背景随着全球精神卫生领域的发展,许多心理治疗学员将在高收入国家或低收入和中等收入国家的低资源环境中跨文化工作。教职员工和导师在低资源环境中为心理学家提供监督方面可能面临一些挑战。因此,有必要为全球精神卫生中的心理治疗监督制定最佳实践。方法我们根据我们的研究描述了心理治疗监督中的常见挑战和潜在策略,临床,和学术机构之间的学术伙伴关系,一个非营利组织,和尼泊尔政府。结果我们发现有帮助的策略和考虑因素包括专注于具有强烈行为和人际关系(而不是情感或认知)成分的疗法,以及使用世卫组织认可的针对低资源环境的局部验证疗法或标准手册。其他策略包括为可能担任监督角色的当地精神科医生提供心理治疗培训,并获得应对社会结构和家庭动态的不同期望的能力。结论主管在全球心理健康环境中为受训者和早期心理学家提供支持时面临许多挑战。在确保当地适应的同时,关键考虑因素可以发展成为支持精神科医生的最佳实践,supervisors,以及低收入和中等收入国家的受训人员。
UNASSIGNED: As the field of global mental health grows, many psychotherapy trainees will work across cultures in low-resource settings in high-income countries or in low- and middle-income countries. Faculty members and mentors may face several challenges in providing
supervision for psychologists in low-resource settings. As such, there is a need to develop best practices for psychotherapy
supervision in global mental health.
UNASSIGNED: We describe the common challenges and potential strategies in psychotherapy
supervision based on our research, clinical, and academic partnerships between academic institutions, a nonprofit organization, and the Nepali government.
UNASSIGNED: The strategies and considerations we have found helpful include focusing on therapies with strong behavioral and interpersonal (rather than emotional or cognitive) components and using locally validated therapies or standard manuals that have been endorsed by the WHO for low-resource settings. Other strategies include providing psychotherapy training for local psychiatrists who may be in supervisory roles and gaining competence in navigating different expectations of social structures and family dynamics.
UNASSIGNED: Supervisors face many challenges while supporting trainees and early psychologists in global mental health settings. While ensuring local adaptation, key considerations can be developed into best practices to support psychiatrists, supervisors, and trainees based in low- and middle-income countries.