Liberation Healing Seattle

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Developmental Model of Clinical Supervision

My framework for supervision is similar to how I am as a therapist and clinical social worker using the Integrative Developmental Model (IDM) of supervision incorporating multicultural and feminist frameworks.

The IDM highlights 3 stages of development.

Level 1: Early/Novice/New

  • Externally focused (seeks positive feedback, structure from supervisor)

  • Highly anxious (fearful and worried about making mistakes)

  • Highly motivated (wants to perfect therapy and do the right thing)

  • Unsure and worried about feedback and evaluation

  • Focused on self

  • Limited self-awareness

Level 2: Middle/Transition/Adjustment

  • Greater ability to focus on and empathize with client. However, balance is still an issue. Problem can be veering into enmeshment with the client

  • Supervisee vacillates between being very confident to self-doubting and confused

  • Supervisee experiences conflict between autonomy and dependency.

Level 3: Expert/Confidence/Competence/Ongoing

  • More structure provided by supervisee

  • More focus on personal and professional integration and career decisions

  • Increased desire to personalize orientation/approach/style

  • More independent/autonomous, better understands limitations

  • Focus begins to include self-reactions to client