Abstract
Uniformed mental health care providers often practice in extremis; that is, in difficult and dangerous contexts defined by deployment to combat theaters, isolated practice settings, and exposure—directly and indirectly—to traumatic experiences. Frequent exposure to client trauma heightens the risk of secondary traumatic stress and compassion fatigue among military health care providers. Supervision for military interns, residents, and junior practitioners must be competent, caring, and trauma-informed. In this article, we describe the unique characteristics of clinical practice in deployed military settings, including the unique professional and ethical quandaries for both practitioners and their clinical supervisors. We then offer a framework for trauma-informed supervision in deployed military settings, including several specific recommendations for supervisors in these contexts.
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