Department of Psychology, University of Sheffield, Sheffield, UK.
Sheffield Child and Adolescent Mental Health Service, Sheffield Children's Hospital Foundation Trust, Sheffield, UK.
J Child Adolesc Psychiatr Nurs. 2021 Aug;34(3):225-235. doi: 10.1111/jcap.12311. Epub 2021 Mar 19.
The coronavirus disease 2019 pandemic has necessitated significant changes in working practices across healthcare services. The current study aimed to assess the wellbeing of health professionals and quantify the adaptations to working practices in a Child and Adolescent Mental Health Service (CAMHS) during the pandemic.
The study was conducted in a UK CAMH team six weeks into lockdown measures. All clinicians were invited to complete a survey eliciting their experiences of working practices during the pandemic, degree of worry about the virus and mental wellbeing.
Clinicians had significantly lower levels of mental wellbeing during the pandemic than population normative data, to the extent that some clinicians were classified as at heightened risk of depression. A significant shift to remote working, reduction in face-to-face appointments, and decrease in clinicians' perceived ability to undertake clinical tasks was observed. Themes emerging from clinicians' experiences of working during the pandemic include being supported within the team, providing a service, working adaptations, and working as a team. A further theme highlights the needs of clinicians to complete their clinical role effectively.
CAMHS clinicians require additional support, training, and guidance during a pandemic to promote mental wellbeing and effectiveness in completing clinical tasks.
2019 年冠状病毒病大流行迫使医疗服务部门对工作实践进行重大改变。本研究旨在评估卫生专业人员的健康状况，并量化在大流行期间儿童和青少年心理健康服务（CAMHS）中工作实践的适应情况。
该研究在封锁措施实施六周后在英国的 CAMHS 团队中进行。邀请所有临床医生完成一项调查，了解他们在大流行期间的工作实践经验、对病毒的担忧程度和心理健康状况。
与人群规范数据相比，临床医生在大流行期间的心理健康水平明显较低，以至于一些临床医生被归类为有更高的抑郁风险。观察到向远程工作的显著转变，面对面预约减少，以及临床医生认为自己能够完成临床任务的能力下降。从临床医生在大流行期间工作经验中出现的主题包括在团队中得到支持、提供服务、工作适应和团队合作。另一个主题强调了临床医生有效完成临床角色的需求。
CAMHS 临床医生在大流行期间需要额外的支持、培训和指导，以促进心理健康和有效地完成临床任务。
