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ARTICLE
Year : 2023  |  Volume : 21  |  Issue : 1  |  Page : 47-57

Competency Assessment of Non-Specialists Delivering a Psychological Intervention in Lebanon: A Process Evaluation


1 Research Coordinator, War Child Lebanon, Beirut, Lebanon
2 Researcher, Research and Development Department, War Child, Amsterdam, The Netherlands
3 Researcher, Research and Development Department, War Child, Amsterdam, Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, The Netherlands
4 MHPSS Regional Advisor, War Child Lebanon, Beirut, Lebanon
5 Professor, Department of Psychiatry and Behavioral Sciences, Director, Center for Global Mental Health Equity George Washington University, Washington, USA
6 Technical Officer, World Health Organization, Geneva, Switzerland
7 Senior Research Associate, Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, USA
8 Head of the National Mental Health Programme, Ministry of Public Health, Beirut, Lebanon
9 Professor, Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, Director of Research and Development Department, War Child, Amsterdam, The Netherlands
10 Senior Researcher, Research and Development Department, War Child, Amsterdam, The Netherlands

Correspondence Address:
MPH Rozane El Masri
Research and Development Department, War Child Holland, Verdun, Hussein Oweini Street, Beirut 1103
Lebanon
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/intv.intv_15_22

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There is an increasing need to improve the competency and quality of non-specialists delivering psychological interventions. As part of the Ensuring Quality in Psychological Support (EQUIP) initiative, this study evaluates the process of roleplay-based competency assessments using three tools to assess the competencies of facilitators delivering a psychological intervention for children in Lebanon. With a group of five competency raters, five facilitators and four actors, this study uses a mixed methods approach, comprising competency assessment data, qualitative interviews and focus group discussions. Data were collected during a two-phase process. Findings of the study showed inter-rater agreement was generally acceptable after additional training of raters. Eventually, it is feasible to prepare actors, facilitators and raters on roleplays for effective implementation of competency-driven training. As for the non-specialists, it was found that overall the experience of taking part in competency assessments was useful to understand their points of improvement. Pre- to post-training improvements in competencies showed that despite reported feelings of anxiety, the facilitators benefited from the feedback given on their competencies. We concluded that using roleplay-based competency assessments and preparing for competency-based training is feasible and useful to ensure quality control in mental health and psychosocial support (MHPSS) service provision.


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