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Resource List: Physical and Mental Wellbeing of the Hospital Workforce During COVID-19

April 28, 2020

Catalogues of Resources

Resource Source Description
NYC DOHMH’s COVID-19 Behavioral Health Resources for Providers NYC DOHMH Supporting the physical and mental well-being of health care providers and personnel is critical for their well-being, and for ensuring their ability to help stop the spread of COVID-19 and keep New Yorkers safe and healthy. The NYC DOHMH compiled list of resources tailored to support NYC health care providers and personnel.
NYC DOHMH COVID-19: Coping and Emotional Wellbeing NYC DOHMH The COVID-19 pandemic has caused New Yorkers distress and anxiety. This resource was developed by NYC DOHMH to provide tools to help address emotional and psychological distress from COVID-19 and develop healthy coping strategies.
NAMI Frontline Wellness Resources National Alliance on Mental Illness Resources tailored to healthcare professionals as they face demands from COVID-19 pandemic. The resources include strategies to build resilience, information about confidential and professional support, peer support, support for loved ones, and information on how to identify signs of crisis.
The Schwartz Center COVID-19 Resources The Schwartz Center Resources curated by the Schwartz Center for healthcare professionals coping with the COVID-19 pandemic.
Center for Workplace Mental Health Employer Resources Center for Workplace Mental Health The Center for Workplace Mental Health (CWMH) provides resources for employers to improve absenteeism and enhance workers’ quality of life. With stressors from COVID-19, there are critical steps that employers can take to support the mental health and well-being of employees.
Mental and Behavioral Health 2019 Novel Coronavirus Resources HHS Office of Assistant Secretary of Preparedness and Response Lists relevant mental and behavioral health resources for individuals, children and adolescents, health care and public health professionals, and others.
Psychosocial Mental Health and Wellbeing Support for Staff NHS Education for Scotland Contains psychosocial mental health and wellbeing strategies for hospital leaders in response to COVID-19 to meet following key areas: looking after oneself, people, and staff.
Topic Collection: COVID-19 Self-Care and Resilience Resources for Responders and Healthcare Workers ASPR TRACIE Focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts on workforce resilience and sustainability.
Resources: Camden’s Traumatic Stress Clinic and Islington NHS Trust COVID Trauma Response Working Group Camden’s Traumatic Stress Clinic and Islington NHS Trust COVID Trauma Response Working Group Catalogues trauma-informed resources for coordinating psychosocial responses to COVID. Click Resource tab on the top-right corner of the page.
Resources to Support the Health and Well-being of Clinicians During the COVID-19 Outbreak National Academy of Medicine’s Action Collaborative on Clinician Well-Being and Resilience Offers information on how to support the health and well-being of clinicians during public health emergencies, including the COVID-19 response.
Wellness & Resiliency CHARM Includes research on the impact of learner burnout tools for educators to address learners in distress and advocate for the recognition and inclusion of initiatives that foster well-being among learners.
Internation Society for Traumatic Stress Studies COVID-19 Resources International Society for Traumatic Stress Studies Includes select COVID-19 resources from ISTSS affiliates, partner organizations, and other related health organizations.
AHA Well-being Resources Addressing Resilience During COVID-19 American Hospital Association Well-being resources curated by AHA to address mental health and resilience for clinician leaders during the COVID-19 pandemic.

Frameworks and Guidance to Support Staff Well-Being

Resource Source Description
Coordinating a trauma-informed response to COVID 19 – What, why and how? (Must Read) COVID Trauma Response Working Group Raises the importance of a coordinated, evidence-based and trauma-informed response to the COVID-19 crisis for frontline workers. Lays out stressors and protective factors impacting mental health of frontline staff and effective intervention and phased-base response strategy. Stressors include facing moral dilemmas and distress in their clinical work from high levels of severe clinical need and limited resources. Moral injury caused by actions/inactions is a risk factor to mental health problems including PTSD and increased suicidality.
Managing Traumatic Stress: Evidence-Based Guidance for Organizational Leaders The Schwartz Center Neil Greenberg, MD, FRCPsych, Professor of Defense Mental Health, King’s College London, and international expert on trauma risk management and prevention shares what health care organizations need to know and do to manage traumatic stress.
COVID-19 and experiences of moral injury in front-line key workers Oxford Academic Occupational Medicine Editorial Provides practical recommendations for health care leaders and providers to mitigate exposure to potentially morally injurious events and risk of moral injury.
Mental health and psychosocial considerations during the COVID-19 outbreak World Health Organization Outlines strategies and mental health considerations for health care workers; health facility leaders; caregivers for children; older adults and individuals with underlying health conditions.
Mitigate Absenteeism by Protecting Healthcare Workers’ Psychological Health and Well-being during the COVID-19 Pandemic NRCC Healthcare Resilience Task Force Lists actions to help health care facility leaders protect workers’ psychological health and well-being.
Tips on Supporting Staff During the COVID-19 Pandemic American Health Care Association and National Center for Assisted Living Outlines strategies that health care leaders can adapt to address stress health care providers can experience during the COVID-19 Pandemic
Sustaining the Well-being of Health Care Personnel during Coronavirus and other Infectious Disease Outbreaks Center for the Study of Traumatic Stress Describes unique demands that health care workers face during an outbreak, including increased work demands, fears of infection, limited or uncomfortable equipment, managing patient distress and emotions, and strategies to sustain health care personnel wellbeing.
Managing Healthcare Worker’s Stress Associated with the COVID-19 Virus Outbreak National Center for PTSD – US Department Veteran of Affairs Describes stressors that health care providers will experience during an outbreak and preventative strategies
Mental Health Consequences of Infectious Disease Outbreak Institute for Disaster Mental Health at SUNY New Paltz Differentiates the psychological stressors for a direct contact transmission disease (e.g. Ebola) versus an airborne respiratory transmission disease (e.g. influenza). Identifies three psychological risks or stressors, faced by health professionals, that influence their “willingness to serve” during an infectious disease outbreak. Recommends three preventive or protective actions to diminish the mental health consequences of an infectious disease threat.
Guidance for planners of the psychosocial response to stress experienced by hospital staff associated with COVID: Early Interventions Camden’s Traumatic Stress Clinic and Islington NHS Trust COVID Trauma Response Working Group Outlines early interventions and the psychosocial response to stress experienced by hospital staff as they respond to COVID-19.
Peers Supporting Participants Coping with Thoughts of Suicide NYS Office of Mental Health Guidance to peer practitioners supporting individuals who may be coping with thoughts of suicide or self-harm during the COVID-19 pandemic.

Patient Care

Resource Source Description
COVID Ready Communication Playbook VITAL Talk Provides communication strategies for health care staff on how to talk to patients about difficult topics related to COVID-19.
Talking With Patients About Advance Directives During the COVID-19 Pandemic NRCC Healthcare Resilience Task Force Because the medical status of individuals with COVID-19 can quickly change to the point that they may need advanced life support (e.g., a ventilator), it is important for patients to have advance directives. This resource helps practitioners talk to patients about these documents using the “REMAP” framework (Reframe, Expect emotion and empathize, Map out the patient’s values and goals, Align with the patient’s values and goals, and Propose a plan).
Managing Patient and Family Distress Associated with COVID-19 NRCC Healthcare Resilience Task Force Provides strategies to help health care providers in hospitals and alternate care settings ease stress and anxiety experienced by patients during infectious disease outbreaks.

Self-Care

Resource Source Description
Self-Care for Health Care Workers NYC DOHMH Health care workers, including clinical providers, administrators, and maintenance staff, face unique stressors and challenges related to the COVID-19 pandemic. This document shares strategies for self-care, looking out for others, and seeking support when needed.
Mental Health in the Next Phase of Coronavirus NYS Office of Mental Health In any disaster or crisis, there are different emotional reactions to different phases. While the initial COVID-19 surge has passed in New York, it continues to be important to understand the mental health effects of the pandemic and the coping skills and resources that may help.
Supporting Families of Healthcare Workers Exposed to COVID-19 Center for the Study of Traumatic Stress Describes considerations for the families of health care workers who have been or are at risk of being exposed to COVID-19.
#FirstRespondersFirstMicrosteps First Responder First Guidance with small, actionable, science-backed steps for self-care and boosting resilience as healthcare providers take care of others.
Emergency Responders: Tips for Taking Care of Yourself CDC Outlines important steps responders should take before, during, and after an event. To take care of others, responders must be feeling well and thinking clearly.
Improving Sleep Habits During the COVID-19 Pandemic NYC DOHMH As a result of experiencing distress from the COVID-19 pandemic, some people might experience difficulty falling or staying asleep or unintentionally waking up too early. Poor sleep can have a negative impact on both your mental and physical health. This guide outline tips to improve sleep.
Grief Following Patient Deaths During COVID-19 NRCC Healthcare Resilience Task Force Provides tips and general guidance to mitigate the impacts of health care provider grief related to patient death and to maintain workforce efficiency and individual well-being.
Death of a Colleague During the COVID-19 Pandemic NRCC Healthcare Resilience Task Force Provides recommendations for health care workers and leaders to consider for managing grief following the death of a health care worker during the COVID-19 response
Pocket Card for COVID-19 Crisis – March 2020 Professional Quality of Life Measure  “Pocket card” about self-care in the face of difficult work for the COVID-19 health crisis.
Grief and Loss in the Workplace During COVID-19 NYC DOHMH As people who work side by side share work and personal experiences, losses can have significant impact on us and others in the workplace. This guide shows how one can support colleagues who have lost loved ones and cope with the loss of a coworker.
Burnout During the Time of COVID-19 NYC DOHMH Unmanaged burnout can severely undermine our health and well-being. It can increase the risk of getting sick and developing chronic conditions such as depression, alcohol and substance misuse, and high blood pressure. It can negatively impact our home and social life. This guide outlines effective coping strategies and strategies to limit risk for burnout.
Intensive Care Society’s Poster Series: How to Recognize the Signs of Reduced Wellbeing Intensive Care Society Poster series that aims to improve staff understanding of psychological well-being at work, the impact reduced well-being can have, and what can be done in response. Includes tips for dealing with extraordinary situations such as COVID-19 and everyday work in critical care.
Coping with Thoughts of Suicide During the COVID-19 Pandemic NYC DOHMH Our overlapping public health crises are significant stressors that can affect mental and emotional well-being. Reactions to these crises (including warning signs that someone may be thinking about suicide), coping strategies, and how someone copes can vary across different racial, ethnic, cultural, regional, and religious groups. Below are some suggestions and resources for suicide prevention.

Training Resources and Toolkits

Resource Source Description
Medically Induced Trauma Support Services Medically Induced Trauma Support Services Toolkit for organizations to support their clinicians and staff following adverse events.
Psychological First Aid NHS Education for Scotland Guidance written on Pyschological First Aid (PFA), ways that pandemic like COVID-19 can affect psychological wellbeing of healthcare providers, and strategies to take care of oneself while providing PFA.
Psychological First Aid and Stress Management Institute for Disaster Mental Health at SUNY New Paltz Provides guidance to understand the stress specific to the pandemic, utilization of psychological first aid as an intervention, and strategies for managing stress. (View as video)
Interim Guidance: Psychological First Aid during COVID-19 Outbreak International Federation of Red Cross Guidelines to set up and run different kinds of remote PFA during the time of a COVID-19 response. It should be noted that adults are the target group for these guidelines.
Support the Workers: Evidence-based Support Training to Provide Psychosocial Support to Frontline Workers in Response to COVID-19 Support the Workers Evidence-based training and support curriculum to strengthen leadership skills and training for those providing psychosocial support to frontline workers in response to COVID-19.
First Responder Compassion Fatigue Training Mental Health First Aid Missouri Project Provides training on defining the impact of trauma, vicarious trauma, and burnout on professional and personal wellbeing; shares strategies to identify compassion fatigue and burnout warning signs; describes individualized self-care and resiliency strategies to mitigate the damaging impacts of trauma and associated stress responses; and discusses implementing systematic change and support, and policies and procedures.