Providing Clinical Supervision for Home-Based Family Therapists Module

Module Sections:

Supervision Formats Continued

Live Supervision – Present in session or video-audio tapes

Supervisors who endorse live supervision assume supervisees can best learn some therapy skills by practicing them during therapy sessions with supervisory support…learning is accelerated.

Advantages - Live supervision provides quality control for clients because clinical errors can be avoided or corrected. Clients are generally positive about the experience. Some supervisees report liking the safety net provided by live supervision. They note it allows them to be more creative and increases their comfort in trying new behaviors.

Critiques of live supervision - that it can be intrusive, pushy, and dehumanizing for supervisees and clients. Supervisors reported that they felt overly responsible for their supervisees’ therapy, and found it difficult to allow their supervisees to proceed at their pace and conduct therapy their way. More experienced supervisees were apprehensive about potential power and control issues with their supervisors.

Synoptic supervision 

Supervision in which supervisees summarize several of their therapy sessions with a case, than from live supervision. Synoptic supervision taps what therapists think, live supervision accesses what they do and once a month sporadic supervision shows their overall professional development.