Introduction Studies have found a low availability and appreciation of clinical supervision, especially for healthcare assistants (HCAs). Qualitative research is needed to further understand this. Aims Increase understanding of nurses' and HCAs' experiences of, and access to, clinical supervision. Identify nurses' and HCAs' perceptions of the value and function of clinical supervision. Assess how interventions affect staff's experiences of clinical supervision. Methods In 2013, HCAs and nurses in a secure adolescent service were surveyed about clinical supervision. Forty-nine HCAs and 20 nurses responded. In 2014, interventions to facilitate supervision were introduced. In 2016, the study was repeated. Forty HCAs and 30 nurses responded. Responses were analysed using a mixed methods approach. Results Significantly more HCAs found supervision to be a positive experience in 2016, and both nurses and HCAs reported significantly fewer challenges in accessing supervision. HCAs and nurses understood the value of clinical supervision. Discussion Significant improvements in the experience of clinical supervision were achieved following increased staff awareness, multidisciplinary and group supervision, and recording supervision rates. HCAs and nurses understood the consequences of inadequate supervision. Implications for practice Organizations could adopt the interventions to facilitate clinical supervision. Supervision should not be overlooked for HCAs.

and what was found p2Neuropsychological Rehabilitation (c) If relevant, consider translating estimates of relative risk into absolute risk for a meaningful time period Other analyses Report other analyses done-eg analyses of subgroups and interactions, and sensitivity analyses p10-15 Discussion Key results Summarise key results with reference to study objectives p15-20 Limitations Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias p19 Interpretation 20 Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies, and other relevant evidence p15-19 Generalisability 21 Discuss the generalisability (external validity) of the study results p19 Other information Funding 22 Give the source of funding and the role of the funders for the present study and, if applicable, for the original study on which the present article is based p20 *Give information separately for exposed and unexposed groups. Note: An Explanation and Elaboration article discusses each checklist item and gives methodological background and published examples of transparent reporting. The STROBE checklist is best used in conjunction with this article

Objective To increase understanding of the community neuropsychological rehabilitation goals of young people with Acquired Brain Injury (ABI). Method 326 neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABI. The participants were 59% male, 2-19 years old, and 64% had a Traumatic Brain Injury. Goals were coded using the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess the distribution of goals across the ICF-CY. Chi Squared and Cramer’s V were used to identify demographic and injury-related associations of goal type. Results The distribution of goals was 52% Activities and Participation (AP), 28% Body Functions (BF), 20% Environmental Factors (EF) and <1% Body Structures (BS). The number of EF goals increased with age at assessment (V=0.14). Non-traumatic causes of ABI were associated with more EF goals (V=0.12). There was no association between sex or time post-injury and the distribution of goals across the ICF-CY. Conclusions Young people with ABI have a wide range of community neuropsychological rehabilitation goals that require an individualised, context sensitive and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on AP, with increasing consideration for EF as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that enable wellness by combining direct rehabilitative interventions with attention to social context and systemic working across agencies.