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Observing competence in CBT supervision: a systematic review of the available instruments

Published online by Cambridge University Press:  24 November 2011

Derek L. Milne  and
Robert P. Reiser
Derek L. Milne*
Affiliation:
School of Psychology, Newcastle University, UK
Robert P. Reiser
Affiliation:
Palo Alto University, CA, USA
*
*Author for correspondence: D. L. Milne, Ph.D., School of Psychology, Ridley Building, Newcastle University, Newcastle upon Tyne NE1 7RU, UK (email: [email protected]).
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Abstract

Government policy, like evaluations of clinical practice, indicates the growing importance of supervision in fostering practitioner development and in improving the fidelity of therapies. However, instruments with which to measure competent supervision are often problematic, thereby hampering these key activities (e.g. they are rare, rely on self-ratings by participants, and psychometric data can be limited). To contribute to progress, this paper reviews the current options for measuring competent clinical supervision by means of direct observation, a favoured approach within cognitive behaviour therapy (CBT). We systematically reviewed 10 existing instruments that were designed to observe and quantify competent supervision, focusing on three broad criteria for sound measurement (i.e. an instrument's Design, Implementation, and Yield: DIY). Suggestions for future research on instruments that can fulfil the functions that are provided distinctively through direct observation are outlined.

Keywords

Clinical supervisioncompetenceinstrumentsobservation
Type
Review
Information
the Cognitive Behaviour Therapist , Volume 4 , Issue 3 , September 2011 , pp. 89 - 100
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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