Pain and depression are often comorbid after SCI. This comorbidity is associated with higher pain and depression severity, more persistent pain and depression over time, and more use of SCI specialty care. Comorbid pain and depression should be anticipated among persons with SCI and addressed in care plans.

Predictive models that utilize data from electronic healthcare records (EHR) have been developed, investigated, and appear to provide an important resource for suicide prevention in medical settings. Actuarial approaches to predicting suicide may be particularly important given the relative inability of clinicians to accurately predict suicide. Although research regarding predictive models that utilize EHR is certainly promising, ethical considerations for the use of these models to trigger suicide prevention interventions warrant careful consideration. The current manuscript discusses ethical considerations regarding the use of predictive models in suicide prevention clinical care. The unique characteristics of suicide are explored in terms of how they inform ethical and practical approaches. Additionally, biomedical ethical principles and utilitarian, Kantian, and personal rights ethical models are applied to the topic. Recommendations for navigating the ethical issues are provided as an initial framework for others who are considering the implementation of a predictive model to trigger suicide prevention initiatives.

Purpose/Objective: Teams are a critical part of modern health care, particularly in rehabilitation settings where multiple providers with different backgrounds and training work toward common goals. Rehabilitation psychologists have a legacy of providing leadership and influence for complex teams. Knowledge of interdisciplinary/transdisciplinary systems, leadership within those systems, and consultation across disciplines are foundational competencies for rehabilitation psychologists. Research Method/Design: This paper summarizes the different roles rehabilitation psychologists serve on health care teams and identifies opportunities for improved effectiveness. An overview of leadership theory over time is provided. Results: Even when psychologists are not formal team leaders, opportunities exist to leverage team member strengths and encourage the development of leader behaviors across the team in support of good patient care. Conclusions/Implications: Drawing from the management and organizational development literature, evidence-based suggestions are provided for rehabilitation psychologists seeking to foster healthy team dynamics within and among health care teams. The authors encourage rehabilitation psychologists to use their unique training to facilitate shared leadership on teams that foster and encourage a climate of trust, psychological safety, healthy and productive conflict, along with strong communication practices. These issues became even more salient as teams transitioned to virtual platforms during the pandemic and continue to adapt to hybrid work environments. Impact and ImplicationsThis paper integrates management and organizational behavior theory with rehabilitation psychology competencies to offer evidence-based suggestions for enhancing leadership behaviors on health care teams. This is one of the first papers to highlight the potential leadership strategies rehabilitation psychologists can employ on transdisciplinary teams, which consist of highly educated and skilled individuals who likely have different reporting structures. By leveraging their education, training, and integration of evidence-based practices, rehabilitation psychologists can aid in teams' incorporation of recommendations that will allow for healthy and productive processes and dissent in pursuit of excellence both within individual teams and across multiteam systems.

Clinical supervision is of critical importance for training subsequent generations of psychologists. Specialty training in rehabilitation psychology requires exposure to specific knowledge, skills, and attitudes related to disability and specialized supervision and mentorship. In the literature to date, minimal guidance exists regarding supervision training and methods specifically for rehabilitation psychologists. This article aims to provoke discussion regarding supervision practice and dissemination of the values fundamental to our specialty. The foundational wisdom of Dr. Beatrice Wright (1983) is applied for the purposes of this endeavor. Examples of clinical supervision scenarios are presented as teaching vignettes to demonstrate ways in which supervisors and mentors can incorporate this content, promote discussion, and apply it to real-world practice.

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