Clinical supervision is used in professional counseling as a method of training students and protecting client welfare. According to research on the topic of rehabilitation counseling clinical supervision, many rehabilitation counselors employed in the state/federal rehabilitation counseling system do not receive regular clinical supervision that focuses on counselor skills and their work with clients. Further, there seems to be confusion among counselors and supervisors in the state/federal system about on what constitutes clinical supervision. It is reasonable to question the client services provided by rehabilitation counselors not receiving quality supervision. Specifically, clients of the state/federal rehabilitation counseling system have cited "lack of counseling skills" as a major complaint of working with their rehabilitation counselor. Further, rehabilitation counseling research also links counselor-client therapeutic relationship with successful counseling outcomes. Despite the importance of clinical supervision, research has not examined the supervision related factors that predict successful case closures or counselor self-efficacy for counseling in the state/federal rehabilitation counseling system.
The purpose of this dissertation was to investigate the relationship between supervisory working alliance, counselor self-efficacy, and number of successful client outcomes. For the purpose of this study, successful client outcomes and counselor self-efficacy was used as outcome measures of the supervision process. A 75-item survey containing a measure of working alliance (Supervisory Working Alliance Inventory - Trainee (SWAI-T), a measure of counselor self-efficacy (Counseling Self Estimate Inventory (COSE), number of successful client outcomes, and demographic variables was distributed to counselors employed in five randomly selected states. A total of 166 complete surveys were returned.
Supervisory working alliance composite and counselor self-efficacy composite were not significant predictors of the number of successful client outcomes a counselor achieved for the sample. For individuals with two or fewer years of employment at their current agency, supervisory working alliance significantly predicted the number of successful client outcomes. Further, supervisory working alliance was not a significant predictor of self-efficacy. Several demographic variables (i.e., age, certification as a rehabilitation counselor, male gender, lifetime years employed as a rehabilitation counselor, years employed in agency), COSE Microskills Subscale, and COSE Dealing With Difficult Client Behavior Subscale were significantly positively correlated with number of successful client outcomes.
|Advisor:||Rush, Lee Covington|
|Commitee:||Lauka, Justin, Pender, Deb, Smith, Thomas|
|School:||Northern Illinois University|
|Department:||Counseling, Adult and Higher Education|
|School Location:||United States -- Illinois|
|Source:||DAI-B 74/02(E), Dissertation Abstracts International|
|Subjects:||Mental health, Physical therapy, Counseling Psychology|
|Keywords:||Client outcomes, Clinical supervision, Rehabilitation counseling, Self-efficacy|
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