心理治疗督导中的当前风险管理实践。

Current Risk Management Practices in Psychotherapy Supervision.

作者信息

Mehrtens Ilayna K, Crapanzano Kathleen, Tynes L Lee

机构信息

Ms. Mehrtens is a doctoral student, LSU Department of Psychology, Dr. Crapanzano is an Associate Professor of Psychiatry, and Dr. Tynes is Clinical Assistant Professor of Psychiatry, LSU Health Sciences Center, Baton Rouge, LA. Dr. Tynes is also Associate Professor of Psychiatry, Tulane University, New Orleans, LA.

出版信息

J Am Acad Psychiatry Law. 2017 Dec;45(4):409-414.

PMID:29282229

Abstract

Psychotherapy competence is a core skill for psychiatry residents, and psychotherapy supervision is a time-honored approach to teaching this skill. To explore the current supervision practices of psychiatry training programs, a 24-item questionnaire was sent to all program directors of Accreditation Council for Graduate Medical Education (ACGME)-approved adult psychiatry programs. The questionnaire included items regarding adherence to recently proposed therapy supervision practices aimed at reducing potential liability risk. The results suggested that current therapy supervision practices do not include sufficient management of the potential liability involved in therapy supervision. Better protections for patients, residents, supervisors and the institutions would be possible with improved credentialing practices and better documentation of informed consent and supervision policies and procedures.

摘要

心理治疗能力是精神科住院医师的一项核心技能，而心理治疗督导是教授这项技能的一种历史悠久的方法。为了探究精神科培训项目当前的督导实践情况，一份包含24个条目的问卷被发送给了研究生医学教育认证委员会（ACGME）批准的所有成人精神科项目的项目主任。该问卷包含了关于遵守最近提出的旨在降低潜在责任风险的治疗督导实践的条目。结果表明，当前的治疗督导实践并未充分管理治疗督导中涉及的潜在责任。通过改进资质认定实践以及更好地记录知情同意和督导政策与程序，可为患者、住院医师、督导人员和机构提供更好的保护。