Psychiatric Services and Supervision

About Première Urgence - Aide Médicale Internationale (PU-AMI)
PU-AMI is a non-profit, non-political, and non-religious humanitarian NGO. Its objective is to provide a
comprehensive response, in line with humanitarian principles, and to apply both needs-based and rights-based
approaches, to conflict-affected populations. PU-AMI promotes humanitarian access and dialogue with all
components of the civil society and reinforces the capacity of each vulnerable community (refugees,
vulnerable host community) to become self-reliant and resilient, by responding to immediate needs and
strengthening their socio-economic empowerment.
Today, PU-AMI is intervening in 21 countries in Africa, the Near East, Caucasus, Asia, and the Caribbean to
cover the needs of populations affected by conflict, natural disasters, or economic crises.
Background and General Objective
The primary responsibility of the psychiatrist consultant will be to actively participate in a project that seeks
to integrate mental health services in settings for primary healthcare while working in close
collaboration with the PUI's MHPSS Team, which is made up of MHPSS Specialists, MHPSS Team
Managers, psychologists, and social workers, and is under the general direction of the MHPSS
Coordinator. Considering the major objective of the project, the psychiatrist consultant is expected to be
working in close touch with the trained general practitioners (GPs) and family doctors (on Mental Health Gap
Action Program) who work within the Primary Health Care Center (PHCC). To be more specific, the
psychiatrist will be in charge of two main scopes of work. The first scope is the provision of psychiatric
consultations for moderate to severe Mental, Neurological, and Substance (MNS) Use Disorder cases
referred by the PUI’s MHPSS Team and trained GPs in PHCCs following the ideal patient flow suggested by
the National Mental Health Program. The second scope of duties focuses primarily on giving trained general
practitioners (GPs) technical supervision through community of practice sessions (CoPs) for the clinical
management of patients with mental health conditions. Psychiatrist consultant will be responsible for providing
technical guidance, support, and confidence to trainees while demonstrating new skills and knowledge
acquired or improved during the MhGAP training, which focuses on the management of persons with
MNS disorders. In addition to that, s/he will receive external referrals of patients with lived experience of
more severe MNS conditions and with imminent risk of self-harm or harming others. The psychiatrist will be
roving in between the required number of PHCCs which are supported by PU-AMI under multiple donors,
hence the psychiatrist may cover more than one area of responsibilities based on the PUI’s programming
priorities as well as his/her availability. An elaborated description of tasks can be seen below.
Description
PU-AMI’s MHPSS Department is looking for a psychiatrist to perform the below-mentioned tasks
o Psychiatric Consultations,
o The psychiatrist will receive internal referrals of the cases with a varied severity of MNS
conditions from PUI’s specialized MHPSS staff and PHCC’s trained GPs.
o The Psychiatrist will be responsible for evaluating, diagnosing, and treating patients with
moderate to severe MNS conditions in close coordination with the PU-AMI MHPSS team and
trained GPs while staying aligned with the NMHP suggested ideal patient flow.
PU-AMI | Psychiatrist TOR | July- 2024 Page
o In addition, s/he will prescribe psychotropic medication, order LIDT tests (adhering to the
pertinent NMHP and PUI’s guidelines), and/or refer patients to the other needed specialized and
nonspecialized services in close collaboration with the Social workers.
o The psychiatrist will follow up with patients to ensure that they are responding positively to
treatment and make amendments to the treatment plan, when necessary, by including the
trained GPs.
o The psychiatrist will conduct his/her consultations in PU-AMI-supported PHCCs and will provide
house visits to patients with limited physical mobility and with severe MH complaints.
o The psychiatrist will be responsible for documenting the mental health related data by filling out
the relevant psychiatric assessment and follow-up forms for each patient visit as well as the
relevant National Health Information System when it is requested/required.
Technical Supervision for the MH GAP trained health staff.
o The psychiatrist will individually supervise the trained GPs through the CoPs for the management of
potential MNS cases while also technically supporting the PU-AMI’s MHPSS Team in particular during the
case-focused discussions to be conducted either through in-person or remote modality.
o The psychiatrist will design the CoPs by staying align with the NMHP suggested supervision
modality as well as by filling out the relevant templates to be able to keep pertinent proofing
documents in place.
o The psychiatrist is expected to coordinate with the PUI’s MHPSS Specialist and MHPSS Team
Manager for the quality and monitoring of those CoPs.
o The psychiatrist will adopt pre and posts tests to demonstrate the increased knowledge and skills
after completion of the supervision cycle by utilizing templates to be given by PUI.
Qualifications:
o Experience in providing clinical supervision to trained (on MhGAP/Identification and referral of the MH
cases) health staff/ MHPSS staff is mandatory.
o Comprehensive knowledge of the MhGAP training curriculum and implementation guidance is
mandatory.
o Work experience (in terms of providing psychiatric consultations) in PHCCs or in projects that aim to
integrate MHPSS services into Health platforms is desired.
O Medical degree required (MD and Psychiatry, with Psychiatry degree registered at the Lebanese Order
of Psychiatrists)
Required documents
o CV
o Copy of the Psychiatry degree registration issued from the Lebanese Order of Psychiatrists
o Financial proposal (hourly rate, daily hours, other potential fees to be covered within the hourly rate)
o Financial proposal signed and stamped including the offer validity, payment terms and the starting
available date.
o For Firms: Commercial Registration, VAT registration document and Passport Copy (if applicable) or ID
copy for all personnel mentioned on the Commercial Registration in addition to legal representatives
if not the same as mentioned on Commercial Registration, plus Fresh USD bank account.
PU-AMI | Psychiatrist TOR | July-2024 Page 2
o For Individuals: Passport Copy (if applicable), Ministry of Finance Number (MoF number document).
o Short proposal containing:
• Brief intervention plan for psychiatric consultations (frequency of visits to PHCC / N of available
hours per week, method of patients’ record keeping, standard duration of the session, and other
relevant information)
• Brief clinical supervision plan explaining the techniques, objectives of each type of session,
methods, and supervision strategy of the trained general practitioners who will be managing mild to
moderate mental health conditions (kindly indicate some major agenda points to be covered.) . It should
also contain the frequency of the supervisory sessions on PHCC level
Duration
o Supervision is intended as a continuous process throughout the implementation of the project for a
duration of 12 months based on a signature of a Framework Agreement between PUI and the Psychiatrist.
In this agreement PUI has the right to stop the project’s implementation in case of funds cessation or
other force majeures and PUI does not pledge to work exclusively with the Psychiatrist.
Geographical Coverage
o Based on the PUI’s MHPSS programming priorities, the psychiatrist consultant is expected to cover
more than one PHCCs in North, Beirut Mount Lebanon and South.
Selection criteria
• Technical evaluation
o Evaluation criteria are the following:
- Relevance and quality of the proposed methodology, namely :
▪ availability to visit the PHCC with regular frequency – to be clearly stated in the offer
▪ quality of the clinical supervision plan to non-specialized medical staff (general
practitioners, family doctors, psychologists) – see details above
▪ experience in patients’ record keeping – suggested approach to be stated in the offer
- Experience in previous similar projects or psychiatric practice and capacity to present it :
▪ 5-7 slides speaking in brief about their background and expertise to bring in the PUI
project)
- Candidates profile
Only the technical offers reaching at least 70% of the score will be declared technically valid and selected
for the next phase of evaluation
• Financial evaluation
Only the financial offers from the candidates with at least 70% of the technical check score will be
considered. A final presentation will be set accordingly to do the final selection and will be a part of technical
offer evaluation. A financial evaluation score will be calculated for each offer, starting on the lowest bid.
• Final evaluation
The final evaluation will combine both prior evaluations, accordingly a 70% moderation for the technical
offer and a 30% moderation for the financial offer. The candidate who will have the higher score will be
selected. The financial offer will be analyzed and possibly negotiated with the candidate within the limit of
the available budget.