“…However, some challenges are inherently shared by all public psychotherapeutic services around the world, which could be broadly summarized as follows:- Public psychotherapy must adhere to the principles of distributive justice (i.e., overarching equality of access to scarce health resources; Daniels, 2001), including, for example, the issue of patient prioritization and maintaining cost-effectiveness. Thus, supervision in publicly funded settings carries the dual task of serving not only the needs of the supervisee and the therapeutic dyad, but also the broader organizational interests of the health care system (Carroll & Rounsaville, 2007; Hutman et al, 2021). In other words, it serves a gatekeeping function by supporting decision-making processes such as rationing care (Walton & Grenyer, 2002), responsible not only for those who get treated, but also for those who do not.
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