ABSTRACT

This chapter outlines a method of supervising and documents a specific case for illustration. Experience of conducting supervision in the United Kingdom Alcohol Treatment Trial, in higher education and in routine clinical settings would suggest that a practitioner's motivation to adhere to a treatment protocol is an important factor in their ability to do so. Motivation to practise may be influenced by the depth of the practitioner's understanding and knowledge of the treatment. Practitioners may be resistant to learning new skills and ambivalent about practising them. It is the premise of the chapter that supervision delivered in the style of motivational interviewing might best address these challenges, whether it is motivational enhancement therapy or another approach that is being developed. While there may not be evidence for the superiority of one style of supervision over another, the case for the superiority of training followed by supervision compared to training with either self-directed learning or without subsequent supervision has been demonstrated.