Date of Award

8-2020

Document Type

Dissertation

Degree Name

Doctor of Education (EdD)

Department

Executive Leadership

First Supervisor

Dr. Carla Smith

Second Supervisor

Dr. Gilbert Louis

Abstract

Clinical supervision is noted in other fields as instrumental to attaining better outcomes for people who receive care. This study which occurred in New York State during the COVID-19 pandemic, explored using the Manchester Clinical Supervision Scale (MCSS-26) alignments between the perceptions of care coordinators and care coordinators’ supervisors of the effectiveness of clinical supervision in the health home context, the impact of COVID-19 on clinical supervision sessions, increased remote care coordination, and best practices of clinical supervision in the health home. Findings revealed differences in perceptions of the effectiveness of clinical supervision and of the impact of COVID-19 on clinical supervision. There were alignments on MCSS-26 subscales of “Importance and Value of Supervision,” “Finding time,” and “Trust and Rapport” and on the effectiveness of the increase in remote care coordination. However, misalignments were significant on the MCSS-26 subscales of “Improve Care,” “Reflection,” “Supervisor Support and Advice” and the overall perception of the effectiveness of clinical supervision. There was further misalignment in the perceptions of care coordinators of the impact of COVID-19 on clinical supervision. However, few care coordinators and most of the care coordinators supervisors’ satisfaction remain the same with both in-person clinical supervision and telesupervision during COVID-19. Finally, findings revealed that current supervisory practices did not mirror best practices of clinical supervision in the area of discussion of topic related to self during clinical supervision while practices such as the frequency, duration of clinical sessions, and discussion of client care mirrored best practices of clinical supervision.

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