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An exploration of supervision delivered via clinical video telehealth (CVT).
Training and Education in Professional Psychology ( IF 2.263 ) Pub Date : 2019-11-01 , DOI: 10.1037/tep0000245
Shiloh E. Jordan , Erika M. Shearer

A growing literature base supports the use of telemental health (TMH) as an effective platform for psychological interventions; however, the literature examining the use of telesupervision is limited. Mirroring TMH, telesupervision is potentially advantageous and may offer benefits above and beyond in-person supervision to include increased accessibility of training, reduced cost for travel and improved flexibility of scheduling, and increased access for peer consultation. These benefits may contribute to greater diversity of training and supervision experiences for trainees as well. In this evidence-based practice project, former psychology trainees (N 12) at 1 Veterans Affairs Health Care System (VA) site were invited to complete an anonymous online questionnaire regarding their supervision experiences utilizing both quantitative and qualitative items to explore trainee perceptions of telesupervision implementation, satisfaction, and efficacy. Both the qualitative and quantitative data suggest equivalence between the telesupervision and in-person supervision experiences with regard to rapport with supervisors and focus on clinical goals and tasks. The qualitative data provide additional insight into the trainee perspective on the benefits related to engaging in telesupervision, challenges related to engaging in telesupervision, and components of successful telesupervision. Telesupervision has the potential to contribute to the sustainability of rural health training programs, to increase access to needed mental health care in geographical areas of mental health shortage, and to allow trainees to receive supervision from supervisors who are culturally competent and expert in providing care to diverse patient populations. This article offers suggestions for optimal practice of telesupervision and discusses implications for training programs going forward.

中文翻译:

通过临床视频远程医疗 (CVT) 提供的监督探索。

越来越多的文献支持使用远程心理健康 (TMH) 作为心理干预的有效平台;然而,研究电视监督使用的文献是有限的。与 TMH 相似,远程监督具有潜在优势,并且可能提供超越亲自监督的好处,包括增加培训的可及性、降低旅行成本和提高日程安排的灵活性,以及​​增加同行咨询的机会。这些好处也可能有助于为受训者提供更多样化的培训和监督经验。在这个循证实践项目中,1 退伍军人事务医疗保健系统 (VA) 站点的前心理学学员 (N 12) 被邀请完成一份匿名在线问卷,调查他们的监督体验,利用定量和定性项目来探索学员对电视监督实施、满意度和有效性的看法。定性和定量数据都表明,在与主管的融洽关系和对临床目标和任务的关注方面,远程监督和亲自监督经验之间是等效的。定性数据提供了对受训者关于参与远程监督的好处、参与远程监督的相关挑战以及成功的远程监督的组成部分的更多见解。远程监督有可能促进农村健康培训计划的可持续性,增加在精神卫生短缺的地理区域获得所需精神卫生保健的机会,并使受训者能够接受具有文化能力且擅长提供护理的主管的监督。不同的患者群体。本文为电视监督的最佳实践提供了建议,并讨论了对未来培训计划的影响。
更新日期:2019-11-01
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