Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda

Reducing the global treatment gap for mental health conditions in low- and middle-income countries (LMICs) requires not only an expansion of clinical psychology training but also assuring that graduates of these programs have the competency to effectively and safely deliver psychological interventio...

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Main Authors: Benjamin Alipanga, Brandon A. Kohrt
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.924683/full
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author Benjamin Alipanga
Brandon A. Kohrt
author_facet Benjamin Alipanga
Brandon A. Kohrt
author_sort Benjamin Alipanga
collection DOAJ
description Reducing the global treatment gap for mental health conditions in low- and middle-income countries (LMICs) requires not only an expansion of clinical psychology training but also assuring that graduates of these programs have the competency to effectively and safely deliver psychological interventions. Clinical psychology training programs in LMICs require standardized tools and guidance to evaluate competency. The World Health Organization (WHO) and UNICEF developed the “Ensuring Quality in Psychological Support” (EQUIP) platform to facilitate competency-based training in psychosocial support, psychological treatments, and foundational helping skills, with an initial focus on in-service training for non-specialists. Our goal was to design the first application of EQUIP to implement competency-based training into pre-service education for clinical psychology trainees. With Makerere University in Uganda as a case study, we outline an approach to develop, implement, and evaluate a competency-based curriculum that includes seven steps: (1) Identify core clinical psychology competencies; (2) Identify evaluation methods appropriate to each competency; (3) Determine when competency evaluations will be integrated in the curriculum, who will evaluate competency, and how results will be used; (4) Train faculty in competency-based education including conducting competency assessments and giving competency-based feedback; (5) Pilot test and evaluate the competency-based education strategy with faculty and students; (6) Modify and implement the competency-based education strategy based on pilot results; and (7) Implement ongoing evaluation of the competency-based curriculum with continuous quality improvement. This approach will be formally evaluated and established as a foundation for pre-service training in other low-resource settings.
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spelling doaj.art-46e1b837bf144b048934113e49dbedbd2022-12-22T02:24:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-10-011310.3389/fpsyg.2022.924683924683Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in UgandaBenjamin Alipanga0Brandon A. Kohrt1Department of Mental Health and Community Psychology, Makerere University, Kampala, UgandaDivision of Global Health, Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, DC, United StatesReducing the global treatment gap for mental health conditions in low- and middle-income countries (LMICs) requires not only an expansion of clinical psychology training but also assuring that graduates of these programs have the competency to effectively and safely deliver psychological interventions. Clinical psychology training programs in LMICs require standardized tools and guidance to evaluate competency. The World Health Organization (WHO) and UNICEF developed the “Ensuring Quality in Psychological Support” (EQUIP) platform to facilitate competency-based training in psychosocial support, psychological treatments, and foundational helping skills, with an initial focus on in-service training for non-specialists. Our goal was to design the first application of EQUIP to implement competency-based training into pre-service education for clinical psychology trainees. With Makerere University in Uganda as a case study, we outline an approach to develop, implement, and evaluate a competency-based curriculum that includes seven steps: (1) Identify core clinical psychology competencies; (2) Identify evaluation methods appropriate to each competency; (3) Determine when competency evaluations will be integrated in the curriculum, who will evaluate competency, and how results will be used; (4) Train faculty in competency-based education including conducting competency assessments and giving competency-based feedback; (5) Pilot test and evaluate the competency-based education strategy with faculty and students; (6) Modify and implement the competency-based education strategy based on pilot results; and (7) Implement ongoing evaluation of the competency-based curriculum with continuous quality improvement. This approach will be formally evaluated and established as a foundation for pre-service training in other low-resource settings.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.924683/fullcompetencycompetency-basedcurriculumpracticum/internshipEQUIPtraining
spellingShingle Benjamin Alipanga
Brandon A. Kohrt
Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
Frontiers in Psychology
competency
competency-based
curriculum
practicum/internship
EQUIP
training
title Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
title_full Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
title_fullStr Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
title_full_unstemmed Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
title_short Competency-based pre-service education for clinical psychology training in low- and middle-income countries: Case study of Makerere University in Uganda
title_sort competency based pre service education for clinical psychology training in low and middle income countries case study of makerere university in uganda
topic competency
competency-based
curriculum
practicum/internship
EQUIP
training
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.924683/full
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