Supervision in a Trauma Informed Environment Rebecca Cashman

Supervision in a Trauma Informed Environment Rebecca Cashman, MPH Stacey Carpenter, Psy. D.

Goals for Today: • FPCN—who we are & what we are doing with supervision • Defining Supervision – Specifically Reflective Supervision (RS) • Discussion about supervision in your program & supervision/TIC

FPCN Who we are & What are we doing

FPCN • Background – 25 year history – Nurse-managed/led centers – Grown from one to five sites over time • Services – Primary Care with Integrated BH; Dental; Outpatient BH – Additional services: SW, Nutrition & Diabetes Ed, PT, Medical-Legal Partnership, Transportation, Mind/Body practices…

FPCN • Trauma Informed Care Committee – Embracing Trauma Informed Principles – Committee & sub-committees • Supervision – Recognized the need – Aiming to implement consistently • Form, Guidance • Training

Types of Supervision

Types of Supervision Admin Clinical Reflective

Three Essential Components • Reflection – Time to ponder • Collaboration – Create a safe & secure environment • Regularity – Consistent meetings

Reflective Supervision for the Supervisor • Laying the groundwork – Helps ensure a successful relationship • Qualities & Abilities – Good Listening Ears – Questions without Judgment – Using the Supervisee’s past experiences

Which Statement do you relate to… • There are many people out • You are important to this there who can do this job team right • I can see you are upset, • I don’t understand why would you like to talk you are upset, what’s about it wrong with you? • It would be great if you could finish your • How can I support you in paperwork on time completing paperwork on time?

What do you see…

What do you see?

What do you see?

Supervision in a Trauma Informed Environment

Self-Care… • Encourage staff to practice it • Encourage use of PTO or appropriate time away from work – • Important to try to avoid burnout • Encourage staff to maintain boundaries, take time for other parts of their lives Consider: Do you overtly or subtly reward or applaud the ‘workaholic’ who doesn’t take time off, is always available via text/email, even on days off?

Model Desired Behavior • Supervision is an opportunity to model the behavior you want service providers to exhibit with consumers/clients • Supervisor as Trustworthy • Physically & Emotionally Safe environment • Collaboration between Supervisor & Staff

Staff Satisfaction, Growth, Retention • Consistent supervision is an opportunity to learn about staff satisfaction • Promote professional growth, development • Strengths-based approach – celebrate milestones/achievements; acknowledge what is going well

FPCN Supervision & TIC • Why/ how connected to TIC – Recognize vicarious trauma – Preventing burnout – Model behavior sought between and client – Staff retention, growth • Handouts explanation staff

Balancing Act…

Questions Comments Thank You! scarpenter@fpcn. com rebecca. cashman@rhd. org