Penumbra of the pandemic workplace for psychiatrists and trainees in Australia

Looi, Jeffrey Cl; Maguire, Paul A; Bastiampillai, Tarun; Allison, Stephen

doi:10.1177/10398562221109742

Cited by 3 publications

(4 citation statements)

References 17 publications

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“… 62 , 78 , 79 , 99 Potential downsides were increased fatigue due to long screen time, sedentary behavior, 59 and blurred work-life boundaries. 100 …”

Section: Resultsmentioning

confidence: 99%

“…Examples included the use of portable devices, and hearing or visual aids for telepsychiatry catering to elderly patients. 79 Others suggested developing guidelines for the safe use of telepsychiatry 100 and monitoring their effect on users. 99 Cybersecurity should also be researched, 81 especially in the context of several recent significant data breaches for Australian health 109 and business 110 organizations.…”

Section: Resultsmentioning

confidence: 99%

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Telepsychiatry in Australia: A Scoping Review

Woon,

Maguire,

Reay

et al. 2024

INQUIRY

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Telepsychiatry formed part of the Australian mental health response to COVID-19, but relevant reviews pre- and post-pandemic are sparse. This scoping review aimed to map the literature on telepsychiatry in Australia and identify key research priorities. We searched databases (Medline, PubMed, PsycINFO, Scopus, Web of Science, EBSCO Psychology & Behavioral Sciences Collection, Proquest databases, and Cochrane Central Register of Controlled Trials) and reference lists from January 1990 to December 2022. Keywords included telepsychiatry, videoconferencing, telephone consultation, psychiatry, mental health, and Australia. Two reviewers independently screened titles, abstracts, and full texts. We identified 96 publications, one-third of which appeared since 2020. Extracted data included article types, service types, usage levels, outcome measures, perceptions, and research gaps. Most publications were quantitative studies (n = 43) and narrative reports of services (n = 17). Seventy-six papers reported mostly publicly established services. Videoconferencing alone was the most common mode of telepsychiatry. There was increased use over time, with the emergence of metropolitan telepsychiatry during the pandemic. Few papers used validated outcome measures (n = 5) or conducted economic evaluations (n = 4). Content analysis of the papers identified perceptions of patient (and caregiver) benefits, clinical care, service sustainability, and technology capability/capacity. Benefits such as convenience and cost-saving, clinical care issues, and implementation challenges were mentioned. Research gaps in patient perspectives, outcomes, clinical practice, health economics, usage patterns, and technological issues were identified. There is consistent interest in, and growth of, telepsychiatry in Australia. The identified perception themes might serve as a framework for future research on user perspectives and service integration. Other research areas include usage trends, outcome measures, and economic evaluation.

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“… 62 , 78 , 79 , 99 Potential downsides were increased fatigue due to long screen time, sedentary behavior, 59 and blurred work-life boundaries. 100 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Telepsychiatry in Australia: A Scoping Review

Woon,

Maguire,

Reay

et al. 2024

INQUIRY

Self Cite

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“… 7 Public psychiatric services in Australia were already depleted of clinicians prior to the pandemic, but the exodus has continued, due to moral injury, burnout, and declining workplace health and safety. 8 Ecologically, the sustained effectiveness of private psychiatric services before and during the pandemic 9 may be leading to psychiatrists, nurses, and allied health workers moving to the private hospital and outpatient sector.…”

Section: Kintsugi Of the Public Sector Workforcementioning

confidence: 99%

Kintsugi: Comprehensive repair of Australia’s fractured psychiatric care system

Looi

Bastiampillai

Allison

et al. 2023

Australas Psychiatry

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Objective We provide an update of the current challenges facing public and private psychiatric care sector in Australia, contextualised by international and national information on factors affecting health system performance. Conclusions There are practical and sustainable repairs that may bridge the gaps between primary care, private psychiatrists, and the public psychiatric system. These are based upon foundations of better linkages, adequate infrastructure, improved social support, and reforming public and private sector workplaces to retain healthcare workers despite pandemic-related attrition. Professional organisations need to redouble their efforts as advocates to governments, in the media matrix, and the general public.

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“…Examples include the closure of a private youth mental health facility which was never staffed or used to accommodate public patients as originally planned, and the displacement of inpatients from an older persons' mental health unit as the ward was viewed as suitable for COVID-19 isolation. 12 The PMIE for psychiatrists and trainees here arises from the inability to provide optimal care in a suitable environment, and the injustice of inappropriate displacement of patients.…”

Section: Acute Psychiatric Hospitalsworkplace Health and Safety Issue...mentioning

confidence: 99%

Psychiatrist and trainee moral injury during the organisational long COVID of Australian acute psychiatric inpatient services

Looi

Maguire

Kisely

et al. 2022

Australas Psychiatry

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Objective This paper provides a commentary on the risk of moral injury amongst psychiatrists and trainees working in the acute psychiatric hospital sector, during the third winter of the COVID-19 pandemic. Conclusions Moral injuries arise from observing, causing or failing to prevent adverse outcomes that transgress core ethical and moral values. Potentially, morally injurious events (PMIEs) are more prevalent and potent while demand on acute hospitals is heightened with the emergence of highly infectious SARS-CoV-2-Omicron subvariants (BA.4 and BA.5). Acute hospital inpatient services were already facing extraordinary stresses in the context of increasingly depleted infrastructure and staffing related to the pandemic. These stresses have a high potential to be morally injurious. It is essential to immediately fund additional staff and resources and address workplace health and safety, to seek to arrest a spiral of moral injury and burnout amongst psychiatrists and trainees. We discuss recommended support strategies.

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Penumbra of the pandemic workplace for psychiatrists and trainees in Australia

Cited by 3 publications

References 17 publications

Telepsychiatry in Australia: A Scoping Review

Telepsychiatry in Australia: A Scoping Review

Kintsugi: Comprehensive repair of Australia’s fractured psychiatric care system

Psychiatrist and trainee moral injury during the organisational long COVID of Australian acute psychiatric inpatient services

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