Multisystemic Therapy Institute
Supervisor Adherence Measure
Current Supervisor:    
Therapist's Name/Pseudonym (You may create a secret identity for yourself, but you must use the same name each time):    
Current Consultant:    
Date Form Completed (mm-dd-yyyy):    
Please consider your supervision sessions over the past two months as you complete the following items.
1. When the supervisor recommended changes in my course of action, the rationale for the recommendation was described in terms of one or more of the MST principles.
Never Rarely Sometimes Often Almost Always
2. You could tell that the supervisor was in charge of the sessions.
Never Rarely Sometimes Often Almost Always
3. Team members took a long time to describe the details of cases before the supervisor spoke.
Never Rarely Sometimes Often Almost Always
4. The supervisor asked clinicians for evidence to support their hypotheses about the causes of problems targeted for change or of barriers to intervention success.
Never Rarely Sometimes Often Almost Always
5. The supervisor asked clinicians how descriptions of this week's case developments pertained to identification of barriers to success.
Never Rarely Sometimes Often Almost Always
6. When clinicians talked about events in the distant past, the supervisor recommended that current interactions within the family and between family members and others be examined first.
Never Rarely Sometimes Often Almost Always
7. When clinicians reported on a variety of interventions tried during the week, the supervisor asked for clarification regarding which intermediary goals the interventions aimed to address.
Never Rarely Sometimes Often Almost Always
8. The supervisor followed up on recommendations made in previous supervision sessions.
Never Rarely Sometimes Often Almost Always
9. When interventions were not successful, discussion focused on identifying the barriers to success and actions the clinician should take to overcome them.
Never Rarely Sometimes Often Almost Always
10. I have the skills to implement all of the recommendations made in supervision.
Never Rarely Sometimes Often Almost Always
11. Interventions that were discussed targeted sequences of interaction between family members.
Never Rarely Sometimes Often Almost Always
12. Clinicians received positive feedback during the sessions.
Never Rarely Sometimes Often Almost Always
13. When interventions were not successful, the supervisor asked clinicians to describe the details of the intervention and steps clinicians took to assure implementation and monitoring of results.
Never Rarely Sometimes Often Almost Always
14. The supervisor asked clinicians how descriptions and questions about case developments pertained to "fit" assessment.
Never Rarely Sometimes Often Almost Always
15. It was easy for team members to acknowledge frustrations, mistakes, and failures.
Never Rarely Sometimes Often Almost Always
16. When a clinician presented information about events that transpired during the week, the supervisor asked the clinician and team to clarify the relevance of the information to one or more steps of the analytical process.
Never Rarely Sometimes Often Almost Always
17. Weekly case summaries were referred to during the discussion of cases.
Never Rarely Sometimes Often Almost Always
18. Interventions that were discussed targeted sequences of interaction between family members and individuals at school, in the child's peer group, or in the neighborhood.
Never Rarely Sometimes Often Almost Always
19. When an intervention was only partially successful, the supervisor asked questions to determine whether the clinician had adequately and completely implemented the intervention.
Never Rarely Sometimes Often Almost Always
20. We spent more time discussing cases in which progress was limited.
Never Rarely Sometimes Often Almost Always
21. When an intervention was only partially successful, the supervisor asked questions to determine whether the clinician had provided participants with the understanding, skills, and practice needed to implement the intervention.
Never Rarely Sometimes Often Almost Always
22. The supervisor referred to specific MST principles while discussing cases.
Never Rarely Sometimes Often Almost Always
23. The supervisor made a note of case-specific recommendations.
Never Rarely Sometimes Often Almost Always
24. When new areas were targeted for intervention, the supervisor encouraged the clinician to articulate new intermediary goals accordingly.
Never Rarely Sometimes Often Almost Always
25. Outcomes were described in observable and measurable terms.
Never Rarely Sometimes Often Almost Always
26. When clinicians reported plans to meet with teachers, neighbors, or officials from other agencies, the supervisor asked what it would take for a caregiver to hold the meeting.
Never Rarely Sometimes Often Almost Always
27. When clinicians reported that things were going well in a case, the supervisor focused discussion on factors in the natural ecology that were sustaining progress.
Never Rarely Sometimes Often Almost Always
28. When clinicians reported doing things for family members, the supervisor asked what it would take for family members to do these things for themselves.
Never Rarely Sometimes Often Almost Always
29. When clinicians reported that they discussed a particular problem with a family, the supervisor asked what plans were put in place to address the problem this week.
Never Rarely Sometimes Often Almost Always
30. When clinicians described their ideas about the causes of problems, "fit circles" were developed and discussed in session.
Never Rarely Sometimes Often Almost Always
31. When clinicians talked about events in the distant past, the supervisor asked for evidence that these events are contributing to a current problem.
Never Rarely Sometimes Often Almost Always
32. The supervisor had difficulty managing team discussion.
Never Rarely Sometimes Often Almost Always
33. In the past two months, the supervisor and I have discussed the extent to which my case summaries and in-session presentations are consistent with the MST principles and analytic process.
Never Once Twice 3 - 5 Times Weekly
34. In the past two months, the supervisor and I have set goals for development of my specific competencies in MST.
Never Once Twice 3 - 5 Times Weekly
35. In the past two months, my supervisor has accompanied me to therapy sessions (i.e., field supervision) OR reviewed audiotapes of my therapy sessions.
This has never happened
This has happened in the past, but not in the last two months
Once in the last two months
Twice in the last two months (e.g., once per month)
At least twice, and more when necessary
36. In the past two months, the supervisor and I have discussed my strengths and needs with respect to adherence to the 9 MST principles.
Never Once Twice 3 - 5 Times Weekly
37. In the past two months, I left supervision knowing how to carry out recommended actions.
Never Once Twice 3 - 5 Times Weekly
38. How knowledgeable do you think your supervisor is in the theory of MST?
Not very Somewhat Moderately Very Extremely
39. How skilled do you think your supervisor is in treatment modalities used in MST such as behavior therapy?
Not very Somewhat Moderately Very Extremely
40. How skilled do you think your supervisor is in implementing MST interventions?
Not very Somewhat Moderately Very Extremely
41. How skilled do you think your supervisor is in the treatment modalities used in MST such as cognitive-behavioral therapy?
Not very Somewhat Moderately Very Extremely
42. How often does team (group) supervision occur?
Sporadically (Once in a while)
Once per month
Every other week
Once per week
More than once per week when necessary
43. How often have you and your supervisor met to develop and monitor a plan to help you increase your knowledge and skill in MST?
Never
Plan developed but never monitored and followed
Plan developed but monitored and followed infrequently
Plan developed but monitored and followed periodically (e.g, once every 3 months)
Plan developed and monitored and followed regularly (e.g., once per month)
Thank you for taking the time to complete this survey.