The Clinical Supervision of Competency-based Trauma Mental Health: A Training Series (18 Hours of Continuing Education in Trauma-informed Ethics and Supervision)

Melinda Paige, Ph.D, LPC, CPCS, NCC

The clinical supervision literature include exemplary practices in trauma mental health supervision providing a model of foundational principles and practices to support clinical supervisors, yet there remains a lack of awareness about these essential resources. Training about competency-based trauma mental health supervision is still missing from most graduate level training programs.

The persistent negative physical and psychological consequences of traumatic stress is a growing public health concern, therefore practitioners working in a variety of mental health settings will likely be working with survivors of trauma. It is imperative that their professional training includes core trauma knowledge and trauma-focused clinical skill supervision.

Professional Codes of Ethics state that specialized training and supervision are required before engaging in clinical practice in any specialty area. Therefore, without evidence-based training to support the trauma-specific practice of supervision, supervisors are at risk of practicing outside the bounds of their clinical competency.

Empirical research provides trauma-informed mental health supervision models grounded in exemplary practices in trauma mental health ethics and supervision. There are trauma-specific guidelines including six key principles of a trauma-informed approach to ethical decision making and four components necessary for competent trauma-sensitive clinical supervision. When you include these key elements in clinical supervision sessions you can be assured that you are practicing ethically and within the bounds of your clinical competency by utilizing evidence-based clinical supervision practices.

Attend this workshop and you will walk away with a step-by-step framework for providing trauma-competent mental health supervision including essential elements of trauma-focused care.These essential elements are common to all empirically based trauma-specific supervision models. You will learn how you can integrate this framework with your current approach to ethical decision making and clinical supervision to increase your effectiveness and outcomes with supervisees.

Join Melinda Paige, Ph.D, LPC, CPCS, NCC as she provides the tools and techniques to improve your clinical supervision outcomes in this trauma-competent supervision and ethics training just as she has for other clinicians around the nation.

Training Program Outline

Foundations of Clinical Supervision

  • Supervision as a field of practice requiring unique knowledge and skills
  • The necessity of specialized training in clinical supervision
  • Clinical supervision as state-specific legal requirement for licensure
  • Didactic and experiential standards and systemic training for clinical supervision

Models for Training Clinical Supervisors

  • Essential empirical knowledge including self-awareness, and theoretical and conceptual knowledge application
  • Essential empirical skills including supervision methods and techniques
  • Seven core curriculum areas required by standards for clinical supervision

Clinical supervision competency domains and models for mental health supervision

  • Transtheoretical models of clinical supervision
  • Models grounded in psychotherapy theory
  • Developmental models
  • Social role models

Multicultural Competency Development in Supervision

  • Assessing diversity dimensions such as: age, gender, gender identity, race, ethnicity, culture, national origin, religion, sexual orientation, disability, language, and socioeconomic status
  • Identifying individual differences and intersections among diversity dimensions.
  • Awareness of one’s interpersonal functioning and professional disposition in valuing individual and cultural diversity

Assessment in Clinical Supervision

  • Assessing the developmental level and learning needs of supervisees
  • Identifying ethical, legal and professional regulatory issues
  • Evaluating professional dispositions and ethical decision making
  • Measuring the supervisory relationship and alliance

Foundations of Trauma-competent Supervision

  • The ubiquity of trauma and physical and psychological consequences
  • Critical aspects of competency-based trauma mental health
  • Four components necessary for competent trauma-sensitive supervision
  • A qualitative model of competency-based trauma knowledge, skills and attitudinal conditions

Methods of Trauma-competent Supervision

  • A counselor-centered approach to supervision
  • Developing quality relationally based supervisory alliances
  • Trauma-sensitive supervision models and approaches
  • Trauma-focused supervision techniques

Ethical Issues in Trauma-specific Supervision

  • The ethics of trauma-competency and professional disposition
  • Ethical principles of self-care in clinical practice
  • Ethical standards of self-care guidelines
  • Six key principles of a trauma-informed approach to ethical decision making

Evaluation of Trauma-competent Supervisees

  • Trauma-informed counselor competencies for supervisees
  • Evaluating secondary traumatic stress/vicarious trauma in supervision
  • Assessing compassion satisfaction and compassion fatigue

Preventing Vicarious Traumatization and Secondary Traumatic Stress

  • Protective factors and strategies in proactive prevention
  • Components of counselor well-being and emotional safety
  • Developing trauma-informed consultation communities
  • Signs to be aware of in supervisee wellness and development

Building Vicarious Resiliency

  • Facilitating meaning making and self-reflective practices in supervision
  • Recognizing post-traumatic growth and resilience
  • Assessing positive effects of helping professions
  • Facilitating reconnection and belongness

Beyond Self-care: Restorative Practices in Clinical Supervision

  • Mindfulness practices for grounding and tolerating abreaction
  • Autonomic nervous system regulation in supervision
  • Modulating ANS arousal with brakes and body awareness
  • Facilitating therapeutic presence and reflective practices

Foundations of Trauma Mental Health Competency

  • Trauma mental health as a specific field of practice requiring unique knowledge and skills
  • The necessity of specialized trauma-competent training and supervision
  • Exemplary practices in trauma mental health care
  • Didactic and experiential standards and systemic training in traumatology

Physical and Psychological Consequences of Traumatic Stress

  • The ubiquity of trauma and adverse childhood experiences and the pervasive impact of trauma
  • Systematic approaches inclusive of trauma-specific diagnostic and treatment services within a trauma-informed environment.
  • Curative, trauma-specific treatment interventions rather than mental health care that exacerbates the effects of trauma

Trauma-informed Beliefs and Attitudinal Conditions

  • Demonstrating an understanding of contextual and systemic factors
  • Applying knowledge about cultural humility and adaptations for survival
  • Demonstrating acceptance of unique trauma experiences and respect for client as expert

Core Trauma Knowledge

  • Demonstrating core trauma knowledge and concepts in trauma-competent clinical practice
  • Applying knowledge about common elements of evidence-based interventions
  • Utilizing knowledge about common factors in trauma-focused intervention and treatment

Trauma-focused clinical skills and evidence-based models and interventions

  • Establishing and strengthening collaborative working alliance and therapeutic partnership
  • Emphasizing resilience and post-traumatic growth through affirming language and intervention
  • Developing mutually agreed upon treatment goals and trauma-informed consent to treatment
  • Trauma-focused cognitive restructuring to address traumatic beliefs and meaning-making

Evidence-based models and interventions

  • Neuroscience-informed approaches to trauma mental health care
  • Coping and affect regulation strategies for managing intrusive and arousal symptoms
  • Reprocessing traumatic memory while creating linear trauma narratives
  • Competency in evidence-based clinical assessment, diagnosis and tri-phasic treatment planning

Training Program Learning Objectives:

Training participants will examine the current exemplary practices in trauma mental health and trauma-specific supervision literature including the essential role of supervision in evidence-based trauma-focused clinical supervision and practice.

Training participants will review the supervisory relationship and working alliance in the competency-based trauma mental health supervision literature.

Training participants will apply an evidence-based model of trauma mental health supervision which includes essential elements of trauma-competent supervision.

Training participants will explore the current trauma competency and trauma-specific supervision literature including core knowledge and skills in evidence-based trauma-focused clinical supervision and practice.

Training participants will utilize specific supervision techniques from the competency-based trauma mental health supervision literature.

Training participants will examine foundational trauma knowledge including prevalence, trauma theory, and principles of trauma-informed-care.

Training participants will review the task and bond components, key to positive treatment outcomes in trauma mental health care, specifically those that emphasize mutually-agreed-upon treatment goals and interventions, along with a shared belief in the success of these strategies to ameliorate symptoms.

Training participants will analyze the clinical application of various common factors among trauma-focused evidence-based interventions.

Training participants will determine the efficacy of assessment measures and working diagnoses in posttraumatic stress disorders as well as common differential diagnoses.

Training participants will demonstrate an understanding of contextual and systemic factors and apply knowledge about cultural humility and adaptations for survival.

Training participants will learn strategies for establishing and strengthening collaborative working alliance and therapeutic partnership while emphasizing resilience and posttraumatic growth through affirming language and intervention.

Training participants will integrate psychoeducation about the neurophysiology behind trauma and trauma treatment modalities.

Training participants will incorporate interventions that address traumatic beliefs and meanings assigned to self, other and the worldpost trauma.

Training participants will incorporate techniques to increase coping and emotional regulation skills for managing trauma related symptoms.

Training participants will articulate competencies for reprocessing traumatic memory and developing a coherent and linear trauma narrative.

Training participants will develop clinical skills that maintain connection and do no harm by using minimally invasive interventions.

Training participants will incorporate clinical skills that ensure the emotional safety of both practitioner and client and keep the client emotionally present while reprocessing traumatic memory.

Training participants will apply strategies that facilitate reconnection to support systems and recovery networks including relational and assertiveness skills.