The Cultural, Professional, and Regulatory Context of Clinical Supervision in Puerto Rico
摘要
Clinical supervision (CS) is defined as a professional service that is based on a collaborative relationship with facilitative and evaluative components, which extends over time, whose goals are to improve the professional competence and scientific practice of the supervisee, monitor the quality of the services provided, protect the public, and provide an entry control function to the profession. CS is fundamental for the development of clinical psychology competencies among doctoral trainees. Historically, the first institutions to treat and study mental health on the island date back to 1822, managed by religious institutions under Spanish colonial rule. At that time, mental health issues were often addressed from a Christian perspective, with individuals undergoing exorcisms, being imprisoned, and being treated in inhumane ways without any established intervention models or notions of psychology and supervision as we understand today. Following the change in sovereignty to the United States in 1898 this transition represented a critical juncture, leading to the influence of the United States in multiple aspects of life on the island, including education and mental health. Over the past decade, however, clinical psychology programs in Puerto Rico (PR) have been instrumental in enhancing the rigor of practice and training in CS. Considering this, it is crucial to document the role of CS and best practices among doctoral trainees in PR. A limited number of published studies have documented SC processes in PR. Some of the work identified in the literature is related to the development of CS in PR, ethical and legal aspects of CS, and issues related to CS during COVID-19. This limited literature highlights the need to continue documenting the best practices of CS in PR, which represent a significant contribution to CS with Hispanic/Latinx trainees. The work is part of several authors’ collaborative efforts to document SC in Latin America. This chapter will specifically examine: (1) ethical and legal aspects of CS in PR; (2) current state of supervision in Puerto Rico; (3) discuss the challenges and opportunities of CS in PR; and (4) discuss the challenges and opportunities of CS in PR. The guides and manuals of the training programs, the information that was accessible on the networks, and the codes of ethics and regulations that govern the profession were used to guide the presented work.