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Enhancing Quality of Care Through Evidence-Based Practice: Training and Supervision Experiences
Paige L Seegan1, Leslie Miller1, Andrea S Young1
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (all authors); Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Cullen).
American Journal of Psychotherapy
|April 7, 2023
Summary
Most therapists lack essential supervision in empirically supported treatments (ESTs). This highlights a critical gap in training, impacting the quality of mental health care and patient outcomes in psychiatric settings.
Area of Science:
- Mental Health
- Psychiatry
- Clinical Psychology
Background:
- Evidence-based practice (EBP) integrates research, expertise, and patient values for optimal outcomes.
- Supervision of empirically supported treatments (ESTs) is crucial for therapist skill development in mental health settings.
Purpose of the Study:
- To evaluate the training and supervision histories of therapists in psychiatric care.
- To identify gaps in EST training and supervision to improve patient care.
Main Methods:
- Electronic surveys were administered to 69 therapists in outpatient and inpatient settings.
- Participants were recruited from a psychiatry and behavioral sciences department at an academic institution.
Main Results:
- Most therapists reported some EST coursework but lacked supervision.
- A majority received no supervision for cognitive-behavioral therapy (51%), dialectical behavior therapy (76%), or other ESTs (52%).
Conclusions:
- Gaps in EST training and supervision persist despite recommendations.
- Findings inform mental health centers on evaluating and targeting training needs to enhance routine care quality.
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