Supervisão clínica em promoção e proteção de crianças e jovens: Uma revisão narrativa

Autores

  • Carolina Vanessa Gomes Coelho Universidade de Coimbra, Faculdade de Psicologia e de Ciências da Educação, Centro de Investigação em Estudos Regionais e Locais (CIERL-UMa), Portugal https://orcid.org/0000-0003-0416-3969
  • Dora Pereira Universidade da Madeira, Faculdade de Artes e Humanidades, Centro de Investigação em Estudos Regionais e Locais (CIERL-UMa), Portugal https://orcid.org/0000-0003-0874-7929
  • Madalena Alarcão Universidade de Coimbra, Faculdade de Psicologia e de Ciências da Educação, Centro de Estudos Sociais (CES), Portugal https://orcid.org/0000-0002-7213-9146

DOI:

https://doi.org/10.31211/rpics.2023.9.1.280

Palavras-chave:

Complexidade, Promoção e Proteção de Crianças e Jovens, Supervisão Clínica, Revisão Narrativa

Resumo

Contexto: As especificidades dos sistemas de promoção e proteção de crianças e jovens exercem um grande impacto no profissional e, consequentemente, no trabalho com as famílias, pelo que a supervisão clínica se constitui como um forte aliado na promoção do bem-estar e proficiência dos profissionais. Objetivo: O presente trabalho teve como objetivo principal realizar uma revisão da literatura sobre a adequabilidade dos modelos de supervisão às especificidades do contexto de promoção e proteção de crianças e jovens, tendo em conta as funções de supervisão, modelos de supervisão e desafios do contexto. Métodos: Foi realizada uma revisão narrativa através da pesquisa de palavras-chave, leitura dos resumos de artigos encontrados e posterior leitura na integra dos artigos que se adequaram ao tema definido. Foram analisados artigos sobre supervisão e supervisão clínica em contextos sociais e de promoção e proteção de crianças e jovens. Resultados: Predomina a utilização de um modelo de supervisão de abordagem única ou de modelos ecléticos com abordagens teóricas divergentes entre si e que não atendem à complexidade dos sistemas familiares sinalizados. Conclusões: Defende-se um modelo com um referencial de leitura integrativo, mas, fundamentalmente, apoiado numa visão ecossistémica do mal trato da criança e do funcionamento familiar, que tenha conhecimento dos procedimentos da instituição e que promova um apoio efetivo ao profissional. Mais estudos devem ser realizados tendo em vista avaliar a influência efetiva da supervisão na prática do profissional com as famílias e a identificação das caraterísticas dos modelos que os tornam eficazes em promoção e proteção.

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Referências

Abrell, R. (1974). The humanistic supervisor enhances growth and improves instruction. Educational Leadership, 32(3), 212-216. https://bit.ly/3SPJ8w0

Alfonsson, S., Lundgren, T., & Andersson, G. (2020). Clinical supervision in cognitive behavior therapy improves therapists’ competence: a single-case experimental pilot study. Cognitive Behaviour Therapy, 49(5), 425–438. https://doi.org/gh9nxm

Anderson, D. G. (2000). Coping strategies and burnout among veteran child protection workers. Child Abuse & Neglect, 24(6), 839–848. https://doi.org/dz62rq

Bagge, R. F. (2017). Systemic supervision with groups in child protection contexts. In A. Vetere & J. S. Sheehan (Eds.), Supervision of family therapy and systemic practice (pp. 173–184). Springer, Cham.

Bartoli, A., & Kennedy, S. (2015). Tick if applicable: A critique of a national UK social work supervision policy. Practice, 27(4), 239–250. https://doi.org/jzqv

Baugerud, G. A., Vangbæk, S., & Melinder, A. (2018). Secondary traumatic stress, burnout and compassion satisfaction among Norwegian child protection workers: Protective and risk factors. British Journal of Social Work, 48(1), 215–235. https://doi.org/gmhxxd

Beck, J. S., Sarnat, J. E., & Barenstein, V. (2008). Psychotherapy-based approaches to supervision. In C. A. Falender & E. P. Shafranske (Eds.), Casebook for clinical supervision: A competency-based approach (2.ª ed., pp. 57–96). American Psychological Association. https://doi.org/bmhbdx

Beddoe, L. (2012). External supervision in social work: Power, space, risk, and the search for safety. Australian Social Work, 65(2), 197–213. https://doi.org/ckkj5g

Beddoe, L., Karvinen-Niinikoski, S., Ruch, G., & Tsui, M. (2016). Towards an international consensus on a research agenda for social work supervision: Report on the first survey of a Delphi study. British Journal of Social Work, 46(6), 1568–1586. https://doi.org/jzqw

Berlanda, S., Pedrazza, M., Trifiletti, E., & Fraizzoli, M. (2017). Dissatisfaction in child welfare and its role in predicting self-efficacy and satisfaction at work: A mixed-method research. BioMed Research International, 2017, 1–12. https://doi.org/jxv4

Bernard, J. M. (1979). Supervisor training: A discrimination model. Counselor Education and Supervision, 19(1), 60–68. https://doi.org/fx2vdc

Bernard, J. M., & Goodyear, R. K. (2014). Fundamentals of clinical supervision (5.ª ed.). Pearson.

Bingle, L., & Middleton, A. (2019). From doing to being: The tensions of systemic practice in social work – group reflective supervision in child protection. Journal of Family Therapy, 41(3), 384–406. https://doi.org/jzqx

Bostock, L., Patrizo, L., Godfrey, T., & Forrester, D. (2019). What is the impact of supervision on direct practice with families? Children and Youth Services Review, 105, Artigo 104428. https://doi.org/ggkmkd

Brandon, M., Sidebotham, P., Bailey, S., Belderson, P., Hawley, C., Ellis, C., & Megson, M. (2012). New learning from serious case reviews: A two year report for 2009–2011. Department for Education. https://bit.ly/3xS4Bux

Brittain, C. R., & Potter, C. C. (2009). Developing worker competence. In C. C. Potter & C. R. Brittain (Eds.), Child welfare supervision: A practical guide for supervisors, managers, and administrators (pp. 262–295). Oxford University Press.

Brown, L. S. (2016). Supervision essentials for the feminist psychotherapy model of supervision. American Psychological Association. https://doi.org/jzqz

Burke, P. (1997). Risk and supervision: Social work responses to referred user problems. British Journal of Social Work, 27(1), 115–129. https://doi.org/jzq2

Carlson, R. G., & Lambie, G. W. (2012). Systemic–developmental supervision: Clinical supervisory approach for family counseling student interns. The Family Journal, 20(1), 29–36. https://doi.org/jzq3

Carpenter, J., Webb, C. M., & Bostock, L. (2013). The surprisingly weak evidence base for supervision: Findings from a systematic review of research in child welfare practice (2000–2012). Children and Youth Services Review, 35(11), 1843–1853. https://doi.org/fddfvx

Cearley, S. (2004). The power of supervision in child welfare services. Child and Youth Care Forum, 33(5), 313–327. https://doi.org/fddfvx

Chen, S., & Scannapieco, M. (2010). The influence of job satisfaction on child welfare worker's desire to stay: An examination of the interaction effect of self-efficacy and supportive supervision. Children and Youth Services Review, 32(4), 482–486. https://doi.org/fcvz8g

Chung, Y., & Choo, H. (2019). A structural path to job satisfaction, burnout, and intent to leave among child protection workers: A South Korean study. Children and Youth Services Review, 100, 304–312. https://doi.org/gqhk38

Cilliers, P. (2005). Complexity, deconstruction and relativism. Theory, Culture & Society, 22(5), 255–267. https://doi.org/ft4kj6

Collins-Camargo, C., & Millar, K. (2010). The potential for a more clinical approach to child welfare supervision to promote practice and case outcomes: A qualitative study in four states. The Clinical Supervisor, 29(2), 164–187. https://doi.org/cnjdvd

Collins-Camargo, C., & Royse, D. (2010). A study of the relationships among effective supervision, organizational culture promoting evidence-based practice, and worker self-efficacy in public child welfare. Journal of Public Child Welfare, 4(1), 1–24. https://doi.org/ccgf39

Conrad, D., & Kellar-Guenther, Y. (2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse & Neglect, 30(10), 1071–1080. https://doi.org/cgx39b

Coveney, P., & Highfield, P. (1995). Frontiers of complexity: the search for order in a chaotic world. Faber and Faber.

Cross, S., Hubbard, A., & Munro, E. (2010). Reclaiming social work: London borough of hackney children and young people’s services. Human Reliability Associates and London School of Economics and Political Science. https://bit.ly/3kmwKH7

Degges-white, S. E., Colon, B. R., & Borzumato-Gainey, C. (2012). Counseling supervision within a feminist framework: Guidelines for intervention. The Journal of Humanistic Counseling, 52(1), 92–105. https://doi.org/dn7h

Dias, T. D. O. (2013). Autoeficácia e burnout: Resultados após uma intervenção direcionada a profissionais da área de proteção a crianças e adolescentes. [Dissertação de Mestrado, Universidade do Vale do Rio dos Sinos]. Repositório Digital da Biblioteca da Unisinos. https://bit.ly/3kY5GOF

Dillenburger, K. (2004). Causes and alleviation of occupational stress in child care work. Child Care in Practice, 10(3), 213-224. https://doi.org/c22thq

Donald, T., & Jureidini, J. (2004). Parenting capacity. Child Abuse Review, 13(1), 5–17. https://doi.org/btzxm6

Dugmore, P., Partridge, K., Sethi, I., & Krupa-Flasinska, M. (2018). Systemic supervision in statutory social work in the UK: Systemic rucksacks and bells that ring. European Journal of Social Work, 21(3), 400–414. https://doi.org/jzq4

Dunst, C. J. (1996). Measuring the help giving practices of human services program practitioners. Human Relations, 49(6), 815–835. https://doi.org/fdc8cc

Elkaim, M. (2008). Ressonância em supervisão e treinamento. Cadernos Críticos de Terapia Familiar e Práticas em Rede, 41(2), 119–130. https://doi.org/d6jsvm

Eisenberger, R., Fasolo, P., & Davis-LaMastro, V. (1990). Perceived organizational support and employee diligence, commitment, and innovation. Journal of Applied Psychology, 75(1), 51–59. https://doi.org/czvmhc

Farber, E. W. (2012). Supervising humanistic-existential psychotherapy: Needs, possibilities. Journal of Contemporary Psychotherapy: On the Cutting Edge of Modern Developments in Psychotherapy, 42(3), 173–182. https://doi.org/c2dzpn

Frawley-O'Dea, M. G., & Sarnat, J. E. (2001). The supervisory relationship: A contemporary psychodynamic approach. Guilford Press.

Friedberg, R. D. (2018). Best practices in supervising cognitive behavioral therapy with youth. World journal of clinical pediatrics, 7(1), 1–8. https://doi.org/gc299k

Gallagher, M., Smith, M., Hardy, M., & Wilkinson, H. (2012). Children and families’ involvement in social work decision making. Children & Society, 26(1), 74–85. https://doi.org/fz37b8

Gibbs, J. A. (2001). Maintaining front-line workers in child protection: A case for refocusing supervision. Child Abuse Review, 10(5), 323–335. https://doi.org/d4snc9

Hair, H. J., & O’Donoghue, K. (2009). Culturally relevant, socially just social work supervision: Becoming visible through a social constructionist lens. Journal of Ethnic and Cultural Diversity in Social Work, 18(1–2), 70–88. https://doi.org/dgrnjd

Harkness, D. (1997). Testing interactional social work theory. The Clinical Supervisor, 15(1), 33–50. https://doi.org/fmbftw

Hawkins, P., & Shohet, R. (2006). Supervision in the helping professions: An individual, group and organization approach (3.ª ed.). Open University Press.

Haynes, R., Corey, G., & Moulton, P. (2003). Clinical supervision in the helping professions: A practical guide. Brooks/Cole.

Hess, A. K., Hess, K. D., & Hess, T. H. (2008). Psychotherapy supervision: Theory, research, and practice. John Wiley & Sons.

Holloway, E. L. (1995). Clinical supervision: A systems approach. Sage Publications.

Holloway, E. L. (2016). Supervision essentials for a systems approach to supervision. American Psychological Association. https://doi.org/jxv6

Hudson, W. W. (1982). A measurement package for clinical workers. The Journal of Applied Behavioral Science, 18(2), 229-238. https://doi.org/fvc59t

Jarrett, P., & Barlow, J. (2014). Clinical supervision in the provision of intensive home visiting by health visitors. Community Practitioner, 87(2), 32–36. https://bit.ly/3ECMPiu

Kadushin, A., & Harkness, D. (2014). Supervision in social work (5.ª ed.). Columbia University Press.

Karpetis, G. (2017). Theories on child protection work with parents: A narrative review of the literature. Child welfare, 95(2), 33–70. https://bit.ly/3yfqcNC

Karpetis, G. (2019). Clinical supervision in child protection practice: A review of the literature. Trauma, Violence, & Abuse, 22(4), 689–701. https://doi.org/jzq8

Kattan, A. (2013). Conceptualizing cognitive-behavioral supervision: An exploratory study of supervising psychologists [Tese de Doutoramento, Rutgers University]. Rutgers University Community Repository. https://doi.org/jxv7

Ladany, N., Friedlander, M. L., & Nelson, M. L. (2005). Toward an events-based understanding of the supervisory process. In N. Ladany, M. L. Friedlander & M. L. Nelson, Critical events in psychotherapy supervision: An interpersonal approach (pp. 3–21). American Psychological Association. https://doi.org/d32h59

Laming, H. (2003). The Victoria Climbie Inquiry: Report of an inquiry by Lord Laming. Secretary of State for Health and the Secretary of State for the Home Department. https://bit.ly/2MqDdyw

Lamothe, J., Couvrette, A., Lebrun, G., Yale-Soulière, G., Roy, C., Guay, S., & Geoffrion, S. (2018). Violence against child protection workers: A study of workers’ experiences, attributions, and coping strategies. Child Abuse & Neglect, 81, 308–321. https://doi.org/gdtsh5

Lampropoulos, G. K. (2003). A common factors view of counseling supervision process. The Clinical Supervisor, 21(1), 77–95. https://doi.org/drrhr8

Lauderdale, M. (1999). Appendix A. Survey of organizational excellence. In M. Lauderdale (Ed.), Reinventing Texas government (pp. 159–163). University of Texas Press. https://doi.org/jztd

Leslie, D. R.; Holzhalb, C. M.; Holland, T. P. (1998). Measuring staff empowerment: Development of a Worker Empowerment Scale. Research on Social Work Practice, 8(2), 212–222. https://doi.org/d6bh7k

Liese, B. S., & Beck, J. S. (1997). Cognitive therapy supervision. In C. E. Watkins, Jr. (Ed.), Handbook of psychotherapy supervision (pp. 114–133). John Wiley & Sons.

Lietz, C. A. (2008). Implementation of group supervision in child welfare. Child Welfare, 87(6), 31–48. https://bit.ly/3KYWYKo

Lietz, C. A. (2009). Critical theory as a framework for child welfare decision-making: Some possibilities. Journal of Public Child Welfare, 3(2), 190–206. https://doi.org/dm3pp8

Lietz, C. A., & Rounds, T. (2009). Strengths-based supervision: A child welfare supervision training project. The Clinical Supervisor, 28(2), 124–140. https://doi.org/b98b88

Lietz, C. A., Hayes, M. J., Cronin, T. W., & Julien-Chinn, F. (2014). Supporting family-centered practice through supervision: An evaluation of strengths-based supervision. Families in Society: The Journal of Contemporary Social Services, 95(4), 227–235. https://doi.org/gq2p9z

Loganbill, C., Hardy, E., & Delworth, U. (1982). Supervision: A conceptual model. The Counseling Psychologist, 10(1), 3–42. https://doi.org/d2hxrd

Madsen, W. C. (2011). Collaborative helping maps: A tool to guide thinking and action in family‐centered services. Family Process, 50(4), 529–543. https://doi.org/bp4fd5

McGregor, C., & Devaney, C. (2020). Protective support and supportive protection for families “in the middle”: Learning from the Irish context. Child & Family Social Work, 25(2), 277–285. https://doi.org/jzrc

McPherson, L., Frederico, M., & McNamara, P. (2015). Safety as a fifth dimension in supervision: Stories from the frontline. Australian Social Work, 69(1), 67–79. https://doi.org/jzrd

Miller, G. R. (1976). Explorations in interpersonal communication. Sage.

Molnar, B. E., Meeker, S. A., Manners, K., Tieszen, L., Kalergis, K., Fine, J. E., Hallinan, S., Wolfe, J. D., Wells, M. K. (2020). Vicarious traumatization among child welfare and child protection professionals: A systematic review. Child Abuse & Neglect, 110(3), 1–15. https://doi.org/gh2pw5

Mueller, W. J., & Kell, B. L. (1972). Coping with conflict: Supervising counselors and psychotherapists. Appleton-Century-Crofts.

Munro, E. (2010). Learning to reduce risk in child protection. British Journal of Social Work, 40(4), 1135–1151. https://doi.org/dzdjgk

Munro, E. (2011). The Munro review of child protection: Final report, a child-centred system (No. 8062). The Stationery Office. https://bit.ly/2E4HX5Y

Munro, E. (2020). Effective child protection (3.ª ed.). Sage.

O’Donoghue, K., & Tsui, M-s. (2013). Social work supervision research (1970–2010): The way we were and the way ahead. British Journal of Social Work, 45(2), 616–633. https://doi.org/f67brn

Perry, B. D., & Jackson, A. L. (2018). Trauma-informed leadership. In M. Frederico, M. Long & Cameron N. (Eds.), Leadership in child and family practice (pp. 125–141). Routledge.

Platt, D., & Turney, D. (2013). Making threshold decisions in child protection: A conceptual analysis. British Journal of Social Work, 44(6), 1472–1490. https://doi.org/f6kwqd

Poertner, J. (1986). The use of client feedback to improve practice: Defining the supervisor's role. The Clinical Supervisor, 4(4), 57–68. https://doi.org/c3h3g2

Prouty, A. M., Thomas, V., Johnson, S., & Long, J. K. (2001). Methods of feminist family therapy supervision. Journal of Marital and Family Therapy, 27(1), 85–97. https://doi.org/d6585r

Rabinowitz, F. E., Heppner, P. P., & Roehlke, H. J. (1986). Descriptive study of process and outcome variables of supervision over time. Journal of Counseling Psychology, 33(3), 292–300. https://doi.org/d8494b

Rankine, M. (2019). The internal/external debate: The tensions within social work supervision. Aotearoa new zealand social work, 31(3), 32–45. https://doi.org/jzrf

Ribeirinho, C. (2019). Tipos, funções e modalidades de supervisão. In C. Ribeirinho, Supervisão profissional em serviço social: ao encontro de uma prática reflexiva (pp. 27–54). Pactor.

Rigazio-DiGilio, S. A. (2014). Supervising couple and family therapy practitioners. In C. E. Watkins, Jr. & D. L. Milne (Eds.), The Wiley international handbook of clinical supervision (pp. 622–647). Wiley-Blackwell. https://doi.org/jxv9

Rigazio-DiGilio, S. A., Daniels, T. G., & Ivey, A. E. (1997). Systemic cognitive-developmental supervision: A developmental-integrative approach to psychotherapy supervision. In C. E. Watkins, Jr. (Ed.), Handbook of psychotherapy supervision (pp. 223–245). John Wiley & Sons, Inc.

Rønnestad, M. H., & Skovholt, T. M. (2003). The journey of the counselor and therapist: Research findings and perspectives on professional development. Journal of Career Development, 30(1), 5–44. https://doi.org/fvxhvf

Roose, R., Roets, G., Van Houte, S., Vandenhole, W., & Reynaert, D. (2012). From parental engagement to the engagement of social work services: Discussing reductionist and democratic forms of partnership with families. Child & Family Social Work, 18(4), 449–457. https://doi.org/f49j5p

Ruch, G. (2007). Reflective practice in contemporary child-care social work: The role of containment. British Journal of Social Work, 37(4), 659–680. https://doi.org/dgrqkj

Scaife, J. (2019). Supervision in clinical practice: A practitioner's guide (3.ª ed.). Routledge. https://doi.org/jxwc

Schmidt, J. P. (1979). Psychotherapy supervision: A cognitive–behavioral model. Professional Psychology, 10(3), 278–284. https://doi.org/chkw3w

Scourfield, J. (2006). The challenge of engaging fathers in the child protection process. Critical Social Policy, 26(2), 440–449. https://doi.org/ff57z5

Smith, C. H., Russell, R., & Giddings, M. M. (2007). Evaluating a social work supervision model in a real-world child welfare setting. Professional Development-Philadelphia, 10(1), 10–24. https://bit.ly/3Zm9SXi

Smith, K. L. (2009). A brief summary of supervision models. Marquette University. https://bit.ly/3Zjm7DM

Stevens, I., & Hassett, P. (2007). Applying complexity theory to risk in child protection practice. Childhood, 14(1), 128–144. https://doi.org/fv6b5x

Stoltenberg, C. D., & McNeill, B. W. (2010). IDM supervision: An integrative developmental model for supervising counselors and therapists. Routledge.

Stoltenberg, C. D., Bailey, K. C., Cruzan, C. B., Hart, J. T., & Ukuku, U. (2014). The integrative developmental model of supervision. In C. E. Watkins, Jr. & D. L. Milne (Eds.), The Wiley international handbook of clinical supervision (pp. 576–597). Wiley-Blackwell. https://doi.org/jzrg

Stoltenberg, C. D., McNeill, B., & Delworth, U. (1998). IDM supervision: An integrated developmental model for supervising counselors and therapists. Jossey-Bass.

Taylor, H., Beckett, C., & McKeigue, B. (2008). Judgements of Solomon: Anxieties and defenses of social workers involved in care proceedings. Child and Family Social, 13(1), 23–31. https://doi.org/ckq655

Tham, P. (2006). Why are they leaving? Factors affecting intention to leave among social workers in child welfare. British Journal of Social Work, 37(7), 1225–1246. https://doi.org/bm7bzx

Truter, E, & Fouché, A. (2019). Risk-laden working lives of child protection social workers in South Africa. Social Work, 55(4), 451–467. https://doi.org/jzrh

Turney, D., & Ruch, G. (2015). Thinking about thinking after Munro: The contribution of cognitive interviewing to child-care social work supervision and decision-making practices. British Journal of Social Work, 46(3), 669–685. https://doi.org/f8nwwg

Washburn, F. A. (2015). Supervisee cognitive complexity [Tese de Doutoramento, University of Lowa]. Lowa Research Online. https://doi.org/jzrj

Westbrook, T. M., Ellis, J., & Ellett, A. J. (2006). Improving retention among public child welfare workers. Administration in Social Work, 30(4), 37–62. https://doi.org/drcxb9

Whiting, J. B. (2007). Authors, artists, and social constructionism: A case study of narrative supervision. The American Journal of Family Therapy, 35(2), 139–150. https://doi.org/c6cgks

Wilkins, D., Lynch, A., & Antonopoulou, V. (2018). A golden thread? The relationship between supervision, practice, and family engagement in child and family social work. Child & Family Social Work, 23(3), 494–503. https://doi.org/jzrk

Young, T. L., Lambie, G. W., Hutchinson, T., & Thurston-Dyer, J. (2011). The integration of reflectivity in developmental supervision: Implications for clinical supervisors. The Clinical Supervisor, 30(1), 1–18. https://doi.org/dvmvwj

Publicado

24-03-2023

Como Citar

Coelho, C. V. G., Pereira, D., & Alarcão, M. (2023). Supervisão clínica em promoção e proteção de crianças e jovens: Uma revisão narrativa. Revista Portuguesa De Investigação Comportamental E Social, 9(1), 1–26. https://doi.org/10.31211/rpics.2023.9.1.280

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