An Exploration of Experiences and Preferences in Clinical Supervision With Play Therapists
An Exploration of Experiences and Preferences in Clinical Supervision With Play Therapists
An Exploration of Experiences and Preferences in Clinical Supervision With Play Therapists
Future demand for professional services in the areas of mental health, school,
marriage and family, and behavioral counseling is substantial (Bureau of Labor &
Statistics, 2009). These projections include the need for mental health services for
children. However, models of counseling have not adequately addressed the needs
of this population of young clients. There is evidence of growth in play therapy
training programs for helping professionals, the research base, and professional
associations to address the needs of this special population (Association for Play
Therapy [APT], 2007; Landreth, Baggerly, & Tyndall-Lind, 1999; Ray, Bratton,
174
International Journal of Play Therapy © 2010 Association for Play Therapy
2010, Vol. 19, No. 3, 174 –185 1555-6824/10/$12.00 DOI: 10.1037/a0018882
Experiences and Preferences With Play Therapists 175
Rhine, & Jones, 2001). A specific by-product of this growth includes the need for
an increase in professional supervision.
Clinical supervision plays a significant role in the counseling and general mental
health profession. Experienced counselors and educators utilize supervision to
teach and guide individuals with less professional experience. The process provides
professional development for future counselors as well as a quality control aimed at
the welfare and protection of clients (Bernard & Goodyear, 2004). Supervision
supports trainees and supervisees while simultaneously challenging them at an
appropriate level to facilitate their growth in clinical work (Stoltenberg, McNeill, &
Delworth, 1998).
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PLAY THERAPY
Play therapy has emerged as a distinct therapeutic modality and been widely
accepted in the mental health field as a viable treatment for children between the
ages of 3 and 10 (Knell, 1998; Kottman, 2003; Landreth, 2002; Oaklander, 2001; Ray
et al., 2001; Reddy, Files-Hall, & Schaefer, 2005). Helping professionals work with
children who are experiencing social, physical, emotional, and behavioral difficul-
ties. This model of therapy is founded in the belief that play is the natural form of
communication and expression of children. Axline (1974) compared children’s
ability to “play out” problems with adults’ ability to “talk out” problems in therapy.
Play therapy is critical for a population not only chronologically younger, but
developmentally different than adults in how they communicate and receive infor-
mation.
Play therapy effectiveness is supported by substantial empirical research (Bag-
gerly & Jenkins, 2009; Baggerly, 2004; Jones & Landreth, 2002; Reddy et al., 2005).
This effectiveness has been examined across numerous variables such as age,
gender, setting, and theoretical orientation in two separate meta-analyses (Bratton,
Ray, Rhine, & Jones, 2005; LeBlanc & Ritchie, 2001). This research further
demonstrates the viability of play therapy as a therapeutic modality for children.
Supervision
studies have explored various settings and supervisee developmental levels ranging
from counselors in training (Hart & Nance, 2003; Ladany, Marotta, & Muse-Burke,
2001) to experienced therapists. Examples of research from specialty areas include
Nationally Certified Counselors (NCC) in school, community and independent
practice settings (Borders & Usher, 1992; Usher & Borders, 1993), school counsel-
ing (Schechtman & Wirzberger, 1999), community college counseling (Coll, 1995),
marriage and family therapy (Brock & Sibbald, 1988), substance abuse counseling
(Culbreth, Woodford, Levitt, & May, 2004), and play therapy (Fall, Drew, Chute,
& Moore, 2007).
Supervisee experiences and preferences for supervision are important to ex-
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amine if we wish to enhance the supervision process. Borders and Usher (1992)
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METHODOLOGY
Participants
In the summer of 2008, 2000 members of the Association for Play Therapy
(APT) were invited to participate in this study. Respondent inclusion criteria were:
(a) not hold a Registered Play Therapist (RPT) or Registered Play Therapist
Supervsior (RPT-S) credential and (b) currently or within the past 12 months
worked with children in a play therapy setting. A total of 559 invitees responded to
the survey, resulting in a 27.95% response rate.
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Participant ages were grouped and ranged from 22 to 70 years old, with a mean
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Instrumentation
The play therapy supervision questionnaire used in this study was adapted
previous from research (Coll, 1995; Culbreth, 1999; Culbreth et al., 2004; Usher &
Borders, 1992). Respondents were asked about their current and preferred expe-
riences in supervision. The adapted survey was evaluated and modified by three
professionals in the fields of supervision, play therapy, and survey research design.
The first part of the survey contained 14 questions in the supervision experience
of respondents and focused on type of supervision received (i.e., group, individual,
peer group), frequency of supervision sessions, characteristics of the supervisor, and
approaches to supervision (i.e., self report, video tape, or live supervision). Types
of questions included forced-choice, choose all that apply, and frequency questions
that were rated on a 5-point scale (1 ⫽ never and 5 ⫽ always). Part two of the survey
addressed preferred supervision and included nine questions similar to those in
section one. The final section of the survey included eight demographic questions
to obtain background information on participants. Demographic questions in-
cluded: (a) age, (b) gender (c) race, (d) work setting, (e) professional identity, (f)
certifications, (g) years of experience as a play therapist, and (h) level of education.
Procedure
Prior to initiating the study, the researcher pilot tested the survey in an online
environment to peers who utilize play therapy. After obtaining institutional review
178 VanderGast, Culbreth, and Flowers
board (IRB) approval, the researcher contacted APT to request a random list of
2,000 e-mail addresses of members from the association. This request specified a list
of APT members who did not hold the RPT or RPT-S credential.
Once the list of potential participants was obtained, a multiple contact strategy
(Dillman, 2007) was employed to encourage participants to complete the survey
and promote an optimum response rate. Prospective participants were initially
contacted with a prenotice e-mail and four days later, were sent an e-mail which
served as a letter of invitation to join the study and access the Web-hosted survey.
A week later, a follow-up e-mail was sent to participants thanking those who had
responded and encouraged others to access the survey. The fourth and final e-mail
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notification was sent a week later thanking those who had responded and encour-
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aged others to access the survey. Data collection was conducted over a 3-week
period. Shortly after the data collection period, the researcher arranged a random
drawing from participant e-mails and contacted each of the four winning partici-
pants to arrange delivery of $50 gift cards.
RESULTS
Survey respondents (N ⫽ 559) were asked about their preference for the type
of clinical supervision they receive for play therapy clients. Participants indicated
that they preferred to receive a combination of group and individual supervision
(60.1%) more than any other type. In terms of frequency of supervision, partici-
pants reported a preference for receiving supervision once every two weeks
(34.0%) or once a week (32.0%). Participants indicated no preference (89.6%) for
supervisor gender.
Participants indicated a preference for their supervisors’ professional identity
as Play Therapist (82.8%) and Professional Counselor (41.3%). For credential,
participants prefer to be supervised by an RPT-S (87.8%), followed by a Licensed
Professional Counselor (28.8%). Preference results for supervision format, which
were based on a 5-point rating scale, revealed self report (M ⫽ 4.48) and videotape
review (M ⫽ 3.31) formats of interest for play therapist surveyed. In terms of
participants’ preferences for goals in supervision, improvement of skills and tech-
niques (M ⫽ 4.59), professional support (M ⫽ 4.51), and an increase in self
awareness (M ⫽ 4.44) were revealed as salient goals. Preferences for topics dis-
cussed in play therapy supervision included identifying play themes (M ⫽ 4.23) and
case conceptualization (M ⫽ 4.18).
Participants were asked, “Are you currently being supervised for your play
therapy practice?” Of the 559 respondents, 238 (43%) reported they were currently
receiving supervision. In terms of frequency of supervision, participants reported
receiving supervision once a week (39.4%) or once a month (30%). Participants
reported their supervisors’ professional identities as Play Therapist (51%) and
Professional Counselor (36%). For credential, RPT-S (48%) was most common
Experiences and Preferences With Play Therapists 179
Table 1. Percentage, Rank, and Differences Between Preferred and Current Supervisor Professional
Identity, Supervisor Credentials, and Type of Supervision
Current Preferred
Differences
Items % Rank % Rank (P ⫺ C)a
Professional identity
Play therapist 51 1 86 1 35
Marriage/family therapist 16 5 29 4 13
Administrator 6 6 0 8 ⫺6
School counselor 2 8 8 6 6
Prof counselor 36 2 42 2 6
Clinical psychologist 18 4 23 5 5
School psychologist 3 7 4 7 1
Social worker 32 3 33 3 1
Supervisor credential
RPT-S 48 1 90 1 42
RPT 15 5 28 3 13
Social worker 30 2.5 24 4 ⫺6
Licensed psychologist 16 4 18 5 2
ACS 4 6 5 6 1
LPC 30 2.5 30 2 0
Type of supervision
Group/individual 32 2 66 1 34
Phone 11 4 5 4 ⫺6
Individual 61 1 53 2 ⫺8
Peer group 13 3 20 3 7
Online 3 5 4 5 1
Note. RPT ⫽ registered play therapist; RPT-S ⫽ registered play therapist supervisor; ACS ⫽ approved
clinical supervisor; LPC ⫽ licensed professional counselor. N ⫽ 238.
a
P ⫺ C ⫽ percentage of preferred minus the percentage of current.
180 VanderGast, Culbreth, and Flowers
Differences between four of the five items for current and preferred supervision
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format revealed a large effect. For supervision goals, differences for avoiding
burnout, developing conceptual skills, and developing greater self awareness skills
produced a moderate effect. For topic discussion, enlarging meaning revealed a
large effect while diversity/multicultural issues and identifying themes produced a
moderate effect.
DISCUSSION
The main purpose of this study was to explore experiences and preferences of
play therapists in clinical supervision. Results indicated that 57% of the research
participants were not currently receiving supervision for their work with children in
Table 2. Means, SDs, and Effect Sizes (ESs) for Differences Between Preferred and Current
Supervision Format, Goals, and Topic Discussion
Current Preferred
M SD M SD ES
Supervision format
Live observation 1.44 1.11 2.91 .96 1.42
Video review 1.97 1.46 3.31 1.00 1.09
Audio review 1.16 .83 2.42 1.04 1.35
Live supervision 1.27 1.01 2.30 1.12 .97
Self-report 4.63 .88 4.48 .70 ⫺.19
Goals
Avoid burn 3.36 1.23 4.00 .99 .58
Conceptual skills 3.89 1.00 4.37 .68 .57
Self-awareness 3.98 1.06 4.44 .68 .53
Improve skills 4.26 .81 4.59 .59 .47
Particular client 3.95 .89 4.20 .76 .30
Professional support 4.34 .86 4.51 .63 ⫺.22
Topic discussion
Enlarging mean 3.26 1.11 4.07 .75 .87
Diversity 3.03 .94 3.67 .83 .72
Identifying themes 3.71 .96 4.23 .66 .64
Esteem building 3.47 .91 3.86 .81 .45
Case concept 3.79 .92 4.18 .73 .47
Responding effort 3.37 1.03 3.71 .85 .36
Limit setting 3.46 .86 3.71 .84 .29
Work with parents 3.92 .85 4.18 .67 .34
Reflection content 3.43 1.08 3.72 .88 .30
Reflection feelings 3.72 .91 3.88 .79 .19
Connecting with child 3.77 1.06 3.89 .91 .12
Note. N ⫽ 238.
Experiences and Preferences With Play Therapists 181
play therapy settings. These findings are consistent with previous research in
specialty areas within the counseling field including 53% of community college
counselors (Coll, 1995) and 32.1% of NCC’s (Borders & Usher, 1992) who were not
receiving supervision. Although an in-depth examination regarding reasons for not
receiving supervision is beyond the scope of the current study, participants were
asked to provide a primary reason. Respondents indicated they utilize informal
consultation with colleagues and supervision was not provided by their work
setting. Responses also included a lack of availability and accessibility to an RPT-S,
lack of affordability, and participant’s indicating they had “finished” or “com-
pleted” supervision as part of the RPT application process. Further research is
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warranted to investigate reasons why play therapists are not receiving supervision.
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topic in supervision. The salience of diversity and multicultural issues within a play
therapy context may reflect current trends in the general counseling, mental health,
and supervision fields (American Counseling Association, 2005; Bernard & Good-
year, 2004).
Overall findings from APT members’ current experiences may be inter-
preted as one dimensional. In contrast, results from the current study indicate
a supervisee preference and interest in a multidimensional supervision experi-
ence. This discrepancy demonstrates what Borders and Usher (1992) referred to
as lost opportunities for professional development and awareness. Additionally,
findings may indicate that supervisees have different needs based on age or
years of play therapy experience. This interpretation is supported in supervision
literature. Stoltenberg et al.’s (1998) Integrated Developmental Model (IDM)
proposed that professional development occurs through four stages which help
supervisors assess growth. This model provides one example for play therapy
supervisors to conceptualize sessions, particularly in the areas of topic discus-
sion and supervision goals.
The current study serves as a baseline for supervisee experiences and prefer-
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CONCLUSION
This study adds to the existing literature by contributing new information about
play therapist experiences and preferences. Results from these findings offer pro-
fessionals both a view of what is occurring in the field and an opportunity to
consider changes in their play therapy supervision practice. There is a need for
standards, monitoring, and assurance that young clients and their families are
receiving quality counseling and professional services. Therefore, the task of the
growing play therapy community is to recognize the need for continued and
improved supervision standards and services. This may be achieved with a more
concerted and intentional effort to train play therapists in supervision and ensure
that practicing play therapists have access to quality supervision.
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