What have we learned about what works in sustaining mental health care and support services during a pandemic? Transferable insights from the COVID-19 response within the NHS Scottish context

Cogan, Nicola; Archbold, Heather; Deakin, Karen; Griffith, Bethany; Berruga, Isabel Sáez; Smith, Samantha G.; Tanner, Gary; Flowers, Paul

doi:10.1080/00207411.2022.2056386

Cited by 10 publications

(13 citation statements)

References 97 publications

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“…Concerning mental healthcare strategies, as reported in the literature, they were more focused on clinical care in the context of the pandemic, i.e., for the population presenting symptoms associated with lockdown and social distancing (40)(41)(42), while healthcare services for people with specific MD decreased during the pandemic. Healthcare institutions found it necessary to reduce inpatient and outpatient care processes to implement processes for the detection, monitoring and surveillance of COVID-19 cases.…”

Section: Discussionmentioning

confidence: 99%

“…It is evident that, the sectoral and multi-scalar healthcare structure of the NHS in Mexico gives greater complexity to the analysis of the decision-making process in the field of mental healthcare, due to the interaction of multiple actors with differing interests, roles and levels of responsibility. To adapt the healthcare services to the care needs of the population in the absence of a national policy of mental healthcare, decision-makers must create an adaptative team management, with cohesion, collaboration, leadership, guidance and direction from management in providing sustained, efficient, and equitable delivery of mental healthcare for people with MD during a sanitary emergency such as the COVID-19 pandemic ( 41 ).…”

Section: Discussionmentioning

confidence: 99%

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Governance in mental healthcare policies during the COVID-19 pandemic in Mexico

Díaz-Castro

Suarez-Herrera²,

Gonzalez-Ruiz³

et al. 2023

Front. Public Health

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The COVID-19 pandemic has become the greatest burden of disease worldwide and in Mexico, affecting more vulnerable groups in society, such as people with mental disorders (MD). This research aims to analyze the governance processes in the formulation of healthcare policies for people with MD in the face of the COVID-19 pandemic. An analytical qualitative study, based on semi-structured interviews with key informants in the healthcare system was conducted in 2020. The study followed the theoretical-methodological principles of the Governance Analytical Framework (GAF). The software ATLAS.ti-V.9 was used for inductive thematic analysis, classifying themes and their categories. To ensure the proper interpretation of the data, a process of triangulation among the researchers was carried out. The findings revealed that in Mexico, the federal Secretary of Health issued guidelines for mental healthcare, but there is no defined national policy. Decision-making involved multiple actors, with different strategies and scopes, depending on the type of key-actor and their level of influence. Majority of informants described a problem of implementation in which infection control policies in the psychiatric population were the same as in the general populations which decreased the percentage of access to healthcare during the pandemic, without specific measures to address this vulnerable population. The results suggest that there is a lack of specific policies and measures to address the needs of people with mental disorders during the COVID-19 pandemic in Mexico. It also highlights the importance of considering the role of different actors and their level of influence in the decision-making process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Governance in mental healthcare policies during the COVID-19 pandemic in Mexico

Díaz-Castro

Suarez-Herrera²,

Gonzalez-Ruiz³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…32,33 Implications Previous research has highlighted the high levels of mental health symptoms during the pandemic, and supported calls for the provision of staff support on individual, team and systemic organisation levels. 6,7,9,[34][35][36] The present study focused on a previously neglected organisational research area, the impact of pandemic support frameworks on healthcare staff's mental health. 37 Access to timely, individual mental health treatments has been argued to be particularly important in terms of treating emerging psychological problems.…”

Section: Discussionmentioning

confidence: 99%

Healthcare staff mental health trajectories during the COVID-19 pandemic: findings from the COVID-19 Staff Wellbeing Survey

et al. 2023

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Background Cross-sectional studies have shown that the COVID-19 pandemic has had a significant impact on the mental health of healthcare staff. However, it is less well understood how working over the long term in successive COVID-19 waves affects staff well-being. Aims To identify subpopulations within the health and social care staff workforce with differentiated trajectories of mental health symptoms during phases of the COVID-19 pandemic. Method The COVID-19 Staff Wellbeing Survey assessed health and social care staff well-being within an area of the UK at four time points, separated by 3-month intervals, spanning November 2020 to August 2021. Results Growth mixture models were performed on the depression, anxiety and post-traumatic stress disorder longitudinal data. Two class solutions provided the best fit for all models. The vast majority of the workforce were best represented by the low-symptom class trajectory, where by symptoms were consistently below the clinical cut-off for moderate-to-severe symptoms. A sizable minority (13–16%) were categorised as being in the high-symptom class, a group who had symptom levels in the moderate-to-severe range throughout the peaks and troughs of the pandemic. In the depression, anxiety and post-traumatic stress disorder models, the high-symptom class perceived communication from their organisation to be less effective than the low-symptom class. Conclusions This research identified a group of health service staff who reported persistently high mental health symptoms during the pandemic. This group of staff may well have particular needs in terms of the provision of well-being support services.

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“…They also provide a basis on which to recommend interventions based on both individual and team‐based factors in attempts to assist HSCWs in coping with stressors, both personal and systemic, rather than focusing on either factor alone. Growing evidence shows that reinforcing social bonds among colleagues, collaborative working and building effective and cohesive teams are highly protective factors in maintaining and improving staff well‐being (Aughterson et al, 2021; Cogan et al, 2022; Greenberg & Tracy, 2020; Khalili et al, 2021; Pink et al, 2021). Management and leadership initiatives in mental health services should be targeted at creating this combination within the working environment and prioritising staff well‐being.…”

Section: Discussionmentioning

confidence: 99%

ENACTstudy: What has helped health and social care workers maintain their mental well‐being during theCOVID‐19 pandemic?

Cogan

Kennedy

Beck

et al. 2022

Health Social Care Comm

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A growing body of research has highlighted the adverse impact of COVID-19 stressors on health and social care workers' (HSCWs) mental health. Complementing this work, we report on the psychosocial factors that have had both a positive and negative impact on the mental well-being of HSCWs during the third lockdown period in Scotland. Using a cross-sectional design, participants (n = 1364) completed an online survey providing quantitative data and free open-text responses. A multi-method approach to analysis was used. The majority of HSCWs were found to have low wellbeing scores, high levels of COVID-19 stress, worry, burnout and risk perception scores and almost half of HSCWs met the clinical cut-off for acute stress (indicative of PTSD). HSCWs with higher scores on adaptive coping strategies and team resilience reported higher scores on mental well-being. HSCWs were significantly more likely to seek informal support for dealing with personal or emotional problems compared to formal supports. Barriers to formal help-seeking were identified including stigma and fear of the consequences of disclosure. HSCWs mostly valued peer support, workplace supports, visible leadership and teamwork in maintaining their mental well-being. Our findings illuminate the complexity of the effects of the COVID-19 pandemic on HSCWs' well-being and will inform future intervention development seeking to increase positive adaptation and improve staff well-being. Addressing barriers to mental health help-seeking among HSCWs is essential. The implications emphasise the importance of lessons learned across health and social care contexts, planning and preparedness for future pandemics.

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What have we learned about what works in sustaining mental health care and support services during a pandemic? Transferable insights from the COVID-19 response within the NHS Scottish context

Abstract: P. (2022). What have we learned about what works in sustaining mental health care and support services during a pandemic? Transferable insights from the COVID-19 response within the NHS Scottish context.

Cited by 10 publications

References 97 publications

Governance in mental healthcare policies during the COVID-19 pandemic in Mexico

Governance in mental healthcare policies during the COVID-19 pandemic in Mexico

Healthcare staff mental health trajectories during the COVID-19 pandemic: findings from the COVID-19 Staff Wellbeing Survey

ENACTstudy: What has helped health and social care workers maintain their mental well‐being during theCOVID‐19 pandemic?

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