scholarly journals Impact of Covid-19 Pandemic on Mental Health of Healthcare Workers in India: A Questionnaire Based Study

2020 ◽  
Vol 7 ◽  
Author(s):  
Ayaskant Sahoo ◽  
Swikruti Behera
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Personal Data ◽  
Working Hours ◽  
Mental Wellbeing ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Self Reporting Questionnaire

Introduction: Healthcare workers across the globe are working tirelessly to keep the severity under control. The long working hours wearing PPE, the self-quarantine periods, staying away from family, and various other factors does influence the mental wellbeing of an individual. In a country like India mental health is still a poorly recognised issue even among healthcare professionals. Objectives: To assess the stress, anxiety and depression among healthcare professionals at the time of Coronavirus pandemic and estimating the same in Anaesthesiology Cohort.Material & Methods: The study was conducted using a self-reporting questionnaire. The questionnaire was made using Google forms and the link for participation was sent using various digital mediums e.g., email, WhatsApp, Facebook. The questionnaire was sent to a total of 886 doctors and there was a total of 256 responses were received. The questionnaire was submitted anonymously and no personal data was collected. The respondents were allowed to submit only once to prevent duplicity of response. We used the DASS 21 scale as the assessment tool. Data was collected using google forms and the collected data was transferred to a Microsoft Excel sheet for analysis.Results: Our study on 256 doctors 40.75% doctors were found to be suffering from Depression, 38.29% from anxiety & 32.4% from stress in the current pandemic situation. Anaesthesiologists were found to have 30.29% depression; Anxiety was found among 42.56% and stress was found among 37.24%.Conclusion: Stressors, like gruelling shifts, risk of infections, non-availability of protective kits, health risk to family and friends etc, are many and respite seems to be far. We need to address and acknowledge the mental health of healthcare workers and people working in critical care into consideration and find solutions to the underlying causes so that the current and future of the healthcare can be saved from mental health crisis.

scholarly journals Tri-Response Police, Ambulance, Mental Health Crisis Models in Reducing Involuntary Detentions of Mentally Ill People: Protocol for a Systematic Review

2021 ◽  
Vol 18 (15) ◽  
pp. 8230
Author(s):  
Julia Heffernan ◽  
Ewan McDonald ◽  
Elizabeth Hughes ◽  
Richard Gray
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Assessment Tool ◽  
Public Health Practice ◽  
Grey Literature ◽  
Risk Of Bias ◽  
Future Research ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Response Models

Police, ambulance and mental health tri-response services are a relatively new model of responding to people experiencing mental health crisis in the community, but limited evidence exists examining their efficacy. To date there have been no systematic reviews that have examined the association between the tri-response model and rates of involuntary detentions. A systematic review examining co-response models demonstrated possible reduction in involuntary detention, however, recommended further research. The aim of this protocol is to describe how we will systematically review the evidence base around the relationship of the police, ambulance mental health tri-response models in reducing involuntary detentions. We will search health, policing and grey literature databases and include clinical evaluations of any design. Risk of bias will be determined using the Effective Public Health Practice Project Quality Assessment Tool and a narrative synthesis will be undertaken to synthesis key themes. Risk of bias and extracted data will be summarized in tables and results synthesis tabulated to identify patterns within the included studies. The findings will inform future research into the effectiveness of tri-response police, ambulance, and mental health models in reducing involuntary detentions.

scholarly journals Improving outcomes for people in mental health crisis: a rapid synthesis of the evidence for available models of care

2016 ◽  
Vol 20 (3) ◽  
pp. 1-162 ◽  
Author(s):  
Fiona Paton ◽  
Kath Wright ◽  
Nigel Ayre ◽  
Ceri Dare ◽  
Sonia Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Systematic Reviews ◽  
Assessment Tool ◽  
Care Pathway ◽  
Clinical Effectiveness ◽  
Models Of Care ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Crisis Care

BackgroundCrisis Concordat was established to improve outcomes for people experiencing a mental health crisis. The Crisis Concordat sets out four stages of the crisis care pathway: (1) access to support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care in crisis; and (4) promoting recovery.ObjectivesTo evaluate the clinical effectiveness and cost-effectiveness of the models of care for improving outcomes at each stage of the care pathway.Data sourcesElectronic databases were searched for guidelines, reviews and, where necessary, primary studies. The searches were performed on 25 and 26 June 2014 for NHS Evidence, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database, and the Health Technology Assessment (HTA) and PROSPERO databases, and on 11 November 2014 for MEDLINE, PsycINFO and the Criminal Justice Abstracts databases. Relevant reports and reference lists of retrieved articles were scanned to identify additional studies.Study selectionWhen guidelines covered a topic comprehensively, further literature was not assessed; however, where there were gaps, systematic reviews and then primary studies were assessed in order of priority.Study appraisal and synthesis methodsSystematic reviews were critically appraised using the Risk Of Bias In Systematic reviews assessment tool, trials were assessed using the Cochrane risk-of-bias tool, studies without a control group were assessed using the National Institute for Health and Care Excellence (NICE) prognostic studies tool and qualitative studies were assessed using the Critical Appraisal Skills Programme quality assessment tool. A narrative synthesis was conducted for each stage of the care pathway structured according to the type of care model assessed. The type and range of evidence identified precluded the use of meta-analysis.Results and limitationsOne review of reviews, six systematic reviews, nine guidelines and 15 primary studies were included. There was very limited evidence for access to support before crisis point. There was evidence of benefits for liaison psychiatry teams in improving service-related outcomes in emergency departments, but this was often limited by potential confounding in most studies. There was limited evidence regarding models to improve urgent and emergency access to crisis care to guide police officers in their Mental Health Act responsibilities. There was positive evidence on clinical effectiveness and cost-effectiveness of crisis resolution teams but variability in implementation. Current work from the Crisis resolution team Optimisation and RElapse prevention study aims to improve fidelity in delivering these models. Crisis houses and acute day hospital care are also currently recommended by NICE. There was a large evidence base on promoting recovery with a range of interventions recommended by NICE likely to be important in helping people stay well.Conclusions and implicationsMost evidence was rated as low or very low quality, but this partly reflects the difficulty of conducting research into complex interventions for people in a mental health crisis and does not imply that all research was poorly conducted. However, there are currently important gaps in research for a number of stages of the crisis care pathway. Particular gaps in research on access to support before crisis point and urgent and emergency access to crisis care were found. In addition, more high-quality research is needed on the clinical effectiveness and cost-effectiveness of mental health crisis care, including effective components of inpatient care, post-discharge transitional care and Community Mental Health Teams/intensive case management teams.Study registrationThis study is registered as PROSPERO CRD42014013279.FundingThe National Institute for Health Research HTA programme.

scholarly journals A longitudinal study of mental wellbeing in students that transition into PhD study

2021 ◽  
Author(s):  
Damian Scarf ◽  
Taylor Winter ◽  
Benjamin Riordan ◽  
John Hunter ◽  
Karen Tustin ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Graduate Student ◽  
Bayesian Regression ◽  
Mental Wellbeing ◽  
Mental Health Crisis ◽  
Cross Sectional ◽  
Health Crisis ◽  
Student Mental Health ◽  
Important Message

Journal editorials, career features, and the popular press, commonly talk of a graduate student mental health crisis. To date, studies on graduate student mental health have employed cross-sectional designs, limiting any causal conclusions regarding the relationship between graduate student and mental health. Here, we present the first longitudinal study on mental health in PhD students. Data were drawn from a longitudinal study of undergraduate students in New Zealand, allowing us to compare students who did, and did not, transition into PhD study following the completion of their undergraduate degree. Using multilevel Bayesian regression, we detected a 0.09 standard deviation decrease in mental health for students who enter PhD study. This finding is orders of magnitude smaller than one might expect based on previous cross-sectional research and provide an important message; that poor mental health is not an inevitable consequence of graduate study.

scholarly journals DELICATE STATE OF MENTAL HEALTH AND ITS IMPACT ON HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC: A REVIEW

2020 ◽  
pp. 142-145
Author(s):  
Pooja Malhotra ◽  
Jashandeep Singh
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Organizational Factors ◽  
Health Issues ◽  
Prevention Strategies ◽  
Health Crisis ◽  
Sociodemographic Variables ◽  
Disease Characteristics ◽  
Mental Health Issues

Introduction: The novel corona virus (COVID-19), a pandemic, spread to around 198 countries, and has affected millions of people globally. The associated morbidity and mortality challenged the nations in several ways. One such unaddressed area is the mental health impact on the healthcare workers and staff during this pandemic. The review aims at summarizing the evidence of mental health issues of COVID-19 pandemic on the frontline healthcare workers (HCW’s). Materials and methods: A review of the literature of the mental health issues faced by the healthcare workers during the pandemic was done. Literature search was conducted in the following databases: PubMed, Google Scholar, Embase; articles relevant to the subject, in the duration of last 8 months (Jan-2020 to Aug-2020) were reviewed. We have highlighted the most relevant data concerning the disease characteristics, personal and organizational factors that may have contributed to development of psychological changes, distress and mental health symptoms. Results: There is a generalized climate of wariness and uncertainty, particularly amongst the health professionals, which has been provoked by the disease characteristics of the current COVID-19 pandemic and various sociodemographic variables. Other factors included, rapid spread of disease, severity of symptoms, lack of knowledge of the disease, organizational factors and death among healthcare professionals. The mental health problems varied with respect to the sociodemographic variables like, gender, profession, age, place of work, social support and department of work. Evidence suggests that COVID-19 may be an independent risk factor for increase in stress, anxiety, burnout and depression amongst the healthcare professionals, which could have long-term psychological implications. Conclusion: It is of utmost importance to protect and ensure the mental health of the healthcare professionals, to address large scale health crisis. Therefore, planning of future prevention strategies is essential to promote mental well-being. Implementation to bolster response and prevention strategies by training healthcare professionals on crisis management and mental help. Evaluation of mental health status should be done by regular screening of the personnel by the multidisciplinary Psychiatry teams.

Historicising the “Crisis” in Undergraduate Mental Health: British Universities and Student Mental Illness, 1944–1968

2020 ◽  
Vol 75 (2) ◽  
pp. 193-220
Author(s):  
Sarah Crook
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Mental Illness ◽  
Historical Context ◽  
Mental Wellbeing ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Student Mental Health ◽  
Post War ◽  
Attention To Students

Abstract This article explores how and why student mental health became an issue of concern in British universities between 1944 and 1968. It argues that two factors drew student mental health to the attention of medical professionals across this period: first, it argues that the post-war interest in mental illness drew attention to students, who were seen to be the luminaries of the future, investing their wellbeing with particular social importance. Second, it argues that the development of university health services made students increasingly visible, endorsing the view that higher education posed distinctive yet shared mental challenges to young people. The article charts the expansion of services and maps the implications of the visibility of student mental distress for post-war British universities. It suggests that claims that British higher education is currently in the midst of an unprecedented mental health “crisis” should be seen within this broader historical context, for while the contours of the debates around student mental health have shifted substantially, evidence that there was anxiety around student mental wellbeing in the immediate post-war years undermines accusations that contemporary students constitute a unique “snowflake generation.”

Here4HealthCare: A Response to the Emerging Mental Health Crisis of the Frontline Healthcare Workforce

2020 ◽  
Vol 39 (3) ◽  
pp. 85-88
Author(s):  
Meredith Gardiner ◽  
Alison DeMuy ◽  
N. K. Tran
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Healthcare Workers ◽  
First Responders ◽  
Health Agency ◽  
Mental Health Crisis ◽  
Front Line ◽  
Health Crisis ◽  
Healthcare Workforce ◽  
Community Mental Health Agency

Instead of simply observing a looming mental health crisis for the front line healthcare workforce in the wake of Covid-19, a community mental health agency in Ontario created a coordinated response by tailoring their services to front line healthcare workers, first responders, and their families to stay ahead of the curve.

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