Clinical Supervision in Alcohol and Drug Abuse Counseling: Principles, Models, Methods, Revised Edition
May 2004, Jossey-Bass
—Nancy Waite-O’Brien, director, Education and Training, Betty Ford Center
"An outstanding contribution to the professional well-being of
the addiction field."
—Thomas McGovern, editor, Addiction Treatment Quarterly
—S. Beckett, education and training coordinator, National Association of Alcohol and Drug Abuse Counselors
Introduction to the 2004 Edition.
Introduction to the 1993 Edition.
Part One: Principles.
1. A Historical Review of Supervision.
2. A Working Definition of Supervision.
3. Leadership Principles for Supervisors.
4. Traits of an Effective Clinical Supervisor.
Part Two: Models.
5. Building a Model of Clinical Supervision.
6. A Developmental Approach to Supervision.
7. The Psychodynamic Model.
8. The Skills Model.
9. Family Therapy Models.
10. A Blended Model of Clinical Supervision for the Alcoholism and Drug Abuse Field.
Part Three: Methods.
11. Establishing a Supervisory Contract.
12. Basic Supervisory Techniques.
13. Evaluation and Feedback.
14. Innovative Techniques in Supervision.
15. Ethical and Legal Concerns.
16. Special Issues in Supervision.
17. New Directions for the Future.
A. Competencies of Supervisors.
B. Role Delineation Study for Clinical Supervisors.
C. Assessing One’s Preparation as a Clinical Supervisor.
D. Determining Readiness to Be a Supervisor.
E. Counselor Evaluation of the Supervisor.
F. Evaluation of the Counselor.
G. Individual Development Plan.
H. Use of the Sociogram.
I. Suggested Outline for Case Presentations.
J. Counselor Assessment Forms.
About the Authors.
Archie Brodsky is senior research associate at the Program in Psychiatry and the Law, Massachusetts Mental Health Center, Harvard Medical School.
--Carina Borges, addiction counselor, director, Chemical Dependency Office Consultation and Treatment, Lisbon, Portugal
“Dr. Powell has produced a compendium of sound, pragmatic
techniques for effective clinical supervision based on decades of
personal experience and best practices research. Here at St.
Joseph’s all clinical supervisors are trained in his
approach. His professional reputation in the field of clinical
supervision is unsurpassed and well deserved.”
--Karl Kabza, pesident and CEO, St. Joseph’s Rehabilitation Center, Inc., Saranac Lake, New York; former director, United States Marine Corps Substance Abuse Program
“Dr. Powell’s dedication and commitment to the field
of clinical supervision in alcohol and other drugs is unequaled.
His leadership and guidance found in continues to set the standard
for the field.”
--Bernard Murphy, Pacific Institute for Research and Evaluation; former clinical preceptor, U.S. Navy and Marine Corps
“The latest version of David Powell’s classic
book, Clinical Supervision in Alcohol and Drug Abuse Counseling,
includes much more in-depth coverage of the most current knowledge
and issues in clinical supervision practice. Drawing from his
highly successful and diverse international clinical supervision
training and consultation practice, David Powell seeks to help
readers integrate and apply practical and invaluable lessons to
their own supervisory experiences.”
--Tony Ting, president, Association of Professional Substance Abuse Counselors, Singapore
“Powell’s book and his model of clinical supervision
are the gold standard for supervision in the addictions field. Our
field is better and our clients safer because of David’s book
and work. Do not just read this book—study it, use it as a
guide in your work.”
--Craig Nakken, author, The Addictive Personality
“As a former director of a treatment program in Australia,
I would suggest to the reader that no one can effectively
facilitate the complex issues facing treatment teams without this
book at their beck and call.”
--George Thompson, Clinical Living Solutions, Somerville, Victoria, Australia
“One of the lesser known but great successes of clinical
supervision over the past 25 years has been Dr. David J.
Powell’s innovative adaptation of this methodology to the
U.S. Navy’s alcohol treatment program. Under the title
Clinical Preceptorship, it provided licensed and credentialed
mentors to the Navy-trained counselors. Dr. Powell started this
program in 1976 at the U.S. Naval Alcohol Rehabilitation Center in
Norfolk, Virginia. Over the years, he has overseen its expansion to
about fifty bases worldwide, from Iceland to Cuba and from Diego
Garcia in the Indian Ocean to Sicily in the Mediterranean Sea. The
program also operates on the U.S. Navy aircraft carriers. As a
former commanding officer of the Naval Alcohol Rehabilitation
Center, Norfolk, I have experienced the Clinical Preceptorship
Program’s great value to the counselors. Further, having the
ability to confer with an impartial, knowledgeable person from
outside of the organization is of inestimable value to the
commanding officer—a person who may or may not have training
in the substance abuse field. Dr. Powell’s clinical
supervision expertise and his vision created a program that helped
save the military career and possibly the lives of thousands of
Navy and Marine Corps personnel, including my own.”
--Capt. Thomas J. Glancy Jr., United States Navy, retired
“David Powell has trained tens of thousands of substance
abuse professionals worldwide in the fine art of clinical
supervision. In addition to his vast expertise, his wisdom, warmth,
and genuineness have all contributed to making Clinical
Supervision in Alcohol and Drug Abuse Counseling the premier
text in the field.”
--Patricia A. Burke, faculty, Rutgers Summer School of Alcohol and Drug Studies
“David Powell, internationally recognized leader in
clinical supervision, has helped to significantly shape the way in
which addiction policy makers and counseling professionals
understand and perform critical supervisory functions. The blended
model, described in Clinical Supervision in Alcohol and Drug
Abuse Counseling, is user friendly and theoretically sound.
More than nine hundred clinical supervisors throughout New York
State attended his training and have incorporated the book’s
principles and techniques. This result is being seen in increasing
qualitative patient care. Clinical supervisors are well advised to
use this book as a foundation for their practice.”
--Pamela Mattel, president, Changing Dynamics Consulting and Training
“Clinical supervision is a significant part of quality
alcoholism and drug abuse treatment. This comprehensive book, based
on David Powell’s blended model of clinical supervision is of
paramount importance to the alcoholism and drug abuse field
--Gail Gleason Milgram, director of education and training, Center of Alcohol Studies, Rutgers University
“Powell’s text on clinical supervision continues to
be a mainstay in the development of supervisory skills for
the counseling profession. This landmark guide has become the
principal manual for trainers and clinicians who promote the
practice of clinical supervision in addiction
--Thomas G. Durham, director, Clinical Preceptorship Program for U.S. Navy and Marine Corps, Danya International, Inc.
“Dr. Powell’s text continues to be the foundational
operational reference for our clinical supervisors. Even more
useful has been the training conducted by David for our Provincial
staff that further develops these essential concepts, strategies,
and their applications.”
--Dan Davies, senior clinical team leader, Addiction Services, Saskatoon Health Region, Saskatoon, Canada
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Clinical Supervision in Alcohol and Drug Abuse Counseling: Principles, Models, Methods, Revised Edition (US $65.00)
-and- Group Exercises for Addiction Counseling (US $30.00)
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