The Essential Network (TEN): rapid development and implementation of a digital-first mental health solution for Australian healthcare workers during COVID-19

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Innovations Pub Date : 2022-01-18 DOI:10.1136/bmjinnov-2021-000807
P. Baldwin, Melissa J Black, J. Newby, Lyndsay Brown, N. Scott, Tanya Shrestha, N. Cockayne, J. Tennant, S. Harvey, H. Christensen
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引用次数: 2

Abstract

© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION The COVID19 pandemic has presented healthcare workers (HCWs) with extraordinary, unabating stress. International data suggest that frontline HCWs are at increased risk of poor mental health, with posttraumatic stress disorder (PTSD) a significant concern. Early mental health treatment can lower the risk of HCWs developing more chronic and potentially disabling difficulties; however, many HCWs avoid seeking help due to concerns about stigma, 6 confidentiality and negative impacts on their employment. 8 HCWs urgently need accessible and effective mental health services that sidestep these systemic barriers. HCWspecific services must address the unique challenges of healthcare. During a pandemic, HCWs encounter unique stressors, such as fear of infecting their families or watching colleagues die, 10 and differ greatly in how they react to stress. Therefore, HCWs need a responsive, tailored mental health service that can address a range of concerns, from acute distress to moral injury and psychiatric disorders like PTSD. 4 Another challenge is delivering such personalised services at the required scale in the context of an ongoing pandemic. With tens of millions of HCWs across the globe, researchers have called for selfguided mental health tools for HCWs than can be rapidly scaled. Existing national healthcarefocused services have recommended streamlined triage for HCWs with fasttracking into persontoperson treatments. Only technologydriven solutions can service these needs while rapidly adapting and scaling during a crisis. A diverse anthology of patientfocused digital mental health interventions 17 have paved the way for multichannel digital hubs, such as Learn, Assess, Manage, Prevent, that can both personalise and centralise scalable care across states and even international borders. Yet despite these global innovations, few such services for HCWs exist Summary box
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基本网络(TEN):在2019冠状病毒病期间为澳大利亚医护人员快速开发和实施数字优先的心理健康解决方案
©作者(或其雇主)2022。禁止商业重用。请参阅权利和权限。英国医学杂志出版。2019冠状病毒病大流行给卫生保健工作者带来了巨大的、持续不断的压力。国际数据表明,一线医护人员精神健康状况不佳的风险增加,创伤后应激障碍(PTSD)是一个重大问题。早期心理健康治疗可以降低卫生保健工作者出现更多慢性和潜在致残困难的风险;然而,由于担心耻辱、保密和对就业的负面影响,许多卫生工作者避免寻求帮助。卫生保健工作者迫切需要可获得和有效的精神卫生服务,以避开这些系统性障碍。专门针对卫生保健中心的服务必须解决医疗保健方面的独特挑战。在大流行期间,卫生保健工作者会遇到独特的压力源,例如害怕感染家人或看到同事死亡10,他们对压力的反应也有很大差异。因此,卫生保健工作者需要一种反应迅速、量身定制的精神卫生服务,能够解决一系列问题,从急性痛苦到道德伤害和创伤后应激障碍等精神障碍。4另一项挑战是在持续大流行的背景下,以所需的规模提供这种个性化服务。由于全球有数以千万计的卫生保健工作者,研究人员呼吁为卫生保健工作者提供可快速推广的自我指导心理健康工具。现有的以国家卫生保健为重点的服务机构建议对卫生保健工作者进行简化分类,并快速进入个人治疗。只有技术驱动的解决方案才能满足这些需求,同时在危机期间迅速适应和扩展。一系列以患者为中心的数字化心理健康干预措施为学习、评估、管理、预防等多渠道数字化中心铺平了道路,这些中心既可以个性化,也可以集中跨州甚至跨国界的可扩展护理。然而,尽管有这些全球创新,针对医护人员的此类服务却很少
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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