Supervision Contracts in Psychiatry: A Systematic Review and Proposal for Future Exploration

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Lu, D
Suetani, S
Parker, S
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2019
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Cairns, Australia

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Abstract

Background: The use of formal supervision contracts is an emerging practice across non-medical mental health professions. However, use of such contracts is not a requirement of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Competency-Based Fellowship Programme (CBFP). Given their widespread uptake and advocacy, it is logical that these should be considered for incorporation within the CBFP. In considering their relevance, an appropriate first step is determining what empirical evidence exists that supports their use.

Objectives: This session critically examines the evidence to support the use of formal supervision contracts, and presents a template for a supervision contract to guide practice and future research.

Methods: A systematic review of empirical studies relating to the outcomes of supervision contracts was completed. Included records were subject to quality appraisal. Additionally, a supervision contract template was generated through author consensus.

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

Conclusions: Despite strong advocacy, limited empirical evidence supported the value of formal supervision contracts across mental health professions. The proposed template provides a starting point for RANZCP supervisors and trainees to consider the relevance of these contracts for their own work and to guide future research.

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AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY

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53

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1_suppl

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Subject

Biomedical and clinical sciences

Psychology

Science & Technology

Life Sciences & Biomedicine

Psychiatry

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Lu, D; Suetani, S; Parker, S, Supervision Contracts in Psychiatry: A Systematic Review and Proposal for Future Exploration, Australian & New Zealand Journal of Psychiatry, 2019, 53, pp. 32-32