Supervision

The CANS/ANSA is a helpful document that can be used in supervision to help organize clinical information collected during assessment in a consistent manner to improve communication among those involved in planning care for a child or adolescent. Supervisors can use the CANS/ANSA as a decision-support tool, as a quality improvement tool and as an outcome monitoring tool. Discussions about agreement on how the child’s needs and strengths are described provides the foundation for agreement about what approaches to take to address those needs and identify and build strengths. ​
CANS TIPS FOR SUPERVISORS
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Supervision grounded in using the CANS is supportive, collaborative, and transformative. CANS helps guide service planning conversations and practice. 
CANS & ANSA CASE REVIEW CHECKLIST FOR SUPERVISORS
  • Supervisee has shared a copy of the most recent CANS assessment
  • Was the assessment completed with the participation of youth, family, team members?
  • If not, brainstorm ideas for building youth and family engagement using the CANS.
  • What is getting in the clinician’s way of engaging the youth and family?
  • What does the clinician need from me in order to overcome these roadblocks?
​See CANS & ANSA Case Review Checklist for Supervisors 
ALAMEDA ANSA TRAINING 2.0
An introduction to the ANSA tool from a supervisor's perspective. The training provides an overview to ANSA and directly addresses techniques, tools, and resources for engaging staff in its use. The Alameda ANSA Training 2.0 presentation has rolled out in Alameda county as a way to help supervisors better understand and adopt the tool with their staff.
CANS RESPONSIBILITIES ACROSS THE AGENCY
CANS is an assessment tool used not just by Clinicians, but by everyone across the agency.  No matter your role or job position, you play an active part in the utilization of CANS—whether it’s through gathering information directly with families or assessing patterns in CANS data across programs.
HOW TO COACH A SUPERVISEE THROUGH USING CAN/ANSA
​7 Core Skills to Use During Supervision: Presence, Listening, Reflecting Back, Questioning, Feedback, Accountability, Modeling
INCORPORATING THE CANS/ANSA INTO CLINICAL SUPERVISION 
Many supervisors don’t quite know how to incorporate the CANS/ANSA into their supervision discussions with clinicians and other treatment team members.  This tip sheet provides some key questions that supervisors can use to help bring the CANS/ANSA into the room. 
SUPERVISION USING THE CANS/ANSA

​Responsibilities in Supervision

  • ​Ensure compliance with policies and procedures
  • Help manage schedules and workloads
  • Improve quality of care provided by supervisees
  • Facilitate professional development
  • Problem solve challenges as they arise

​Opportunities in Supervision

  • ​Developing marketable skill sets including basic management skills
  • Broadening clinical expertise through vicarious treatment experiences
  • Mentoring bright young clinicians
  • Helping improve the lives of a larger group of children and families

​Strategies used by Supervisors

  • ​Review and sign off on any CANS before submitted
  • Discuss any case by first reviewing the CANS so that it serves as Cliff/Coles Notes on the case
  • Shadow a supervisee doing a CANS with a family or individual
  • Have a supervisee shadow supervisor doing a CANS with a family or individual
  • Use CANS at the start of any discussion in case presentations or team supervisions
  • Review treatment plans to ensure that planning is guided by how the family or individual is understood using CANS
  • Monitor supervisee level reports on the status of their cases and outcomes from episodes of care and review performance with supervisees
See Supervision Using the CANS/ANSA