Agreement and Discrepancy Between Supervisor and Clinician Alliance: Associations with Clinicians’ Perceptions of Psychological Climate and Emotional Exhaustion
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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.
KeywordsSupervisor alliance Clinician alliance Psychological climate Emotional exhaustion
We also are grateful for the support and collaboration from the Washington State Department of Social and Health Services, Division of Behavioral Health and Recovery and participating mental health organizations across Washington State.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
The University of Washington Institutional Review Board approved this study. All procedures performed were in accordance with the ethical standards of the University of Washington Institutional Review Board.
Informed consent was obtained from all individual participants included in the study.
- Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and Organizational Change for Implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10, 1–12.CrossRefGoogle Scholar
- Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Sklar, M., & Horowitz, J. (2017). Discrepancies in leader and follower ratings of transformational leadership: Relationship with organizational culture in mental health. Administration and Policy in Mental Health and Mental Health Services, 44, 480–491.CrossRefGoogle Scholar
- Aarons, G. A., Ehrhart, M. G., Torres, E. M., Finn, N. L., & Beidas, R. (2016). The humble leader: Association of discrepancies in leader and follower ratings of implementation leadership with organizational climate in mental health. Psychiatric Services, 68, 115–122.CrossRefPubMedPubMedCentralGoogle Scholar
- Bearman, S. K., Weisz, J. R., Chorpita, B. F., Hoagwood, K., Ward, A., Ugueto, A. M., & Bernstein, A. & Research Network of Youth Mental Health (2013). More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation. Administration and Policy in Mental Health and Mental Health Services Research, 40, 518–529.CrossRefPubMedPubMedCentralGoogle Scholar
- Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17, 1–30.Google Scholar
- Beidas, R. S., Williams, N. J., Green, P. D., Aarons, G. A., Becker-Haimes, E. M., Evans, A. C.,… Marcus, S. C. (2016). Concordance between administrator and clinician ratings of organizational culture and climate. Administration and Policy in Mental Health. https://doi.org/10.1007/s10488-016-0776-8.Google Scholar
- Birken, S. A., DiMartino, L. D., Kirk, M. A., Lee, S. D., McClelland, M., & Albert, N. M. (2016). Elaborating on theory with middle managers’ experience implementing healthcare innovations in practice. Implementation Science, 1, 2.Google Scholar
- Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guildford.Google Scholar
- Dorsey, S., Pullmann, M. D., Kerns, S. E., Jungbluth, N., Meza, R., Thompson, K., & Berliner, L. (2017). The juggling act of supervision in community mental health: Implications for supporting evidence-based treatment. Administration and Policy in Mental Health and Mental Health Services Research, 44, 838–852.CrossRefPubMedGoogle Scholar
- Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., & Green, P. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113.CrossRefPubMedGoogle Scholar
- Greenson, R. R. (1967). The technique and practice of psychoanalysis. New York: International Universities Press, Inc.Google Scholar
- Holloway, E. L. (1979). The effects of conceptual level on clinical hypothesis formation and the supervision interview (Doctoral dissertation, University of Wisconsin, Madison).Google Scholar
- Holloway, E. L., & Wampold, B. E. (1984). Dimensions of satisfaction in the supervision interview. Paper presented at the annual meeting of the American Psychological Association, Toronto, Canada.Google Scholar
- Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press, Inc.Google Scholar
- Pepinsky, H. B., & Patton, M. J. (1971). The psychological experiment: A practical accomplishment. New York: Pergamon.Google Scholar
- Shanock, L. R., Baran, B. E., Gentry, W. A., Pattison, S. C., & Heggestad, E. D. (2010). Polynomial regression with response surface analysis: A powerful approach for examining moderation and overcoming limitations of difference scores. Journal of Business and Psychology, 25, 543–554.CrossRefGoogle Scholar
- Shanock, L. R., Baran, B. E., Gentry, W. A., Pattison, S. C., & Heggestad, E. D. (2014). Erratum to: Polynomial regression with response surface analysis: A powerful approach for examining moderation and overcoming limitations of difference scores. Journal of Business and Psychology, 29, 161.CrossRefGoogle Scholar
- Toegel, G., & Conger, J. A. (2003). 360-degree assessment: Time for reinvention. Learning and Education, 2, 297–311.Google Scholar