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A qualitative study exploring the perceived impact of supervision training on cognitive therapy supervisor practice

Published online by Cambridge University Press:  17 May 2013

Joanne Younge  and
Anne Campbell
Joanne Younge*
Affiliation:
School of Sociology, Social Policy and Social Work, Queen's University, Belfast, UK
Anne Campbell
Affiliation:
School of Sociology, Social Policy and Social Work, Queen's University, Belfast, UK
*
*Author for correspondence: Dr J. Younge, School of Sociology, Social Policy and Social Work, Queen's University, 6 College Park, Belfast BT7 1LP, UK (email: j.younge@qub.ac.uk)
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Abstract

Although cognitive therapy (CT) has a large empirical base, research is lacking for CT supervision and supervision training, which presents an obstacle for evidence-based practice. A pilot CT supervision training programme, based on Milne's evidence-based supervision and Roth & Pilling's supervision competences was developed by the Northern Ireland Centre for Trauma and Transformation (NICTT), an organization specializing in CT therapy provision and training. This pilot study qualitatively explores CT supervisors’ perceptions of the impact the training had on their practice. Semi-structured interviews were conducted with seven participants, transcribed verbatim and analysed using Burnard's thematic content analysis. Findings illustrated that experienced CT supervisors perceived benefit from training and that the majority of supervisors had implemented contracts, used specific supervision models and paid more attention to supervisee learning as a result of the training. Obstacles to evaluating supervision included the lack of reliable user-friendly evaluation tools and supervisor consultancy structures. Recommendations are also made for future research to establish the long-term effects of supervision training and its effect on patient outcomes. Implications for future training based on adult learning principles are discussed.

Keywords

Cognitive behavioural therapysupervisiontraining
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e1
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Hawkins, P, Shohet, R (2012). Supervision in the Helping Professions, 4th edn. New York: Open University Press.Google Scholar
Milne, D (2009). Evidence-based Clinical Supervision. Oxford: BPS Blackwell.Google Scholar
Scaife, J (2009). Supervision in the Mental Health Professions: A Practitioner's Guide, 2nd edn. Hove: Brunner-Routledge.Google Scholar

References

Armstrong, PV, Freeston, MH (2006). Conceptualising and formulating cognitive therapy supervision. In: Case Formulation in Cognitive Behaviour Therapy (ed. Tarrier, N.), pp. 349–371. New York: Routledge.Google Scholar
Bambling, M, King, R, Raue, P, Schweitzer, R, Lambert, W (2006). Clinical supervision: its influence on client rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research 16, 317–331.Google Scholar
Bechhofer, F, Paterson, L (2000). Principles of Research Design in Social Sciences. London: Routledge.Google Scholar
Beck, AT, Steer, A (1988). Beck Anxiety Inventory Manual. San Antonio, Texas: The Psychological Corporation.Google Scholar
Beck, AT, Steer, A, Brown, GK (1996). Beck Depression Inventory Manual, 2nd edn. San Antonio, Texas: The Psychological Corporation.Google Scholar
Bennett-Levy, J, Thwaites, R (2007). Self and self-reflection in the therapeutic relationship: a conceptual map and practical strategies for the training, supervision and self-supervision of interpersonal skills. In: The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies (ed. Gilbert, P. and Leahy, R. L.), pp. 255–281. New York: Routledge/Taylor & Francis Group.Google Scholar
Berry, R (1999). Collecting data by in-depth interviewing. Paper presented at the British Educational Research Association Annual Conference, University of Sussex at Brighton, 2–5 September 1999 (http://www.leeds.ac.uk/educol/documents/000001172.htm). Accessed 4 March 2009.Google Scholar
Blackburn, I-M, James, IA, Milne, DL, Reichelt, FK (2001). Cognitive Therapy Scale – Revised (CTS-R). Newcastle Upon Tyne, UK: Newcastle Cognitive Therapy Centre.Google Scholar
Brosan, L, Reynolds, S, Moore, RG (2008). Self-evaluation of cognitive therapy performance: do therapists know how competent they are? Behavioural and Cognitive Therapy 36, 581–587.Google Scholar
Bryman, A (2008). Social Research Methods, 3rd edn. Oxford: Oxford University Press.Google Scholar
Burnard, P (1991). A method of analysing interview transcripts in qualitative research. Nurse Education Today 11, 461–466.Google Scholar
Cape, J, Barkham, M (2002). Practice improvement methods: conceptual base, evidence-based research, and practice-based recommendations. British Journal of Clinical Psychology 41, 285–307.Google Scholar
Culloty, T, Milne, DL, Sheikh, AI (2010). Evaluating the training of clinical supervisors: a pilot study using the fidelity framework. The Cognitive Behaviour Therapist 3, 132–144.Google Scholar
Davis, D, Thompson, M, Oxman, A, Haynes, R (1995). Changing physician performance: a systematic review of the effect of continuing education strategies. Journal of American Medical Association 274, 700–705.Google Scholar
Department of Health and Social Services and Public Safety Northern Ireland (2010). A strategy for the development of psychological therapy services. Belfast: DHSSPSNI.Google Scholar
Doyle, JK (2006). Chapter 11: Introduction to interviewing techniques (http://www.wpi.edu/Academics/GPP/Students/tocdetail.html). Accessed 4 March 2009.Google Scholar
Ellis, MV, Ladany, N (1997). Inferences concerning supervisees and clients in clnical supervision: an integrative review. In: Handbook of Psychotherapy Supervision (ed. Watkins, C. E.), pp. 447–507. New York: John Wiley and Sons.Google Scholar
Falender, CA, Cornish, JAE, Goodyear, R, Hatcher, R, Kaslow, NJ, Leventhal, G, Shafranske, E, Sigmon, ST (2004). Defining competencies in psychology supervision: a consensus statement. Journal of Clinical Psychology 60, 771–785.Google Scholar
Falender, CA, Shafranske, EP (2004). Clinical Supervision: A Competency-Based Approach. Washington, DC: American Psychological Association.Google Scholar
Fleming, P, Spiers, A, McElwee, G, O'Gorman, M (2001). Men's perceptions of health education methods used in promoting their health in relation to cancer. The International Electronic Journal of Health Education 4, 337–344.Google Scholar
Hawkins, P, Shohet, R (2012). Supervision in the Helping Professions, 4th edn. New York: Open University Press.Google Scholar
Heaven, C, Clegg, J, Maguire, P (2006). Transfer of communication skills training from workshop to workplace: the impact of clinical supervision. Patient Education and Counselling 60, 313–325.Google Scholar
Henggeler, SW, Schoenwald, SK, Liao, JG, Letourneau, EJ, Edwards, DL (2008). Transporting.efficacious treatments to field settings: the link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child & Adolescent Psychology 31, 155–167.Google Scholar
Kilminster, SM, Jolly, BC (2000). Effective supervision in clinical practice setting: a literature review. Medical Education 34, 827–840.Google Scholar
Knowles, M, Holton, EF III, Swanson, RA (2005). The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development, 6th edn. Burlington, MA: Elsevier.Google Scholar
Koh, GC, Khoo, HE, Wong, ML, , Koh D (2008). The effects of problem-based learning during medical school on physician competency: a systematic review. Canadian Medical Association Journal 178, 34–41.Google Scholar
Lee, D (2005). An evaluation of prescribed learning outcomes in clinical psychology supervisor training (unpublished doctorate thesis) (http://www.leeds.ac.uk/lihs/psychiatry/courses/dclin/completed_research/sorps_online06/sorp_david_lee.pdf) Accessed 1 April 2011.Google Scholar
Lombardo, C, Milne, D, Proctor, R (2009). Getting to the heart of clinical supervision: a theoretical review of the role of emotions in professional development. Behavioural and Cognitive Psychotherapy 37, 207–219.Google Scholar
Lucock, MP, Hall, P, Noble, R (2006). A survey of influences on the practice of psychotherapists and clinical psychologists in training in the UK. Clinical Psychology and Psychotherapy 13, 123–130.Google Scholar
Mannix, KA, Blackburn, IM, Garland, A, Gracie, J, Moorey, S, Reid, B (2006). Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners. Palliative Medicine 20, 579–584.Google Scholar
Maunder, L, Milne, D, Cameron, L (2008). Pilot evaluation of brief training in CBT for primary care practitioners. Behavioural and Cognitive Psychotherapy 36, 341–348.Google Scholar
Mays, N, Pope, C (1995). Qualitative research: rigour and qualitative research. British Medical Journal 311, 109–112.Google Scholar
Miller, WR, Mount, KA (2001). A small study of training in motivational interviewing: does one workshop change clinician and client behaviour? Behavioural and Cognitive Psychotherapy 29, 457–471.Google Scholar
Milne, DL (2007 a). CPD workshop for new clinical supervisors. a tutor's guide (unpublished document) (www.wiley.com/go/milne). Accessed 3 February 2010.Google Scholar
Milne, DL (2007 b). An empirical definition of clinical supervision. British Journal of Psychology 46, 437–447.Google Scholar
Milne, DL (2009). Evidence-based Clinical Supervision. Oxford: BPS Blackwell.Google Scholar
Milne, DL (2010). Can we enhance the training of clinical supervisors? A national pilot study of an evidence-based approach. Clinical Psychology & Psychotherapy 17, 321–328.Google Scholar
Milne, DL, James, I (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology 39, 111–127.Google Scholar
Milne, DL, James, IA (2002). The observed impact of training on competence in clinical supervision. British Journal of Clinical Psychology 41, 55–72.Google Scholar
Milne, DL, James, IA, Keegan, D, Dudley, M (2002). Teacher's PETS: a new observational measure of experiential training and interactions. Clinical Psychology and Psychotherapy 9, 187–199.Google Scholar
Milne, DL, Leck, C, Choudhri, NZ (2009). Collusion in clinical supervision: literature review and case study in self-reflection. The Cognitive Behaviour Therapist 2, 106–114.Google Scholar
Milne, DL, Pilkington, J, Gracie, J, James, I (2003). Transferring skills from supervision to therapy: a qualitative and quantitative N = 1 analysis. Behavioural and Cognitive Psychotherapy 31, 193–202.Google Scholar
Milne, DL, Reiser, RP, Cliffe, T, Raine, R (2011). SAGE: preliminary evaluation of an instrument for observing competence in CBT supervision. The Cognitive Behaviour Therapist 4, 123–138Google Scholar
Ng, RMK (2005). Cognitive therapy supervision – a pilot study. Hong Kong Journal of Psychiatry 15, 122–126.Google Scholar
Padesky, CA (1996). Developing cognitive therapist competency: teaching and supervision models. In: Frontiers of Cognitive Therapy (ed. Salkovskis, P. M.). London: Guilford Press.Google Scholar
Pope, C, Mays, N (2000). Qualitative Research in Health Care. London: BMJ Books.Google Scholar
Proctor, B (1986). Supervision: a cooperative exercise in accountability. In: Enabling and Ensuring: Supervision in Practice (ed. Marken, M. and Payne, M.), pp. 21–34. Leicester: National Youth Bureau and Council for Education and Training in Youth and Community Work.Google Scholar
Ritchie, J, Lewis, J (2003). Qualitative Research Practice: A Guide for Social Science Students and Researchers. London: Sage Publications Ltd.Google Scholar
Roth, A, Pilling, S (2007). The competencies required to deliver effective cognitive behaviour therapy for people with depression and anxiety disorders. London: Department of Health (http://www.ucl.ac.uk/clinicalpsychology/CORE/CBT_Competences/CBT_Competence_List.pdf). Accessed on 16 January 2010.Google Scholar
Roth, AD, Pilling, S (2008). A competence framework for the supervision of psychological therapies. University College London: Research Department of Clinical, Educational and Health Psychology (http://www.ucl.ac.uk/clinical-psychology/CORE/supervision_framework.htm). Accessed on 4 January 2010.Google Scholar
Roth, T, Pilling, S, Turner, J (2010). Therapist training and clinical supervision in clinical trials: implications for pratice. Behavioural and Cognitive Psychotherapy 38, 291–302.Google Scholar
Sarantakos, S (1998). Social Research, 2nd edn. New York: Palgrave Macmillan.Google Scholar
Scaife, J (2009). Supervision in the Mental Health Professions: A Practitioner's Guide, 2nd edn. Hove: Brunner-Routledge.Google Scholar
Sholomskas, DE, Syracuse-Siewert, G, Rounsaville, BJ, Ball, SA, Nuro, KF, Carroll, KM (2005). We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting Clinical Psychology 73, 106–115.Google Scholar
Spence, SH, Wilson, J, Kavanagh, D, Strong, J, Worrall, L (2001). Clinical supervision in four mental health professions: a review of the evidence. Behaviour Change 18, 135–155.Google Scholar
Stirman, SW, Bhar, SS, Spokas, M, Brown, GK, Creed, TA, Perivoliotis, D, Farabaugh, DT, Grant, PM, Beck, AT (2010). Training and consultation in evidence-based psychosocial treatments in public mental health settings: the access model. Professional Psychology: Research and Practice 41, 48–56.Google Scholar
Townend, M, Iannetta, L, Freeston, MH (2002). Clinical supervision in practice: a survey of UK cognitive behavioural psychotherapists accredited by the BABCP. Behavioural and Cognitive Psychotherapy 30, 485–500.Google Scholar
Trinidad, AC (2007). How not to learn cognitive-behavioral therapy (CBT). American Journal of Psychotherapy 61, 395–403.Google Scholar
Watkins, CE Jr. (ed.) (1997). Handbook of Psychotherapy Supervision. New York: Wiley.Google Scholar
Wheeler, S, Richards, K (2007). The impact of clinical supervision on counsellors and therapists, their practice and their clients: a systematic review of the literature Counselling and Psychotherapy Research 7, 54–65.Google Scholar
White, E, Winstanley, J (2010). A randomised controlled trial of clinical supervision: selected findings from a novel Australian attempt to establish the evidence base for causal relationships with quality of care and patient outcomes, as an informed contribution to mental health nursing practice development. Journal of Research in Nursing 15, 151–167.Google Scholar
Winstanley, J (2000). Manchester clinical supervision scale. Nursing Standard 19, 31–32.Google Scholar
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