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Practicing Clinical Telesupervision During COVID-19: Chaos Into Competency.

Sepideh S Soheilian1, Tiffany O'Shaughnessy2, Jenna S Lehmann3

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|July 10, 2025
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Summary

Clinical supervisors adapted to telesupervision during the COVID-19 pandemic, reporting both benefits like flexibility and challenges in technology and communication. A positive working alliance correlated with favorable attitudes toward telesupervision.

Keywords:
COVID‐19clinical supervisionsupervisory working alliancetelesupervision

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Area of Science:

  • Mental Health Professions
  • Clinical Supervision
  • Telehealth

Background:

  • The COVID-19 pandemic necessitated a rapid shift from in-person to telesupervision for mental health professionals.
  • Many supervisors lacked prior training in delivering clinical supervision remotely.

Purpose of the Study:

  • To explore clinical supervisors' experiences with telesupervision during the pandemic.
  • To document the pandemic's impact on mental health clinical training.
  • To examine the relationship between the working alliance and attitudes toward telesupervision.

Main Methods:

  • Mixed-methods approach combining qualitative and quantitative data.
  • Evaluation of clinical supervisors' experiences with telesupervision.
  • Assessment of the working alliance and its correlation with telesupervision attitudes.

Main Results:

  • Supervisors reported significant benefits, including enhanced flexibility, organization, productivity, and professional growth.
  • Key challenges included technology issues, organizational/productivity hurdles, and difficulties with communication/connection.
  • A positive correlation was found between supervisors' working alliance perceptions and their attitudes toward telesupervision.

Conclusions:

  • Telesupervision presents both advantages and disadvantages for clinical supervisors.
  • The working alliance is a crucial factor influencing the acceptance and effectiveness of telesupervision.
  • Findings inform future training, practice, and theoretical frameworks for remote clinical supervision.