Clinical Supervision with Difficult Cases

December 9, 2022 @ 8:30 am – 4:00 pm
Virtual Via Zoom
Bev James

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Who should attend:  Counselors, social workers

Description: The era of best practices brings unique issues for supervisors in community mental health. While community mental health centers are following the requirement for adopting best practices, these come in the form of franchises that are very expensive. In addition, the role of the supervisor may become blurred as some protocols shift responsibility for clinical supervision to consultants. Over time enthusiasm for expensive and intrusive protocols tends to wane and de-adoption occurs. This may be followed by the adoption of a new or different protocol. A cycle of adoption and de-adoption is typical. Consequently, supervisors and staff are exposed to several approaches over time. Scientific evidence on best practice approaches indicates that they all work, but equally. This is because, despite operating on theories that can be quite different, what clinicians do with clients has many similarities. In this presentation, supervisors will learn the secret sauce of what works in psychotherapy. The knowledge of what works operates at a different level of abstraction and reflects the unifying theory of change in psychotherapy. By understanding the theory of change supervisors can provide guidance to clinicians regardless of what best practice model they are using. They can help clinicians to integrate what they have learned from various models they have learned. And help clinicians to identify and overcome glitch points in therapy as well as to overcome glitch points that reflect a weakness of a particular model.

Goal:  Participants will learn how to teach supervisees to use the science of change to provide evidence-informed behavioral therapy.


Participants will be able to define what makes a difficult case.

Participants will be able to describe the unifying theory of psychotherapeutic change, first-order change, and pattern shift.

Supervisors will learn how to evaluate stuckness and devise ways to assist clinicians in overcoming stuckness in difficult cases.

Participants will be able to describe how to construct homework assignments

Participants will be able to describe how to address supervisees’ concerns about utilizing the science of change

Cost:  Free
Virtual via Zoom
Continuing Education Units:  6.0
General Continuing Education:  Counselors and Social Workers

Please register by:  December 8, 2022