How Do Ethics Translate? Identifying Ethical Challenges in Transnational Supervision Settings

Schultz, Tammy; Baraka, Mandy Kellums; Watson, Terri; Yoo, Hana

doi:10.1007/s10447-019-09388-4

Cited by 4 publications

(4 citation statements)

References 31 publications

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“…For example, several informants noted the challenge of adapting supervision practice to be culturally appropriate. Power imbalances arising from all types of social factors and marginalisation experiences are important to consider in therapeutic relationships generally [ 31 ]. However, the common practice of organisations employing foreign supervisors from western contexts to supervise MHPSS providers from communities affected by humanitarian emergencies may create a particularly elevated risk of humanitarian supervisory mechanisms inadvertently reinforcing existing inequalities or power imbalances in this way [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Towards an integrated model for supervision for mental health and psychosocial support in humanitarian emergencies: A qualitative study

Perera

McBride²,

Travers

et al. 2021

PLoS ONE

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Background Despite recent advances in the development and provision of mental health and psychosocial support (MHPSS) in humanitarian settings, inadequate supervision remains a significant barrier to successful implementation. The present study sought to incorporate broad stakeholder engagement as part of the first phase of development of a new Integrated Model for Supervision (IMS) for use within MHPSS and protection services in humanitarian emergencies. Methods Semi-structured interviews were conducted with 26 global mental health professionals. Data was analysed thematically, using a combination of inductive and deductive methods. Codes and themes were validated through co-author cross-checks and through a webinar with an expert advisory group. Results Results reinforce the importance of effective supervision to enhance the quality of interventions and to protect supervisees’ wellbeing. Participants generally agreed that regular, supportive supervision on a one-to-one basis and as a separate system from line management, is the ideal format. The interviews highlight a need for guidance in specific areas, such as monitoring and evaluation, and navigating power imbalances in the supervisory relationship. Several approaches to supervision were described, including some solutions for use in low-resource situations, such as group, peer-to-peer or remote supervision. Conclusion An integrated model for supervision (IMS) should offer a unified framework encompassing a definition of supervision, consolidation of best practice, and goals and guidance for the supervisory process.

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Section: Discussionmentioning

confidence: 99%

Towards an integrated model for supervision for mental health and psychosocial support in humanitarian emergencies: A qualitative study

Perera

McBride²,

Travers

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…These reservations highlight a need to ensure that such conversations are supportive and respectful of the trauma-informed principles of empowerment and collaboration [22], and not imposed on supervisees in a way that causes anxiety. Research on multicultural supervision settings has suggested that supervisors creating space for supportive dialogue about diversity has the potential to enhance supervisees' self-efficacy and satisfaction with the supervisory process [14,18]. Satisfaction with the supervisory process, in turn, has been associated with better mental health and occupational outcomes among emergency responders [4].…”

Section: Discussionmentioning

confidence: 99%

“…Brooks et al [4]; Aldamman et al [2]), and the resulting elevated risk of adverse mental health outcomes and role-related stress reactions (e.g. Connorton et al [7]; Strohmeier et al [18]). For example, operating in complex and stressful environments to provide support to those who have experienced significant adversity increases workers' vulnerability to vicarious trauma, secondary trauma and burnout [1,5,19].…”

Section: Introductionmentioning

confidence: 99%

Identifying best practice for the supervision of mental health and psychosocial support in humanitarian emergencies: a Delphi study

Travers

Abujaber

McBride

et al. 2022

Int J Ment Health Syst

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Background Supportive supervision has been shown to improve worker resilience and wellbeing, which are particularly important in the context of humanitarian emergency settings. Despite its noted importance however, supervision remains an under-prioritised area in mental health and psychosocial support (MHPSS). Method The present study used a Delphi consensus-building methodology to examine levels of agreement among a diverse sample of MHPSS stakeholders (n = 48) on key ideas and concepts relating to supervision in humanitarian settings. Results The majority of statements presented showed a high degree of consensus, with some receiving almost universal agreement, such as the importance of using active listening skills in the supervisory context and the need for supervisors to have access to their own supervisory support. However, disagreement on several points remained. For example, participants disagreed about whether the qualities required to be an effective supervisor can be taught, or whether they are more innate and should be screened for when recruiting supervisors. Gender differences in responses were also analysed, with potential associations between gender and level of agreement emerging in relation to statements about power dynamics, remote supervision, and intervention quality enhancement. Conclusions The findings of the present study are discussed in terms of their implications for a forthcoming set of guidelines for supervision of MHPSS in humanitarian settings: The Integrated Model for Supervision (IMS).

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“…Therapeutic implications of simple gestures become highlighted in a home-based therapeutic environment. For instance, accepting a glass of water or a piece of candy, which is a custom when visiting someone's home during certain holidays like Chinese New Year, is a realistic example of what would be considered ethically challenging in the traditional Western mindset (Schultz, Baraka, Watson, & Yoo, 2020), and a therapist may seem stiff and unapproachable in the therapeutic relationship when Western ethical guidelines are followed without a critical understanding or application to the Hong Kong Chinese culture (Deng, Qian, Gan, Hu, Gao, Huang, & Zhang, 2016).…”

Section: Boundaries In Home-based Art Therapymentioning

confidence: 99%

Home-based Art Therapy in Hong Kong

Lee

Cheun²

2021

Creative Arts Educ Ther

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This article investigates the validity and impact of home-based art therapy practices in Hong Kong by highlighting the needs of the home environment, the unique structure of the therapeutic relationship, and the appropriate treatment planning. Additionally, general and culturally specific ethical concerns are examined within the context of home-based mental health care. A homebased art therapy case study is presented to illustrate the benefits and complexities of such a modality. The possibilities of further development in home-based art therapy in Hong Kong are examined.

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How Do Ethics Translate? Identifying Ethical Challenges in Transnational Supervision Settings

Cited by 4 publications

References 31 publications

Towards an integrated model for supervision for mental health and psychosocial support in humanitarian emergencies: A qualitative study

Towards an integrated model for supervision for mental health and psychosocial support in humanitarian emergencies: A qualitative study

Identifying best practice for the supervision of mental health and psychosocial support in humanitarian emergencies: a Delphi study

Home-based Art Therapy in Hong Kong

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