Rolling Julie, Mengin Amaury C, Palacio Cédric, Mastelli Dominique, Fath Morgane, Gras Adrien, Von Hunolstein Jean-Jacques, Schröder Carmen M, Vidailhet Pierre
Regional Center for Psychotraumatism Great East, Strasbourg University Hospital, Strasbourg, France.
Medico-Psychological Emergency Unit, Strasbourg University Hospital, Strasbourg, France.
Front Psychiatry. 2021 Mar 23;12:566740. doi: 10.3389/fpsyt.2021.566740. eCollection 2021.
The Coronavirus Disease 2019 (COVID-19) pandemic exposed health professionals to high stress levels inducing significant psychological impact. Our region, , was the most impacted French region during the first COVID-19 wave. In this context, we created CoviPsyHUS, local mental health prevention and care system dedicated explicitly to healthcare workers affected by the COVID-19 pandemic in one of this region's tertiary hospitals. We deployed CoviPsyHUS gradually in 1 month. To date, CoviPsyHUS comprises 60 mental health professionals dedicated to 4 complementary components: (i) a mental health support hotline (170 calls), (ii) relaxation rooms (used by 2,120 healthcare workers with 110 therapeutic workshops offered), (iii) mobile teams (1,200 contacts with healthcare staff), and (iv) a section dedicated to patients and their families. Among the critical points to integrate mental health care system during a crisis, we identified: (i) massive dissemination of mental health support information with multimodal communication, (ii) clear identification of the mental health support system, (iii) proactive mobile teams to identify healthcare professionals in difficulty, (iv) concrete measures to relieve the healthcare professionals under pressure (e.g., the relay in communication with families), (v) support for primary needs (body care (physiotherapy), advice and first-line therapy for sleep disorders), and (vi) psychoeducation and emotion management techniques. The different components of CoviPsyHUS are vital elements in meeting the needs of caregivers in situations of continuous stress. The organization of 4 targeted, modular, and rapidly deployable components makes CoviPsyHUS an innovative, reactive, and replicable mental health prevention and care system that could serve as a universal support model for other COVID-19 affected teams or other exceptional health crises in the future.
2019年冠状病毒病（COVID-19）大流行使卫生专业人员面临高压力水平，产生了重大的心理影响。我们所在的地区，在第一波COVID-19疫情期间是法国受影响最严重的地区。在此背景下，我们创建了CoviPsyHUS，这是一个当地的心理健康预防和护理系统，专门为该地区一家三级医院中受COVID-19大流行影响的医护人员服务。我们在1个月内逐步部署了CoviPsyHUS。迄今为止，CoviPsyHUS由60名心理健康专业人员组成，致力于4个互补组件：（i）心理健康支持热线（170次呼叫），（ii）放松室（2120名医护人员使用，提供了110次治疗工作坊），（iii）流动团队（与医护人员进行了1200次接触），以及（iv）一个专门为患者及其家属设立的部门。在危机期间整合心理健康护理系统的关键点中，我们确定了：（i）通过多模式沟通大规模传播心理健康支持信息，（ii）明确识别心理健康支持系统，（iii）积极主动的流动团队识别有困难的医护人员，（iv）采取具体措施缓解处于压力下的医护人员（例如，在与家属沟通中进行接力），（v）支持基本需求（身体护理（物理治疗）、睡眠障碍的建议和一线治疗），以及（vi）心理教育和情绪管理技巧。CoviPsyHUS的不同组件是满足持续压力情况下护理人员需求的关键要素。4个有针对性、模块化且可快速部署的组件的组织使CoviPsyHUS成为一个创新、反应迅速且可复制的心理健康预防和护理系统，未来可为其他受COVID-19影响的团队或其他特殊健康危机提供通用支持模式。
