In this publication, an ecological, relational framework to support practitioners i. e. Masters level Psychologists/Social Workers/Health Professionals, Interns navigate 21st century challenges and opportunities in the provision of mental health care services at various institutions in developing countries such as South Africa is discussed. With an increased uptake of mental health care services in recent times and the advent of teletherapy to make these services more accessible, health care professionals have had to also reconcile working within institutional structures that place challenges and pressures. Psychologists and Health Professionals employed in various governmental institutions such as health and higher education have also been subject to multiple competing demands that increase the risk of compassion fatigue and burnout. Reference is made to research that has demonstrated that burnout arises from multiple institutional, professional and personal factors, including healthprofessionals beliefs and coping.?
Chapter One: Institutions health professionals practice in and 21st
century realities A focus on realities and pressures,
such as a lack of mental health support in
contexts and access to mental health services and how this
leads to burnout and fatigue. KR- this will set the background to
why such a resource and an ecological framework
is needed.
This will also include a brief overview of some of
the traditional models used and the need for ecological
models
Chapter Two: An ecological systems theory framework: The Health professional
in the centre of the Circles
This chapter will explain the ecological framework
and locate the Health professional at the centre. A
sense of well-being of the Health professional as
the core to effective health professional practice in
different institutions is advocated.
Chapter Three: Level One (The core) Discusses Supervisees internal frame of
reference (motivation, beliefs, values etc.)
Chapter Four: Level Two- Supervisees external frame of reference
(expectations from supervision, positive psychology,
social constructivist, CBT approaches,
Psycho-dynamic approaches). Strengths based approaches and post modern
approaches. Include what to bring to supervision and
what to expect from supervisors and
supervisees
Chapter Five: Level 3: Navigating the external (institutional)
Asset management, project management, influence on
policy, psycho education, conducting situational
analysis. Managing institutional pressures. Health
Professional Collaboration and mental health promotion skills for the
work place
Chapter Six: Case Management in resource constrained contexts
Chapter Seven: Post-modern approaches to practicing in public health
contexts
- Photovoice and other social constructivist approaches
- Facilitating and Supervising Teletherapy sessions
Chapter Eight: Health care professional Self Care and
Self-Management
Conclusion: Integration of chapters, implications and
application for practice and training
Kamilla V. Rawatlal is a Counselling Psychologist and Lecturer. She graduated with a PhD in the field of Counselling Psychology and she is currently employed as the Programme Manager for the Masters in Counselling Psychology programme at the University of Pretoria, South Africa. The contents of this publication draws from her several years of practice, clinical supervision and lecturing experience at both higher education institutions and within health care systems. A need to provide a systematic method/approach to better support trainee health professionals navigate contemporary practice realities as well as the need to acknowledge the diverse and multi-cultural South African context that trainees are compelled to assume multiple roles in provides the impetus for this the book. It is also envisaged that Clinical supervisors will also glean insight from this publication to further inform research and practice in resource limited contexts.
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