Department of Psychiatry, Mount Sinai Morningside/West, New York, NY, United States.
Department of Psychiatry, Mount Sinai Morningside/West, Addiction Institute at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Psychiatry Res. 2021 May;299:113878. doi: 10.1016/j.psychres.2021.113878. Epub 2021 Mar 16.
We summarize in this article the development, roll out, and preliminary outcomes of a large-scale proactive mental health support model for frontline healthcare workers during the early stages of the COVID-19 pandemic, specifically during New York City's initial case surge in March through June of 2020. This paper summarizes the program design and output for two types of dedicated teams of behavioral health clinicians: 1) Mental Health Liaisons, who provided preventative support to COVID-19 hospital units and Emergency Departments, and 2) Mental Health Crisis Response Teams, who staffed 24/7 crisis response lines to support and mitigate staff crises as needed. In addition to the specifics of this model, we discuss the strategies, rewards, and difficulties of rapidly staging and evaluating such a model in the context of an ongoing disaster situation. We also offer recommendations for how this multi-dimensional model may be replicated in other settings.
我们在本文中总结了 COVID-19 大流行早期,特别是在 2020 年 3 月至 6 月纽约市最初病例激增期间,为一线医护人员提供大规模主动心理健康支持模型的开发、推出和初步结果。本文总结了两种专门的行为健康临床医生团队的项目设计和成果:1)心理健康联络人,为 COVID-19 医院病房和急诊室提供预防支持,以及 2)心理健康危机应对小组,24/7 提供危机应对热线,根据需要支持和减轻员工危机。除了该模型的具体细节外,我们还讨论了在持续灾难情况下快速规划和评估此类模型的策略、奖励和困难。我们还为如何在其他环境中复制这种多维模型提供了建议。