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Supervision in Psychiatric Practice

Practical Approaches Across Venues and Providers

Edited by Sallie G. De Golia, M.D., M.P.H., and Kathleen M. Corcoran, Ph.D.

  • ISBN 978-1-61537-164-8
  • Item #37164
Hear the voices behind the most prominent psychiatric scholarship. Listen to Psychiatry Unbound.

APA Publishing Books Editor-in-Chief Laura Roberts, M.D. talks with editors Sallie G. De Golia, M.D. M.P.H., and Kathleen M. Corcoran, Ph.D. about applying approaches to supervision in the clinical practice setting and the challenges as first-time editors in bringing together this important work.

Description

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

Contributors

Bibhav Acharya, M.D.
Esther Akinyemi, M.D.
Melissa R. Arbuckle, M.D., Ph.D.
Belinda S. Bandstra, M.D., M.A.
Jessica Bentzley, M.D.
Joseph Biedrzycki, D.O.
Stephen T. Black, Ph.D.
Adam M. Brenner, M.D.
Kim D. Bullock, M.D.
Deborah L. Cabaniss, M.D.
Jennifer L. Callahan, Ph.D.
Katherine Walia Cerio, M.D.
Randolph S. Charlton, M.D.
Deborah Suzanne Cowley, M.D.
Francesco N. Dandekar, M.D.
William O. Faustman, Ph.D.
Amanda M. Franciscus, M.D.
G. Mark Freeman Jr., M.D., Ph.D.
Jaesu Han, M.D.
Joshua J. Hubregsen, M.D.
Elise Gibbs, Psy.D.
Jessica Gold, M.D., M.S.
Michelle Goldsmith, M.D.
Cheryl Yund Goodrich, Ph.D.
Carlos C. Greaves, M.D.
John M. Greene, M.D.
Joshua Griffiths, M.D.
Shani Isaac, M.D.
Joanna Jarecki, M.D.
Agnes Kalinowski, M.D.
Anita R. Kishore, M.D.
Malathy Kuppuswamy, M.D.
Sheila Lahijani, M.D.
Angela Lee, A,B.
Hanna Levenson, Ph.D.
Kristine H. Luce, Ph.D.
Lisa MacLean, M.D.
Jan Malat, M.D.
John Manring, M.D.
Jesse David Markman, M.D., M.B.A.
Margaret May, M.D.
Robert M. McCarron, D.O.
Lawrence M. McGlynn, M.D., M.S.
Susan McNair, M.D.
Zsuzsa Szombathyne Meszaros, M.D., Ph.D.
Viet T. Nguyen, M.D., M.P.H.
Michelle Burke Parish, Ph.D., M.A.
Natalie Pon, M.D.
Deepak Prabhakar, M.D., M.P.H.
Douglas S. Rait, Ph.D.
Kristin S. Raj, M.D.
Anna Ratzliff, M.D., Ph.D.
Divy Ravindranath, M.D.
Matthew Reed, M.D., M.S.P.H.
Pragya Rimal, M.A.
Thalia Robakis, M.D., Ph.D.
Rachel Robitz, M.D.
Tony Rousmaniere, Psy.D.
Marie E. Rueve, M.D.
Jennifer Ruzhynsky, M.D., M.A.
Debra Safer, M.D.
Ann C. Schwartz, M.D.
Ripal Shah, M.D., M.P.H.
Dorothy E. Stubbe, M.D.
Donna M. Sudak, M.D.
Shannon Suo, M.D.
Megan Tan, M.D., M.S.
Camilla N. Van Voorhees, M.D.
S. Dina Wang-Kraus, M.D.
C. Edward Watkins Jr., Ph.D.
Priyanthy Weerasekera, M.D., M.Ed.
Randon S. Welton, M.D.
Rebecca M. White, M.D.
Dana Wideman, Ph.D.
Ella M. Williams, M.D.
Katherine E. Williams, M.D.
Joel Yager, M.D.
Peter Yellowlees M.B.B.S., M.D.

About the Authors

Sallie G. De Golia, M.D., M.P.H., is Clinical Professor, Associate Chair of Clinician Educator Professional Development, and Associate Residency Director in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Kathleen M. Corcoran, Ph.D., is Clinical Associate Professor and Training Director for the Clinical Psychology Postdoctoral Program (Adult) in the Department of Psychiatry and Behavioral Sciences at Stanford University in Stanford, California.

Here finally is the definitive work on contemporary psychiatry supervision! I can’t wait to read it with my faculty colleagues. De Golia and Corcoran have brought together a wide array of expert supervisors to share how they leverage the one-to-one relationship with students, trainees and junior colleagues to help those learners grow, flourish and become independent, creative psychiatrists. The chapters include traditional settings like psychotherapy supervision, but also the supervision we need now as our field has changed, including integrated care, acute care, administrative and global mental health settings.—Richard F. Summers, M.D., Clinical Professor of Psychiatry, Senior Residency Advisor, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania


De Golia and Corcoran have created a text that offers both breadth and depth to assist the practitioner of supervision in the medical field of psychiatry. Because all chapters follow the same clear format, it is easy to discern if a given chapter will provide what the reader seeks. The text also will serve as both a guide for the supervisor new to the role and as a resource for those who are asked to supervise within a new context. The “basics” of psychotherapy supervision that inform all mental health professions are covered with great specificity; these are then applied to multiple contexts within psychiatry. In short, this is a text that will prove to be a significant addition to the supervision literature.—Janine M. Bernard, Ph.D., LMHC, Professor Emeritus, Department of Counseling and Human Services, Syracuse University

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