Supervision Initiatives

Strengthening Supervision (Yale)

Yale uses a two-pronged approach to assist agencies. This involves: (1) the provision of consultation on strengthening agency standards, policies, and procedures related to supervision, and (2) training of front-line supervisors and mid-level managers on best practices in supervision. Program evaluation findings have demonstrated significant increases in participant ratings of their competence as supervisors. This is a good place to start for organizations that are interested in developing a strong supervisory practice across programs. The application will be released on October 26th, 2018. 

  • Click here to download a copy of the application.

  • Click here to read more about the Yale supervision model.

  • Click here for the recording of the November 2nd informational webinar (CC)

  • Click here for the slides from the November 2nd informational webinar

  • Click here for the transcript of the November 2nd informational webinar

In-Home Therapy Practice Profile Supervisory Strategies Implementation Work Group

The Technical Assistance Collaborative (TAC), in collaboration with MassHealth and the Children’s Behavioral Health Knowledge Center, is excited to announce the opportunity for In-Home Therapy (IHT) providers to apply to participate in an IHT Practice Profile and Supervisory Strategies Statewide Implementation Initiative.  This initiative will support IHT programs in implementing three strategies focused on the role of supervisors in supporting high quality IHT practice through the effective use of the IHT Practice Profile.

Reflective Supervision Training & Coaching

We know that work with youth and families who are experiencing (or have in the past) adversity, poverty, trauma, and/or mental illness is complex. There are not always “right” answers. RS supports staff members by helping them to step back from the immediate, intense experience of the hands-on work and offers them an enlarged perspective or another pair of eyes. This opportunity is best suited for providers that have participated in the Strengthening Supervision (Yale) Initiative (Yale training is not a prerequisite however). 

Watch this RS 101 webinar to learn more about the practice of RS!

Scott [Migdole from Yale] has worked with us to think through some significant changes in how we provide supervision - all of which make sense. He pushed us to rethink how we approach supervision in a way that has proved to be beneficial. Approximately 3 weeks into implementation of the model, supervisors are reporting positive outcomes. Scott was also helpful with providing advice and recommendations regarding how to move and shape agency culture to support this model of supervision which really empowers supervisors while holding them accountable.
— VP of Operations
It [the IHT Practice Profile] has provided a framework to train staff that offers consistency so that all IHT programs across the agency are using the same philosophy when training, carrying out service to individuals and families as well as supporting staff in their growth.
— IHT Program Director
This [RS] has been very helpful for me when doing supervision. It has helped with being more efficient with supervision and being able to talk about individual cases more reflectively.
— Reflective Supervision Trainee
[I learned] How to be more present with my supervisees, listen to their ‘story’ and wonder about their experience more, less judgment and more consideration for the process of not knowing.
— Reflective Supervision Trainee

Improving Co-occurring Capacity Training and Technical Assistance Project

This learning community is intended to support mental health treatment providers who are interested in improving their capacity to work with youth at risk for substance use/misuse. The primary aims for this community are:

  1. Increasing retention in treatment for youth with co-occurring disorders.

  2. Improving the identification of youth at risk for a substance use disorder or harm related to substance use through the implementation of the CRAFFT II, a standardized substance use screening tool for adolescents and young adults.

  3. Increasing the number of staff members who are trained in the use of motivational interviewing (MI) techniques to have effective conversations with youth about their use of alcohol and other drugs.

Download the application for this project.

Implementation Science Workshops

The Knowledge Center hosts a series of workshops and webinars designed to build the knowledge and skills for effective development, selection, implementation, and sustainability of innovative and evidence-based programs and practices.  The Knowledge Center provides direct consultation and partners with Dr. Allison Metz, Director of the National Implementation Research Network.  NIRN materials are all open source; those used in our workshops are provided below.

IHT Practice Profile Workshop, November 16, 2015

MassHealth’s Children’s Behavioral Health Initiative (CBHI) has prioritized In-Home Therapy (IHT) services as a focus of quality improvement efforts in FY 2016.  IHT is a critically important service used by many thousands of youth and families. Yet case reviews with the Massachusetts Practice Review (MPR) have indicated extensive opportunity for improvement in IHT. MassHealth believes that IHT services could be improved if guided by a well specified, fully operationalized Practice Profile.  

The IHT practice profile will build on MPR findings and the interviews that informed MassHealth’s practice guidelines. This workshop will launch an intensive process of gathering stakeholder input and reviewing research literature to complete and test the IHT practice profile.  

The CBHI Office is partnering with the Children’s Behavioral Health Knowledge Center to develop a practice profile for IHT services.  Together, they are working with the National Implementation Research Network (NIRN) for expert consultation in developing a practice profile, using a process and tool developed by the NIRN. 

Stage-Based Implementation for Successful Service Delivery, May 2015

Moving an innovation or intervention through the stages of implementation requires the work of a team whose members are individually and collectively accountable for its success.  This workshop was designed for teams and guided them through a structured assessment of activities based on the stages of implementation.  Through this assessment and action planning work, implementation dilemmas were explored and used for full group discussion and reflection on implementation science and principles.

Participating teams represented the Joint DMH / DCF Family Partner Initiative, DMH’s Supporting Transition Age Youth and Young Adults (STAY) project, Caring Together, MCPAP SBIRT (Screening, Brief Intervention, and Referral to Treatment), and MCPAP for Moms. 

Active Implementation for Successful Service Delivery, October 2014

A wide array of evidence-based programs / practices and service delivery innovations are being implemented throughout the Massachusetts children's behavioral health system.  To support the success of these initiatives - individually and in combination - the Knowledge Center sponsored a full-day workshop on implementation science, Active Implementation for Successful Service Delivery.

The workshop introduced a framework and tools developed by the National Implementation Research Network (NIRN).  These tools help implementation leaders and teams apply a shared language and framework across initiatives, develop strategies for using individual, organizational, and leadership drivers, and assess, plan, and track implementation activities across stages, from design to sustainability.

Talk About Adoption: Effective communication and use of language in the clinical setting, November 10, 2015

In recognition and in celebration of National Adoption Month, the Knowledge Center sponsored a FREE half-day workshop for Massachusetts behavioral health professionals on skills and strategies for working within adoption and complex families, with emphasis on communication that helps and hurts the people in adoption. Workshop participants learned strategies for discussing adoption with youth and families and the value of gathering more information at the outset while working with a family and other professionals.