A Supervision Framework for Task-Shared Mental Health Workers: Implications for Clinical Trials and Beyond

Figures & Tables

TABLE.

A Detailed Overview of ImpACT+ Supervision Components

Component	Purpose	Team Member	Frequency
Process supervision
Fidelity checklists	Self-reported fidelity to session content	Nonspecialist health workers	After every session
Review of session recordings	Fidelity and mastery of intervention delivery; identify areas for improvement and training	Clinical supervisor	Weekly
Quality assurance ratings	Systematic, quantitative monitoring of clinical skills	Clinical supervisor	Weekly
Supervisor memos	Monitor intervention adaptations, successes, and areas for improvement	Clinical supervisor	Monthly
Discussion with intervention specialist	Fidelity to intervention design, grasp of key concepts, and case conceptualization for difficult cases	Intervention specialist	Monthly
Direct supervision
Logistic supervision meeting	Review recruitment, retention, and intervention delivery context	Project manager, senior research assistant	Weekly
Clinical supervision meeting	Session review, fidelity, and skill enhancement	Clinical supervisor	Weekly
Debriefing sessions	Containment and emotional support	Qualified mental health practitioner	Monthly
Need-based supervision
Daily communication	Ongoing informal support	Whole team	As needed
Peer support	Informal containment	Nonspecialist health worker	As needed