Supervision in Psychiatric Practice Practical Approaches Across Venues and Providers

Despite the importance of supervision to the field of mental health—it is a building block of learning and a fundamental stepping-stone to unsupervised practice—most mental health supervisors receive little to no training in how to supervise. Supervision also remains the least developed and researched aspect of clinical training.

This relative lack of attention to this crucial element of training is what makes Supervision in Psychiatric Practice such a necessary addition to the psychiatric literature. More than two dozen experts bring their knowledge to bear on establishing a practical framework for supervision grounded in real-world experience.

This guide explores techniques such as role-playing, working with process notes, live supervision, and co-therapy in a variety of clinical and nonclinical settings, including:

• Inpatient psychiatry
  
• Hospital-based consultation-liaison and emergency department psychiatry
  
• Couples and family therapy
  
• Administrative training
  
• Leadership development
  
• Quality improvement initiatives

Key points provide a context for each chapter and allow readers to easily reference the book’s major takeaways. All chapters address specific challenges and strategies related to the topic and include questions for supervisees and supervisors to facilitate discussion. Also included is a listing of additional resources that can serve as a springboard to further discovery and learning.

Special attention is given to unique issues in supervision, including selecting a psychotherapy supervisor, supervising adverse outcomes, supervising auxiliary health care providers, and terminating a supervisory relationship. A discussion of the legal issues in supervision and building a supervisor training program round out the most comprehensive, up-to-date manual of its kind.

Contents

Part 1: Introduction
Chapter 1. Elements of Supervision
Chapter 2. Psychotherapy Supervision Research: A Status Report and Proposed Model
Part 2: Supervision Formats
Chapter 3. Supervision Formats
Chapter 4. Virtual or Hybrid Supervision
Part 3: Supervision Techniques
Chapter 5. Working with Transcripts: An Underutilized Supervisory Approach
Chapter 6. Working With Process Notes
Chapter 7. Role-Play
Chapter 8. Modeling, Rehearsal, and Feedback: A Simple Approach to Teaching Complex Skills
Chapter 9. Video Recordings: Learning Through Facilitated Observation and Feedback
Chapter 10. Deliberate Practice for Clinical Supervision and Training
Chapter 11. Live Supervision: Behind the One-Way Mirror
Chapter 12. Co-therapy: Observing and Modeling in Real Time
Chapter 13. Other Supervisory Techniques: Before, During, and After the Patient Encounter
Part 4: Clinical Supervision Venues
Chapter 14. Inpatient Psychiatry Supervision
Chapter 15. Night Float: Working With Supervisees Remotely
Chapter 16. Hospital-Based Consultation-Liaison and Emergency Department Supervision
Chapter 17. Psychopharmacology Clinic Supervision
Chapter 18. Supportive Psychotherapy Supervision
Chapter 19. Cognitive-Behavioral Therapy Supervision: Enhancing Learning and Promoting Expertise
Chapter 20. Psychodynamic Supervision
Chapter 21. Time-Limited Dynamic Psychotherapy Supervision: A Therapy-Driven and Competency-Based Model
Chapter 22. Group Psychotherapy Supervision: Working at Multiple Levels
Chapter 23. Couples and Family Therapy Supervision: Learning to Work Systemically
Chapter 24. Child and Adolescent Psychiatry Supervision: A Developmental Focus for the Patient and Trainee
Chapter 25. Integrated Psychiatric Care Supervision
Chapter 26. Community Mental Health Supervision: Serving the Underserved
Chapter 27. Global Mental Health Supervision: Capacity Building to Achieve Health Equity
Part 5: Nonclinical Supervision Venues
Chapter 28. Administrative Supervision
Chapter 29. Leadership Supervision
Chapter 30. Supervising Scholarship
Chapter 31. Quality Improvement: Supervising Trainees to Lead Change
Part 6: Special Issues in Supervision
Chapter 32. How to Select an Individual Psychotherapy Supervisor: A Practical Guide
Chapter 33. The Supervisee: Making the Most of Supervision
Chapter 34. Psychotherapy Supervision by a Psychologist: Benefits and Potential Challenges
Chapter 35. Cultural Issues Within the Supervisory Relationship
Chapter 36. Ruptures in the Supervisory Alliance
Chapter 37. The Supervision of Countertransference
Chapter 38. Boundaries: Management of Supervisory Roles and Behaviors
Chapter 39. Unprofessional Behavior: Identification and Remediation in Supervision
Chapter 40. Termination: Supervising a Good Good-bye
Chapter 41. Supervising Cross-Cultural Topics in a Clinical Setting
Chapter 42. Integrating Measurement-Based Care Into Supervision
Chapter 43. Neuroscience in Clinical Supervision: Toward a Neurobiopsychosocial Approach
Chapter 44. Suicide and Suicidal Behaviors: Supervising Adverse Outcomes
Chapter 45. Supervision in a Specialty Clinic: A New Frontier
Chapter 46. Supervision of Auxiliary Health Care Providers: Roles, Goals, and Learning Opportunities
Chapter 47. Clinical Consultation: How Consulting Differs From Supervising
Chapter 48. Enhancing Learning in Supervision
Part 7: Legal and Ethical Issues
Chapter 49. Legal and Ethical Considerations in Supervision
Part 8: Professional Development
Chapter 50. Professional Development: Strategies for Supervision and Growth of Supervisors