eprintid: 10170979
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/17/09/79
datestamp: 2023-06-05 08:37:09
lastmod: 2023-06-05 08:37:09
status_changed: 2023-06-05 08:37:09
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Cole, Charles L
creators_name: Barry, Charlotte
creators_name: Saunders, Rob
creators_name: Billings, Jo
creators_name: Stott, Joshua
creators_name: Buckman, Joshua EJ
creators_name: Greene, Talya
creators_name: Cirkovik, Mirko
creators_name: Pilling, Stephen
creators_name: Wheatley, Jon
title: A service evaluation of phased- and stepped-care psychological support for health and social care workers during the COVID-19 pandemic
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D05
divisions: D79
divisions: F66
divisions: FH7
keywords: Primary care, cognitive–behavioural therapies, common mental disorders, psychosocial interventions, trauma
note: Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
abstract: BACKGROUND: The COVID-19 pandemic has disproportionally affected the mental health of health and social care workers (HSCWs), with many experiencing symptoms of depression, anxiety and post-traumatic stress disorder. Psychological interventions have been offered via mental health services and in-house psychology teams, but their effectiveness in this context is not well documented. AIMS: To evaluate a stepped-care psychological support pathway for HSCWs from Homerton Healthcare Foundation Trust in London, which offered psychological first aid, evidence-based psychological therapies and group-based well-being workshops. METHOD: The service evaluation used a pre-post approach to assess depression, anxiety, functional impairment and post-traumatic stress disorder symptom change for those who attended sessions of psychological first aid, low- or high-intensity cognitive-behavioural therapy or a combination of these. In addition, the acceptability of the psychological first aid sessions and well-being workshops was explored via feedback data. RESULTS: Across all interventions, statistically significant reductions of depression (d = 1.33), anxiety (d = 1.37) and functional impairment (d = 0.93) were observed, and these reductions were equivalent between the interventions, as well as the demographic and occupational differences between the HSCWs (ethnicity, staff group and redeployment status). HSCWs were highly satisfied with the psychological first aid and well-being workshops. CONCLUSIONS: The evaluation supports the utility of evidence-based interventions delivered as part of a stepped-care pathway for HSCWs with common mental health problems in the context of the COVID-19 pandemic. Given the novel integration of psychological first aid within the stepped-care model as a step one intervention, replication and further testing in larger-scale studies is warranted.
date: 2023-05-25
date_type: published
publisher: Royal College of Psychiatrists
official_url: https://doi.org/10.1192/bjo.2023.66
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2025827
doi: 10.1192/bjo.2023.66
medium: Electronic
pii: S2056472423000662
lyricists_name: Cole, Charles
lyricists_name: Pilling, Stephen
lyricists_name: Saunders, Robert
lyricists_name: Billings, Joanne Lynn
lyricists_name: Buckman, Joshua
lyricists_name: Greene, Talya
lyricists_id: CLCOL98
lyricists_id: SPILL91
lyricists_id: RSAUN21
lyricists_id: JLBIL35
lyricists_id: JBUCK18
lyricists_id: TGREE62
actors_name: Bracey, Alan
actors_id: ABBRA90
actors_role: owner
funding_acknowledgements: [Royal College of Psychiatrists]; 201292/Z/16/Z [Wellcome Trust]
full_text_status: public
publication: BJPsych Open
volume: 9
number: 3
article_number: e95
event_location: England
issn: 2056-4724
citation:        Cole, Charles L;    Barry, Charlotte;    Saunders, Rob;    Billings, Jo;    Stott, Joshua;    Buckman, Joshua EJ;    Greene, Talya;             ... Wheatley, Jon; + view all <#>        Cole, Charles L;  Barry, Charlotte;  Saunders, Rob;  Billings, Jo;  Stott, Joshua;  Buckman, Joshua EJ;  Greene, Talya;  Cirkovik, Mirko;  Pilling, Stephen;  Wheatley, Jon;   - view fewer <#>    (2023)    A service evaluation of phased- and stepped-care psychological support for health and social care workers during the COVID-19 pandemic.                   BJPsych Open , 9  (3)    , Article e95.  10.1192/bjo.2023.66 <https://doi.org/10.1192/bjo.2023.66>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10170979/1/a-service-evaluation-of-phased-and-stepped-care-psychological-support-for-health-and-social-care-workers-during-the-covid-19-pandemic.pdf