ECHO Institute, University of New Mexico, Albuquerque, NM 87131, USA.
Department of Neurosurgery, University of New Mexico, Albuquerque, NM 87131, USA.
Int J Environ Res Public Health. 2021 May 4;18(9):4900. doi: 10.3390/ijerph18094900.
The First Responder ECHO (Extension for Community Outcomes) program was established in 2019 to provide education for first responders on self-care techniques and resiliency while establishing a community of practice to alleviate the enormous stress due to trauma and substance misuse in the community. When the SARS-CoV-2 (COVID-19) pandemic hit the United States (US) in March 2020, a tremendous strain was placed on first responders and healthcare workers, resulting in a program expansion to include stress mitigation strategies. From 31 March 2020, through 31 December 2020, 1530 unique first responders and frontline clinicians participated in the newly expanded First Responder Resiliency (FRR) ECHO. The robust curriculum included: psychological first aid, critical incident debriefing, moral distress, crisis management strategies, and self-care skills. Survey and focus group results demonstrated that, while overall stress levels did not decline, participants felt more confident using psychological first aid, managing and recognizing colleagues who needed mental health assistance, and taking time for self-care. Although first responders still face a higher level of stress as a result of their occupation, this FRR ECHO program improves stress management skills while providing weekly learning-listening sessions, social support, and a community of practice for all first responders.
第一响应者 ECHO（Extension for Community Outcomes）计划于 2019 年成立，旨在为第一响应者提供自我保健技术和适应力方面的教育，同时建立一个实践社区，以减轻因社区中的创伤和药物滥用而产生的巨大压力。2020 年 3 月，SARS-CoV-2（COVID-19）大流行袭击美国时，第一响应者和医护人员承受了巨大的压力，因此该计划得以扩展，纳入了缓解压力的策略。从 2020 年 3 月 31 日至 2020 年 12 月 31 日，共有 1530 名独特的第一响应者和一线临床医生参加了新扩展的第一响应者适应力（FRR）ECHO。强大的课程包括：心理急救、重大事件后心理辅导、道德困境、危机管理策略和自我保健技能。调查和焦点小组的结果表明，尽管整体压力水平没有下降，但参与者在使用心理急救、管理和识别需要心理健康援助的同事以及为自我保健腾出时间方面感到更有信心。尽管第一响应者因其职业仍然面临更高水平的压力，但该 FRR ECHO 计划提高了压力管理技能，同时提供了每周的学习聆听会议、社会支持和所有第一响应者的实践社区。
