Online supervision is provided to clinicians from collaborating institutions with a cohort of therapists committed to becoming certified CALM therapists. To begin supervision, therapists must be seeing regular CALM cases.
Supervision follows a train-the-trainer model. When the site lead is CALM certified, the lead is trained to provide supervision within their site and/or region. Bi-monthly meetings are scheduled with a CALM developer to discuss progress and supervision cases at the site.
To become a certified CALM therapist, two successful cases must be completed under supervision. Cases are presented at supervision at least twice: once after the initial CALM assessment and once prior to the completion of CALM therapy.
The process for CALM Therapist Certification is outlined below:
|Criteria to Begin CALM Therapist Certification||Requirements to Receive Therapist Certification (Therapist in Training)||Therapist Certification Maintenance (Certified CALM Therapist)|
The process for CALM Supervisor Certification is outlined below
|Criteria to Begin CALM Supervisor Certification||Requirements to Receive Supervisor Certification (Supervisor-in-Training)||Supervisor Certification Maintenance (Certified CALM Supervisor)|
The therapist cohort meets regularly with a certified CALM supervisor. Rotating case presentations are discussed among the supervision group. Discussion topics include:
- The patient’s current distress, CALM domains, CALM process, transference/counter-transference, and therapist impression.
- Review of measures collected for research and clinical purposes.
- Case consideration in terms of attachment, affect regulation, reflective awareness, and death-related distress.
- Examination of the patient-therapist relationship in attachment terms and adjustment to therapist stance as needed.
- Attendees and supervisors are strongly encouraged to use audiotaped or videotaped material from the actual CALM sessions to supervision for each case.
Supervision supports the therapist to further formulate an impression of the patient. Suggestions for therapy goals and future interventions are provided.
Treatment Integrity forms are completed by the supervisor after every CALM supervision. The evaluation is completed on the basis of the discussion in supervision and the skills demonstrated in the session. Competency will be evaluated on the following factors, as applicable:
|The Therapeutic Relationship||Modulating Affect||Shifting Frame||Interpretations||Termination||The CALM Domains|
Qualitative feedback on the case will be provided by the supervisor on an ongoing basis.
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