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Yale Program on Supervision

The mission of this Yale Program is to strengthen the supervision of health and human services in order to enhance quality of care, organizational effectiveness, and the work life and careers of employees.

The Yale Program on Supervision is part of the Yale School of Medicine and its Department of Psychiatry. It operates under the direction of Yale Faculty members who are national and international leaders on workforce development in healthcare. The Program provides a diverse range of services. These include: skills training with supervisors and middle managers; staff coaching; strategic planning and consultation with agency leaders on organizational change strategies to foster effective supervision; supervision policy and standards development; and specialized training and consultation addressing secondary trauma in the health and social service workforce.

The Program’s faculty members have created a Yale Model for training supervisors and shaping supervision practice in public and health and human service organizations. The Program’s faculty members have delivered training and consultation nationally and internationally to a broad array of organizations in the fields of adult and child mental health, addictions, child welfare, juvenile justice, adult corrections, and correctional mental health. The Yale Model has been applied in diverse types and levels of care that range from secure inpatient and locked correctional settings to community-based programming. The model emphasizes an Informed Consent approach to engaging staff members in supervision. It is built around four core supervisory functions, which include: quality of care, administration, support, and the professional development of supervisees.

Our customers, including agency leaders and supervisors, have consistently given high ratings to both the training and consultation. Members of the Yale faculty who specialize in outcomes research and program evaluation are available to assess the impact of training and organizational consultation on supervision. Evaluation findings from past efforts have demonstrated the impact of the training on supervisors.

The Yale Program on Supervision benefits from the guidance of an International Advisory Board whose members are widely recognized as leading experts on the subject of supervision.

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A Comprehensive Overview of Yale Model

This peer-reviewed publication from the Yale Program on Supervision is an article on our comprehensive approach to improving supervision through organizational consultation and staff development, with a focus on evidence-based practices. The article appeared in the Clinical Social Work Journal, 42; 171-181, 2014.

Abstract: The last few decades have witnessed major growth in the evidence base on effective client interventions used by social workers and other health and social service professionals. As the pressure for service agencies to offer empirically supported treatments has been increasing, financial and time constraints have driven a decline in the frequency and amount of supervision provided within many of these organizations. While the reduction in staff supervision presents a challenge for effective implementation of all treatments, there are comprehensive empirically supported treatment models for clients that serve as exemplars of supervisory practice through their explicit requirements, processes and tools for supervision and supervisor development. After a review of the current status of supervision nationally, an implementation science-based approach is described, which builds organizational support for supervision and promotes optimal supervisory practice through training and consultation of supervisors and supervisees. The elements of this comprehensive approach, developed by the Yale Program on Supervision, are detailed. Supervisory policies, practices, and tools created by the developers of empirically supported treatments and similarly grounded in the principles of implementation science are offered as further examples of strategies for ensuring effective supervision.

Core Faculty

  • Chief Operating Officer

    Assistant Clinical Professor of Social Work; Assistant Clinical Professor, Department of Psychiatry (Social Work); Chief Operating Officer, Yale Behavioral Health

    Mr. Migdole is the Chief Operating Officer of Yale Behavioral Health and the Yale Group on Workforce Development. He is also an Assistant Clinical Professor in the Department of Psychiatry at the Yale School of Medicine. His responsibilities include administering a large mental health services contract for pre-adjudicated youth, crisis services, vocational programming for persons with severe mental illness, outpatient mental health and substance abuse services and managing the implementation of the Supervision Competency Development Initiative. He has long focused on the development of the behavioral health workforce and how to help staff translate administrative requirements into clinical practice. This has included working with clinical and rehabilitation staff in the development of behaviorally driven, medically necessary treatment plan within a model based on the stages of change. His model has helped professionals and paraprofessionals alike to utilize a behaviorally-driven, structured, stage by stage treatment planning process with children, families and adults. Over the past four years, Mr. Migdole has worked on developing a supervision model consistent with the needs of the public sector. This has included providing training and consultation throughout Connecticut for the Department of Mental Health and Addiction Services, Connecticut Department of Corrections, Department of Children and Families and Connecticut Valley Hospital. He has also worked with the District of Columbia’s Department of Mental Health to provide supervision training and consultation to public sector agencies throughout the DC area. Mr. Migdole has collaborated on various publications including “Graduate Education and Training for Contemporary Behavioral Health Practice” in Administration and Policy in Mental Health, “Mental Health in Juvenile Detention Facilities: A Review” in The Journal of the American Academy of Psychiatry and the Law, “Providing Competency Training to Clinical Supervisors through an Interactional Supervision Approach”, in Research on Social Work Practice and “Exploring New Frontiers: Recovery Oriented Peer Support Programming in a Psychiatric Emergency Department”, in the Journal of Psychiatric Rehabilitation. He also recently completed a term as a contributing editor for “Compliance Watch,” a quarterly newsletter published through the National Council for Community Behavioral Healthcare
  • Director

    Professor of Psychiatry; Director, Yale Behavioral Health; Director, Yale Group on Workforce Development

    Michael A. Hoge, Ph.D., is a Professor of Psychiatry at the Yale University School of Medicine. He also serves as the Director of Yale Behavioral Health, which provides a broad array of mental health and addiction services to adolescents and adults. Dr. Hoge is a founding member of The Annapolis Coalition on the Behavioral Health Workforce, which initiated a national, inter-professional effort to improve the recruitment, retention and training of individuals who provide prevention and treatment services for persons with mental illnesses and substance use disorders. Michael serves as the Senior Science and Policy Advisor for the Coalition and was the senior editor of the national Action Plan on Behavioral Health Workforce Development, which was commissioned by the federal Substance Abuse and Mental Health Services Administration. He has consulted on behavioral health workforce issues to the President’s New Freedom Commission on Mental Health, the Institute of Medicine, and many states and organizations. Currently he directs the Yale Group on Workforce Development, which includes the Yale Program on Supervision.