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| Clinical Supervision (Case Consultation) Professionals in CAMHS, Education, Fostering Services, Family Support, YOS, and other agencies can access clinical supervision in NVR either by attending our London based NVR supervision group - or it can be delivered in-house to individual professionals, teams and groups of practitioners. Supervision in Resource Based Trauma Therapy or in Collaborative Parent-Child Interaction Therapy can be delivered in-house to your team. ‘Clinical supervision’ differs from line management supervision as it is understood in some agencies, and focuses on therapeutic and psychological questions relating to specific aspects of an intervention – effectively providing professionals with consultation in very difficult situations, and promoting the best practice and most effective use of therapies, which have been specifically adapted to meet the complex needs of your service users. Conduct Problems Aggressive and violent behaviour often poses one of the greatest challenges to mental health professionals, behaviour support workers, social workers and other professionals. We provide clinical supervision in using Non Violent Resistance (NVR) to address these difficulties. This very effective systemic approach has been developed specifically to help parents alleviate their children’s serious behavioural problems. In CAMHS, the time-limited intervention will help cut down waiting times by increasing the throughput of clients, whose externalising problems would otherwise keep valuable staff resources tied up for long periods. In Education, using NVR can raise the effectiveness of Behaviour Support Workers’ interventions, and in social care, it can prevent young people from entering the care system, or improve their behaviour and emotional well-being once they are in it. For information on our London based NVR supervision group Anxiety Disorders and OCD In about 40% of all anxiety disorders or OCD presented to CAMHS professionals, young people are not willing to cooperate or to make use of the therapy on offer. We will provide supervision to you in using a modified version of Non Violent Resistance. Supervision in NVR helps CAMHS professionals help young people, who do not access therapy, or are not motivated to make good use of it – by supporting their parents. Looked After Children Specialists Increasingly, commissioners are creating posts for LAC specialists in CAMHS, to help deal with the difficulties of this often very vulnerable client group. From the Local Authority’s point of view, preventing foster placement breakdown and averting the risk of a child going into residential care may be a top priority. In other cases, rehabilitation of a young person back into their family of origin may be an aim. Based on our experience of developing a multi-agency therapeutic team, which has worked extensively with Looked After Children over many years, we supervise your direct therapy with individual young people, your consultation of carers, and your cooperation with the Local Authority, in order to bring all these strands together into one effective intervention. Using both Non Violent Resistance and Resource Based Trauma Therapy in conjunction with your other therapeutic skills will enable you, as the CAMHS specialist, to work intensively with foster carers, young people, with parents, social workers, and fostering social workers. Facilitating the close cooperation of all these parts of a larger whole can often feel confusing and frustrating. Clinical supervision for LAC specialists is not only based on specific therapeutic approaches alone, but also on our understanding of larger systems. This will help you take the mental health lead in the joint multi-agency effort to support each Looked After Child, and to provide them with a secure and enabling foster placement. Trauma and Multi-Stressed Families Young people and parents in multi-stressed families - frequently referred by Social Services - often present themselves as highly complex to professionals. Whether the young people show externalising behaviour or experience post-traumatic stress, their parents become re-traumatised by the children’s difficulties, often struggling with great helplessness. Referrals to Adult Mental Health take long to be processed, and often do not result in the desired outcome. By providing clinical supervision in Resource Based Trauma Therapy (RBTT), we can help you develop your work on both the individual level and on the systems level. This addresses the family’s needs in a comprehensive way, helping them to overcome the vicious cycle of constant re-traumatisation. Clinical supervision in RBTT encourages you to combine elements of Systemic Therapy, Solution-oriented Therapy, NVR, CBT and other approaches in order to maximise the effectiveness of your work.
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