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Supervision of clinical supervision
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This essay aims to critically discuss the evidence base for clinical supervision (CS) in mental health care practice. Against the current climate of rapid societal and organisational change in Ireland, mental health care providers are increasingly being challenged to ensure safer higher quality contemporary services based on best practice. It is vital that senior management fosters a culture of CS to assist in this process. The essay will focus on following themes to ensure that it covers supervision practices and assist this quality initiative to be introduced locally. In this regard, this essay explores CS through the lenses of Mental Health Policy and legislation, its functions, the supervision relationship /working alliance Competency …show more content…
In a report titled “A vision for psychiatric nursing: A shared journey for mental healthcare in Ireland”, the HSE (2012) stressed the need for CS to be available and utilised by all nurses to promote recovery values and principles in clinical practice. It asserts that the process of CS should continue throughout a person’s career. The organisation also asserts that CS should not be limited to individuals when they are only in the clinical practise; it should be promoted even in more advanced management positions, research sector or even education. All these assertions by the HSE are ingrained in nursing literature. One of the main references in promoting the adoption of policies related to CS is Bradshaw et al. (2007) who linked improved outcomes with CS. In the same light, a more recent publication of the HSE - the national supervision guidelines (2015), also states that CS could improve quality of care and staff engagement. The establishment proposes organisational change platforms to accomplish recovery alignment in the mental health service. This ensures compliance with the Mental Health Act (2001) regulations and initiates a responsibility on the HSE to facilitate this. The HSE also has duty of care to ensure the wellbeing of workers. Its scope of practice and associated code provide direction and guidance to mental healthcare professionals on their …show more content…
These include healthcare employees, service users, and the organisations. From a review of existing literature, the several benefits were identified. Benefits to mental health care employees There are several types CS each associated with its benefits and disadvantages. To begin with, clinical supervision is among the most common approaches employed. It involves the use of self-reports and has been recommended by various researchers due to its ability to target individual development. However, it suffers from the lack of group support which is a key feature in group interventions and peer to peer interventions. Secondly, there is triadic supervision which utilises individual supervision methods. It is effective in mitigating the load of the supervisor but lacks only flourished where there is a good fit between supervisory peers. Thirdly, group supervision is one which occurs serially from the initial stage, transition stage, working stage and finally the ending stage. The method is appropriate in fostering group development but may lack in personal growth. According to Cory et al. (2010), maintaining an appropriate balance between personal and group development presents an uphill task. Finally, peer supervision is one that involves groups facing the same experiences and provide an opportunity for professional growth. However, the use of this method is no longer applied by with novice
The developmental model, summarized in an article by Stoltenberg (2005), summarizes a supervision approach that uses developmental framework in clinical supervision. The author, Stolenberg (2005) and Ursula Delworth created a developmental model titled Integrated Developmental Model of supervision (IDM). IDM provided specific details about the changes in the supervisee throughout their time in clinical supervision. It also provided specific details on the types of supervision environments and supervisor intervention for each level of development (Stoltenberg, 2005).
Similarly, inferiority feelings may be challenged to offset the negative concepts and values that form the roots of social and emotional issues. Group therapy can facilitate the social context in which the participants may develop the sense of belonging and community. Some of the beneficial dynamics of the group are the identification between group members’ behavior, participants can benefit from others group members’ feedback, ability to help other and receive support from others members. The group enables the possibility of trying new behaviors and encourages the other students to take action over their lives. There are four stages in group therapy that correspond to four goals in counseling: first establishing and maintaining interconnected relationships with another student of the group; the therapy is based on the idea of equality between members, mutual respect, and identical involvement. The introduction of self-rule bases from the counselor, who is the mediator, is important. Both, students and counselor work together in the process to explore and look for positive change during the sessions (Corey,
An important change that needs to happen within mental health services is for service users to be involved in all aspects of their care. This is called a working partnership where information is shared, choices are given and decisions are made together. The Department of Health (1999) states that service users should be involved in the planning and delivery of the care they receive. Drawing from course materials and external research this essay will discuss why developing this working relationship is important. It will look at past and current service provision, discuss what happens in practice, consider what change needs to take place for a working partnership to be achieved and how this relationship can benefit both service user and practitioner. The essay will also discuss whether there might be resistance to the idea of this working partnership and how these barriers might be addressed so that this change can be implemented in practice.
To name a few are individual, triadic, group supervision; in addition using more than one of these formats can be beneficial to a supervisee. There are different methods a supervisor can use with a supervisee for supervision. Direct observation and verbal exchange utilized collectively will help with lessening liability complications for the supervisor. Although, there are more methods that can be employed during the supervision progression, for example, co-therapy, video recording, interpersonal process recall, audio recording, technology assisted techniques, role play, and coaching are a few. When deciding which method to utilize depends on the situation of the supervisee.
Mental Health is a very important, in depth study that needs more support. Identification of mental stressors is a skill everyone should to have to live with increased mental health. New York State Healthy People 2020 has placed Mental Health as a priority, increasing awareness for mental health illness and prevention. Providing care for Healthcare workers is a small fraction of the entirety of mental health issues. Working in the hospital is stressful, caring for others takes a huge mental and emotional toll on providers. Identifying who is most at risk and understanding what is needed to prevent mental disorders is imperative as a healthcare worker. Mental Health is defined by Healthy People 2020 as having participation in productive activities,
Patients that had a mental illness and attended intervention and rehabilitation classes did better in society than those who didn't have intervention. Providing health care for those who have mental health problems can be difficult at times especially if you don't know what problem they have. Vast testing can be done in hospitals, mental health centers, rehabilitation centers and psychiatric asylums to diagnosis the problem so treatment so clinical monitoring and evaluations can be done. Mental health illness is much more than just an illness, it is a disease that requires a lot of scientific research as well as therapy and knowledge. Mental health workers work aside with psychiatrist, psychologist, nurses, o and occupational therapist so patients can have a better social life where they can live in society and not feel neglected. Patients who have severe mental illness may require more psychiatric care and social workers who are working with these patients have to be attentive to the social consequences so their patients can have a better understanding of whats going on with
Throughout this essay, each theme includes sub-topics also discussed in detail. Referring back to evidence based practice (EBP), policy drivers like Rights, Relationships and Recovery (RRR) and Scottish government legislation, such as Mental Health (Care and Treatment) (Scotland) Act 2003. These documents are the framework, which are essential in order to support the standard of care offered to each individual using mental health services in Scotland.
These low standards have created in the past difficulty when deciding whether treatments are safe and effective for the client. Some of her clients that have mental disorders may pass through several systems, such as juvenile justice, therapeutic boarding schools, and other structures that offer different mental health services. The problem, she is seeing is that these systems do not always coordinate or communicate with each other to give the best possible care. She finished the thought by saying, “the mental health industry today now more than ever, is in need of well-trained clinical mental health counselors and psychologist, who can educate not only their clients, but other clinicians in the industry to make sure we all advocate to create guidelines for professionals throughout the mental health industry.
After completing the group task of preparing a presentation on, transferring individual facilitation skills into a group work setting I will critically reflect upon my own participation. I will evaluate my self-awareness while working in the group, as well as those around me. The way that I personally dealt with any issues that arose within the group and how that affected the group dynamics. I will also briefly discuss the roles in which each member of the group took and how role allocation affected, the group dynamics and the working relationships. Finally I will evaluate my work having discussed it with my fellow group members.
There is strong evidence that has been invested in some effective programs that can make a difference to Canada’s economy and the populations health. Small business owners remain divided on the issues and some are empathetic under the fair work act shows discrimination is taking advantage of someone in their workplace because of physical or mental disability. It is very important for everyone to know that you can get there in the end and triumph over your mental health condition. It’s never too late to get help. Self-care should come into consideration because a potential employee’s workplace policy can support that some adjustments are available, and an open discussion can help an employee receive assistance in their role.
Recommendation 5: By 2020/21, NHS England and the Joint Unit for Work and Health should ensure that up to 29,000 more people per year living with mental health problems should be supported to find or stay in work through increasing access to psychological therapies for common mental health problems (see Chapter Two) and doubling the reach of Individual Placement and Support (IPS). The Department of Work and Pensions should also invest to ensure that qualified employment advisers are fully integrated into expanded psychological therapies services. Recommendation 6: The Department of Health and the Department for Work and Pensions, working with NHS England and PHE, should identify how the £40 million innovation fund announced at the Spending Review and other investment streams should be used to support devolved areas to jointly commission more services that have been proven to improve mental health and employment outcomes, and test how the principles of these services could be applied to other population groups and new funding mechanisms (e.g.
Improving Access to Mental Health Work Mental illness is a big issue which can touch every family, as well as society. In fact, one of five people experiences a mental health problem. However, since the 1960s, when the last Community Mental Health Act was passed by Congress, there were any further changes done in this sector. That is the reason why US Senators and social workers Debbie Stabenow and Barbara Makulski introduced a program with possible improvements to the Mental Health Act. The main idea is to make the high quality mental health support and services more accessible, especially for senior people, as well as set some benefits for Clinical Social Workers (CSW) with the help of the reform bill (The Improving Access to Mental Health Act of 2015, S. 2173/H.R. 3712, 2015).
Typically, a mental health nurse will have complete a program of study in mental health and is employed at inpatient psychiatric hospitals, day treatment centers, mental health facilities and hospital psychiatric units. According to Kudless & White (2007), the comprehensive responsibilities of a psychiatric nurse can include management of psychiatric medications, psychotherapy assessments, case managements, clinical supervision as well as education and research in the mental health field. Various psychological interventions that the nurse can utilize for the psychiatric patient is group therapies such as milieu therapy, crisis intervention protocols for patients at risk for suicide, encouragement of relaxation therapies such as massage, visual imagery, meditation, and seeking out counseling agencies for those mental ill patients who require anger and aggression management programs. In addition, as the trend of the mental health population encompasses more chronic and comorbid issues, mental health nurses will have to adjust their role to address broader mental health issues within the community setting (Kudless & White, 2007). There will be a greater focus on policy development and social advocacy for the mental ill
My second week of clinical was on the third floor at Northern Light Regional Hospital. My colleagues, I and my instructor were at the inpatient unit, the reason for being there is to learn about how mental illness affects people from diverse places and how these illnesses are treated by health care professionals using different strategies like medication, therapeutic communication, referral to outpatient services and so on. Mental illnesses are one of the most difficult things that affect individuals and in other to carry out effective treatment, healthcare professionals collaborate with other outpatient professionals like addiction therapist and counselors to help an individual return to normal functioning. According to Canadian Nurses Association, collaboration and cooperation with different sectors (nurses, therapist, educators, doctors, dieticians and so on) of the community must link together to support people beyond their health
Supervision was defined by Bernard (2005) as the realization of our supervisees that they understand the therapeutic process and themselves a tad better than when they entered supervision, and our own realization that we have been players in the professional development of another.