Remote crisis intervention and suicide risk management in COVID-19 frontline healthcare workers

Author:

Robles Rebeca,Infante Sara,Feria Miriam,Arango Iván,Tirado Elsa,Rodríguez-Delgado Andrés,Miranda Edgar,Fresán Ana,Becerra Claudia,Escamilla Raul,Madrigal de León Eduardo Angel

Abstract

IntroductionDespite the propagation of virtual mental health services for vulnerable groups during COVID-19 pandemic, the implementation and evaluation of remote evidence-based practices (EBP) to manage them in low- and middle-income countries remains scarce. In the current study, we describe and evaluate the implementation process and clinical impact of brief, remote, manualized EBP for crisis intervention and suicide risk management among healthcare workers attending patients with COVID-19 (COVID-19-HCWs) in Mexico.MethodsThe implementation process comprised community engagement of volunteer mental health specialists, creation of new clinical teams with different disciplines and skills, intervention systematization through manuals and education through 4-h remote training as main strategies. Mexican COVID-19-HCWs who had used a free 24-h helpline rated their pre- and post-intervention emotional distress. Therapists recorded patients’ pre-intervention diagnosis, severity, and suicide risk, the techniques used in each case, and their post-treatment perception of COVID-19-HCWs’ improvement at the end of the intervention.ResultsAll techniques included in the intervention manual were employed at least in one case (n = 51). At the beginning of the intervention, 65.9% of the COVID-19-HCWs were considered moderately ill or worse according to Clinical Global Impression-Severity (CGI-S) scores, whereas at the end, 79.4% of them were perceived as much or very much improved according to CGI-Improvement scores (CGI-I), and their emotional distress had been significantly reduced (p < 0.001).DiscussionThis prospective study provides evidence that implementation of remote EBP is feasible and useful to reduce emotional distress and suicide risk among COVID-19-HCWs from a middle-income country. However, this study was limited by lack of a control group, improvement ratings provided by therapists and non-anonymous satisfaction ratings.

Publisher

Frontiers Media SA

Subject

General Psychology

Reference50 articles.

1. Addressing mental health needs: an integral part of COVID-19 response;Adhanom;World Psychiatry,2020

2. Traducción, adaptación y validación del Termómetro de Distrés en una muestra de pacientes mexicanos con cáncer. [Translation, adaptation and validation of the Distress Thermometer in a sample of Mexican cancer patients];Almanza-Muñoz;Revista Sanidad Militar.,2008

3. Manual operativo del Curso Emergente para la Brigada de Atención Psicoemocional y Psicosocial a distancia durante la pandemia de la COVID- 19 en México;Álvarez,2020

4. The therapeutic alliance in internet interventions: a narrative review and suggestions for future research;Berger;Psychother. Res.,2017

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3