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成瘾实践监督快速回顾

Rapid Review of Addiction Practice Supervision.

作者信息

El Amanni Alexander, Bartley Allen

机构信息

School of Population Health, University of Auckland, Auckland, New Zealand.

School of Counselling, Human Services and Social Work, University of Auckland, Auckland, New Zealand.

出版信息

Drug Alcohol Rev. 2025 Sep;44(6):1704-1710. doi: 10.1111/dar.70013. Epub 2025 Aug 11.

Abstract

ISSUES

Clinical supervision is important in addiction practice to uphold ethics, maintain best practice and provide support for practitioners facing work-related stress or risk of burnout. However, addiction practice supervision research is limited and the theoretical foundations have not been critically reviewed. The lack of evidence on available models for supervisors and practitioners drove the need for a targeted review.

APPROACH

This rapid review, informed by Cochrane guidelines, employed a systematic protocol using a broad keyword search on Google Scholar, Scopus, CINAHL and Embase to identify theories and models in supervision for addiction treatment settings. The search returned 274 results, with 11 resources meeting the eligibility criteria following the PRISMA selection process.

KEY FINDINGS

Ten models and theories were identified which fell into one of four categories: Integrative (three), Blended (two), Competency-based (two) and Other (three). All three integrative models were developmental clinical supervision models.

IMPLICATIONS

This review shows that developmental supervision models are prominent in the literature, with addiction practice supervision generally favouring clinical supervision. The lack of empirical studies, however, suggests a gap that future research should address.

CONCLUSION

Despite the limited scope of this rapid review, a strong theoretical foundation for addiction practice supervision was identified. Most models are developmental, with many combining various approaches; some also feature specific adaptations for relevance, while a few are ethical evaluation. This diversity shows promise and the need for further research to assess these models.

摘要

问题

临床督导在成瘾治疗实践中很重要,它有助于维护伦理道德、保持最佳实践,并为面临工作压力或职业倦怠风险的从业者提供支持。然而,成瘾治疗实践督导研究有限,其理论基础也未得到批判性审视。由于缺乏关于适用于督导者和从业者的现有模式的证据,因此有必要进行针对性的综述。

方法

本快速综述以Cochrane指南为依据,采用系统方案,在谷歌学术、Scopus、CINAHL和Embase上进行广泛的关键词搜索,以识别成瘾治疗环境中督导的理论和模式。搜索返回274条结果,经过PRISMA筛选流程后,有11份资源符合纳入标准。

主要发现

共识别出10种模式和理论,可分为以下四类之一:综合型(3种)、融合型(2种)、基于能力型(2种)和其他型(3种)。所有三种综合型模式均为发展性临床督导模式。

启示

本综述表明,发展性督导模式在文献中较为突出,成瘾治疗实践督导普遍倾向于临床督导。然而,实证研究的缺乏表明存在差距,未来研究应予以解决。

结论

尽管本快速综述的范围有限,但仍为成瘾治疗实践督导确定了坚实的理论基础。大多数模式是发展性的,许多模式结合了多种方法;一些模式还针对相关性进行了特定调整,少数模式侧重于伦理评估。这种多样性显示出前景,也表明需要进一步研究以评估这些模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12405809/f688c5c70638/DAR-44-1704-g001.jpg

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