Death Education - Beyond the Classroom Walls: Analysis of Clinical Telephone Supervision
Dane, Barbara, Ph.D., Professor, New York University School of Social Work, New York, USA

In response to the need for advanced training, the author developed a postmaster’s program in palliative care for social work. This paper reports on the findings of clinical, bi-monthly telephone supervision of post-master’s clinicians. A structured questionnaire of 43 items utilizing a Likert scale and 11 open-ended items was mailed to all 22 participants. The study data consists of a cross sectional survey. Supervisors ranged in experience from 7 to 32 years and worked from 2 to 20 in palliative care. Supervisees ranged in experience from 2 to 32 years and worked from 2 to 22 years in palliative care. All supervisees stated that stated that they were able to use verbal rather than visual cues to promote dialogue, and that the absence of body language from the supervisor was actually freeing and promoted more selfdisclosure. Nine noted the tremendous support and expertise they received in areas such as: running telephonic support groups, group work. All twentytwo noted that face-to-face supervision allows for a range of behavioral responses. Supervisors rated their supervisees at a 4.6 mean level on countertransference. In the ability to understand and make use of knowledge about suffering for patients and families, supervisees were rated at a 4.8 mean level. Supervisors rated their supervisees at a mean level of 4.8 in their openness to spiritual, cultural and ethical issues in the end of life. All supervisees reported that this new concept of clinical telephone supervision freed them of the day-to-day agency decisions. All felt relief and respite not to have to deal with administrative matters, two hours each month. Issues around a perceived lack of time and agency support emerged and seven supervisees expressed their frustration while understanding the constraints of agency life.While the data is still preliminary and the results are presented with caution, it is clear that the program has had an impact, individually and systemically.