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Ensuring Treatment Fidelity & Building Clinical Competencies
Through Supportive Supervision

A Live, Interactive Webconference
Friday, April 17, 2026, All Sites via Live Interactive Zoom
8:30am-12:30pm

This workshop covers two of the five ESFT core supervisor responsibilities: establishing positive, supportive supervisory relationships and functional teams. This workshop covers the other three:  ensuring treatment fidelity and treatment effectiveness and building clinical competency for therapists.  The supervisor role can be overwhelming at times.  That is, it can be difficult to manage all five ESFT supervisory responsibilities while also meeting the expectations of various stakeholders. The format for this training is interactive.  Participants will have the opportunity to discuss current dilemmas in carrying out and balancing their multiple supervisory responsibilities. 

Objectives:

As a result of participating in this training, supervisors will be able to:  

  1. Identify two benefits of using ESFT fidelity tools in supervision 
  2. Describe strategies for using session videotape review in supervision in conjunction with the PA FBMHS Therapeutic Adherence Scale to develop clinical competency
  3. Demonstrate techniques for providing supportive feedback to supervisees

Agenda
8:30am-12:30pm: Objectives 1-3

This is beginning level supervision course. The target audience is behavioral health supervisors working within an Ecosystemic Family Therapy Model. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations. The supervision forums count toward required annual supervision training hours in Family Based Mental Health Services.  However, CE credit is not available. 

Frequently Asked Questions
Visit our FBMHS Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

Facilitating Enactments in Family Treatment

A Live, Interactive Webconference
Wednesday, 2/9/22, via Live Interactive Zoom
Thursday, 2/10/22, via Live Interactive Zoom
Friday, 2/11/22, via Live Interactive Zoom

8:30am-12:30pm

Children and adolescents with severe emotional and behavioral issues (and their families) can become entrenched in negative interactional patterns that perpetuate and exacerbate high-risk behavior.  ESFT treatment, using enactments, disrupts and shifts these negative interactional patterns to more functional ones.  This training builds upon the Fall workshop, Shifting Negative Patterns Through Facilitated Enactments, which introduced enactments and how to use them in family assessment.  This workshop describes three types of changeinducing enactments.  Videotaped sessions demonstrate how to use different enactments in family treatment.  An emphasis is placed on having a systemic case conceptualization guiding family sessions A systemic case conceptualization enables family therapists to recognize key negative patterns when they occur and use enactments to create more functional relationships.  Four phases of enactment are explained: setting the stage, giving the directive, keeping the conversation on track, and helping the family process and make meaning of the enactment.

Objectives 

As a result of attending this training, participants will be able to:

  1. Describe enactments and how systems theory informs this technique
  2. Identify three types of change-inducing enactments
  3. Explain the four phases of an enactment

Agenda
8:30am-12:30pm: Objectives 1-3

This is an intermediate level course. The target audience is behavioral health professionals working within North Carolina’s Intensive In-Home Program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.


Frequently Asked Questions
Visit our FBMHS Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

Encouraging Therapists to take a Facilitative Role in Family Therapy Sessions

A Live, Interactive Webconference
Wednesday, 11/3/21, via Live Interactive Zoom Webconference
Thursday, 11/4/21, via Live Interactive Zoom Webconference
Friday, 11/5/21, via Live Interactive Zoom Webconference
1:00pm-4:00pm

Objectives:

  1. Identify common barriers supervisors face in getting therapists to take a facilitative role in sessions.
  2. Identify strategies for addressing these barriers and helping therapists to take a facilitative role in sessions

Agenda
1:00pm-4:00pm: Objectives 1-2

This is an intermediate level course. The target audience is behavioral health supervisors working within North Carolina’s Intensive In-Home Program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.


Frequently Asked Questions
Visit our FBMHS Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

Shifting Negative Family Patterns Through Facilitated Enactments

A Live, Interactive Webconference
Wednesday, 11/3/21, via Live Interactive Zoom
Thursday, 11/4/21, via Live Interactive Zoom
Friday, 11/5/21, via Live Interactive Zoom

8:30am-12:30pm

Therapists working in intensive, in-home, family-based services see many families who are stuck in negative, self-defeating interactional patterns that create a toxic relational environment for their children and themselves. These negative patterns result in caregivers struggling to find empathy and compassion for their children and struggling to maintain a leadership role in the family. Therapists relying strictly on methods directed at changing cognitions or behavior often fail with multi-stressed families.  This workshop describes how to use a method that is the cornerstone of EcoSystemic approaches to family therapy – enactments. This approach involves therapists assuming a facilitative role, seizing on opportunities in sessions to help family members experience themselves in more functional interactions with one another.  

Objectives 

As a result of participating in this workshop, therapists will be able to:

  1. Describe the role of supportive counseling, psychoeducation, coaching, and enactment in family therapy
  2. Describe the nature of an enactment and the reasons this approach is effective in shifting negative family patterns
  3. Recognize when to use an enactment in sessions and how to set it up to be effective

Agenda
8:30am-12:30pm: Objectives 1-3

This is an intermediate level course. The target audience is behavioral health professionals working within North Carolina’s Intensive In-Home Program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.


Frequently Asked Questions
Visit our FBMHS Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

Building Positive, Supportive Supervisory Relationships
& Functional Family-Based Teams

A Live, Interactive Webconference
Friday, December 11, 2025, All Sites via Live Interactive Zoom
8:30am-12:30am

The ESFT supervisor has five major responsibilities: ensuring treatment fidelity and effectiveness, building clinical competency for therapists, establishing positive, supportive supervisory relationships and functional teams. The role can be overwhelming and may be difficult to manage all of the responsibilities while meet the expectations of various stakeholders. This course focuses on building supervisory relationships that promote hope and build competency as well as developing functional two-person teams. Participants will have opportunity to discuss current supervisory dilemmas.

Objectives:

  1. Identify three tasks to build competence, hopefulness and positive morale
  2. Describe ways to use weekly larger group supervision to create engagement and foster a supportive team culture
  3. Name supervisory techniques to be used in each stage of team develop

Agenda
8:30am-10:30am: Objectives 1-3

This is a beginning level course. The target audience is behavioral health supervisors working within an Ecosystemic Family Therapy Model. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations. The supervision forums count toward required annual supervision training hours in Family Based Mental Health Services.  However, CE credit is not available. 

Frequently Asked Questions
Visit our FBMHS Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.