A qualitative study assessing the feasibility of implementing a group cognitive–behavioural therapy-based intervention in Sierra Leone

Waterman, Samantha; Cole, Charles L.; Greenberg, Neil; Rubin, G. James; Beck, Alison

doi:10.1192/bji.2018.7

Cited by 14 publications

(32 citation statements)

References 8 publications

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“…All of the studies described the emotional stress that health professionals [ [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] ], non-specialists working in health care [ [29] , [30] , [31] ], patients [ [32] , [33] , [34] , [35] ], children [ 36 ], and members of the general public experience during a medical pandemic [ 37 , 38 , 39 ]. The first cases of a novel disease to emerge spark fear among health professionals and non-specialists working in health care because little or nothing is known about the disease or how it is transmitted [ 19 , [22] , [23] , [24] , 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…The one study published to date on the public's psychological reaction to COVID-19 found that although people are feeling more stress and anxiety, positive reactions such as having faith in the future and feeling blessed for what one has have also surfaced [ 37 ]. Faced with uncertainty, it is common for people to seek positive solutions and social and group solidarity to maintain a sense of purpose and cohesiveness [ [19] , [20] , [21] , 25 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

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Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Soklaridis

Lin

Lalani

et al. 2020

General Hospital Psychiatry

119

136

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Background Novel coronavirus pneumonia (COVID-19) is a global reminder of the need to attend to the mental health of patients and health professionals who are suddenly facing this public health crisis. In the last two decades, a number of medical pandemics have yielded insights on the mental health impact of these events. Based on these experiences and given the magnitude of the current pandemic, rates of mental health disorders are expected to increase. Mental health interventions are urgently needed to minimize the psychological sequelae and provide timely care to affected individuals. Method We conducted a rapid systematic review of mental health interventions during a medical pandemic, using three electronic databases. Of the 2404 articles identified, 21 primary research studies are included in this review. Result We categorized the findings from the research studies using the following questions: What kind of emotional reactions do medical pandemics trigger? Who is most at risk of experiencing mental health sequelae? What works to treat mental health sequelae (psychosocial interventions and implementation of existing or new training programs)? What do we need to consider when designing and implementing mental health interventions (cultural adaptations and mental health workforce)? What still needs to be known? Conclusion Various mental health interventions have been developed for medical pandemics, and research on their effectiveness is growing. We offer recommendations for future research based on the evidence for providing mental health interventions and supports to those most in need.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Soklaridis

Lin

Lalani

et al. 2020

General Hospital Psychiatry

119

136

View full text Add to dashboard Cite

show abstract

“…Please read Waterman and colleagues (Waterman et al, 2018) for a full description of the three-phased service model. EPSS has accumulated a body of preliminary evidence and feasibility has been indicated (Waterman et al, 2018;Waterman et al, 2019). Amongst those who took part in all phases of EPSS, improvement was observed on all measures of mental health difficulties included (standardised and bespoke).…”

Section: Homerton Covid Psychological Supportmentioning

confidence: 99%

“…• For an example of a CBT-orientated service for frontline disease outbreak staff, see the papers evaluating the Ebola Psychological Support Service (Cole et al, 2020;Waterman et al, 2018;Waterman et al, 2019).…”

Section: Key Practice Pointsmentioning

confidence: 99%

Adapting IAPT services to support frontline NHS staff during the Covid-19 pandemic: the Homerton Covid Psychological Support (HCPS) pathway

Cole

Waterman

Stott

et al. 2020

tCBT

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The Coronavirus (Covid-19) pandemic is exerting unprecedented pressure on NHS Health and Social Care provisions, with frontline staff, such as those of critical care units, encountering vast practical and emotional challenges on a daily basis. Although staff are being supported through organisational provisions, facilitated by those in leadership roles, the emergence of mental health difficulties or the exacerbation of existing ones amongst these members of staff is a cause for concern. Acknowledging this, academics and healthcare professionals alike are calling for psychological support for frontline staff, which not only addresses distress during the initial phases of the outbreak but also over the months, if not years, that follow. Fortunately, mental health services and psychology professional bodies across the United Kingdom have issued guidance to meet these needs. An attempt has been made to translate these sets of guidance into clinical provisions via the recently established Homerton Covid Psychological Support (HCPS) pathway delivered by Talk Changes (Hackney & City IAPT). This article describes the phased, stepped-care and evidence-based approach that has been adopted by the service to support local frontline NHS staff. We wish to share our service design and pathway of care with other Improving Access to Psychological Therapies (IAPT) services who may also seek to support hospital frontline staff within their associated NHS Trusts and in doing so, lay the foundations of a coordinated response. Key learning aims (1) To understand the ways staff can be psychologically and emotionally impacted by working on the frontline of disease outbreaks. (2) To understand the ways in which IAPT services have previously supported populations exposed to crises. (3) To learn ways of delivering psychological support and interventions during a pandemic context based on existing guidance and research.

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“…Several lessons on mental health service responsiveness to the needs of staff have been learned from past outbreaks. For example, the Ebola Psychological Support Service (EPSS) for healthcare staff was responsively developed during the EVD outbreak (Kamara et al, 2017;Waterman et al, 2018;Waterman et al, 2019). This was a stepped-care approach consisting of several provisions.…”

Section: Lessons On Meeting the Mental Health Needs Of Staffmentioning

confidence: 99%

Beyond the COVID-19 pandemic: ‘Learning the hard way’ – adapting long-term IAPT service provision using lessons from past outbreaks

Skilbeck

Spanton

Roylance

2020

tCBT

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Infectious disease outbreaks have occurred sporadically over the centuries. The most significant ones of this century, as reported by the WHO, include the EVD epidemic, SARS pandemic, Swine Flu pandemic and MERS pandemic. The long-term mental health consequences of outbreaks are as profound as physical ones and can last for years post-outbreak. This highlights the need for enhancing the preparedness of pragmatic mental health service provision. Due to its magnitude, the novel COVID-19 pandemic has proven to be the most impactful. Compared to previous outbreaks, COVID-19 has also occurred at higher rates in frontline staff in addition to patients. Since COVID-19 is more contagious than earlier outbreaks, there is a need to identify infected people quickly and isolate them and their contacts. This is the current context in which mental health services including IAPT have had to operate. Evidently, IAPT services are a major mental health service provider in the UK which have demonstrated variability in their response to COVID-19. While some IAPT services quickly adapted their existing strengths and resources (e.g. remote working) other services were less prepared. To date there are no clear unitary guidelines on how IAPT services can use their pre-existing resources to respond to the long-term effects of outbreaks. In light of this, the current paper aims to reflect on the lessons learned from past outbreaks in order to consider how an enhanced remit of IAPT might integrate with other services to meet the long-term needs of patients and staff affected by COVID-19.

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A qualitative study assessing the feasibility of implementing a group cognitive–behavioural therapy-based intervention in Sierra Leone

Cited by 14 publications

References 8 publications

Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Adapting IAPT services to support frontline NHS staff during the Covid-19 pandemic: the Homerton Covid Psychological Support (HCPS) pathway

Beyond the COVID-19 pandemic: ‘Learning the hard way’ – adapting long-term IAPT service provision using lessons from past outbreaks

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