Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Bradley/Hasbro Children's Research Center, E.P. Bradley Hospital, East Providence, Rhode Island, USA.
Infant Ment Health J. 2023 Nov;44(6):803-836. doi: 10.1002/imhj.22079. Epub 2023 Aug 3.
Reflective supervision and consultation (RS/C) is regarded as best practice within the infant/early childhood mental health field. Benefits of RS/C on the early childhood workforce and children and families have been demonstrated through case studies, conceptual pieces, and individual research studies. However, findings across studies have not been summarized using gold-standard methodology, thus the state of existing empirical support for RS/C is unclear. This systematic review examined the collective evidence for RS/C across diverse early childhood-serving programs. Electronic databases were searched to identify studies investigating associations between RS/C and professionals' reflective capacity and well-being, child/family outcomes, and implementation factors. Twenty-eight papers were identified. Studies showed positive associations between RS/C and early childhood-serving professionals' reflective capacity and well-being, with qualitative studies reporting more consistent results than studies using quantitative methods. Many methodological limitations were identified, including incomplete reporting of study designs and participant characteristics, variability in outcome measures, and lack of randomization and comparison groups. Furthermore, few studies examined child and family outcomes. Therefore, while RS/C shows great promise, it was difficult to ascertain its overall effectiveness from an empirical standpoint. Establishing RS/C as an empirically supported approach will be possible with more rigorous research.
反思性监督和咨询 (RS/C) 在婴幼儿心理健康领域被视为最佳实践。通过案例研究、概念性文章和个体研究，已经证明了 RS/C 对幼儿劳动力以及儿童和家庭的益处。然而，由于没有使用黄金标准方法对研究结果进行总结，因此，RS/C 的现有实证支持的状况尚不清楚。本系统评价审查了跨不同幼儿服务项目的 RS/C 的综合证据。通过电子数据库搜索，确定了调查 RS/C 与专业人员的反思能力和幸福感、儿童/家庭结果以及实施因素之间关联的研究。确定了 28 篇论文。研究表明，RS/C 与幼儿服务专业人员的反思能力和幸福感之间存在积极关联，定性研究报告的结果比使用定量方法的研究更为一致。确定了许多方法学上的局限性，包括研究设计和参与者特征的报告不完整、结果衡量标准的差异，以及缺乏随机化和对照组。此外，很少有研究检查儿童和家庭的结果。因此，虽然 RS/C 显示出很大的前景，但从实证角度来看，很难确定其整体效果。通过更严格的研究，可以确定 RS/C 作为一种经验支持方法的有效性。
