The Experts Rate: Supervisory Behaviors That Impact the Implementation of Evidence-Based Practices

Abstract

The purpose of this study was to identify the critical behaviors of supervisors for the successful implementation of evidence-based practice in adult mental health. Experts who work with supervisors to support implementation in three evidence-based practices were surveyed. The three evidence-based practices included Assertive Community Treatment, Integrated Dual Diagnosis Treatment, and Supported Employment. There was substantial agreement among experts as to the importance of supervisory behaviors in the areas of facilitating team meetings, building and enhancing staff skills, monitoring and using outcomes, and continuous quality improvement activities.

Impact of Supervisory Support on Turnover Intention: The Mediating Role of Burnout and Job Satisfaction in a Longitudinal Study

“…High turnover rates among mental health providers are problematic for high quality services. Research emphasizes the roles of supervisors as critical determinants of quality practices (Carlson, Rapp, & Eichler, 2012); however, formal supervision tends to be infrequent, and in standard practice, the attention to supervision varies. Using longitudinal mediation analyses, our study identified the effect of supervisory support on reduced turnover intention through reduced exhaustion.…”

Evidence‐based practice within supervision during psychology practitioner training: A systematic review

“…Psychology training programs promote evidencebased practice (EBP), which has been defined as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences" (APA, 2006, p. 475). Supervisors play a key role in teaching trainees EBP skills and supporting trainees in their adherence to EBP (Bearman et al, 2013(Bearman et al, , 2017Carlson, Rapp, & Eichler, 2012). There is wide recognition that clinical supervision is essential to the attainment of practitioner competencies (Gonsalvez & Milne, 2010;McCutcheon, 2009;Milne & Watkins, 2014;Scott, Pachana, & Sofronoff, 2011).…”

“…Several studies provide evidence for the effectiveness of live supervision , case presentations (Hadjistavropoulos, Kehler, Peluso, Loutzenhiser, & Hadjistavropoulos, 2010), case formulations (Page, Stritzke, & Mclean, 2008), supervisor modelling and role play (Beidas & Kendall, 2010), video feedback (Gonsalvez, Brockman, & Hill, 2016;Hill, Crowe, & Gonsalvez, 2015), and evidence-based feedback (O'Donovan, Halford, & Walters, 2011). Supervision involving these active learning techniques are more effective than discussion of specific EBP practices (Accurso et al, 2011;Bearman et al, 2013;Beidas, Edmunds, Marcus, & Kendall, 2012;Carlson et al, 2012;Dorsey et al, 2018). With overwhelming theoretical support for SP models in psychology training, one would expect that practice would reflect a faithful adherence to EBP among psychology practitioners.…”

“…EBP within supervision also refers to ways in which the supervisor encourages the trainee to use empirically validated psychological interventions. Supervision methods have been found to improve trainee competency in implementing EBP (Carlson et al, 2012;Smith et al, 2012). However, research has found that despite regular and frequent outcome monitoring using outcome measures as an objective indicator of quality supervision (Callahan et al, 2017), supervisors are less likely to use formal checklists to monitor EBP fidelity (Dorsey at el., 2018;Roberts, Borden, Christiansen, & Lopez, 2005;Tweed, Graber, & Wang, 2010).…”

Walking with the illness and life: Experience of the community life of people previously under the services of an integrated community mental health service

“…A review and national survey of 42 Mental Health Trusts in UK on the disciplinary composition of community mental health teams suggested that rather than offering services mainly based on the existing professional mix with no clear workforce planning, the workforce needed to be organized to best fulfilling local needs (Evans et al, 2012). Another survey of 45 ICMHS experts found that supervisory behaviours were important in building and enhancing staff skills, facilitating team meetings, and leading continuous quality improvement activities that might enhance the implementation of evidence‐based ICMHS (Carlson, Rapp, & Eichler, 2012). A mixed methods study was conducted to evaluate the introduction of a support worker to the community mental health team for older adults, involving a survey of 28 staff members from four teams, 27 individual interviews of support and professional workers, and a focus group interview of four support and two professional workers over 18 months (McCrae, 2008).…”