Psychosocial crisis intervention for coronavirus disease 2019 patients and healthcare workers.

Li Zhang; Lingjiang LI; Wanhong Zheng; Yan Zhang; Xueping Gao; Liwen Tan; Xiaoping Wang; Qiongni Chen; Junmei XU; Juanjuan Tang; Xingwei Luo; Xudong Chen; Xiaocui Zhang; Li HE; Jin Liu; Peng Cheng; Lizhi XU; Yi Tian; Chuan Wen; Weihui LI

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Psychosocial crisis intervention for coronavirus disease 2019 patients and healthcare workers.

Author: Li ZHANG ^{1
,

2
,

3
,

4} ; Lingjiang LI ^{1
,

2
,

3
,

5} ; Wanhong ZHENG ⁶ ; Yan ZHANG ^{1
,

2
,

3
,

5} ; Xueping GAO ^{1
,

2
,

3
,

5} ; Liwen TAN ^{1
,

2
,

3
,

5} ; Xiaoping WANG ^{1
,

2
,

3
,

5} ; Qiongni CHEN ^{1
,

2
,

3
,

5} ; Junmei XU ⁷ ; Juanjuan TANG ^{1
,

2
,

3
,

5} ; Xingwei LUO ⁸ ; Xudong CHEN ^{1
,

2
,

3
,

5} ; Xiaocui ZHANG ⁸ ; Li HE ^{1
,

2
,

3
,

5} ; Jin LIU ^{1
,

2
,

3
,

5} ; Peng CHENG ^{1
,

2
,

3
,

5} ; Lizhi XU ^{1
,

2
,

3
,

5} ; Yi TIAN ⁹ ; Chuan WEN ¹⁰ ; Weihui LI ^{1
,

2
,

3
,

11}
Author Information

1. Department of Psychiatry, Second Xiangya Hospital, Central South University
2. China National Clinical Research Center on Mental Disorders (Xiangya)
3. China National Technology Institute on Mental Disorders
4. Hunan Key Laboratory of Psychiatry and Mental Health, Changsha 410011, China. zhangli-mail@163.com.
5. Hunan Key Laboratory of Psychiatry and Mental Health, Changsha 410011, China.
6. Department of Behavioral Medicine and Psychiatry, School of Medicine, West Virginia University, Morgantown 26505, WV, United States.
7. Department of Anesthesiology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
8. Medical Psychological Center, Second Xiangya Hospital, Central South University, Changsha 410011, China.
9. Department of Infection, Second Xiangya Hospital, Central South University, Changsha 410011, China.
10. Department of Pediatrics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
11. Hunan Key Laboratory of Psychiatry and Mental Health, Changsha 410011, China. weihui_li@csu.edu.cn.
Publication Type:Journal Article
Keywords: anxiety; crisis intervention; depression; psychosocial support; shelter hospital
MeSH: Humans; COVID-19; Sleep Initiation and Maintenance Disorders; Crisis Intervention; Psychosocial Intervention; SARS-CoV-2; Mental Health; Depression/epidemiology*; Health Personnel/psychology*; Anxiety/etiology*
From: Journal of Central South University(Medical Sciences) 2023;48(1):92-105
CountryChina
Language:English
Abstract: OBJECTIVES:Shelter hospital was an alternative way to provide large-scale medical isolation and treatment for people with mild coronavirus disease 2019 (COVID-19). Due to various reasons, patients admitted to the large shelter hospital was reported high level of psychological distress, so did the healthcare workers. This study aims to introduce a comprehensive and multifaceted psychosocial crisis intervention model.
METHODS:The psychosocial crisis intervention model was provided to 200 patients and 240 healthcare workers in Wuhan Wuchang shelter hospital. Patient volunteers and organized peer support, client-centered culturally sensitive supportive care, timely delivery of scientific information about COVID-19 and its complications, mental health knowledge acquisition of non-psychiatric healthcare workers, group activities, counseling and education, virtualization of psychological intervention, consultation and liaison were exhibited respectively in the model. Pre-service survey was done in 38 patients and 49 healthcare workers using the Generalized Anxiety Disorder 7-item (GAD-7) scale, the Patient Health Questionnaire 2-item (PHQ-2) scale, and the Primary Care PTSD screen for the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (PC-PTSD-5). Forty-eight healthcare workers gave feedback after the intervention.
RESULTS:The psychosocial crisis intervention model was successfully implemented by 10 mental health professionals and was well-accepted by both patients and healthcare workers in the shelter hospital. In pre-service survey, 15.8% of 38 patients were with anxiety, 55.3% were with stress, and 15.8% were with depression; 16.3% of 49 healthcare workers were with anxiety, 26.5% were with stress, and 22.4% were with depression. In post-service survey, 62.5% of 48 healthcare workers thought it was very practical, 37.5% thought more practical; 37.5% of them thought it was very helpful to relief anxiety and insomnia, and 27.1% thought much helpful; 37.5% of them thought it was very helpful to recognize patients with anxiety and insomnia, and 29.2% thought much helpful; 35.4% of them thought it was very helpful to deal with patients' anxiety and insomnia, and 37.5% thought much helpful.
CONCLUSIONS:Psychological crisis intervention is feasible, acceptable, and associated with positive outcomes. Future tastings of this model in larger population and different settings are warranted.