Katzman Jeffrey W, Tomedi Laura E, Pandey Navin, Richardson Kimble, Xenakis Stephen N, Heines Sarah, Grabbe Linda, Magdaleno Yasmin, Mehta Ankit, Welton Randon, Lister Kelly, Seis Kelly, Wright Antoinette, McCoy-Hayes Shannon, Katzman Joanna G
Project ECHO, University of New Mexico Health Sciences Center, Albuquerque, NM 87106, USA.
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87106, USA.
Healthcare (Basel). 2024 Aug 31;12(17):1741. doi: 10.3390/healthcare12171741.
Behavioral health professionals are at high risk for burnout and poor mental health. Our objective was to understand the impact of the Behavioral Health Providers Workforce Resiliency (BHPWR) ECHO Program on the resilience and burnout of participating behavioral health professionals. We assessed the first two years (March 2022 to March 2024) of the BHPWR ECHO, a national program operating from the University of New Mexico (N = 1585 attendees), using a mixed-methods design. We used a retrospective pre/post survey (n = 53 respondents) and focus interviews with 1-3 participants (n = 9 participants) to assess for changes in knowledge and confidence and assess changes in burnout and resilience. We found that participants increased their knowledge of how to respond when (1) their workload was more than they could manage, (2) they felt that they lacked control, (3) their work did not feel rewarding, and (4) they were experiencing compassion fatigue. They increased their confidence in (1) building a support system and (2) using the wellness tools taught in the course. Respondents were less burnt out (score: 26.0 versus 17.8, < 0.01) and more resilient (29.9 versus 34.9, < 0.01) compared to when they started attending the program. Tele-mentoring programs like the BHPWR ECHO Program may improve wellness among health care professionals.
行为健康专业人员面临职业倦怠和心理健康不佳的高风险。我们的目标是了解行为健康提供者劳动力复原力（BHPWR）ECHO项目对参与的行为健康专业人员的复原力和职业倦怠的影响。我们采用混合方法设计，评估了BHPWR ECHO项目的前两年（2022年3月至2024年3月），该项目是一个由新墨西哥大学开展的全国性项目（N = 1585名参与者）。我们使用回顾性前后调查（n = 53名受访者）以及对1 - 3名参与者进行的焦点访谈（n = 9名参与者）来评估知识和信心的变化，并评估职业倦怠和复原力的变化。我们发现，参与者在以下几种情况下增加了如何应对的知识：（1）工作量超出其承受能力时；（2）感觉缺乏掌控时；（3）工作没有成就感时；（4）经历同情疲劳时。他们在以下方面增强了信心：（1）建立支持系统；（2）使用课程中教授的健康工具。与开始参加该项目时相比，受访者的职业倦怠程度降低（得分：26.0对17.8，<0.01），复原力增强（29.9对34.9，<0.01）。像BHPWR ECHO项目这样的远程指导项目可能会改善医疗保健专业人员的健康状况。
