scholarly journals Structuring mental health support for frontline caregivers during COVID-19: lessons from organisational scholarship on unit-aligned support

BMJ Leader ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 124-127
Author(s):  
Julia DiBenigno ◽  
Michaela Kerrissey

BackgroundAlthough the COVID-19 pandemic exposes frontline caregivers to severe prolonged stresses and trauma, there has been little clarity on how healthcare organisations can structure support to address these mental health needs. This article translates organisational scholarship on professionals working in organisations to elucidate why traditional approaches to supporting employee mental health, which often ask employees to seek assistance from centralised resources that separate mental health personnel from frontline units, may be insufficient under crisis conditions. We identify a critical but often overlooked aspect of employee mental health support: how frontline professionals respond to mental health services. In high-risk, high-pressure fields, frontline professionals may perceive mental health support as coming at the expense of urgent frontline work goals (ie, patient care) and as clashing with their central professional identities (ie, as expert, self-reliant ironmen/women).FindingsTo address these pervasive goal and identity conflicts in professional organisations, we translate the results of a multiyear research study examining the US Army’s efforts to transform its mental health support during the wars in Iraq and Afghanistan. We highlight parallels between providing support to frontline military units and frontline healthcare units during COVID-19 and surface implications for structuring mental health supports during a crisis. We describe how an intentional organisational design used by the US Army that assigned specific mental health personnel to frontline units helped to mitigate professional goal and identity conflicts by creating personalised relationships and contextualising mental health offerings.ConclusionAddressing frontline caregivers’ mental health needs is a vital part of health delivery organisations’ response to COVID-19, but without thoughtful organisational design, well-intentioned efforts may fall short. An approach that assigns individual mental health personnel to support specific frontline units may be particularly promising.

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Yumeng Ju ◽  
Yan Zhang ◽  
Xiaoping Wang ◽  
Weihui Li ◽  
Roger M. K. Ng ◽  
...  

Abstract The continued spread of the coronavirus disease 2019 (COVID-19) has a serious impact on everyone across the globe, both physically and psychologically. In addition to proactive measures addressing physical survival needs and health protection, China has launched a mental health support system to cope with the widespread psychological stress during the pandemic and its aftermath. In this debate, the authors attempted to depict and reflect upon the overall framework of China’s mental health support, with particular reference to the psychological intervention in response to COVID-19 over the last few months. Although a lot of effort has been made to meet the mental health needs, the accessibility, acceptability and effectiveness of the support system still have much room for improvement. Therefore, it is very important to re-think the predicament and challenge on ways of enhancing public mental health emergency responses in China. The concepts of universality, timeliness and scientific rigour were proposed as a possible reform in preparation for large-scale natural or man-made disasters in the coming future.


2021 ◽  
pp. 147332502110276
Author(s):  
Hyejin Jung ◽  
Jose Jaime ◽  
Sharon Lee

People in subsidized housing are likely to suffer from mental health issues. However, little is known about subsidized housing employees’ readiness to address the residents’ mental health needs. This qualitative study explores the perspectives of housing employees on their readiness to assist subsidized housing residents’ mental health needs. A total of 32 subsidized housing employees participated in five focus groups. Thematic analysis revealed four key themes: prevalence of mental health issues, unexpected role as housing employees, multi-level barriers in assisting residents with mental health needs, and the need for mental health support in subsidized housing. Findings highlight the need for integrated care, including social work services in subsidized housing. Social workers may have various potential roles to serve the mental health needs of subsidized housing residents. Also identified was the need for mental health education and training among subsidized housing employees.


2020 ◽  
Vol 19 (2) ◽  
pp. 179-189
Author(s):  
Gabriel Abotsie ◽  
Roger Kingerlee ◽  
Andrew Fisk ◽  
Sam Watts ◽  
Rachel Cooke ◽  
...  

Purpose Comparatively, men have poorer physical and mental health outcomes than women, with a significantly higher suicide rate. Contributory factors are thought to be social and biological, leading to reduced access to health-care services. The study aims to develop and implement community-based support to increase awareness of and access to men’s mental health support networks and groups. Design/methodology/approach The project involved three key work-packages discussed in this paper: raising awareness of men’s mental health needs in health care, educational and community settings; collaboration between National Health Services (NHS) and non-NHS health-care support organisations to build multi-sector partnership working; and developing a supported sports-based community intervention aimed at men living with mental health conditions. The acceptability and feasibility of these work-packages were pragmatically evaluated through mixed-methods surveys and qualitative content analysis. Findings Overall, both community events and sports groups successfully engaged men living with mental health problems. Organisations interested in men’s mental health are continuing to engage in a partnership initiative. Community events were well-attended and received positive feedback, particularly regarding the educative and real-life experiences approach promoted in the events. The sports intervention is feasible and well-accepted by participants, who described feeling supported with their physical and mental health needs, with increased mental well-being reported. Research limitations/implications The main limitations of this project are that the authors only evaluated a football group rather than all work areas. The project collected outcomes relating to participants’ demographics and qualitative reflections of participating in the football group along with a retrospective survey of perceived benefits, but the project did not undertake a pre- and post-comparison of well-being outcomes owing to low completion of these measures. Future work could focus on collecting more pre- and post-measures related to well-being, recovery and inclusion and compare these with men not involved in the football groups or public events. Practical implications This paper discusses the development and feasibility of setting up community-based men’s mental health support networks, involving public events, partnership working and targeted-sports interventions. All initiatives were well-received and successfully attended by men living with mental health conditions. Evaluation of the programme revealed the value placed on education about mental health and the role that community sports interventions may play in men’s mental health care. Social implications This project has demonstrated three different ways of supporting men’s mental health needs in the community. Community public events were held to raise awareness of men’s mental health needs and issues were well-attended and highlighted the need for health promotion and education in this area across all the communities. The men’s football group demonstrated the feasibility of moving mental health support out into a non-clinical and more community arena in a way that men engaged effectively. Finally, the creation of MensNet has bought together disparate multi-sector organisations successfully to lead public health mechanisms to support men’s mental health needs. Originality/value This paper describes a new multi-disciplined approach to supporting health-seeking challenges among men, in particular, how partnership working across NHS and non-NHS sectors can successfully support an identified public health need pragmatically using existing services and organisations.


2020 ◽  
Author(s):  
Piper Vornholt ◽  
Munmun De Choudhury

BACKGROUND Mental illness is a growing concern within many college campuses. Limited access to therapy resources, along with the fear of stigma, often prevents students from seeking help. Introducing supportive interventions, coping strategies, and mitigation programs might decrease the negative effects of mental illness among college students. OBJECTIVE Many college students find social support for a variety of needs through social media platforms. With the pervasive adoption of social media sites in college populations, in this study, we examine whether and how these platforms may help meet college students’ mental health needs. METHODS We first conducted a survey among 101 students, followed by semistructured interviews (n=11), of a large public university in the southeast region of the United States to understand whether, to what extent, and how students appropriate social media platforms to suit their struggle with mental health concerns. The interviews were intended to provide comprehensive information on students’ attitudes and their perceived benefits and limitations of social media as platforms for mental health support. RESULTS Our survey revealed that a large number of participating students (71/101, 70.3%) had recently experienced some form of stress, anxiety, or other mental health challenges related to college life. Half of them (52/101, 51.5%) also reported having appropriated some social media platforms for self-disclosure or help, indicating the pervasiveness of this practice. Through our interviews, we obtained deeper insights into these initial observations. We identified specific academic, personal, and social life stressors; motivations behind social media use for mental health needs; and specific platform affordances that helped or hindered this use. CONCLUSIONS Students recognized the benefits of social media in helping connect with peers on campus and promoting informal and candid disclosures. However, they argued against complete anonymity in platforms for mental health help and advocated the need for privacy and boundary regulation mechanisms in social media platforms supporting this use. Our findings bear implications for informing campus counseling efforts and in designing social media–based mental health support tools for college students.


2021 ◽  
Author(s):  
Harleen Dhami ◽  
Yukari Seko

For years, the stigma around depression has caused many to suffer in silence. Since its launch in 2010, the Bell Let’s Talk campaign, started by Canadian telecommunications giant Bell, has aimed to change the narrative around mental health. With Bell coming under fire for overlooking employee mental health needs and even firing staff as a result of requesting time off, this Major Research Paper explores how the 2020 Bell Let’s Talk campaign mobilizes support and selfdisclosure among Twitter users or whether it is simply another instance of corporate profitization. Analyzing tweets one week before, the day of Bell Let’s Talk and one week after, it is suggested that the campaign does not instill a significant increase in supportive tweets on the day of. Rather, it appears that users engage in self-disclosing their experiences with depression and share resources and ways to cope on the day of the initiative. Comparatively, self-disclosure and support does not appear to be sustained beyond the day of the initiative.


2021 ◽  
Author(s):  
Harleen Dhami ◽  
Yukari Seko

For years, the stigma around depression has caused many to suffer in silence. Since its launch in 2010, the Bell Let’s Talk campaign, started by Canadian telecommunications giant Bell, has aimed to change the narrative around mental health. With Bell coming under fire for overlooking employee mental health needs and even firing staff as a result of requesting time off, this Major Research Paper explores how the 2020 Bell Let’s Talk campaign mobilizes support and selfdisclosure among Twitter users or whether it is simply another instance of corporate profitization. Analyzing tweets one week before, the day of Bell Let’s Talk and one week after, it is suggested that the campaign does not instill a significant increase in supportive tweets on the day of. Rather, it appears that users engage in self-disclosing their experiences with depression and share resources and ways to cope on the day of the initiative. Comparatively, self-disclosure and support does not appear to be sustained beyond the day of the initiative.


Author(s):  
Sonia Lucana ◽  
John Elfers

This participatory action research was designed to create guidelines and strategies to improve the delivery of mental health services to immigrants from Central and South America to the US. The demand for appropriate strategies for addressing the mental health needs of this population is increasing. This study recruited 17 traditional healers and their clients in the US and Peru to share their understanding of mental health needs, the conditions for which someone might seek treatment, and those aspects of traditional cosmology and practice that could inform modern approaches. The findings identified patterns of generational trauma still evident from colonialism, the need to respect the traditional worldview of immigrants in relation to diagnosis of mental distress, connection to nature and place, and the role of community and ancestors to the process of healing and recovery. Recommendations for practitioners to be a bridge between traditional and modern approaches to mental health are offered.


Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 129
Author(s):  
Pihla Markkanen ◽  
Minna Anttila ◽  
Maritta Välimäki

Children’s and adolescents’ health problems are often related to mental health, and their wellbeing should be supported in schools. This study describes school nurses’ role and how equipped they are in recognizing students’ mental health needs and in supporting students’ mental health. Moreover, we explored the methods used and the barriers that exist for supporting students’ mental health. A national survey for members of the Finnish Public Health Association working as school nurses was conducted (n = 136/648, 21%). The survey questionnaire was analyzed using descriptive statistics and qualitative data using manifest content analysis. Participants (n = 127/133, 96%) agreed that they had an important role in ensuring that students’ mental health needs are met on time. Around one-third reported training needs for mental health interventions (n = 42/115, 36%), and a similar proportion (n = 42/136, 31%) indicated lacking adequate knowledge and skills for supporting mental health among culturally diverse students. Identified barriers for students getting help were a lack of options for sending students to mental health services (n = 92/134, 69%) and a lack of adequate training (n = 81/134, 68%). School nurses are key in providing early mental health support to students. Therefore, the availability of intervention education and training on assessing and supporting students’ mental health is needed and should be improved.


Author(s):  
C. Darren Brooks ◽  
Jeff Ling

The purpose of this study was to examine EAP utilization as a result of the pandemic. Specifically, it looked at whether the EAP utilization has increased in a post-pandemic environment, whether demographic factors age, gender, or race/ethnicity influence EAP utilization, and how employers promote EAP benefits to support employee mental health needs during the pandemic.


Sign in / Sign up

Export Citation Format

Share Document