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Matched emotional supports in health care (MESH) framework: A stepped care model for health care workers
- Source :
- Families, systemshealth : the journal of collaborative family healthcare. 39(3)
- Publication Year :
- 2021
-
Abstract
- Frontline health care workers (HCWs) are experiencing a range of emotional responses to the COVID-19 pandemic, including anxiety, traumatic stress, and burnout. As many as half of all HCWs will exhibit clinically significant distress. This distress may endure for years, and health care institutions must respond to these emotional needs. We propose the Matched Emotional Supports in Health Care (MESH) Framework to guide institutions in implementing a tiered, or "stepped care" model for deploying sustainable emotional support programs for HCWs for COVID-19 and beyond. Recognizing the variability in HCWs' response to stress, MESH outlines a continuum of services, including universal (e.g., self-help), selected (e.g., support from trained volunteers), and indicated (e.g., professional therapy, psychotropic medication management) interventions matched to individual need. We provide a targeted review of evidence-based resources available at each level of care and potential processes for determining when higher levels of care are needed. Finally, we delineate key implementation factors for institutions to consider in developing, implementing, and sustaining services for HCWs. Employing the MESH Framework may also facilitate health care institutions' ability to meet the fourth aim of the Quadruple Aims of Health Care to ensure a healthy workforce for this and future crises. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
- Subjects :
- business.industry
SARS-CoV-2
Health Personnel
education
Psychological intervention
Traumatic stress
MEDLINE
COVID-19
PsycINFO
Burnout
03 medical and health sciences
Psychiatry and Mental health
Distress
0302 clinical medicine
Nursing
Health care
Workforce
Humans
030212 general & internal medicine
business
Psychology
Delivery of Health Care
Pandemics
Applied Psychology
Subjects
Details
- ISSN :
- 19390602
- Volume :
- 39
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Families, systemshealth : the journal of collaborative family healthcare
- Accession number :
- edsair.doi.dedup.....c842352f8249a3cd9df90693f69a3490