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

  • Derek Milne (a1) and Chris Dunkerley (a1)
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.

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Corresponding author
*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)
References
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American Psychological Association (2002). Criteria for practice guideline development and evaluation. American Psychologist 57, 10481051.
Baltimore, ML, Crutchfield, LB (2003). Clinical Supervisor Training. Boston, MA: Allyn and Bacon.
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.
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.
British Psychological Society (2003). Policy Guidelines on Supervision in the Practice of Clinical Psychology .London: British Psychological Society.
Cape, J, Barkham, M (2002). Practice improvement methods: conceptual base, evidence-based research, and practice-based recommendations. British Journal of Clinical Psychology 41, 285307.
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.
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.
Cohen, J (1988). Statistical Power Analysis for the Behavioural Sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.
DoH (1999). Clinical Governance in the New NHS. London: Department of Health.
DoH (2001 a). Treatment Choice in Psychological Therapies and Counselling: Evidence Based Clinical Practice Guideline. London: Department of Health.
DoH (2001 b). Working Together – Learning Together: A Framework for Lifelong Learning for the NHS. London: Department of Health.
DoH (2004). The Ten Essential Shared Capabilities. London: Department of Health.
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.
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.
Dyer, K (2008). Practice guidelines in clinical psychology: an uncertain future for a clinical profession. Clinical Psychology Forum 190, 1720.
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.
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.
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.
Fall, M, Sutton, JM (2004). Clinical Supervision: A Handbook for Practitioners. Boston, MA: Allyn and Bacon.
Goldstein, IL (1993). Training in Organizations. Pacific Grove, CA: Brooks/Cole.
Green, D, Youngson, S (2005). DCP Policy on Continued Supervision. Leicester: British Psychological Society.
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.
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.
Iberg, JR (1991). Applying statistical control theory to bring together clinical supervision and psychotherapy research. Journal of Consulting and Clinical Psychology 59, 575586.
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.
Kilminster, SM, Jolly, BC (2000). Effective supervision in clinical practice settings: a literature review. Medical Education 34, 827840.
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.
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.
Kolb, DA (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice Hall.
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.
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.
Lewis, K (2005). The supervision of cognitive and behavioural psychotherapists. BABCP Magazine Supplement (May 2005). Accrington: BABCP.
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.
Marriott, S, Cape, J (1995). Clinical practice guidelines for clinical psychologists. Clinical Psychology Forum 81, 26.
Milne, DL (2007). Evaluation of staff development: the essential ‘SCOPPE’. Journal of Mental Health 16, 389400.
Milne, DL (2008). CBT supervision: from reflexivity to specialisation. Behavioural and Cognitive Psychotherapy 36, 779786.
Milne, DL (2009). Evidence-Based Clinical Supervision. Chichester: BPS/Blackwell.
Milne, D, James, IA (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology 39, 111127.
Milne, D, James, IA (2005). Clinical supervision: ten tests of the tandem model. Clinical Psychology Forum 151, 69.
NICE (2003). Guideline Development Methods: Information for National Collaborating Centres and Guideline Developers. London: National Institute for Clinical Excellence.
Neufeldt, SA (1994). Use of a manual to train supervisors. Counselor Education and Supervision 33, 327336.
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.
Parry, G (2000). Developing treatment choice guidelines in psychotherapy. Journal of Mental Health 9, 273281.
Parry, G, Cape, J, Pilling, S (2003). Clinical practice guidelines in clinical psychology and psychotherapy. Clinical Psychology and Psychotherapy 10, 337351.
Perkins, JM, Mercaitis, PA (1995). A guide for supervisors and students in clinical practicum. The Clinical Supervisor 13, 6778.
Pretorius, WM (2006). Cognitive behavioural therapy supervision: recommended practice. Behavioural and Cognitive Psychotherapy 34, 413420.
Rossi, PH, Freeman, HE, Lipsey, MW (2004). Evaluation: A Systematic Approach. Thousand Oaks, CA: Sage.
Shekelle, PG, Woolf, SH, Eccles, M, Grimshaw, J (1999). Developing guidelines. British Medical Journal 318, 593596.
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.
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.
Watkins, CE (ed.). (1997). Handbook of Psychotherapy Supervision. Chichester: Wiley.
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Towards evidence-based clinical supervision: the development and evaluation of four CBT guidelines

  • Derek Milne (a1) and Chris Dunkerley (a1)
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