Agreement and Discrepancy Between Supervisor and Clinician Alliance: Associations with Clinicians’ Perceptions of Psychological Climate and Emotional Exhaustion

Abstract

Despite increasing interest in supervision as a leverage point for bolstering public mental health services, the potential influence of supervisory alliance on organizations and direct service providers remains understudied, particularly in the context of supporting evidence-based treatment (EBT) use. This study examined agreement and discrepancy between supervisor and clinician ratings of alliance associated with clinicians’ perceptions of psychological climate and emotional exhaustion. Results indicated that discrepancies in alliance ratings were common and associated with clinicians’ perceptions of psychological climate. These findings have important implications for collaboration among supervisors and clinicians within a community mental health organizational context and the provision of EBTs.

Work Engagement, Burnout and Personal Accomplishments Among Social Workers: A Comparison Between Those Working in Children and Adults’ Services in England

“…This model argues that high job demands exhaust employees’ mental and physical resources and therefore lead to the depletion of energy and to health problems. In contrast, job resources, including adequate supervision, foster employees’ engagement and higher sense of personal accomplishments (Locke et al 2017 ). The Maslach burnout inventory (MBI) is a widely used measure of burnout as it has the advantage of including both negative items (for exhaustion and depersonalization) and positive items (personal accomplishment) of workers’ wellbeing, and thus captures both sides of that construct (Maslach et al 1996 ).…”

Supervisory Alliance as a Moderator of the Effects of Behavioral Rehearsal on TF-CBT Fidelity: Results from a Randomized Trial of Supervision Strategies

“…Further, we examine only the clinician's perception of supervisory alliance. Other analyses from this data has found that discrepancies in supervisory alliance ratings are common (Locke et al, 2017). Examining supervisor report of congruence in alliance ratings may yield alternative results.…”

Supervisees' experiences of a metacommunication intervention in clinical supervision

“…It would be helpful to understand supervisors' perspectives on the use of metacommunication in their supervision, as well as to have the opportunity to explore concurrence between dyads. Previous research has demonstrated that there can be discrepancies in the ratings of the supervision relationship by the supervisor and supervisee (Locke et al, ) and similarly there may be differences in the experience of metacommunication.…”