Clinical supervision is a disciplined, tutorial process wherein principles are transformed into practical skills, with four overlapping foci: administrative, evaluative, clinical, and supportive (Powell & Brodsky, 2004, p. 11). Supervision is an intervention that is provided by a senior member of a profession to a more junior member or members of that same profession. This relationship is evaluative, extends over time, and has the simultaneous purposes of enhancing the professional functioning of the more junior person(s), monitoring the quality of professional services offered to the clients that she, he, or they see, and serving as a gatekeeper of those who are to enter the particular profession (Bernard & Goodyear, 2004, p. 8).
Intensive Home-Based Treatment (IHBT) involves clinicians and staff working with the IHBT Service Delivery Model, where supervision helps clinicians maintain high fidelity to the model. This includes:
– Location of Service – Home and Community
– Intensity – Frequency: 2 to 5 sessions per week
– Duration: 4 to 8 hours per week
– Crisis response and availability – 24/7
– Active safety planning & monitoring – Ongoing
– Small caseloads – 4 to 6 families per FTE; 8 to 12 for team of two; no mixed caseloads (e.g. Outpatient and IHBT)
– Flexible scheduling – Convenient to family
– Treatment duration – 3 to 6 months
– Systemic engagement and community teaming – Child and family teaming; skillful advocacy; family partnering; culturally mindful engagement
– Active clinical supervision & oversight – 24/7 availability; field support; individual & group
– Program structure and credentials – Licensed BSW and above MA preferred
– Program size: 2 to 8.5 to 1 FTE IHBT Supervisor
Individual provider versus teaming approach
– Comprehensive service array: integrated and seamless; single point of clinical responsibility – Crisis stabilization, safety planning, skill building, trauma-focused, family-focused; resiliency & support-building interventions; cognitive intervention.