A health care workers mental health crisis line in the age of COVID-19

Depress Anxiety. 2020 Aug;37(8):822-826. doi: 10.1002/da.23073. Epub 2020 Jul 15.

Abstract

Introduction: The COVID-19 pandemic has brought a health care crisis of unparalleled devastation. A mental health crisis as a second wave has begun to emerge in our front-line health care workers.

Objective: To address these needs, The Healthcare Worker Mental Health COVID-19 Hotline, based on crisis intervention principles, was developed and launched in 2 weeks.

Methods: Upon reflection of why this worked, we decided it might be useful to describe what we now recognize as 13-steps which led to our success. The process included the following: (1) anticipate mental health needs; (2) use leadership capable of mobilizing the systems and resources; (3) convene a multidisciplinary team; (4) delegate tasks and set timelines; (5) choose a clinical service model; (6) motivate staff as a workforce of volunteers; (7) develop training and educational materials; (8) develop personal, local, and national resources; (9) develop marketing plans; (10) deliver the training; (11) launch a 24 hr/7days per week Healthcare Worker Mental Health COVID-19 Hotline, and launch follow-up sessions for staff; (12) structure data collection to determine effectiveness and outcomes; and (13) obtain funding (not required).

Discussion: We believe the process we used is specifically useful for others who may want to develop a COVID-19 hotline services for health care workers and generally useful for the development of other mental health services.

Conclusion: We hope that this process may serve as a guide for other heath care systems.

Keywords: COVID-19 mental health response; coping; crisis intervention hotline; health care service; mental health hotline; problem-solving.

MeSH terms

  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / psychology*
  • Health Personnel / psychology*
  • Hotlines*
  • Humans
  • Leadership
  • Mental Health / statistics & numerical data*
  • Mental Health Services / economics
  • Mental Health Services / organization & administration*
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / psychology*