When a colleague commits suicide: how the staff reacts

1. A literature review on the subject of suicide by mental health professional indicates that research has been limited to family member survivors. There is some data on reactions to patient suicide by psychiatrists and psychologists. 2. The results of this study show that mental health professional survivors of peer suicide experience similar reactions to the studied groups. These include anger, guilt, loss of self-esteem, disruption of relationships, and concern about assessing for suicidality. 3. Subjects felt the victim did not reach out for help because she feared stigmatization; mental health professionals are not permitted to have serious problems. 4. The clinical nurse specialist can perform an important role by addressing this dynamic and working to provide a supportive and nonpunitive environment for mental health professionals experiencing problems.     

The Role of Supervision in Professional Development of Social Work Specialists

The professionals use social services supervision as an educational and administrative process, meant to support. Supervision is a relatively new field introduced in the Romanian social welfare institutions. The article approaches the role of supervision in the process of professional development of social workers, following a research based on Grounded theory. We conducted this research into an elite NGO, in the North-Eastern Romania, in the domain of child protection. Supervision is a social practice based on the relationship between a person with extensive professional experience and a professional effectively involved in case management. Supervision is seen as a prerequisite to quality social services organization. Effectiveness of the supervision process may be an indicator of the quality of social work practice in an organization. The data were collected through interviews of participants in the research. The interviewed subjects operate with a definition of the supervision as being a practice based on individual or group interview, formal or informal, consisting in a series of specific phases (initial, development, end). Supervision involves the establishment of professional relationships between the participants and the quality of services and training received. This definition is partially different from those in the literature.     

An historical view of right to treatment

The patient's right to treatment is a clear mandate from the Supreme Court that the providers of mental health care must provide treatment. Important Supreme Court decisions have influenced the way in which professional nurses determine what constitutes adequate treatment on an individualized basis. Individualized treatment planning is rooted in meeting legal, regulatory, and funding requirements. The professional nurse is in a unique position to assess the patient's needs and to plan with others how those needs can best be met. Paraprofessional staff may implement those parts of the plan that do not require the direct intervention of the professional nurse. The technicians provide the daily care under the supervision and direction of the professional nurse. However, it is the professional psychiatric nurse who plays a critical role in providing active psychiatric treatment, who determines the nursing component of the treatment plan on an individualized basis, and who monitors the patient's environment, thus safe-guarding the legal rights of the mentally ill.     

Risk Assessment of Sexual Offenders for Extended Supervision Orders in New Zealand: Basic Principles and Current Practice

A growing number of jurisdictions in North America, the United Kingdom, and Australasia have enacted legislation allowing for special sentencing, civil commitment, and community supervision options for high risk sexual offenders. In New Zealand, one example of this concern for public protection is the Parole (Extended Supervision) Amendment Act 2004, which provides for additional supervision of sexual offenders with child victims for up to 10 years after their release from prison. Recent experience with expert evidence and judicial decision making in such cases suggests that those involved in the process might benefit from a more thorough understanding of the current state of sexual offender risk assessment that can be provided by mental health professionals.     

DIRECT SUPERVISION: ADDING COMPUTER-ASSISTED FEEDBACK AND DATA CAPTURE TO LIVE SUPERVISION

This is a critical review of live supervision with emphasis on technical innovations such as earphones or bug-in-the-ear, Teleprompters, and computers. A computer-assisted approach is described that overcomes many criticisms of live supervision. Direct supervision uses a computer monitor to unobtrusively provide information to the therapist about the supervisor's perceptions of the clients' and therapist's behavior, the expected therapeutic behaviors, and the therapist's "on target" behavior. Direct supervision has the advantage over other forms of supervision by providing an immediate, continuous, and permanent record for postsession supervision and for research into the supervisor-therapist-client process. The paper provides several suggestions for research.     

Operationalising professional supervision in this age of accountabilities

Abstract

The paper reviews the tensions, complexities, risks and ambiguities of the role and tasks of the social work supervisor: these can surface in efforts to negotiate individualised supervision agreements with colleagues and with students. Given the marked lack of national and international research attention to processes in social work supervision, the paper explores the skills, principles and arguments for a suggested model of ‘Developmental Supervision’ — in the context of a framework of supervision practice congruent with the knowledge, skills and values of social work. Finally, there is some exploration of the unintended consequences of ‘Quick-Fix’ Supervision for the cutture of decision-thinking and professional practice.     

Attending to Social Justice in Clinical Social Work: Supervision as a Pedagogical Space

Although social justice is a central professional value of social work articulated in ethics codes, clinical social workers have been long criticized for not clearly incorporating this professed commitment into practice. Supervision is an optimal space within which clinicians can develop knowledge and skills to attend to the issues related to social justice in their practice. A growing body of literature emphasizes social justice in the delivery of clinical services, yet there is a death of literature on how clinical supervision can promote social justice seeking clinical work. In this paper, we draw from existing literature to identify key elements involved in social justice seeking clinical supervision. Using Goodyear’s (Clin Superv 33:82–99, 2014) learning mechanisms of clinical supervision, which consists of modeling, feedback, direct instruction, and self-directed learning, we discuss a case composite to illustrate ways in which clinical supervision can serve as a pedagogical space to advance clinical social workers’ commitment to social justice.     

A look behind the curtain at social work supervision in interprofessional practice settings: critical themes and pressing practical challenges

Supervision has been an integral aspect of social work practice since the early days of the profession. The literature suggests that ‘supervision is an essential and integral part of the training and continuing education required for the skillful development of professional social workers’ (p. 5). The literature does appear to support that all social workers ought to have some level of supervision; however, within interprofessional settings, where social work is one of many professions, that goal may not be easily attained. Although some interprofessional settings, like hospitals, have social work departments, other settings, like schools, may only have one social worker, resulting in a workplace environment devoid of social work supervision. This article presents findings from a national study of social workers employed in interprofessional organizations. It was hypothesized that this cohort could provide important insights about the nature of social work supervision in agencies characterized by an interdisciplinary workforce. Using both open-ended and specific categorical questions, respondents were asked to describe and convey information about the supervision process and experience in their agency. An Internet-based survey was used to reach a broad spectrum of social work practitioners and educators (975 deliverable and 426 completed) across the United States.     

Supervision and mentoring in child and family social work: The role of the first-line manager in the implementation of the post-qualifying framework

This article examines how the support needs of candidates undertaking CCETSW's Post-qualifying awards may impact on traditional supervision as provided to child and family social workers. Based on pilot research which underpinned the University of Leicester's 'Post Graduate Certificate in Supervision and Mentorship (Child Care) by Distance Learning', this article describes how a small sample of social workers, first-line managers, staff development officers and senior managers, view the functions of supervision in their agencies, and what they think about the involvement of line managers in the process of mentoring and assessing staff working towards further qualifications. It is suggested that there may be difficulties associated with line managers acting as mentors, such as conflict of interest, lack of objectivity and inadequate preparation and training, but that such difficulties should not obscure the potential benefits. A key benefit involves line managers having an opportunity to refocus on the developmental and supportive aspects of supervision that may have been eroded over recent years in favour of a narrower, more managerial approach. The article concludes that, although the implementation of the PQ framework presents many challenges in relation to the role of the first-line manager, it has the potential to create work-place cultures of a more developmental and professional nature, which ultimately works to the advantage of those who use social work services.     

Equine-assisted activities and therapies: enhancing the social worker’s armamentarium

Introduction: Equine-assisted activities and therapies (EAAT) have gained prominence as a viable therapeutic approach for a range of mental health and developmental problems, yet is not widely known and not conventionally provided within the social work educational curriculum. Thus, the purpose of this study is to provide a review of various certification bodies available to social workers in order to bring EAATs into their therapeutic work. Methods: A multi-stage process, including consultation with experts in the field and an online search was undertaken to locate certification programs for mental health professionals. Results: Seven certification organizations were identified; programs varied with respect to mental health pre-requisites, type of certification, training components, and cost. Discussion: There has been substantial growth in EAAT for children with mental health and developmental problems, and there are a range of certification types to select from. Factors to consider when choosing which type of certification to pursue, and barriers to certification are discussed.     

The fragility of therapists and clients as a generative context

This article describes our work at the interface between the legal and the psychosocial in relation to mental health needs arising in families. Working at the legal–psychosocial interface, interventions and treatment strategies are not given in advance but are built with all those involved, including the family and those who may be significant for the family as well as family therapists and judicial practitioners. In addition, psychology students from the UBA (Universidad de Buenos Aires, Argentina) who are engaged for their professional practice in the area of Justice—Working with Families in the Legal Field—observe and actively participate in this process. The work at the legal–psychosocial interface is interdisciplinary and requires a permanent dialogic effort among all practitioners of the different disciplines in order to promote alternatives that generate innovative solutions.     

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

This study examined the perspectives of clinicians who facilitate Circle of Security‐Parenting (COS‐P) groups in community health settings. The therapists were from two services: a specialist perinatal and infant mental health consultation service and a child at risk health service. In particular, we were interested in their perceptions of the strengths, weaknesses, challenges, and possible improvements to the model as applied to their clinical settings. Two focus group interviews, involving eight clinicians and clinical supervisors from a diverse range of professional backgrounds, were conducted by an independent interviewer. A discussion guide consisted of a series of open‐ended questions related to the participants’ experiences of delivering COS‐P. Therapists found COS‐P to be effective, feasible to deliver, user‐friendly, flexible, and generalisable to diverse client subgroups. The compassionate and non‐judgmental therapeutic stance was considered a strength of the model. Clinicians highlighted their adoption of the model across their professional and personal lives and the critical importance of supervision. In conclusion, COS‐P is a popular and promising intervention which targets the parent–child relationship that can be successfully delivered to mothers affected by moderate to severe mental health problems.     

Educating for mental health practice: Results of a survey of mental health content in Bachelor of Social Work curricula in Australian schools of social work

Health problems are amongst the most pressing encountered by social workers in practice. Health policy, largely through deinstitutionalisation, has placed mental health problems in the mainstream of health practice. One in 25 Australians will require professional assistance with mental health problems. Moreover, other professions are increasingly claiming that mental health is their area of expertise. Social work needs to reclaim this area as their own and hence it is incumbent on social work education to prepare students to practise in this area. As the second of a two-part survey of health and mental health curricula in Australian schools of social work, the findings of the survey on mental health curricula conducted in 1997 are presented in this article. Based on responses from 95% of the schools, nine of the 20 respondent schools were found to offer a separate mental health unit. The remaining 11 schools' coverage ranged from no coverage at all through to considerable integration in other subjects. Overall it was concluded that the majority of students received a significant amount of input on mental health. A number of recommendations are made to improve mental health input including more skill development, greater local contextualisation, more attention to an anti-oppressive agenda, and more explicit links to field education.     

Social work supervision in Germany

Social work supervision came to Germany from the USA after 1950. Since the 1970s it has developed very differently there from its Anglo-American origins. Supervision in the German-speaking countries has, in part, become a new profession; it offers its services to social work, the health system, pedagogical services, administration and even to the commercial field. This article describes the development of social work supervision as a discipline.     

Counseling with Muslim Refugees: Building Rapport

Recent social work literature has stressed the importance of considering culture when working with individuals with mental health problems. This paper presents my personal experience, journaling, reflections, and research as a mental health social work practitioner and researcher working with refugee clients with mental health problems from a Muslim background. It also draws on my research experience in cross-cultural mental health. The paper emphasizes the significance of building rapport especially in the earlier stages of the professional relationship.     

Specialist assessment in child protection proceedings: problems and possible solutions

Specialist assessment is a crucial part of child protection intervention. This review considers problems surrounding the process of obtaining a specialist assessment in the child protection process, focusing especially on mental health assessment. Difficulties identified concern different professional frames of reference and agency functions, individual influences and power differentials, communication and decision-making at child protection conferences, court proceedings, ‘sensitive costs’ and resources. Particular attention is paid to difficulties associated with the multi-agency nature of the child protection process. Possible solutions are discussed under the following headings: structures and procedures, communication and role clarity, interpersonal relationships, the role of the keyworker, consultation and the responsiveness of specialists to referrer needs. A comprehensive strategy is advocated in improving the input of specialist services to child protection proceedings. This strategy should employ a combination of structural, procedural and interpersonal approaches and its effects should be thoroughly evaluated. © 1998 John Wiley & Sons, Ltd.     

The Availability of Supervision in Routine Mental Health Care

Clinical supervision is an embedded resource for practice quality in community mental health organizations. Supervision has been found to increase provider competence and decrease stress. In addition, supervision has been associated with service user outcomes including decreased depressive symptoms. However, little is known about the availability and nature of supervision in real world settings. The primary aims of this study were to identify available supervision and the extent to which contextual factors are related to that availability. The data source for this study was a multi-state and multi-site (N?=?14) NIMH-funded trial survey of providers (N?=?273). Supervision was measured by hours per week (quantity) and by utilization of best practice activities (content). Univariate, Chi square, independent samples t-tests, and ANOVA analyses were used to assess supervision content and quantity and to examine subgroup differences. Participants reported an average of 2.17 h of supervision per week and 28.6% of participants endorsed best practice content. Supervision quantity varied significantly across sites (p?<?0.05) and program type (p?<?0.05) while content did not. Individual role within the organization had a significant relationship with reported supervision content (p?<?0.001). In these settings, staff in organizations are exercising discretion in how to utilize supervision within the available time. Supervision time also varied by program type, increasing with the intensity of services. Findings demonstrate that reports of availability vary according to position within the organization and the intensity of services within a given program type. Implications for workforce development, access to quality services, and implementation of evidence-based practices are discussed.     

A Social Work Perspective on Seclusion and Restraint in Australia’s Public Mental Health System

A social work perspective of the nature of seclusion and restraint in Australia’s public mental health systems is presented. The article suggests a theme of seclusion and restraint as a regulatory mechanism despite evidence of harm and even death. The case that the use of seclusion and restraint constitutes a social justice issue as it can be understood as an abuse of human rights and form of torture is established. An incident of a person dying in an Australian mental health facility after being secluded is presented to substantiate this claim. An over focus on individual expressions of violence or risk can be at the expense of understanding the systemic and cultural nature of violence in mental health systems. It is important to understand the nature of, and perhaps to question the presumed necessity of, seclusion and restraint practices to ensure that social workers are not breaching their professional obligations to people who are mental health clients.     

THE MARGINALIZATION OF FAMILY THERAPY: A HISTORICAL AND CONTINUING PROBLEM

Family therapy, and marital and family problems, are mariginalized in the larger fields of mental and physical health care, which is a misfortune both for family therapy and for other mental health professions. The early family therapists, who had multidisciplinary backgrounds, attempted toestablish a new, nondisciplinary paradigm and also tried to expand the perspectives of the more traditional mental health disciplines. More recently, family therapists have exerted greater effortsto establish marriage and family therapy as a differentiated, autonomous profession. These alternatives each involve dilemmas for the family therapy field. The positive side of becoming a distinctive profession is greater internal strength and clear professional identy; the downside is the threat of increased marginalization in rlation to the other professions, a tendency toward intellectual isolation, and hence restricted opportunities for invigorating new challenges. Family therapy now needs to develop new modes of interchange, collaboration, and selective integration with otherhealth care professions. Such interchange will be beneficial both to family therapy and to other professions.