Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts

IF 4.3 2区医学 Q1 PSYCHIATRY

Comprehensive psychiatry Pub Date : 2025-02-17 DOI:10.1016/j.comppsych.2025.152584

Meg Ryan , Charles Zemp , Nadeen Abujaber , Marie Sonnenstuhl , Ahmad Alshibi , Pia Tingsted Blum , Ahlem Cheffi , Robert Fox , Sandra Githaiga , Hannah Green , Md. Saidul Islam , Salam Jabbour , Sabiha Jahan , Cátia Sofia Peres de Matos , Bhanu Pratap Maurya , Kelly A. McBride , Louise Marie Thorlund Nielsen , Nick Ockenden , Nathalie Helena Rigall , Shona Whitton , Frédérique Vallières

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引用次数: 0

Abstract

Background

The ‘Integrated Model for Supervision’ (IMS) offers important guidance for how to provide supportive supervision within mental health and psychosocial support (MHPSS) programming in humanitarian emergencies. The current study sought to (i) describe how the IMS was implemented following IMS training; (ii) assess whether delivery of the IMS training is associated with changes in a selection of theoretically supported quantitative outcomes; and (iii) elicit feedback on the IMS and its implementation process.

Methods

Data was collected from a participant pool of n = 119 individuals from six different humanitarian organisations that had previously participated in an IMS training. For the first and third objectives, interviews at 6- and 12-months post-training were conducted and thematically analysed. For the second objective, timepoint comparison analytical techniques were used across five distinct timepoints.

Results

Quantitative findings showed significant increases in participant self-efficacy, supervision knowledge, and supervision confidence, alongside some evidence of reductions in participant burnout. Qualitatively, participants underscored the IMS's efficacy in creating supportive supervision structures within their organisations, identified barriers and facilitators to implementation and proposed strategies for sustainability. Additionally, they highlighted positive impacts of implementing the IMS on staff, organisational culture, and service quality.

Discussion/conclusion

This study supports the effectiveness and acceptability of the IMS in enhancing the capacity of organisations to provide supportive supervision in humanitarian contexts, as key to promote the wellbeing of humanitarian MHPSS workers and the quality of the services they deliver. Challenges remain, however, to ensure sustainable implementation of the IMS, which guide ongoing efforts towards its improvement.

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来源期刊

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.