 100 hours in the field. Practicum class is typically scheduled on Thursday nights and meets for at least 1.5 hours per week average of group supervision and an average of 1 hour per week of individual supervision by the university supervisor and 1 hour per week of individual supervision by the site supervisor. (All students will have a total of 3.5 hours of supervision per week).

Direct/IndirectHours• What is the difference between direct counseling experiences and

indirect counseling experiences? • Direct counseling is interaction with clients that includes the application of

counseling, consultation, or human development skills. In general, the term is used to refer to time spent by practicum or internship students working with clients. To count as direct counseling experience, it must be face to face counseling or consultation done in a confidential setting. It is commonly referred to as billable time. Examples of Direct Counseling hours include:

• Individual, group, couple and family counseling• Classroom Guidance (note that in practicum)• Consultation (time spent in a confidential, private and formal session reviewing

a client/student with another service provider or significant other to assist them in assisting the client/student)

• Indirect counseling experiences are all other duties and experiences that do not fall into the direct counseling category, such as:

• Staffing, charting and reviewing records• Informal assessments and observations• Supervision

EKU Internship/Practicum Handbook

•http://www.education.eku.edu/cep/practicum_internship/practicum_internship.php

http://www.education.eku.edu/cep/practicum_internship/practicum_internship.php

http://www.education.eku.edu/cep/practicum_internship/practicum_internship.php

EKU HandbookSupervisory Agreement

• Site supervisors will not transfer weekly supervision to another person instead of the university approved supervisor without approval. The supervisee may seek additional supervision by qualified supervisors. The site supervisor will be available to students in person or by phone at all times and provide an alternative supervisor in case of any absence in supervision with complete contact information.

• Site supervisors will work with the student to develop a Supervision Plan and conduct weekly, individual, structured, regularly scheduled supervision experiences relative to the plan.

Supervision Agreement• If an emergency necessitates that the site supervisor

cancel the regularly scheduled supervision session, please re-schedule within the same week if possible.

• Site supervisors will provide your supervisee with access to supervision at all times in case of emergency or crisis in the practicum/internship setting. You may maintain electronic or physical access. If you are not available, please appoint a substitute supervisor for the supervisee. However, if you are gone for more than 2 weeks, the substitute must be approved by the university practicum supervisor.

Supervision Agreement• The field of mental health counseling is open to supervision outside

the field and believes there is something of value in cross discipline supervision from social work, psychology, psychiatry, expressive therapists, psychiatric nurses, family therapists, etc. The practicum/internship policy requires that the supervisee provide the site supervisor with a current copy of the American Counseling Association (ACA) Code of Ethics and Standards of Practice which is available at www.counseling.org.

• Ethical standards indicate that counselors and other mental health professionals need to belong to their professional association. The practicum/internship policy strongly suggests that site supervisors belong to either their national or state professional association, such as the American Counseling Association or one of it's Divisions, the Kentucky Counseling Association, the Kentucky School Counseling Association, or the professional association of their mental health discipline.

Supervision Agreement•Site supervisors will review, verify, and sign

the supervisee's practicum/internship log on a weekly basis during the supervision hour which verifies the supervisee's work.

•Site supervisors will monitor the supervisee's direct and indirect counseling hours via the weekly log. A minimum of 40% of the practicum/internship required hours must be in direct counseling and a maximum of 60% of the hours may be indirect activities.

Supervision Agreement• Site supervisors will contact the university

practicum/internship supervisor immediately should any problems arise in the field that might affect the supervisee's grade, such as lack of skill development, unethical, unprofessional, or illegal behaviors. They will also make weekly contacts with the university supervisor to assure supervisee progress.

• Site supervisors will keep a set of supervision notes, copy of progress reports, and copy of midterm and final evaluations for their records and future liability issues. Please share these reviews with the student regularly and in writing with a remediation plan if necessary. Please work out all remediation needs with the university supervisor.

Supervision Agreement• Site supervisors will provide weekly live

observation or tape review of the supervisee's counseling skills. Please work with the supervisee on advanced counseling skill development relative to your setting. Video taping is required for Practicum Students.

• Site supervisors will screen clients for the appropriateness and level of competence of the supervisee. Please assist the supervisee with obtaining advance client permission so that they may begin seeing clients at the start of practicum/internship experience.

Supervision Agreement• The practicum/internship policy also indicates

that the supervisee is to directly report abuse after consulting with the supervisor and not leave the reporting only to the supervisor.

• The practicum/internship policy is that school counselor site supervisors must be school counselors who are currently practicing and certified at the appropriate level. In addition, they must spend a significant portion of their time actually counseling clients as opposed to management, clerical, and other non-counseling tasks.

Supervision Models

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Haynes, R., Corey, G., & Moulton, P. (2003).

Psychotherapy-Based Models

Cognitive-Behaviora

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Bri

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Supervision Models

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Supervision-Specific Models

Deve

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Mod

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Developmental Supervision

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Beginning Stage

Middle Stage

Ending Stage

Developmental Supervision - Beginning Stage

• Develop the relationship• Assess supervisee’s competencies• Educate • Monitor early experiences

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Goals


• Primary responsibility• Encourage supervisee• Assess supervisee’s

strengths & weaknesses

• Develop goals• Review & sign

contract• Review supervisee’s

clients• Review policies,

procedures & ethics

• Seek & accept direction

• Discuss perception of strengths & weaknesses

• Provide supervisor with information requested

• Review & sign contract

• Set supervision goals• Practice safe &

prudent therapy within the structure provided

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Supervisee

Supervisor


• Educate supervisee in areas of need (ethics, liability, assessment, etc)

• Provide direct & consistent observation of therapy

• Provide structure for supervisory sessions

• Limit autonomy until competence in performance is evidenced

• Review policies & procedures for practice & seek clarification

• Be willing to take risks and practice within the boundaries of the supervisory relationship

• Question & hypothesize

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Supervisor

Supervisee


• Provide direct feedback often and combine with information and practice as needed

• Be available for direct intervention in critical incidents

• Review and approve all documentation

• Document supervisory activities

• Provide information to supervisor regarding wants and expectations of supervision

• Recognize that anxiety is normal and discuss concerns with supervisor

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Supervisor

Supervisee

Developmental Supervision – Middle Stage

• Transition from dependency to independent practice

• Characterized by a struggle in the supervisory relationship ▫ Supervisee want to move forward ▫ Supervisors want to tread carefully

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Goals


• Role-play, provide ethical dilemmas, design “what if” scenarios to explore and discuss

• Explore various theoretical approaches

• Facilitate discussion of various treatment alternatives

• Practice presenting cases in a professional manner

• Explore theoretical orientation with supervisor

• Identify treatment techniques and strategies

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Supervisor

Supervisee


• Provide supervisee with opportunities to discuss client issues from from supervisee’s perspective

• Share responsibility with supervisee

• Create opportunities for supervisee to struggle with decisions and consequences

• Initiate interventions independently

• Provide information to supervisor to assure client welfare

• Choose approach for case conceptualization and share with supervisor

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Supervisor

Supervisee


• Reduce directive stance and encourage democratic decision making

• Provide formative feedback consistently, and develop a plan of action collaboratively with supervisee for improvement

• Document supervisory practice

• Come to supervision sessions prepared to initiate topics for discussion

• Provide feedback to supervisor on the supervision received and identify and voice perceptions of unmet needs

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Supervisor

Supervisee

Developmental Supervision – Ending Stage

• Foster independence• Prepare supervisee for work as an

independent professional

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Goals


• Review goals and progress

• Listen to and encourage supervisee

• Monitor primarily through self-report and documentation with occasional direct observation

• Provide summative evaluation

• Articulate theoretical orientation, treatment alternatives explored, and course of action chosen

• Provide justification for any given course of action in treatment

• Recognize and identify skills for future development

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Supervisor

Supervisee


• Take responsibility for termination of formal supervisory relationship

• Document supervisory process

• Assume primary responsibility for client welfare

• Review goals and progress

• Review learning during supervision

• Determine future goals and course of action

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Supervisor

Supervisee


• Acknowledge continued vicarious and direct liability throughout the supervisory relationship

• Be open to and seek evaluative feedback on the supervisory process, the structure of supervision, and specific supervision skills

• Think out loud while problem solving and conceptualizing client information

• Increase independent decision making

• Be self-supervising• Reflect on the

supervisory process and provide supervisor with evaluative feedback

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Supervisor

Supervisee

Resources

Bernard, J. M., & Goodyear, R. K. (1992). Fundamentals of clinical supervision. Needham Heights. MA: Allyn & Bacon.

Borders, L. D., & Brown, L. L. (2005). The new handbook of counseling supervision. Mahwah, NJ: Lahaska Press.

Falvey, J. E. (2002). Managing clinical supervision: Ethical practices and legal risk management. Pacific Grove, CA: Brooks/Cole.

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Resources

Haynes, R., Corey, G., & Moulton, P. (2003). Clinical supervision in the helping professions: A practical guide. Pacific Grove, CA: Brooks/Cole.

McAuliffe, G., & Eriksen, K. (2000). Preparing counselors and therapists. Virginia Beach, VA: Donning Company.

Vygotsky, L.S. (1978). Mind in society: The development of higher psychological processes. Cambridge: Harvard Press.

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EKU Site Supervisor Training Training for Internship and Practicum Supervisors Timothy Robertson,...

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