UCL Great Ormond Street Institute of Child Health, 11700University College London, London, UK.
Psychological and Mental Health Services, 4956Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Clin Child Psychol Psychiatry. 2022 Jan;27(1):122-135. doi: 10.1177/13591045211033186. Epub 2021 Jul 21.
There is little understanding of the mental health impact for young people with long-term physical health conditions and mental health professionals' experiences of supporting them during COVID-19. This service evaluation aimed to conduct a survey of the psychological services provided by mental health professionals in a paediatric hospital in relation to COVID-19.
Clinical psychologists and assistant psychologists ( = 76) across the hospital were asked to complete a survey, asking about their perceptions of COVID-19's impact on patients and families and experiences of providing support during COVID-19. Open-ended survey questions were analysed qualitatively using framework analysis.
Respondents described perceived impacts on patients and families around social isolation, school closure, family relationships, physical health, mental health, treatments and social support. Respondents' experiences of providing mental health support during COVID-19 highlighted themes around providing remote/virtual support, workload and facilitators and barriers to their work.
Mental health professionals surveyed reported a complex mental health landscape in young people with long-term physical health conditions and their families during COVID-19. Service-wide involvement is needed to facilitate changes to support vital adaptations to remote/virtual working. Research on the mental health of young people with long-term physical health conditions and staff experiences of providing support is warranted.
对于患有长期身体疾病的年轻人以及心理健康专业人员在 COVID-19 期间支持他们的经历,人们知之甚少。本服务评估旨在对儿童医院心理健康专业人员提供的与 COVID-19 相关的心理服务进行调查。
要求医院内的临床心理学家和助理心理学家(=76 人)填写一份调查问卷,询问他们对 COVID-19 对患者和家属的影响的看法,以及在 COVID-19 期间提供支持的经验。使用框架分析对开放式调查问题进行定性分析。
受访者描述了 COVID-19 对患者及其家属在社会隔离、学校关闭、家庭关系、身体健康、心理健康、治疗和社会支持方面的影响。受访者在 COVID-19 期间提供心理健康支持的经验突出了提供远程/虚拟支持、工作量以及工作的促进者和障碍等主题。
接受调查的心理健康专业人员报告称,COVID-19 期间患有长期身体疾病的年轻人及其家庭的心理健康状况复杂。需要全院范围内的参与,以促进支持对远程/虚拟工作的重要适应。有必要对患有长期身体疾病的年轻人的心理健康以及工作人员提供支持的经验进行研究。