CHAPTER 1
Contemporary Approaches to Supervision in the Human Services
This opening chapter explores contemporary approaches to supervision in the human services, where, for the most part, it is defined in terms of its purpose, function and role in professional development and practice improvement. Inherent in these approaches is what supervision can and cannot and should and should not do. āGoodā supervision is underpinned by the notions of developing competent, accountable, ethically informed, effective practitioners to ensure the work of the organisation in providing professional support and appropriate services is carried out with maximum efficiency. A āgoodā supervisory relationship is said to be one where the supervisor and supervisee are equals, achieved through an ethos of cooperation, reciprocity and mutual learning (Davys and Beddoe, 2010; Hawken and Worrall, 2002; Hawkins and Shohet, 2012). Emphasis is on the supervisory relationship as a safe space of trust and respect, creating a springboard for curiosity, exploration, courage and willingness to take risks in practice strategies and service provision (Carroll and Tholstrupt, 2001; Hewson, 2001; McMahon and Patton, 2002; Page and Wosket, 2001). Newer supervision models emphasise an āintegrative (developmental) approachā (Carroll and Tholstrupt, 2001), ālearning partnershipsā (Carroll and Gilbert, 2011) and ālifelong learningā (Shohet, 2011). Many writers, however, talk about the triadic nature of supervision involving the practitioner, the supervisor or manager and the service user (although not physically present) in a tripartite relationship circumscribed by organisational requirements (Hughes and Pengelly, 1997; Noble and Irwin, 2009). We would add sociopolitical and cultural contexts as influences on this relationship as well. Carroll and Gilbert (2011) talk about ātriple loop learningā to reflect this systems perspective. While supervision is a medium to review and monitor practitioner performance and ensure accountability to service users, for the most part conventional models emphasise practitioner and organisational development and imply benefits for service users.
Many claims are made about the benefits of supervision and its propensity to improve service delivery, develop knowledge and practice skills, enhance understanding of professional values and ethics, increase job satisfaction, provide a valued defence against emotional exhaustion and burnout, facilitate practitioner resilience, improve workforce retention and further professional knowledge (Beddoe, Davys and Adamson, 2014; Bogo et al., 2011; Chiller and Crisp, 2012; Collins-Camargo and Royse, 2010; Mor Barak et al., 2009; Siebert, 2005). However, growing concerns have been expressed about the diminishing availability and quality of supervision and the potentially negative effects of this on service delivery in contemporary practice environments (Beddoe, 2010; Bogo and McKnight, 2005; Goddard and Hunt, 2011; Noble and Irwin, 2009). Some see the reduced number of skilled supervisors and increasing prominence of interprofessional supervision in the human services as signalling an uncertain future not only for progressive practice but also for supervision itself (Bogo and McKnight, 2005; Howard, Beddoe and Mowjood, 2013; Kadushin and Harkness, 2014). Others see the contemporary sociopolitical environment, where the dominant neoconservative view of welfare provision results in austerity and cutbacks, as stifling practitionersā ability to critically review practice (Adamson, 2012; Hair, 2015; Noble and Irwin, 2009)
Supervision described
Supervision has variously been described as a form of professional development, a medium for professional accountability, a vehicle for professional learning and a process of ongoing reflection and feedback. Some place supervision on staged development or novice-to-expert continua (Dreyfus and Dreyfus, 1986; Hawkins and Shohet, 2012). However it is conceived, it is thought to involve a lifelong process of professional learning and development through which practitioners hone their effectiveness and expertise by reviewing their practice in light of new knowledge and practice understandings, thus acquiring new perspectives, knowledge and skills. At the same time, it is considered a means of emotional support and guidance for practitioners fulfilling organisational requirements, as well as remaining accountable to service users and managers alike (Ferguson, 2005; Hair, 2013; OāNeill, 2004).
Given the constant changes to organisational policies, supervision also plays a role in reducing stress and burnout and increasing resilience by assisting practitioners to adjust to ever-changing responsibilities and to negotiate new roles and expectations in their daily work (Beddoe et al., 2014; Chenot, Benton and Hansung, 2009; Gibbs, 2001; McFadden, Campbell and Taylor, 2015; van Heugten, 2011). However, supervisors also need to ensure performance indicators are met and this is often associated with monitoring work performance (Beddoe, 2010; Tsui, 2005). There is a fine line between accountability requirements and intrusive monitoring and surveillance, balanced by a focus on the practitionerās developmental needs.
Approaches
Various approaches to supervision have developed over time. Their use varies between using only one or a combination of approaches. Most common approaches include:
ā¢One-to-one individual supervision: The supervisor and supervisee meet regularly one-to-one. This can be extended to include one-to-two supervision sessions, where there is a collaborative or co-working relationship with two supervisors, or where the supervisee is working closely with another colleague.
ā¢Self-supervision: Self-supervision is a valuable, legitimate, often underused resource when supervision with another person is not available or where the practitioner is working alone. It is also encouraged as complementary to supervision conversations with others so that the practitioner can become progressively more self-sufficient in applying thinking and learning from supervision conversations in practice. Self-supervision also helps supervisees take primary responsibility for identifying and meeting their own supervisory needs.
ā¢Group supervision: This can include multidisciplinary teams, communities of practice, interagency and interprofessional groups, and small work groups. It can be effective when a supervisor is responsible for a number of staff members. Working with a group can extend knowledge, skills and experiences, and provide an important platform for examining multiple perspectives on practice situations upon which to draw in practice.
ā¢Staff and organisational supervision: This is another form of individual or group supervision with a more specific focus on balancing practitioner performance with service delivery outcomes and internal and external accountability.
ā¢Peer supervision: This occurs when a small group of practitioners working in the same agency or practice arena come together without a formal supervisor to share practice experiences and concerns. They take responsibility for their own learning and agenda setting fo...