Impact on mental health care and on mental health service users of the COVID-19 pandemic: a mixed methods survey of UK mental health care staff

作者：Sonia Johnson, Christian Dalton‐Locke, Norha Vera San Juan, Una Foye, Siân Oram, Alexandra Papamichail, Sabine Landau, Rachel Rowan Olive, Tamar Jeynes, Prisha Shah, Luke Sheridan Rains, Brynmor Lloyd‐Evans, Sarah A. Carr, Helen T. Killaspy, Steve Gillard, Alan Simpson, Andy Bell, Francesca Bentivegna, Joseph Botham, Julian H. Edbrooke-Childs, Lucy Pollyanna Goldsmith, Lisa Marie Grünwald, Jasmine Harju‐Seppänen, Stephani L. Hatch, Claire Henderson, Louise Michele Howard, Rebecca Lane, Sarah Ledden, Monica Leverton, Jo Lomani, Natasha Lyons, Paul McCrone, Chukwuma Ntephe, Josephine Enyonam Ocloo, David Osborn, Steve Pilling, Konstantina Poursanidou, Hannah Rachel Scott, Thomas Steare, Ruth Stuart, André Tomlin, Kati Jane Turner, Vasiliki Tzouvara · 发表于：Social Psychiatry and Psychiatric Epidemiology · 年份：2020 · DOI：10.1007/s00127-020-01927-4 · 被引用次数：247 · 研究领域：Telemedicine and Telehealth Implementation、COVID-19 and Mental Health、Digital Mental Health Interventions

PURPOSE: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users. METHODS: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed methods online survey. Recruitment channels included professional associations and networks, charities, and social media. Quantitative findings were reported with descriptive statistics, and content analysis conducted for qualitative data. RESULTS: 2,180 staff from a range of sectors, professions, and specialties participated. Immediate infection control concerns were highly salient for inpatient staff, new ways of working for community staff. Multiple rapid adaptations and innovations in response to the crisis were described, especially remote working. This was cautiously welcomed but found successful in only some clinical situations. Staff had specific concerns about many groups of service users, including people whose conditions are exacerbated by pandemic anxieties and social disruptions; people experiencing loneliness, domestic abuse and family conflict; those unable to understand and follow social distancing requirements; and those who cannot engage with remote care. CONCLUSION: This overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: we ...