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      <h3><!--mstheme--><font color="#003366"><a name="S.H.A.S.T.D.">S.H.A.S.T.D.</a> recommendations for
    counselling supervision.<!--mstheme--></font></h3>
      <p align="justify">Receiving regular counselling supervision is intrinsic to the work of
    the Health Adviser. It is distinct from yet complements both managerial supervision and
    clinical supervision given by colleagues. Health Advisers have a counselling role and use
    counselling skills when dealing with clients who have issues with HIV/AIDS, STD's, sexual
    assault, sexual abuse, relationship problems and sexuality. Counselling supervision can
    enhance and maintain good practice, develop professional skills and provide essential
    support in an emotionally demanding and complex role.</p>
      <!--mstheme--></font><!--msthemelist--><table border="0" cellpadding="0" cellspacing="0" width="100%">
          <!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/shastd2/shasbul3.gif" width="35" height="24" hspace="3" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="verdana, Arial, Helvetica"><p align="justify">Counselling supervision:</p>
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      <p align="justify">&quot; is for people
    involved in work ,which contains significant elements of counselling ,it is a term given
    to consultation ( often ongoing) ......... to help one think about issues connected with
    client work, including the impact this has on the practitioner ....... many people see
    supervision as supporting the kind of reflective learning that underpins the continual
    improvement of practice&quot; Leach (1935)</p>
      <p align="justify">Counselling supervision offers benefits to the Health Adviser, to the
    client and to the agency as a whole. By improving skills and communication and reducing
    stress in the Health Adviser, the intention is to maximize the therapeutic quality of
    interactions and also to decrease staff turnover decreasing levels of staff sickness,
    turnover and burnout.</p>
      <p align="justify">British Association for Counselling (BAC) code of ethics and practice
    for counsellors state that it is a:</p>
      <p align="justify">'' breach of the ethical requirement for counsellors to practice
    without regular counselling supervision / consultative support &quot;</p>
      <p align="justify">In line with BAC guidance on best practice SHASTD recommend counselling
    supervision should not be undertaken by the line manager, although managerial agreement
    and support are essential when establishing a system of counselling supervision ( if
    existing lines of clinical and managerial responsibility are not to be undermined). SHASTD
    recommend that a counselling supervisor should not be an immediate clinical colleague
    (i.e. should not be clinically involved with the same client as the supervisee). If the
    counselling supervisor works within the same agency as the supervisee, boundaries, ground
    rules and expectations must be made clear and adhered to by both parties in the same way
    as if the counselling supervisor is external to the agency. Although the supervisory
    relationship is confidential, counselling supervisors are ethically obliged to report
    practice that endangers clients or supervisees welfare to the line manager if a supervisee
    fails to take appropriate action themselves.</p>
      <p align="justify">Counselling supervision can be done in groups or individually.
    Preferably, supervisors should be eligible for BAC supervisor accreditation. They must at
    least have extensive supervisory experience and be qualified counsellors, psychotherapists
    or clinical psychologists.</p>
      <p align="justify">SHASTD recommend that such supervision should consist of fortnightly
    (or at least monthly sessions of 50 to 60 minutes, and be done within work time. Where
    this is not possible it should not be less than monthly. It should be budgeted for within
    Health Adviser funding.</p>
      <h3 align="justify"><!--mstheme--><font color="#003366">References<!--mstheme--></font></h3>
      <p align="justify">G. Leach (1995) Making use of supervision : practical and ethical
    issues&quot;</p>
      <p align="justify">British Association for Counseliing (1996) Code of ethics and practice
    for Counsellors </p>
      <p align="justify">British Association for Counselling (1996) Code of ethics and practice
    for Supervisors </p>
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