New York University School of Medicine, New York, NY, USA.
Bellevue Hospital Center, New York, NY, USA.
Acad Psychiatry. 2020 Feb;44(1):21-25. doi: 10.1007/s40596-019-01094-y. Epub 2019 Aug 6.
Mental health providers experience inappropriate sexual behavior from patients. It is unclear if training programs adequately prepare trainees to respond to such behaviors. Additionally, trainees may not seek support and guidance from supervisors after an incident. This is an exploratory study to document the prevalence of and assess the preparedness of trainees to deal with inappropriate sexual behavior.
A survey was administered to 58 psychiatry residents and 14 psychology interns at the NYU School of Medicine. A total of 22 questions were asked regarding participants' experiences with inappropriate sexual behavior, including prevalence of, and preparedness during, and support received after the behavior.
Of those who completed the survey, 89% of respondents had experienced inappropriate sexual behavior. Seventy percent said they had no training in responding to inappropriate sexual behavior, and 95% wanted more training. A minority of respondents consistently sought support after these events, and of those who did, only 60% of trainees did so with a supervisor.
Experiences involving inappropriate sexual behavior are prevalent among the mental health trainees surveyed, but most trainees did not feel that they received adequate training in preparation for or supervision after their experiences. Creating training or establishing protocols to respond to inappropriate sexual behavior may help trainees feel more capable and safer. Further studies are needed to understand inappropriate sexual behavior's impact on trainees and patient care, as well as to assess the efficacy of training and protocols developed to manage inappropriate sexual behavior.
心理健康服务提供者会遭遇患者的不当性行为。目前尚不清楚培训项目是否充分准备让学员应对此类行为。此外，学员在事件发生后可能不会向主管寻求支持和指导。这是一项探索性研究，旨在记录学员遭遇不当性行为的普遍性，并评估学员应对不当性行为的准备情况。
对纽约大学医学院的 58 名精神病学住院医师和 14 名心理学实习生进行了一项调查。总共提出了 22 个问题，涉及参与者遭遇不当性行为的经历，包括行为的普遍性、应对准备以及行为发生后的支持情况。
在完成调查的受访者中，89%的人表示曾遭遇过不当性行为。70%的人表示他们没有接受过应对不当性行为的培训，95%的人希望接受更多培训。少数受访者在这些事件后始终寻求支持，而在寻求支持的受访者中，只有 60%的学员是向主管寻求支持。
在接受调查的心理健康培训学员中，遭遇不当性行为的经历很普遍，但大多数学员认为他们在应对或监督方面没有得到充分的培训。创建培训或建立协议来应对不当性行为可能有助于学员感到更有能力和更安全。需要进一步的研究来了解不当性行为对学员和患者护理的影响，以及评估培训和协议的效果，以管理不当性行为。
