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Clinical Supervision Handbook - CAMH Knowledge Exchange ...

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Strategies to promote group cohesion<br />

Structure<br />

<strong>Clinical</strong> <strong>Supervision</strong> <strong>Handbook</strong><br />

• Teach group skills and how they relate to group rationale and goals for group<br />

supervision.<br />

• Clarify purposes of the group (informational, educational, administrative).<br />

• Explain how clients will be discussed, group norms, structure, how feedback will<br />

be given and received, how time is shared, how conflict and competition in the<br />

group will be handled.<br />

Group process<br />

• Encourage open communication about current and immediate issues among<br />

group members, such as group tensions.<br />

• Intervene to ensure that group norms are respected.<br />

• Provide leadership by modelling and identifying facilitative group member<br />

behaviours, such as risk taking, and providing constructive feedback.<br />

• Facilitate focused discussion and feedback.<br />

• Provide supportive and helpful feedback.<br />

• Ensure that feedback about practice is balanced and focused and propose<br />

possible next steps.<br />

• Encourage team members to respond to each other’s concerns in a positive<br />

manner.<br />

• Ask direct questions regarding clinician’s experiences if soliciting ongoing group<br />

feedback is a challenge, such as “sometimes clinicians can feel overly criticized<br />

in group supervision. Are any of you having that experience in this group?”<br />

This targeted feedback may encourage more group level disclosure because it<br />

normalizes clinicians’ concerns.<br />

• Validate different perspectives and approaches and stages of learning.<br />

• Rework formative stages of group process.<br />

• Discuss what is and is not working in the group process.<br />

• Provide time for critical reflection on practice and integrate theory and practice<br />

in each session.<br />

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