Objective coding of content and techniques in workplace-based supervision of an EBT in public mental health

Course overview

This course is based upon material published in the Implentation Science journal and is available as an open-access article. Background: Workplace-based clinical supervision as an implementation strategy to support evidence-based treatment (EBT) in public mental health has received limited research attention. A commonly provided infrastructure support, it may offer a relatively cost-neutral implementation strategy for organizations. However, research has not objectively examined workplace-based supervision of EBT and specifically how it might differ from EBT supervision provided in efficacy and effectiveness trials. Results: Interrater reliability among coders was excellent. EBT cases averaged 12.4 min of supervision per session. Intensity of coverage for EBT content varied, with some discussed frequently at medium or high intensity (exposure) and others infrequently discussed or discussed only at low intensity (behavior management; assigning/ reviewing client homework). Other than fidelity assessment, supervision techniques common in treatment trials (e.g. , reviewing actual practice, behavioral rehearsal) were used rarely or primarily at low intensity. In general, EBT content clustered more at the clinician level; different techniques clustered at either the clinician or supervisor level. Conclusions: Workplace-based clinical supervision may be a feasible implementation strategy for supporting EBT implementation, yet it differs from supervision in treatment trials. Time allotted per case is limited, compressing time for EBT coverage. Techniques that involve observation of clinician skills are rarely used. Workplace-based supervision content appears to be tailored to individual clinicians and driven to some degree by the individual supervisor. Our findings point to areas for intervention to enhance the potential of workplace-based supervision for implementation effectiveness. This course on workplace-based clinical supervision as an implementation strategy to support evidence-based treatment (EBT) is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. In addition, this course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their knowledge of workplace-based clinical supervision as an implementation strategy to support evidence-based treatment (EBT) . The course material includes a literature review of support evidence-based treatment (EBT) It may also be useful for licensed clinicians who require continuing clinical education courses for license renewal. The course is based on a journal article that includes research. It contains statistical analysis and data that some clinicians enjoy reading and others do not. A significant benefit of reading research-based articles for continuing education is they provide practitioners with the latest findings in their field. Authors: Dorsey, Kerns, Lucid, Pullmann, Harrison, Berliner, Thompson ,Deblinger Learning Objectives: This course will provide the practitioner with detailed information regarding workplace-based clinical supervision as an implementation strategy to support evidence-based treatment (EBT) . Specifically, a professional will: * Describe how aspects of EBT are used by practicing social workers * Identify what content is used in a majority of workplace-based supervision sessions * Distinguish which techniques of workplace-based supervision are considered effective Citation: Dorsey, S., Kerns, S. E., Lucid, L., Pullmann, M. D., Harrison, J. P., Berliner, L., ... and Deblinger, E. (2018). Objective coding of content and techniques in workplace-based supervision of an EBT in public mental health. Implementation Science, 13(1), 1-12.