Impact on mental health care and on mental health service users of the COVID-19 pandemic: a mixed methods survey of UK mental health care staff.
Sonia Johnson,Sonia Johnson,Christian Dalton-Locke,Norha Vera San Juan,Una Foye,Sian Oram,Alexandra Papamichail,Sabine Landau,Rachel Rowan Olive,Tamar Jeynes,Prisha Shah,Luke Sheridan Rains,Brynmor Lloyd-Evans,Sarah Carr,Helen Killaspy,Helen Killaspy,Steve Gillard,Alan Simpson,Alan Simpson +18 more
TLDR
An overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: how to combine infection control and a therapeutic environment in hospital, and how to achieve effective and targeted tele-health implementation in the community, should be priorities.Abstract:
PURPOSE: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users. METHODS: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed methods online survey. Recruitment channels included professional associations and networks, charities, and social media. Quantitative findings were reported with descriptive statistics, and content analysis conducted for qualitative data. RESULTS: 2,180 staff from a range of sectors, professions, and specialties participated. Immediate infection control concerns were highly salient for inpatient staff, new ways of working for community staff. Multiple rapid adaptations and innovations in response to the crisis were described, especially remote working. This was cautiously welcomed but found successful in only some clinical situations. Staff had specific concerns about many groups of service users, including people whose conditions are exacerbated by pandemic anxieties and social disruptions; people experiencing loneliness, domestic abuse and family conflict; those unable to understand and follow social distancing requirements; and those who cannot engage with remote care. CONCLUSION: This overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: we suggest that how to combine infection control and a therapeutic environment in hospital, and how to achieve effective and targeted tele-health implementation in the community, should be priorities. The limitations of our convenience sample must be noted.read more
Citations
More filters
Journal ArticleDOI
Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic.
Elisa Liberati,Natalie Richards,Jennie Parker,Janet Willars,David Scott,Nicola Boydell,Vanessa Pinfold,Graham Martin,Mary Dixon-Woods,Peter B. Jones +9 more
TL;DR: In this article, the authors explored the experiences of service users, carers and staff seeking or providing secondary mental health services during the COVID-19 pandemic, and highlighted the continued importance of a tailored, personal approach to decision-making in this area.
Journal ArticleDOI
Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review.
Rebecca Appleton,Julie Williams,Norha Vera San Juan,Justin J. Needle,Merle Schlief,Harriet Jordan,Luke Sheridan Rains,Lucy Goulding,Monika Badhan,Emily Roxburgh,Phoebe Barnett,Spyros Spyridonidis,Magdalena Tomaskova,Jiping Mo,Jasmine Harju-Seppänen,Zoë Haime,Cecilia Casetta,Alexandra Papamichail,Brynmor Lloyd-Evans,Alan Simpson,Nick Sevdalis,Fiona Gaughran,Sonia Johnson +22 more
TL;DR: In this article, the adoption and impacts of telemental health approaches during the COVID-19 pandemic, and facilitators and barriers to optimal implementation were investigated, and a range of impediments to dealing optimal care by this means were also identified.
Journal ArticleDOI
Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.
Phoebe Barnett,Lucy Goulding,Cecilia Casetta,Harriet Jordan,Luke Sheridan-Rains,Thomas Steare,Julie Williams,Lisa Wood,Fiona Gaughran,Sonia Johnson,Sonia Johnson +10 more
TL;DR: In this article, the authors conduct an umbrella review of systematic reviews available on the literature and evidence-based guidance on telemental health, including both qualitative and quantitative literature, concluding that video-based communication could be as effective and acceptable as face-to-face formats, at least in the short term.
Posted ContentDOI
Experiences of living with mental health problems during the COVID-19 pandemic in the UK: a coproduced, participatory qualitative interview study
Steven Gillard,Ceri Dare,Jackie Hardy,Patrick Nyikavaranda,Rachel Rowan Olive,Prisha Shah,Mary Birken,Una Foye,Josephine Ocloo,Ellie Pearce,Theodora Stefanidou,Alexandra Pitman,Alan Simpson,Sonia Johnson,Brynmor Lloyd-Evans +14 more
TL;DR: There is a need for evidence-based solutions to achieve accessible and effective mental health care in response to the pandemic, especially remote approaches to care, and particular attention should be paid to understanding inequalities of impact on mental health.
Posted ContentDOI
Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review
Rebecca Appleton,Julie Williams,Norha Vera San Juan,Justin J. Needle,Merle Schlief,Harriet Jordan,Luke Sheridan Rains,Lucy Goulding,Monika Badhan,Emily Roxburgh,Phoebe Barnett,Spyros Spyridonidis,Magdalena Tomaskova,Jiping Mo,Jasmine Harju-Seppänen,Zoë Haime,Cecilia Casetta,Alexandra Papamichail,Brynmor Lloyd-Evans,Alan Simpson,Nick Sevdalis,Fiona Gaughran,Fiona Gaughran,Sonia Johnson +23 more
TL;DR: In this article, the adoption and impacts of telemental health approaches during the COVID-19 pandemic, and facilitators and barriers to optimal implementation were investigated, and a range of impediments to dealing optimal care by this means were also identified.
References
More filters
Journal ArticleDOI
Three Approaches to Qualitative Content Analysis
Hsiu-Fang Hsieh,Sarah E. Shannon +1 more
TL;DR: The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
Journal ArticleDOI
Using the framework method for the analysis of qualitative data in multi-disciplinary health research
TL;DR: Used effectively, with the leadership of an experienced qualitative researcher, the Framework Method is a systematic and flexible approach to analysing qualitative data and is appropriate for use in research teams even where not all members have previous experience of conducting qualitative research.
Journal ArticleDOI
Using Mixed-Methods Sequential Explanatory Design: From Theory to Practice
TL;DR: The article provides a methodological overview of priority, implementation, and mixing in the sequential explanatory design and offers some practical guidance in addressing those issues.
Journal ArticleDOI
Patients with mental health disorders in the COVID-19 epidemic.
Hao Yao,Jian-Hua Chen,Yifeng Xu +2 more
Journal ArticleDOI
How mental health care should change as a consequence of the COVID-19 pandemic.
Carmen Moreno,Til Wykes,Til Wykes,Silvana Galderisi,Merete Nordentoft,Nicholas Crossley,Nev Jones,Mary Cannon,Christoph U. Correll,Christoph U. Correll,Louise Byrne,Louise Byrne,Sarah Carr,Eric Y.H. Chen,Philip Gorwood,Sonia Johnson,Hilkka Kärkkäinen,John H. Krystal,Jimmy Chee Keong Lee,Jeffrey A. Lieberman,Carlos López-Jaramillo,Miia Männikkö,Michael Phillips,Hiroyuki Uchida,Eduard Vieta,Antonio Vita,Celso Arango +26 more
TL;DR: The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings by disseminating good practices that can result in sustained, efficient, and equitable delivery of mental health-care delivery.
Related Papers (5)
Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses.
Luke Sheridan Rains,Sonia Johnson,Sonia Johnson,Phoebe Barnett,Thomas Steare,Justin J. Needle,Sarah Carr,Sarah Carr,Billie Lever Taylor,Francesca Bentivegna,Julian Edbrooke-Childs,Hannah Scott,Jessica Rees,Prisha Shah,Jo Lomani,Jo Lomani,Beverley Chipp,Nick Barber,Zainab Dedat,Sian Oram,Nicola Morant,Alan Simpson +21 more
Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science.
Emily A. Holmes,Emily A. Holmes,Rory C. O'Connor,V. Hugh Perry,Irene Tracey,Simon Wessely,Louise Arseneault,Clive Ballard,Helen Christensen,Roxane Cohen Silver,Ian P. Everall,Tamsin Ford,Ann John,Thomas Kabir,Kate King,Ira Madan,Susan Michie,Andrew K. Przybylski,Roz Shafran,Angela Sweeney,Carol M. Worthman,Lucy Yardley,Katherine Cowan,Claire Cope,Matthew Hotopf,Edward T. Bullmore +25 more
How mental health care should change as a consequence of the COVID-19 pandemic.
Carmen Moreno,Til Wykes,Til Wykes,Silvana Galderisi,Merete Nordentoft,Nicholas Crossley,Nev Jones,Mary Cannon,Christoph U. Correll,Christoph U. Correll,Louise Byrne,Louise Byrne,Sarah Carr,Eric Y.H. Chen,Philip Gorwood,Sonia Johnson,Hilkka Kärkkäinen,John H. Krystal,Jimmy Chee Keong Lee,Jeffrey A. Lieberman,Carlos López-Jaramillo,Miia Männikkö,Michael Phillips,Hiroyuki Uchida,Eduard Vieta,Antonio Vita,Celso Arango +26 more