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We require specific evidence on how best to support the mental health needs of this population, during a pandemic and beyond, and this evidence-base must necessarily be underpinned by the workforce’s own views and preferences. However, health and social care workers are a unique workforce, living alongside their work, not deployed into time-limited situations of crisis, nor with any allocated time to decompress.
In a rapidly escalating pandemic, such top down ‘command and control’ guidance has been of value.
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What guidance there has been issued during the COVID-19 crisis has tended to come from expert opinion and be extrapolated from other professional groups, such as military personnel. However, this pandemic has also highlighted a paucity of research on the mental health needs of frontline health and social care workers, and a lack of evidence-based guidance about what psychosocial support might be most effective in helping them. The need to support the mental health of frontline staff during COVID-19 has been recognised.
This is amongst a workforce already under considerable strain pre-COVID-19, as evidenced by the growing incidence of stress, burnout, depression, drug and alcohol dependence and suicide across all groups of health professionals, worldwide. In the UK, it has been estimated that 45–58% of the frontline health and social care workforce met criteria for clinically significant levels of anxiety, depression and/or PTSD shortly following the first wave of the pandemic. Other groups, such as care home staff, were overwhelmed in ways never anticipated.Įarly quantitative research emerging from the UK and around the world has demonstrated a significant mental health burden experienced by frontline workers in response to COVID-19, with elevated rates of depression, anxiety, post-traumatic stress disorder (PTSD) and suicidality reported. Many NHS services in the UK did subsequently report themselves to be overwhelmed, whilst other services mobilised to respond to additional demand never reached expected capacity. In the UK, healthcare workers braced themselves, as news from around the world described healthcare workers overcome by the requirement to treat rapidly growing numbers of patients affected by the virus. On March 11 th, 2020, the World Health Organisation declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus causing COVID-19, to be a worldwide pandemic. Data can be made available upon reasonable request to the corresponding author (JB) or to the UCL Research Ethics Committee: 2 Taviton St, London WC1E 6BT.įunding: The authors received no specific funding for this work.Ĭompeting interests: The authors have declared that no competing interests exist. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Data supporting the findings of this study have not been made generally available due to the personal and sensitive content of the frontline workers’ accounts, in line with the requirements stipulated by the UCL Research Ethics Committee. Received: MaAccepted: AugPublished: September 2, 2021Ĭopyright: © 2021 Billings et al. PLoS ONE 16(9):Įditor: Vincenzo De Luca, University of Toronto, CANADA (2021) What support do frontline workers want? A qualitative study of health and social care workers’ experiences and views of psychosocial support during the COVID-19 pandemic. 1 Wifi router and not a complicated public Wifi system.Citation: Billings J, Abou Seif N, Hegarty S, Ondruskova T, Soulios E, Bloomfield M, et al.
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