Competencies for Substance Abuse Treatment …

1 21 TAP 21-ATechnical Assistance Publication DEPARTMENT OF HEALTH AND HUMAN SERVICESS ubstance Abuse and Mental Health Services AdministrationCenter for Substance Abuse for Substance Abuse Treatment Clinical SupervisorsCompetencies for Substance Abuse Treatment Clinical SupervisorsCOMPETENCIES FOR Substance Abuse Treatment CLINICAL SUPERVISORST echnical Assistance Publication (TAP) Department of Health and Human ServicesSubstance Abuse and Mental Health Services AdministrationCenter for Substance Abuse Treatment1 Choke Cherry RoadRockville, MD 20857 ACKNOWLEDGMENTSN umerous people contributed to this publication. The clinical supervision Competencies were devel-oped by a Task Force of experts (see page v), and the document was reviewed by others in the Substance use disorder Treatment field (see Appendix D).

2 Section II: Implementation Guidelines was written by Steve Gallon, , and Pamela Mattel, LCSW-R, CASAC. This publication was produced by JBS Interna-tional, Inc. (JBS), under Knowledge Application Program (KAP) contract number 270-04-7049 with the Substance Abuse and Mental Health Services Administration (SAMHSA), Department of Health and Human Services (DHHS). Christina Currier served as the Center for Substance Abuse Treatment (CSAT) Government Project Officer, and Karl White, , served as the CSAT Workforce Development Team expert. Lynne MacArthur, , , served as the JBS KAP Executive Project Co-Director, and Barbara Fink, RN, , served as the JBS KAP Managing Project Co-Director.

3 Other JBS KAP personnel included Dennis Burke, , , Deputy Director for Product Development; Candace Baker, , CSAC, MAC, Senior Writer/Publication Manager; Wendy Caron, Editorial Quality Assurance Manager; Frances Nebesky, , Quality Assurance Editor; Pamela Frazier, Document Production Specialist; and Claire Macdonald, Graphic Artist. DISCLAIMERThe opinions expressed herein are the views of Task Force members and do not necessarily reflect the official position of CSAT, SAMHSA, or DHHS. No official support of or endorsement by CSAT, SAMHSA, or DHHS for these opinions or for particular resources described in this document is intended or should be inferred.

4 PUBLIC DOMAIN NOTICEAll materials appearing in this volume except those taken directly from copyrighted sources are in the public domain and may be reproduced or copied without permission from SAMHSA/CSAT or the authors. Do not reproduce or distribute this publication for a fee without specific, written authorization from SAMHSA s Office of Communications. ELECTRONIC ACCESS AND COPIES OF PUBLICATIONThis publication may be accessed electronically through Copies may be obtained free of charge from SAMHSA s National Clearinghouse for Alcohol and Drug Information (NCADI), (800) 729-6686 or (240) 221-4017; TDD (for hearing impaired), (800) 487-4889; or electronically through CITATIONC enter for Substance Abuse Treatment .

5 Competencies for Substance Abuse Treatment Clinical Assistance Publication (TAP) Series 21-A. DHHS Publication No. (SMA) 07-4243. Rockville, MD: Substance Abuse and Mental Health Services Administration, OFFICEP ractice Improvement Branch, Division of Services Improvement, Center for Substance Abuse Treatment , Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD Publication No. (SMA) 07-4243 Printed 2007iiiCONTENTSC linical Supervision Competencies Task Force .. vSection I: Introduction ..1 Background .. 1A Changing Profession .. 2A Competency-Based Framework for Clinical Supervision .. 3 What This Document Is Not.

6 4 Using This Document .. 5 Directions for Future Research .. 6 Bibliography .. 6 Section II: Implementation Guidelines ..7 Why Have Implementation Guidelines? .. 7 What Needs To Be Implemented? .. 8 Bibliography .. 12 Section III: Foundation Areas ..13FA1: Theories, Roles, and Modalities of Clinical Supervision .. 15FA2: Leadership .. 17FA3: Supervisory Alliance .. 19FA4: Critical Thinking .. 21FA5: Organizational Management and Administration .. 23 Section IV: Performance Domains ..25PD1: Counselor Development .. 27PD2: Professional and Ethical Standards .. 29PD3: Program Development and Quality Assurance .. 31PD4: Performance Evaluation.

7 33PD5: Administration .. 35 Section V: Integrated Bibliography ..37 Section VI: Appendices ..43 Appendix A: Clinical Supervision Certification National Resources .. 45 Appendix B: Professional Codes of Ethics Specific to Clinical Supervision .. 47 Appendix C: Suggested Reading and Other Resources .. 55 Appendix D: Field Reviewers .. 59vCLINICAL SUPERVISION Competencies TASK FORCES teve Gallon, (Chair)Principal InvestigatorNorthwest Frontier Addiction Technology Transfer CenterSalem, OregonCharlotte Chapman, , LPCC linical Assistant ProfessorVirginia Commonwealth UniversityRichmond, Virginia Thomas Durham, , CCSE xecutive DirectorThe Danya InstituteSilver Spring, Maryland Christiane Farentinos, , CADA IIDirectorChangePoint, , Oregon Karen Garrett, , CAP, CAPPQ uality Improvement and Training DirectorRiver Region Human Services, , Florida Anne Hatcher, , CAC III, NCAC IIProfessor, Co-Director Center for Addiction StudiesMetropolitan State College of DenverDenver, Colorado Jim Knorp.

8 CAPP roject ManagerSouthern Coast Addiction Technology Transfer CenterTallahassee, Florida Pamela Mattel, LCSW-R, CASACB ehavioral Healthcare Consultant/Trainer13 Hill DriveOyster Bay, New YorkJeanne Obert, MFT, MSME xecutive DirectorMatrix InstituteWest Los Angeles, California Laura TonkinPartnerThe Mackey GroupIssaquah, WashingtonMike Towey, , CDP, CPPI nstructorTacoma Community CollegeTacoma, WashingtonOther Technical Assistance Publications (TAPs) include:TAP 1 Approaches in the Treatment of Adolescents with Emotional and Substance Abuse ProblemsPHD580 TAP 2 Medicaid Financing for Mental Health and Substance Abuse Services for Children and AdolescentsPHD581 TAP 3 Need, Demand, and Problem Assessment for Substance Abuse ServicesPHD582 TAP 4 Coordination of Alcohol, Drug Abuse , and Mental Health Services PHD583 TAP 5 Self-Run, Self-Supported Houses for More Effective Recovery from Alcohol and Drug Addiction PHD584 TAP 6 Empowering Families, Helping Adolescents.

9 Family-Centered Treatment of Adolescents with Alcohol, Drug Abuse , and Mental Health ProblemsBKD81 TAP 7 Treatment of Opiate Addiction With Methadone: A Counselor Manual BKD151 TAP 8 Relapse Prevention and the Substance -Abusing Criminal OffenderBKD121 TAP 9 Funding Resource Guide for Substance Abuse ProgramsBKD152 TAP 10 Rural Issues in Alcohol and Other Drug Abuse Treatment PHD662 TAP 11 Treatment for Alcohol and Other Drug Abuse : Opportunities for CoordinationPHD663 TAP 12 Approval and Monitoring of Narcotic Treatment Programs: A Guide on the Roles of Federal and State AgenciesPHD666 TAP 13 Confidentiality of Patient Records for Alcohol and Other Drug Treatment BKD156 TAP 14 Siting Drug and Alcohol Treatment Programs: Legal Challenges to the NIMBY SyndromeBKD175 TAP 15 Forecasting the Cost of Chemical Dependency Treatment Under Managed Care: The Washington State Study BKD176 TAP 16 Purchasing Managed Care Services for Alcohol and Other Drug Abuse Treatment .

10 Essential Elements and Policy IssuesBKD167 TAP 17 Treating Alcohol and Other Drug Abusers in Rural and Frontier AreasBKD174 TAP 18 Checklist for Monitoring Alcohol and Other Drug Confidentiality CompliancePHD722 TAP 19 Counselor s Manual for Relapse Prevention With Chemically Dependent Criminal OffendersPHD723 TAP 20 Bringing Excellence to Substance Abuse Services in Rural and Frontier AmericaBKD220 TAP 21 Addiction Counseling Competencies : The Knowledge, Skills, and Attitudes of Professional PracticeBKD246 TAP 21-A Competencies for Substance Abuse Treatment Clinical Supervisors(SMA)07-4243 TAP 22 Contracting for Managed Substance Abuse and Mental Health Services: A Guide for Public PurchasersBKD252 TAP 23 Substance Abuse Treatment for Women Offenders: Guide to Promising PracticesBKD310 TAP 24 Welfare Reform and Substance Abuse Treatment Confidentiality.