Suggested structure for an (internal) AMBIT Supervision session

11th December 2015

Respect

We emphasise the need to Respect local practice and expertise

The AMBIT-influenced team works towards finding ways to support and enhance existing SupervisoryStructures

Set the boundaries

1. Agreed TIME

2. Agreed PLACE

3. Agreed PERSON (or persons)

Most AMBIT-influenced teams report that GROUP supervision, often via the Team Meetings is the preferred setting.

4. Agreed METHOD

  • This is generally to structure the conversation around Thinking Together
  • The underlying INTENTION is to work to recover or sustain mentalizing in the worker in relation to their practice.
    • There are clearly additional frameworks involved that form the context for this work, and supervision is never a short cut to avoiding/overruling contextual factors such as:
      • Existing structures of AUTHORITY in the team and wider organisation.
      • (Possibly statutory) OBLIGATIONS as regards working protocols in any team.

5. Agreed TASK of supervision:

Picking the right task for the supervisor is absolutely critical
  • The primary TASK is generally a "practice" question (Marking the Task that the worker needs help with)
    • Generally the right topics to cover in supervision are the ones associated with the most anxiety, and AMBIT's Thinking Together framework is specifically about thinking in high-stress settings:
      • Consideration of RISK
      • Coping with inter-professional disagreements
      • Inter-agency dis-integration
    • However, not all topics that require supervisory discussion are necessarily highly anxiety provoking (by all means ask yourselves is there anxiety here that is hidden?) for instance:
      • Redistributing a caseload
      • Planning for a complicated hand-over or referral
      • Considering an extension of work beyond normal timescales
      • Discussing something that went well