A Detailed Overview of ImpACT+ Supervision Components

ComponentPurposeTeam MemberFrequency
Process supervision
    Fidelity checklistsSelf-reported fidelity to session contentNonspecialist health workersAfter every session
    Review of session recordingsFidelity and mastery of intervention delivery; identify areas for improvement and trainingClinical supervisorWeekly
    Quality assurance ratingsSystematic, quantitative monitoring of clinical skillsClinical supervisorWeekly
    Supervisor memosMonitor intervention adaptations, successes, and areas for improvementClinical supervisorMonthly
    Discussion with intervention specialistFidelity to intervention design, grasp of key concepts, and case conceptualization for difficult casesIntervention specialistMonthly
Direct supervision
    Logistic supervision meetingReview recruitment, retention, and intervention delivery contextProject manager, senior research assistantWeekly
    Clinical supervision meetingSession review, fidelity, and skill enhancementClinical supervisorWeekly
    Debriefing sessionsContainment and emotional supportQualified mental health practitionerMonthly
Need-based supervision
    Daily communicationOngoing informal supportWhole teamAs needed
    Peer supportInformal containmentNonspecialist health workerAs needed