Clinical Supervision Handbook - CAMH Knowledge Exchange ..

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Core Clinical Practice Competencies Expert practice Expert practice is characterized by the ability to lead, direct, support and influence clinical practice within the organization. This clinician possesses intuition and has developed a specialized knowledge and skill level that is grounded in higher education and practical experience (typically five or more years). The expert clinician teaches, supervises and consults with other members of the health care team. He or she takes on an active part in the achievement of program goals. NOTE: The term “client” is used to inclusively refer to individuals and their families, groups or communities serviced by camh clinicians. However, the “client” of the expert clinician is often clinical staff functioning at competent and/or proficient levels of practice or the organization itself. “Family” is whoever the client determines his or her family to be. DOMAINS OF PRACTICE The following chart outlines the domains of practice required for clinicians at camh. The domains are: • clinician-client relationship • family and social support • professional autonomy and accountability • embracing cultural diversity • clinical assessment: interviewing, formulation, treatment planning and documentation • therapeutic interventions with clients, groups and families: practice, documentation and case management • anticipation and responding to rapidly changing situation • program development, implementation and evaluation of care • outreach • teamwork, collaboration and partnerships • ethical, organizational and legal accountabilities • professional development and research • consultation and education 121
Clinical Supervision Handbook Core Clinical Practice Competencies CORE CLINICAL PRACTICE COMPETENCIES DOMAIN OF PRACITCE LEVELS OF PRACTICE Competent Possesses entry-level clinical knowledge and skill and has knowledge and skill to implement the competency in routine practice in a variety of clinical situations Proficient Expert Possesses specialized, advanced clinical knowledge and skill and practices autonomously across a wide range of increasingly complex clinical situations Possesses expert knowledge, skill and intuition and applies the competency in the most complex situations at various levels within and across the organization DOMAIN OF PRACITCE LEVEL OF PRACTICE Clinician-Client Relationship • Understands that the therapeutic relationship between clinician and client is foundational to effective mental health and addiction practice • Facilitates therapeutic relationships with clients that: – focus on trust, respect, compassion, empathy and • Demonstrates mastery in effectively engaging in, maintaining and terminating therapeutic relationships • Models therapeutic relationships with clients and demonstrates the same principles in relationships with students, staff and larger systems • Engages in and role-models excellence in therapeutic relationships with clients as well as professional relationships with supervisees and other staff • Demonstrates high level of self-awareness and able to not only acknowledge own personal 122
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