Toward an Evidence‐Based Approach to Clinical Supervision

Milne, Derek

doi:10.1002/9781118846360.ch3

Cited by 64 publications

(107 citation statements)

References 70 publications

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“…Two distinct but related literatures provide some insight into how supervision in community mental health might support EBT implementation. First, supervision has a long theoretical history as part of professional development and training in clinical psychology (Milne, 2009; Milne & James, 2000). This literature highlights the importance of supervision for facilitating supervisees’ experiential learning, particularly in the areas of case conceptualization, proficiency in clinical techniques, and the clinician-client relationship (Milne & James, 2000; Lambert & Ogles, 1997).…”

Section: Introductionmentioning

confidence: 99%

The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment

Dorsey

Pullmann

Kerns

et al. 2017

Adm Policy Ment Health

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Supervisors are an underutilized resource for supporting evidence-based treatments (EBT) in community mental health. Little is known about how EBT-trained supervisors use supervision time. Primary aims were to describe supervision (e.g., modality, frequency), examine functions of individual supervision, and examine factors associated with time allocation to supervision functions. Results from 56 supervisors and 207 clinicians from 25 organizations indicate high prevalence of individual supervision, often alongside group and informal supervision. Individual supervision serves a wide range of functions, with substantial variation at the supervisor-level. Implementation climate was the strongest predictor of time allocation to clinical and EBT most relevant functions.

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Section: Introductionmentioning

confidence: 99%

The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment

Dorsey

Pullmann

Kerns

et al. 2017

Adm Policy Ment Health

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“…Evidence will be defined as 'the basis for [informed] belief in a particular intervention, a belief that is based on a number of sources, particularly clinical experience and scientific research.' (Milne & Reiser, 2012, p. 142); as Milne (2009Milne ( , 2014 has indicated, evidence provides some means of proof and serves as foundation for the drawing of conclusions (cf. Bower & Gilbody, 2010).…”

mentioning

confidence: 94%

Toward a research-informed, evidence-based psychoanalytic supervision

Watkins

2014

Psychoanalytic Psychotherapy

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Although establishing an evidence base for psychoanalytic practice has become a matter of increasing practical and accountability concern, the establishment of an evidence base for psychoanalytic supervision has yet to be given any consideration. In establishing a more comprehensive evidenceinformed approach to treatment and training, the corollary need to build an evidence base for psychoanalytic treatment supervision would accordingly seem an important next step to address. What research supports the use of psychoanalytically informed constructs in supervision? With that research base considered, is there any sort of an evidence base for psychoanalytic supervision practice itself? In this paper, I would like to examine those two questions, giving particular attention to two psychoanalytically derived variables of supervision import: the supervisory alliance and parallel process. Based on research review, data thus far provide a high degree of empirical support for the supervisory alliance as perhaps being the crucial fundamental and foundational variable in making supervision work or not. While comparatively far more limited and less robust in nature, data about parallel process offer a tentative degree of support for that construct's importance in supervision as well. While still only in its most formative period, we at least appear to have an informed and informing evidence base for psychoanalytic supervision beginning to take more substantial shape.

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“…However, surprisingly few empirical studies have addressed the topic of clinical supervision that have a fundamental place within psychotherapy training and practice. There are positive examples and an increased interest in this missing piece in psychotherapy education research [21, 22]. Recently, and similar to the trend in psychotherapy research, there has also been an increased awareness of the potential harmful effects of clinical supervision [23].…”

Section: Introductionmentioning

confidence: 99%

The effects of clinical supervision on supervisees and patients in cognitive-behavioral therapy: a study protocol for a systematic review

et al. 2017

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BackgroundClinical supervision by a senior therapist is a very common practice in psychotherapist training and psychiatric care settings. Though clinical supervision is advocated by most educational and governing institutions, the effects of clinical supervision on the supervisees’ competence, e.g., attitudes, behaviors, and skills, as well as on treatment outcomes and other patient variables are debated and largely unknown. Evidence-based practice is advocated in clinical settings but has not yet been fully implemented in educational or clinical training settings. The aim of this systematic review is to synthesize and present the empirical literature regarding effects of clinical supervision in cognitive-behavioral therapy.MethodsThis study will include a systematic review of the literature to identify studies that have empirically investigated the effects of supervision on supervised psychotherapists and/or the supervisees’ patients. A comprehensive search strategy will be conducted to identify published controlled studies indexed in the MEDLINE, EMBASE, PsycINFO, and Cochrane Library databases. Data on supervision outcomes in both psychotherapists and their patients will be extracted, synthesized, and reported. Risk of bias and quality of the included studies will be assessed systematically.DiscussionThis systematic review will rigorously follow established guidelines for systematic reviews in order to summarize and present the evidence base for clinical supervision in cognitive-behavioral therapy and may aid further research and discussion in this area.Systematic review registrationPROSPERO CRD42016046834 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0486-7) contains supplementary material, which is available to authorized users.

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Toward an Evidence‐Based Approach to Clinical Supervision

Cited by 64 publications

References 70 publications

The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment

The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment

Toward a research-informed, evidence-based psychoanalytic supervision

The effects of clinical supervision on supervisees and patients in cognitive-behavioral therapy: a study protocol for a systematic review

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