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法国CAPEDP围产期预防性家访项目中心理学家个体督导的最佳实践:德尔菲共识流程结果

BEST PRACTICE IN INDIVIDUAL SUPERVISION OF PSYCHOLOGISTS WORKING IN THE FRENCH CAPEDP PREVENTIVE PERINATAL HOME-VISITING PROGRAM: RESULTS OF A DELPHI CONSENSUS PROCESS.

作者信息

Greacen Tim, Welniarz Bertrand, Purper-Ouakil Diane, Wendland Jaqueline, Dugravier Romain, Saïas Thomas, Tereno Susana, Tubach Florence, Haddad Alain, Guedeney Antoine

机构信息

EPS Maison Blanche, Paris.

EPS de Ville Evrard, Neuilly sur Marne, France.

出版信息

Infant Ment Health J. 2017 Mar;38(2):267-275. doi: 10.1002/imhj.21630. Epub 2017 Feb 25.

Abstract

Individual supervision of home-visiting professionals has proved to be a key element for perinatal home-visiting programs. Although studies have been published concerning quality criteria for supervision in North American contexts, little is known about this subject in other national settings. In the context of the CAPEDP program (Compétences parentales et Attachement dans la Petite Enfance: Diminution des risques liés aux troubles de santé mentale et Promotion de la résilience; Parental Skills and Attachment in Early Childhood: Reducing Mental Health Risks and Promoting Resilience), the first randomized controlled perinatal mental health promotion research program to take place in France, this article describes the results of a study using the Delphi consensus method to identify the program supervisors' points of view concerning best practice for the individual supervision of home visitors involved in such programs. The final 18 recommendations could be grouped into four general themes: the organization and setting of supervision sessions; supervisor competencies; relationship between supervisor and supervisee; and supervisor intervention strategies within the supervision process. The quality criteria identified in this perinatal home-visiting program in the French cultural context underline the importance of clinical supervision and not just reflective supervision when working with families with multiple, highly complex needs.

摘要

事实证明,对家访专业人员进行个别督导是围产期家访项目的关键要素。尽管已有关于北美背景下督导质量标准的研究发表,但在其他国家背景下,人们对这一主题知之甚少。在法国开展的首个随机对照围产期心理健康促进研究项目CAPEDP项目(幼儿期父母能力与依恋:降低心理健康问题相关风险及促进复原力)的背景下,本文描述了一项采用德尔菲共识法的研究结果,以确定项目督导对于此类项目中家访人员个别督导最佳实践的观点。最终的18条建议可归纳为四个总体主题:督导会议的组织与环境;督导能力;督导与被督导者之间的关系;以及督导过程中的督导干预策略。在法国文化背景下的这个围产期家访项目中确定的质量标准强调了在为有多重、高度复杂需求的家庭提供服务时,临床督导而非仅仅反思性督导的重要性。

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