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

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 I...

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Main Authors: 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, Namanya Wright, Frédérique Vallières
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Comprehensive Psychiatry
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Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X25000112
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author 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
Namanya Wright
Frédérique Vallières
author_facet 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
Namanya Wright
Frédérique Vallières
author_sort Meg Ryan
collection DOAJ
description 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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spelling doaj-art-5ad4da351c214ea185a653ae9c2ff3a02025-08-20T02:16:27ZengElsevierComprehensive Psychiatry0010-440X2025-05-0113915258410.1016/j.comppsych.2025.152584Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contextsMeg Ryan0Charles Zemp1Nadeen Abujaber2Marie Sonnenstuhl3Ahmad Alshibi4Pia Tingsted Blum5Ahlem Cheffi6Robert Fox7Sandra Githaiga8Hannah Green9Md. Saidul Islam10Salam Jabbour11Sabiha Jahan12Cátia Sofia Peres de Matos13Bhanu Pratap Maurya14Kelly A. McBride15Louise Marie Thorlund Nielsen16Nick Ockenden17Nathalie Helena Rigall18Shona Whitton19Namanya Wright20Frédérique Vallières21Trinity Centre for Global Health, Trinity College Dublin, Dublin, IrelandTrinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Corresponding author at: Trinity Centre for Global Health, Trinity College Dublin, The University of Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.Trinity Centre for Global Health, Trinity College Dublin, Dublin, IrelandTrinity Centre for Global Health, Trinity College Dublin, Dublin, IrelandMental Health and Psychosocial Support Expert, JordanRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkDepartment of Psychology, School of Business, National College of Ireland, Dublin, IrelandCenter for Victims of Torture, EthiopiaSave the Children, AfghanistanBangladesh Red Crescent Society, BangladeshTrinity Centre for Global Health, Trinity College Dublin, Dublin, IrelandDepartment of Clinical Psychology, University of Dhaka, Dhaka, BangladeshRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkInternational Federation of the Red Cross and Red Crescent Societies, Health and Care Department, IFRC, Geneva, SwitzerlandIndependent Mental Health and Psychosocial Support Specialist, United StatesRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkSave the Children, DenmarkRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkRed Cross Red Crescent Movement MHPSS Hub, Copenhagen, DenmarkSave the Children, AfghanistanTrinity Centre for Global Health, Trinity College Dublin, Dublin, IrelandBackground: 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.http://www.sciencedirect.com/science/article/pii/S0010440X25000112Integrated Model for SupervisionPsychosocial supportSupportive supervisionHumanitarian contextsHumanitarian emergenciesMental health
spellingShingle 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
Namanya Wright
Frédérique Vallières
Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
Comprehensive Psychiatry
Integrated Model for Supervision
Psychosocial support
Supportive supervision
Humanitarian contexts
Humanitarian emergencies
Mental health
title Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
title_full Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
title_fullStr Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
title_full_unstemmed Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
title_short Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
title_sort implementing the integrated model for supervision for mental health and psychosocial support programming within humanitarian emergencies a mixed methods evaluation across six humanitarian contexts
topic Integrated Model for Supervision
Psychosocial support
Supportive supervision
Humanitarian contexts
Humanitarian emergencies
Mental health
url http://www.sciencedirect.com/science/article/pii/S0010440X25000112
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