Chapter One: Institutions health professional¿s practice in and 21^st 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

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 Master's 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.

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 healthprofessional¿s belief¿s and coping.¿