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

Journal: Comprehensive psychiatry

Volume: 139

Issue: 

Year of Publication: 

Affiliated Institutions:  Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland. Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland. Electronic address: czemp@tcd.ie. Mental Health and Psychosocial Support Expert, Jordan. Red Cross Red Crescent Movement MHPSS Hub, Copenhagen, Denmark. Department of Psychology, School of Business, National College of Ireland, Dublin, Ireland. Center for Victims of Torture, Ethiopia. Save the Children, Afghanistan. Bangladesh Red Crescent Society, Bangladesh. Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh. International Federation of the Red Cross and Red Crescent Societies, Health and Care Department, IFRC, Geneva, Switzerland. Independent Mental Health and Psychosocial Support Specialist, United States. Save the Children, Denmark.

Abstract summary 

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.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.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.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.

Authors & Co-authors:  Ryan Meg M Zemp Charles C Abujaber Nadeen N Sonnenstuhl Marie M Alshibi Ahmad A Blum Pia Tingsted PT Cheffi Ahlem A Fox Robert R Githaiga Sandra S Green Hannah H Islam Md Saidul MS Jabbour Salam S Jahan Sabiha S de Matos Cátia Sofia Peres CSP Maurya Bhanu Pratap BP McBride Kelly A KA Nielsen Louise Marie Thorlund LMT Ockenden Nick N Rigall Nathalie Helena NH Whitton Shona S Wright Namanya N Vallières Frédérique F

Study Outcome 

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Citations : 
Authors :  22
Identifiers
Doi : 10.1016/j.comppsych.2025.152584
SSN : 1532-8384
Study Population
Male,Female
Mesh Terms
Other Terms
Human resources;Humanitarian contexts;Humanitarian emergencies;Integrated Model for Supervision;Mental health;Psychosocial support;Supportive supervision
Study Design
Study Approach
Quantitative
Country of Study
Publication Country
United States