Implementing supportive supervision in acute humanitarian emergencies

Mental Health and Psychosocial Support (MHPSS) practitioners working in humanitarian contexts are at significant risk of mental health conditions, ultimately hindering the quality and sustainability of their work. Supportive supervision has shown to be effective in improving the wellbeing of MHPSS staff and volunteers and enhancing the effectiveness of MHPSS service delivery. Despite these proven benefits, there is a lack of standardised guidelines to inform supportive supervision within humanitarian contexts. To address this gap, the Trinity Centre for Global Health and the International Federation of the Red Cross Red Crescent Societies’ Reference Centre for Psychocosial Support co-developed the ‘Integrated Model for Supervision’ (IMS) Handbook and supporting tools and led IMS trainings with four humanitarian organisations in Ukraine, Afghanistan, Jordan, and Nigeria from June-August 2021. The subsequent acute humanitarian emergencies that occurred in Afghanistan and Ukraine provided the opportunity to (i) examine the implementation of the IMS in the acute stages of two humanitarian crises and (ii) identify the challenges and lessons learned from this process. This study employed a case study design using semi-structured qualitative interviews with five MHPSS personnel (female: 4; male: 1) who had received training in the IMS and were directly involved in the implementation of supportive supervision using IMS guidelines in either Ukraine or Afghanistan. Results showed that participants identified the key steps needed for the implementation of supportive supervision and reported two significant barriers to implementation including the stress of a humanitarian crisis leading to competing responsibilities and priorities, staff shortages and time constraints as well as the challenge of creating a new supervision structure when none had existed previously. Overall, participants felt that the IMS resulted in improved knowledge, confidence, perceived support, team cohesion, staff wellbeing and was a helpful blueprint to guide the implementation of supportive supervision in humanitarian contexts

Economic shortage · Humanitarian aid · Humanitarian crisis · Mental health · Political science · Psychosocial · Psychosocial support · Public relations · Refugee · Sustainability · Engineering · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Nursing · Posttraumatic Stress Disorder Research

• Addressing the unique supervisory needs of humanitarian volunteers

  Open Access•Charles Zemp, Marie Sonnenstuhl et al.•SSM - Mental Health•2025

  Incluir item

• Testing the role of online group-based supervision for local humanitarian workers following a crisis

  Open Access•Gökçe Kurt, Fatema Almeamari et al.•PLOS Global Public Health•2025

  Incluir item

• Contextualising person-centred mental health and psychosocial support (MHPSS) services

  Open Access•Michael Mcgrath, Wael Yasaki et al.•Cambridge Prisms Global Mental…•2025

  Incluir item

• Qualitative interviewing

  Herbert J Rubin, Irene S Rubin•Qualitative interviewing•1995

  Incluir item

• Increasing community health worker productivity and effectiveness

  Open Access•Wanda Jaskiewicz, Kate Tulenko•Human Resources for Health•2012

  Incluir item

• New WHO prevalence estimates of mental disorders in conflict settings

  Open Access•Fiona Charlson, Mark Van Ommeren et al.•The Lancet•2019

  Incluir item

• Building capacity in mental health interventions in low resource countries

  Open Access•Laura K Murray, Shannon Dorsey et al.•International Journal of Mental…•2011

  Incluir item

• Meta‐Analysis of Risk Factors for Secondary Traumatic Stress in Therapeutic Work With Trauma Victims

  Open Access•Jennifer Hensel, Jennifer M Hensel et al.•Journal of Traumatic Stress•2015

  Incluir item

• Association of Torture and Other Potentially Traumatic Events With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement

  Zachary Steel, Tien Chey et al.•JAMA•2009

  Incluir item

• The acceptability, appropriateness, and feasibility of implementing supportive supervision within humanitarian contexts

  Open Access•Meg Ryan, Nadeen Abujaber et al.•SSM - Mental Health•2023

  Incluir item

• Supervising community health workers in low-income countries – a review of impact and implementation issues

  Open Access•Zelee Hill, Mari Dumbaugh et al.•Global Health Action•2014

  Incluir item

• Advancing and translating knowledge

  Open Access•Ashley Nemiro, Theresa Jones et al.•Cambridge Prisms Global Mental…•2022

  Incluir item

• Factors affecting mental health of local staff working in the Vanni region, Sri Lanka

  Barbara Lopes Cardozo, Teresa I Sivilli et al.•Psychological Trauma Theory…•2013

  Incluir item

• Using thematic analysis in psychology

  Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  Incluir item

• Daily Stressors, War Experiences, and Mental Health in Afghanistan

  Open Access•K E Miller, Patricia A Omidian et al.•Transcultural Psychiatry•2008

  Incluir item