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Towards evidence-based clinical supervision: the development and evaluation of four CBT guidelines

Published online by Cambridge University Press:  19 May 2010

Derek Milne*
Affiliation:
Newcastle University, and Northumberland, Tyne and Wear NHS Trust
Chris Dunkerley
Affiliation:
Newcastle University, and Northumberland, Tyne and Wear NHS Trust
*
*Author for correspondence: Dr D. Milne, Doctorate in Clinical Psychology, Ridley Building, Newcastle University, Newcastle NE1 7RU, UK. (email: d.l.milne@ncl.ac.uk)

Abstract

Clinical supervision is central to evidence-based practice (EBP) and continuing professional development (CPD), but the evidence base has made little impact on supervision, a major form of CPD. We unite the two by developing four evidence-based guidelines for cognitive behavioural therapy (CBT) supervision. The guidelines were designed to address the supervision cycle (i.e. collaborative goal-setting; methods of facilitating learning; evaluation and feedback) within the context of the supervision alliance. Guideline development followed the National Institute for Clinical Excellence approach, including a representative stakeholder working group (with local service users and supervisees), a national group of supervisors and supervisor trainers, plus an expert reference group. A total of 106 such participants completed an ad-hoc guideline evaluation tool, designed to provide a multi-dimensional reaction evaluation of the guidelines. The guidelines were all rated favourably, satisfying the key initial criteria of accuracy and acceptability, and were judged to represent a CBT approach to supervision. It is concluded that the use of the guidelines might help CBT supervisors to better meet demands for CPD (including specialization in supervision) and EBP.

Type
Education and supervision
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

American Psychological Association (2002). Criteria for practice guideline development and evaluation. American Psychologist 57, 10481051.CrossRefGoogle Scholar
Baltimore, ML, Crutchfield, LB (2003). Clinical Supervisor Training. Boston, MA: Allyn and Bacon.Google Scholar
Bambling, M, King, R, Raue, P, Schweitzer, R, Lambert, W (2006). Clinical supervision: its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research 16, 317331.CrossRefGoogle Scholar
Boog BWM (2003). The emancipatory character of action research, its history and the present state of the art. Journal of Community & Applied Social Psychology 13, 426438.CrossRefGoogle Scholar
British Psychological Society (2003). Policy Guidelines on Supervision in the Practice of Clinical Psychology .London: British Psychological Society.Google Scholar
Cape, J, Barkham, M (2002). Practice improvement methods: conceptual base, evidence-based research, and practice-based recommendations. British Journal of Clinical Psychology 41, 285307.CrossRefGoogle ScholarPubMed
Centre for Reviews and Dissemination (2001). Undertaking Systematic Reviews of Research on Effectiveness: CRD's Guidance for those Carrying Out or Commissioning Reviews (CRD Report Number 4). York: NHS Centre for Reviews and Dissemination.Google Scholar
Cluzeau, FA, Littlejohns, P, Grimshaw, J, Feder, G, Moran, SE (1999). Development and application of a generic methodology to assess the quality of clinical guidelines. International Journal for Quality in Health Care 11, 2128.CrossRefGoogle ScholarPubMed
Cohen, J (1988). Statistical Power Analysis for the Behavioural Sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
DoH (1999). Clinical Governance in the New NHS. London: Department of Health.Google Scholar
DoH (2001 a). Treatment Choice in Psychological Therapies and Counselling: Evidence Based Clinical Practice Guideline. London: Department of Health.Google Scholar
DoH (2001 b). Working Together – Learning Together: A Framework for Lifelong Learning for the NHS. London: Department of Health.Google Scholar
DoH (2004). The Ten Essential Shared Capabilities. London: Department of Health.Google Scholar
Duncan, EAS, Nicol, MM, Ager, A (2004). Factors that constitute a good cognitive-behavioural treatment manual: a Delphi study. Behavioural and Cognitive Psychotherapy 32, 199213.CrossRefGoogle Scholar
Dunkerley, CJ, Milne, DL, Wharton, S (2004). A Systematic Review of Evidence-based Clinical Supervision. Presentation given at the annual conference of the European Association for Behavioural and Cognitive Psychotherapy, Manchester, UK.Google Scholar
Dyer, K (2008). Practice guidelines in clinical psychology: an uncertain future for a clinical profession. Clinical Psychology Forum 190, 1720.CrossRefGoogle Scholar
Ellis, MV, Ladany, N (1997). Inferences concerning supervisees and clients in clinical supervision: an integrative review. In: Handbook of Psychotherapy Supervision (ed. Watkins, C. E.), pp. 447507. New York: Wiley.Google Scholar
Ellis, MV, Ladany, N, Krengel, M, Schult, D (1996). Clinical supervision research from 1981 to 1993: a methodological critique. Journal of Counseling Psychology 43, 3550.CrossRefGoogle Scholar
Falender, CA, Cornish, JAE, Goodyear, R, Hatcher, R, Kaslow, NJ, Leventhal, G, Shafranske, E, Sigmon, ST, Stoltenburg, C, Grous, C (2004). Defining competencies in psychology supervision: a consensus statement. Journal of Clinical Psychology 60, 771785.CrossRefGoogle ScholarPubMed
Fall, M, Sutton, JM (2004). Clinical Supervision: A Handbook for Practitioners. Boston, MA: Allyn and Bacon.Google Scholar
Goldstein, IL (1993). Training in Organizations. Pacific Grove, CA: Brooks/Cole.Google Scholar
Green, D, Youngson, S (2005). DCP Policy on Continued Supervision. Leicester: British Psychological Society.Google Scholar
Grilli, R, Magrini, N, Penna, A, Mura, G, Liberati, A (2000). Practice guidelines developed by specialty societies: the need for a critical appraisal. Lancet 355, 103106.CrossRefGoogle ScholarPubMed
Henggeler, SW, Schoenwald, SK, Liao, JG, Letourneau, EJ, Edwards, DL (2002). Transporting efficacious treatments to field settings: the link between supervisory practices and therapist fidelity in MST programmes. Journal of Clinical Child Psychology 31, 155167.CrossRefGoogle Scholar
Iberg, JR (1991). Applying statistical control theory to bring together clinical supervision and psychotherapy research. Journal of Consulting and Clinical Psychology 59, 575586.CrossRefGoogle ScholarPubMed
Kaslow, NJ, Borden, KA, Collins, FL, Forrest, L, Illfelder-Kaye, J, Nelson, PD, Vasquez MJ, Willmuth MEL (2004). Competencies conference: future directions in education and credentialing in professional psychology. Journal of Clinical Psychology 60, 699712.CrossRefGoogle ScholarPubMed
Kilminster, SM, Jolly, BC (2000). Effective supervision in clinical practice settings: a literature review. Medical Education 34, 827840.CrossRefGoogle ScholarPubMed
Kirkpatrick, DL (1967). Evaluation of training. In: Training and Development Handbook (ed. Craig, R. L. and Bittel, L. R.), pp. 87112. New York: McGraw- Hill.Google Scholar
Kirschner, PA, Sweller, J, Clark, RE (2006). Why minimal guidance during instruction does not work: an analysis of the failure of constructivist, discovery, problem-based, experiential, and inquiry-based teaching. Educational Psychologist 41, 7586.CrossRefGoogle Scholar
Kolb, DA (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Kraiger, K, Ford, JK, Salas, S (1993). Application of cognitive, skill-based, and affective theories of learning outcomes to new methods of training evaluation. Journal of Applied Psychology 78, 311328.CrossRefGoogle Scholar
Ladany, N, Brittan-Powell, CS, Pannu, RK (1997). The influence of supervisory racial identity interaction and racial matching on the supervisory working alliance and supervisee multicultural competence. Counselor Education and Supervision 36, 284304.CrossRefGoogle Scholar
Lewis, K (2005). The supervision of cognitive and behavioural psychotherapists. BABCP Magazine Supplement (May 2005). Accrington: BABCP.Google Scholar
Lucock, MP, Hall, P, Noble, R (2006). A survey of influences on the practice of psychotherapists and clinical psychologists in training in the UK. Clinical Psychology and Psychotherapy 13, 123130.CrossRefGoogle Scholar
Marriott, S, Cape, J (1995). Clinical practice guidelines for clinical psychologists. Clinical Psychology Forum 81, 26.CrossRefGoogle Scholar
Milne, DL (2007). Evaluation of staff development: the essential ‘SCOPPE’. Journal of Mental Health 16, 389400.CrossRefGoogle Scholar
Milne, DL (2008). CBT supervision: from reflexivity to specialisation. Behavioural and Cognitive Psychotherapy 36, 779786.CrossRefGoogle Scholar
Milne, DL (2009). Evidence-Based Clinical Supervision. Chichester: BPS/Blackwell.Google Scholar
Milne, D, James, IA (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology 39, 111127.CrossRefGoogle ScholarPubMed
Milne, D, James, IA (2005). Clinical supervision: ten tests of the tandem model. Clinical Psychology Forum 151, 69.CrossRefGoogle Scholar
NICE (2003). Guideline Development Methods: Information for National Collaborating Centres and Guideline Developers. London: National Institute for Clinical Excellence.Google Scholar
Neufeldt, SA (1994). Use of a manual to train supervisors. Counselor Education and Supervision 33, 327336.CrossRefGoogle Scholar
Northcott, N (1998). The development of guidelines on clinical supervision in clinical practice settings. In: Clinical Supervision in Practice (ed. Bishop, V.), pp.109142. London: Macmillan.CrossRefGoogle Scholar
Parry, G (2000). Developing treatment choice guidelines in psychotherapy. Journal of Mental Health 9, 273281.CrossRefGoogle Scholar
Parry, G, Cape, J, Pilling, S (2003). Clinical practice guidelines in clinical psychology and psychotherapy. Clinical Psychology and Psychotherapy 10, 337351.CrossRefGoogle Scholar
Perkins, JM, Mercaitis, PA (1995). A guide for supervisors and students in clinical practicum. The Clinical Supervisor 13, 6778.CrossRefGoogle Scholar
Pretorius, WM (2006). Cognitive behavioural therapy supervision: recommended practice. Behavioural and Cognitive Psychotherapy 34, 413420.CrossRefGoogle Scholar
Rossi, PH, Freeman, HE, Lipsey, MW (2004). Evaluation: A Systematic Approach. Thousand Oaks, CA: Sage.Google Scholar
Shekelle, PG, Woolf, SH, Eccles, M, Grimshaw, J (1999). Developing guidelines. British Medical Journal 318, 593596.CrossRefGoogle ScholarPubMed
Sholomskas, DE, Syracuse-Siewert, G, Rounsaville, BJ, Ball, SA, Nuro, KF, Carroll, KM (2005). We don't train in vain: a dissemination trial of three strategies of training clinicians in CBT. Journal of Consulting and Clinical Psychology 73, 106115.CrossRefGoogle Scholar
Townend, M, Iannetta, L, Freeston, MH (2002). Clinical supervision in practice: a survey of UK cognitive-behavioural psychotherapists accredited by the BABCP. Behavioural & Cognitive Psychotherapy 30, 485500.CrossRefGoogle Scholar
Watkins, CE (ed.). (1997). Handbook of Psychotherapy Supervision. Chichester: Wiley.Google Scholar
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