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Mental Health and the Healthcare Workforce ‘It’s okay not to be okay’ This meeting has been organised and funded by Lundbeck 17 JUNE, 2020 Date of preparation: June 2020 UK-NOTPR-0248
Mental Health and the Healthcare Workforce‘It’s okay not to be okay’
This meeting has been organised and funded by Lundbeck
17 JUNE, 2020Date of preparation: June 2020 UK-NOTPR-0248
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Speaker disclosures
• Suzy Dion and David Smart have been paid an honorarium for this presentation by Lundbeck
• David Smart has also received payment for lectures from Janssen in the last two years
• Suzy Dion has no other declarations in the last two years
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Today's Speakers
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The aim of this webinar is to give you practical advice for your own and your team’s wellbeing as we move into this ‘new norm’.
It will offer you advice on self-compassion and how to reach out if you need to within your own organisations and to highlight other outside support that is
available.
For leaders, it will give you an insight into how staff are feeling, what support would be useful going forward and how that support could be enabled.
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Agenda
Introduction to Anxiety UK and Smart Wellbeing LLP
The different waves of a pandemic and how we react to them
The impact COVID-19 has had on Anxiety UK
What support is out there
What can we do to increase our happiness during and post COVID-19
Q&A
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Who are we?
Anxiety UK - UK’s leading user-led anxiety charity founded in 1970.
Provides support, information & advice on all anxiety disorders, stress and anxiety-based depression.
What do we offer?
• Accredited therapy service
• National helpline
• Membership led
• Large social media presence
• Research fund
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Our mission is to promote wellbeing at the heart of every organisation
COVID-19 has accelerated development and identified a real need for wellbeing support
Our plan is to develop a tiered educational approach with a number of wellbeing courses to support recovery
These will be primarily aimed at primary, acute and social care staff
Action for Happiness exemplar site
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Kate’s Story
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Response Phases
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What will be
happening?
• Worrying about own and
family safety
• Fear about the demand to
come
• Worry about what I/we will
be asked to do
• Will I be enough? Will I be
OK?
• Who has my back?
• Intense and consuming periods
of work
• Limited attention to own self
and needs
• Guilt, remorse, worry about own
performance and expectations of
others e.g. families, colleagues,
media
• Thrive and growth – I got through
this – every moment counts
• Morale injury – I have had to make
tough decisions which had negative
impacts and were beyond my control
• Survivor guilt – I made it through –
why me and not them?
• What & how have I just been
through?
• What if this happens again?
Sources: Major incident Clinical Expertise and associated Literature. Specialist Task Force and Clinical Advisors.
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A free resource from www.businessballs.com with permission from John M Fisher
https://www.businessballs.com/freepdfmaterials/fisher-transition-curve-2012bb.pdf : Accessed June 202010
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Impact waves
17 June, 2020Adapted from Combined interventions suppress the epidemic curve
https://www.nap.edu/read/25391/chapter/5#49 Accessed June 202011
Diagrammatic representation of anticipated impact of pandemic over time
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Early intervention to prevent mood disorder
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COVID-19 PANDEMIC
THREE DISTINCT PHASES
Pre-lockdown
Lockdown
Post lockdown/“Adjustment Phase”
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PANDEMIC IMPACT: ANXIETY UK RESPONSE to date….
Substantial increase in demand across all Anxiety UK support channels including helpline, text, email, live chat channels.
Increase in requests for therapy, group support requests, visits to helpline and general uptake of online self-help materials (support webinars etc)
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Pre-lockdown phase
A mix of new and previous experiences of anxiety (now heightened)
Principal themes around health, anxiety and Obsessive Compulsive Disorder
Worry around causing harm to others/excessive hand washing now encouraged
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Increase in demand
17 June, 2020 Source: Anxiety UK16
Anxiety UK Helpline Figures for first
month of COVID-19
No.
of conta
cts
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Increase in demand
17 June, 2020 Source Anxiety UK17
0
100
200
300
400
500
600
700
800
wc 02.03.20 wc 09.03.20 wc 16.03.20 wc 23.03.20 wc 30.03.20 wc 06.04.20 wc 13.04.20 wc 20.04.20
Volume of contacts
Calls Emails Texts Live chat
No.
of conta
cts
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Increase in demand
17 June, 2020Source Anxiety UK
* % increase in demand between the 23rd Mar – 19th April 2020 compared to the
average demand for those channels from 1st Jan – 29th Feb 2020
18
0
50
100
150
200
250
300
350
400
Call Volume Call Length E mail volume Text volume Live chat volume
% Increase in Anxiety UK contact volume*
% incre
ase
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Lockdown phase
Callers misinterpreting physical symptoms
Callers experiencing exacerbation of their anxiety
Increase in crisis calls
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The service delivery model:How the service works
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Health Education England’s Offer to the system
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1
2
3
4
InformationSignposts to generic and
profession specific resources
Basic needs and
Physical
Resources
Signposts to
resources
Support/Psychological First Aid
Signposts to Mental Health
apps and resources
Psychological Interventions
Signposts to support beyond
self help
Based on: The psychological needs of healthcare staff as a result of the Coronavirus outbreak | 31.03.2020
The British Psychological Society
HEE signposts to resources via COVID 19 website
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Ways to access support during COVID-19
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Send the text ‘FRONTLINE’ to 85258 to start a conversationListening Line - For all NHS Staff – call 0300 131 7000 07:00-
23:00Bereavement and loss support call 0300 3034434
07:00-23:00
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Ways to access support during COVID-19
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A range of materials to support you and your teams perform under this pressure.
On-line www.people.nhs.uk
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Recovery Phase
Next steps….
enshrining the lessons learned from COVID-19
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*
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MindEd
17 June, 2020https://www.minded.org.uk/ Accessed June 2020
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Other important resources
https://www.nhs.uk/oneyou/every-mind-matters/
Practitioner Health
Local resources
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Responding to need as it emerged ….
Empathetic listening and normalising
Increased hours of helpline support
Series of online webinars
Development of online anxiety management course
Development of peer-led, online anxiety support groups
Blogs on #Coronanxiety17 June, 202028
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Continuing to respond to need – planning for the future in the Post Lockdown/Adjustment phase
Launch Compassion Focussed Therapy (CFT) service – May 2020
Developing bespoke post-lockdown/adjustment phase service
Develop trauma support
Provide data on service uptake
Continue to listen & respond to our callers
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Sanjay’s story
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Three good things – The Evidence
Positive Psychology Progress Empirical Validation of Interventions
Positiv Psykologi Martin E. P. Seligman and Tracy A. Steen, University of Pennsylvania Nansook Park, University of Rhode Island Christopher Peterson, University of Michigan:American Psychologist 2005;60:410-421
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The Happiness Advantage: Health
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Half as likely to catch the cold virusCohen et al. (2006)
50% lower risk of cardiovascular eventBoehm and Kubzansky (2012)
Significantly better overall healthDiener and Chan (2011)
35% reduction in risk of deathSteptoe and Wardle (2011)
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Our levels of happiness are not set in stone
• Although our genes and circumstances affect our well-being, a significant portion of our life satisfaction comes from our conscious choices
• Neuroscience research shows that we can learn skills to be happier, thanks to the neuroplasticity of our brains
17 June, 2020 https://www.actionforhappiness.org/ Accessed June 202034
Lundbeck17 June, 2020https://www.facebook.com/A4HNorthants/ accessed June 2020
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Any questions?
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