Supervision & Burnout: who am I really? Christopher W. Shea, MA, CRAT, CAC-AD Clinical Director Father Martin s Ashley Havre de Grace, Maryland chrismd104@gmail.com
GOALS: to discuss what supervision is to define burnout in context of selfidentity to discuss role of self-care
rationale Talk about supervision 1 st To get us all on the same page To understand what it is that is expected of us As the lead in to understand why burnout happens
You know you are burning out when You get a phone call from a client who wants to cancel an appointment & you do a little happy dance You answer your home phone with the greeting you use at the office
You know you are burning out when A client calls and asks for you and you tell them you are not in You consider a 40-hour work week a vacation
You know you are burning out when You think about how relaxing it would be to be in jail right now -- Paula Heller-Garland
Clinical Supervision Defined Clinical supervision is an interpersonal tutorial relationship centered on the goals of skill development and professional growth by learning and practicing. Through observation, evaluation, and feedback, supervision enables the counselor to acquire the competence needed to deliver effective patient care while fulfilling professional responsibilities. -- Durham (2001)
I don t know the key to success, but the key to failure is trying to please everybody. -- Bill Cosby
Components of Clinical Supervision Interpersonal Tutorial relationship Skill development Professional growth Learning and practicing Observation Evaluation & feedback Effective patient care Professional responsibilities -- Durham (2008)
Primary Goals of Supervision I. Promoting professional growth & development II. III. IV. Protecting the welfare of clients Monitoring counselor s performance Empowering the counselor to self-supervise -- Durham (2008)
Roles of the Supervisor Teacher Intensive learning experience Professional development Mentor Role model Direction & guidance Evaluator Goal setting Performance review Empowerer Instilling self-efficacy Encouraging independence
who am I?.. A supervisor?. A counselor?. A person?
Burnout psychological term for the experience of long-term exhaustion and diminished interest
Symptoms Irritable? Working too much? Emotionally exhausted? Isolated? Abusing substances? Fatigued? Frequently angry? Inability to accept feedback -- Paula Heller-Garland
What you do is not who you are but I AM a helper! We need to discover our motivation and purpose Gerald Shulman Is What I Do Who I Am?
The driving force in my life is to make a difference -- Shulman How do we make a difference? If I measure my success by looking at the outcome of sobriety by my patients as a result of my treatment, my self-image is going to take a major blow Shulman Is What I Do Who I Am?
What if I measure the progress toward my purpose in life not by outcomes that I cannot control but by processes that I can? Shulman Is What I Do Who I Am?
The Myth of Tomorrow: Seven Essential Keys for Living the Life You Want Today by: Gary Buffone, PhD Reclaim what is most important in our life Live in the moment Things pale in comparison to developing greater love and acceptance of self and others Make the decision to have the life we really want
We can t give someone something we don t have You counsel out of whom you have become -- Carl Rogers
So now what? How do I see the light? How do I cope with these feelings?
Always Make Self-care a Priority by: Nicholas A. Roes, PhD Get in touch; stay in touch with what is motivating you Recall your beginner s enthusiasm Pay attention to small changes in how you are feeling & relating to others Set & keep sensible boundaries
Find & keep balance in your life Track your negative cognitions that interfere with selfcare. What are your should statements? -- ACA Taskforce on Counselor Wellness & Impairment
helping professionals tend to be Messiahs Learn to say no BUT yes to fun things in life Don t rescue others from their legitimate suffering -- When Helping you is Hurting Me by: Carmen Renee Berry
It is like when a Mother allows a small child to walk on it s own instead of holding it by her hand. She knows it may fall but learning to walk on one s own is worth a few falls. -- C. S. Lewis 1949
Research Brian Bride, U. of Georgia School of Social Work: studying how accounts of trauma related by clients can affect the well-being of counselors» 19% of counselors surveyed met criteria for PTSD resulting from secondary trauma» Yet to be published.
Research Hannah K. Knudsen, et al in 2008 published Clinical Supervision, emotional exhaustion, & turnover intention: A study of substance abuse treatment counselors in NIDA s Clinical Trials Network -- Journal of Substance Abuse Treatment, 35, 387-395
Research the American Counseling Association s Taskforce on Counselor Wellness & Impairment www.counseling.org/wellness_taskforce/index.htm They have self-care and stress assessments in PDF format