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Australas Psychiatry. 2019 May 13:1039856219845486. doi: 10.1177/1039856219845486. [Epub ahead of print]

Supervision contracts for mental health professionals: a systematic review and exploration of the potential relevance to psychiatry training in Australia and New Zealand.

Author information

1
Psychiatry Registrar, Mood Academic and Clinical Unit, Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia.
2
Psychiatrist, Psychosis Academic and Clinical Unit, Metro South Addiction and Mental Health Service, Brisbane, QLD, and; Adjunct Research Fellow, Queensland Centre for Mental Health Research, Wacol, QLD, and; University of Queensland, Adjunct Research Fellow, Queensland Brain Institute, St Lucia, QLD, Australia.
3
Director of Training - Queensland, Post-Graduate Training in Psychiatry, Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia.
4
Psychiatrist and Director of Training - Central and Southern Cluster, Post-Graduate Training in Psychiatry, Metro South Addiction and Mental Health Service, Brisbane, QLD, and; PhD candidate, University of Queensland, School of Public Health, Herston, QLD, Australia.

Abstract

OBJECTIVE:

The use of formal supervision contracts has been strongly advocated across non-medical mental health professions. However, the use of such agreements is not a feature of the RANZCP Competency-Based Fellowship Program. This paper critically examines the evidence to support the use of formal supervision contracts.

METHOD:

A systematic review of empirical studies relating to the outcomes of supervision contracts was completed. Included records were subject to quality appraisal.

RESULTS:

Two studies met the inclusion criteria; both were assessed to be of poor quality. One study found improved supervision effectiveness associated with the use of supervision contracts, and the other found no significant differences associated with formal contracting.

CONCLUSION:

Despite strong advocacy, limited empirical evidence was found to support the value of formal supervision contracts across mental health professions. PROSPERO registration - PROSPERO 2018 CRD42018104142.

KEYWORDS:

RANZCP; clinical supervision; competency-based fellowship program; post-graduate medical education; supervision contract

PMID:
31081352
DOI:
10.1177/1039856219845486

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