HomePsychology and Education: A Multidisciplinary Journalvol. 14 no. 1 (2023)

Lived Experiences of Mental Health Service Frontliners Amidst the COVID-19 Pandemic

Christian Khiel Unto | Claudia Jumelle Quinto | Rhoda Ortiz | Christine Miles Peralta | Charmaine Pineda | Elvira David

Discipline: Education

 

Abstract:

While there’s an abundant literature describing the experiences of medical frontliners amidst the pandemic, there is a dearth of studies pertaining to the experiences of mental health frontliners. This study aims to explore the lived experiences of mental health service providers who cater psychological services to COVID-19 patients and survivors. Using interpretative phenomenological analysis (IPA), this study extracted seven central meanings from the interview responses of eight mental health frontliners. The central meanings are 1) Experiencing Mental Health Concerns; 2) Challenges in Delivery of Online Mental Health Services; 3) Aggravating Concerns in the Profession; 4) Bolstering Personal and Professional Development; 5) Personal and Professional; 6) Adjustments to Pandemic-Related Frustrations; and 7) Social Support as Primary Way of Coping. The mental health concerns experienced by the participants are seemingly affected by the difficulty they experience in delivering online psychological services and their lack of resources and workforce to effectively do so. The participants’ social support and the adjustments they made in the personal and professional lives allowed them to navigate through the problems brought by the pandemic. Eventually, participants bolstered their personal and professional development which also helped them to better address the problems they encountered in their personal lives and in their line of profession.



References:

  1. Adepoju, O. E., Chae, M., Ayadi, M. F., Matuk-Villazon, O., & Liaw W. (2021). Early Impacts of the COVID-19 Pandemic on Telehealth Patterns in Primary Care, Mental Health, and Specialty Care Facilities in Texas. South Med J, 114(9), 593-596. doi:10.14423/SMJ.0000000000001289
  2. Alase, A. (2017). The Interpretative Phenomenological Analysis (IPA): A Guide to a Good Qualitative Research Approach. International Journal of Education & Literacy Studies, 5(2), 9-19. https://doi:10.7575/aiac.ijels.v.5n.2p.9
  3. Banerjee, D. (2020). The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian Journal of Psychiatry. https://doi.org/10.1016/j.ajp.2020.102014.
  4. Bavel, J. J. V., Baicker, K., Boggio, P. S. Valerio, C., Cichoka, A., Cikara, M., Crockett, M. J., Crum, A. J., Douglas, K. M., Druckman, J. N., Drury, J., Dube, O., Ellemers, N., Finkel E. J., Fowler, J. H., Gelfand, M., Han, S., Haslam, S. A., Jetten, J., … Willer, R. (2020). Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behavior, 4, 460–471. https://doi.org/10.1038/s41562-020-0884-z
  5. Billings, J., Abou, S. N., Hegarty, S., Ondruskova, T., Soulios, E., Bloomfield, M., & Greene, T. (2021) What support do frontline workers want? A qualitative study of health and social care workers’ experiences and views of psychosocial support during the COVID-19 pandemic. PLoS ONE, 16(9): e0256454. https://doi.org/10.1371/journal.pone.0256454
  6. Byrne, A., Barber, R., & Lim, C. H. (2021), Impact of the COVID-19 pandemic – a mental health service perspective. Progress in Neurology and Psychiatry. https://doi.org/10.1002/pnp.708.
  7. Cai, W., Lian, B., Song, X., Hou, T., Deng, G., & Li, H. (2020). A cross-sectional study on mental health among health care workers during the outbreak of Corona Virus Disease. Asian Journal of Psychiatry. https://doi.org/10.1016/j.ajp.2020.102111.
  8. Centers for Disease Control and Prevention. Recommended vaccines for healthcare workers. https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html.
  9. Denning M, Goh ET, Tan B, Kanneganti A, Almonte M, Scott A, et al. (2021) Determinants of burnout and other aspects of psychological wellbeing in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study. PLoS ONE, 16(4): e0238666. https://doi.org/10.1371/journal.pone.0238666
  10. Feijt, M., de Kort, Y., Bongers, I.,  Bierbooms, J., Westerink, J., & IJsselsteijn, W. (2020). Mental Health Care Goes Online: Practitioners' Experiences of Providing Mental Health Care During the COVID-19 Pandemic. Cyberpsychology, Behavior, and Social Networking, 23(12). https://doi.org/10.1089/cyber.2020.0370
  11. Flynn, R., Riches, E., Reid. G., Rosenberg, A., & Niedzwiedz, C. (2020). Rapid review of the impact of COVID-19 on mental health. Edinburgh: Public Health Scotland.
  12. Htay, M. N. N., Marzo, R. R., Bahari, R., AlRifai, A., Kamberi, F., El-Abasiri, R. A., Nyamache, J. M., Hlaing, H. A., Hassanein, M., Soe, M., Abas, A. L., Su, T.T. (2021). How healthcare workers are coping with mental health challenges during COVID-19 pandemic? - A cross-sectional multi-countries study. Clinical Epidemiology and Global Health, 11.  https://doi.org/10.1016/j.cegh.2021.100759
  13. Implementing rules and regulations of Republic Act No. 11036, otherwise known as Mental Health Act. https://doh.gov.ph/sites/default/files/health_advisory/IRR%20of%20RA%2011036.pdf.
  14. Inchausti, F., MacBeth, A., Hasson-Ohayon, I., & Dimaggio, G. (2020). Psychological intervention and COVID-19: What we know so far and what we can do. Journal of Contemporary Psychotherapy, 50, 243–250. https://doi.org/10.1007/s10879-020-09460-w.
  15. Kamberi, F., Sinaj, E., Jaho, J., Subashi, B., Sinanaj, G., Jaupaj, K., Stramarko, Y., Arapi, P., Dine, L., Gurguri, A., Xhindoli, J., Bucaj, J., Serjanaj, L. A., Marzo, R. R., & Nu Htay, M. N. (2021). Impact of COVID-19 pandemic on mental health, risk perception and coping strategies among health care workers in Albania - evidence that needs attention. Clinical epidemiology and global health, 12, 100824. https://doi.org/10.1016/j.cegh.2021.100824.
  16. Kannampallil, T. G., Goss, C. W., Evanoff, B. A., Strickland, J. R., McAlister, R. P., & Duncan, J. (2020). Exposure to COVID-19 patients increases physician trainee stress and burnout. PLoS ONE, 15(8). https://doi.org/10.1371/journal.pone.0237301
  17. Karekla, M., Hofer, S., Plantade-Gipch, A., Neto, D. D., Schjødt, B., David, D., Schjødt, B., David, D., Schütz, C., Elepftheriou, A., Pappová, P. E., Lowet, K., McCracken, L., SargautytÄ—, R., Scharnhorst, J. & Hart, J. (2021). The Role of psychologists in healthcare during the COVID-19 pandemic. European Journal of Psychology. https://doi.org/10.1024/2673-8627/a000003.
  18. Khalid, I., Khalid, T. J., Qabajah, M. R., Barnard, A. G., & Qushmaq, I. S. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. https://doi.org/10.3121/cmr.2016.1303.
  19. Lai, J., Ma, S., & Wang, Y. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. doi:10.1001/jamanetworkopen.2020.3976
  20. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2019). Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA Network Open. Psychiatry. https://doi.org/10.1001/jamanetworkopen.2020.3976.
  21. Li, G., Miao, J., Wang, H., Xu, S., Wenzhe, S., Fan, Y., Zhang, C., Zhu, S., Zhu, Z. & Wang, W. (2020). Psychological impact on women health workers involved in COVID-19 outbreak in Wuhan: A cross-sectional study. J Neurol Neurosurg Psychiatry. https://doi.org/10.1136/jnnp-2020-323134.
  22. Lindsey-Buckler, J. (2019). Reducing burnout among mental health providers using a mindfulness intervention. Doctor of Nursing Practice Papers, 36. https://ir.library.louisville.edu/dnp/36.
  23. Lu, W., Wang, H., Lin, Y., & Li, L. (2020). Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research. https://doi.org/10.1016/j.psychres.2020.112936.
  24. Makhni, M. C., Riew, G. J., & Sumathipala, M. G. (2020). Telemedicine in Orthopaedic Surgery. The Journal of Bone and Joint Surgery, Incorporated, 102,1109-15. http://dx.doi.org/10.2106/JBJS.20.00452
  25. Man, M. A., Toma, C., Motoc, N. S., Necrelescu, O. L., Bondor, C. I., Chis, A. F., Lesan, A.,   Pop, C. M., Todea, D. A., Dantes, E., Puiu, R., Rajnoveanu, R.- M. (2020). Disease perception and coping with emotional distress during COVID-19 pandemic: A survey among medical staff. International Journal of Environmental Research Public Health. https://doi.org/10.3390/ijerph17134899.
  26. Milne, S., Palfrey, J., Berg, J., & Todd, J. (2021). Video hospice consultation in COVID-19: Professional and patient evaluations. BMJ Supportive & Palliative Care, 0, 1–5. doi:10.1136/bmjspcare-2020-002861
  27. Naglieri, J., Drasgow, F., Schmit, M., Handler, L., Prifitera, A., Margolis, A., Velasquez, Rob. (2004). Psychological Testing on the Internet: New Problems, Old Issues. The American psychologist. 59. 150-62. DOI:10.1037/0003-066X.59.3.150.
  28. National Alliance on Mental Illness. (2020). Types of mental health professionals. https://www.nami.org/About-Mental-Illness/Treatments/Types-of-Mental-Health-Professionals.
  29. Novotney, M. (2017). A Growing Wave of Online Therapy. American Psychological Association of the Philippines. https://www.apa.org/monitor/2017/02/online-therapy
  30. Patton, M. (1990). Qualitative evaluation and research methods (pp. 169-186). Sage Publications.
  31. Razu, S. R., Yasmin, T., Arif, T. B., Islam, M. S., Islam, S. M. S., Gesesew, H. A., & Ward, P. (2021) Challenges Faced by Healthcare Professionals During the COVID-19 Pandemic: A Qualitative Inquiry From Bangladesh. Front. Public Health 9:647315. https://doi10.3389/fpubh.2021.647315
  32. Rettinger, L., Klupper, C., Werner, F., & Putz, P. (2021). Changing attitudes towards teletherapy in Austrian therapists during the COVID-19 pandemic. Journal of Telemedicine and Telecare, 0(0), 1-9.  DOI: 10.1177/1357633X20986038journals.sagepub.com/home/jtt
  33. Shaukat, N., Ali, D. M. & Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. International Journal of Emergency Medicine. https://doi.org/10.1186/s12245-020-00299-5.
  34. Shreffler, J., Petrey, J., & Huecker, M. (2020). The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. The western journal of emergency medicine, 21(5), 1059–1066. https://doi.org/10.5811/westjem.2020.7.48684
  35. Smith, J. A., & Osborn, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (pp. 51–80). Sage Publications, Inc.
  36. Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
  37. Tan, B. Y. Q., Chew, N. W. S., Lee, G. K. H., Jing, M., Goh, Y., Yeo, L. L. L., Zhang, K., Chin, H. K., Ahmad, A., Khan, F. A., Shanmugam, G. N., Chan, B. P. L., Sunny, S., Chandra, B., Ong, J. J. Y., Paliwal, P. R., Wong, L. Y. H., Sagayanathan, R., Chen, J. T., Ng, A., Y.Y., Teoh, H. L., Ho, C. S., Ho, R. C. & Sharma, V. K. (2020). Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Annals of internal medicine, 173(4), 317–320. https://doi.org/10.7326/M20-1083.
  38. Tuffour, I. (2017). A Critical Overview of Interpretative Phenomenological Analysis: A Contemporary Qualitative Research Approach. Journal of Healthcare Communications, 2(4), 1-5. https://DOI:10.4172/2472-1654.100093
  39. Wang, C., Tee, M., Roy, A. E., Fardin, M. A., Srichokchatchawan, W., Habib, H. A., Tran, B. X., Hussain, S., Hoang, M. T., Le, X. T., Ma, W., Pham, H. Q., Shirazi, M., Taneepanichskul, N., Tan, Y., Tee, C., Xu, L., Xu, Z., Vu, G. T., … Kuruchittam, V. (2021) The impact of COVID-19 pandemic on physical and mental health of Asians: A = study of seven middle-income countries in Asia. PLoS ONE, 16(2): e0246824. https://doi.org/10.1371/journal. pone.0246824
  40. Wang, X., Gordon, R. M., & Snyder, E. (2020). Comparing Chinese and US practitioners’ attitudes towards teletherapy during the COVID-19 pandemic. Asia Pacific Psychiatry. https://doi.org/10.1111/appy.12440
  41. Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., Liu, X., Fuller, C. J., Susser, E., Lu, J., & Hoven, C. W. (2009). The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk. La Revue canadienne de psychiatrie. https://doi.org/10.1177/070674370905400504.
  42. Xiong, J., Lipsitz, O., Nasri, F., Lui, L., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of affective disorders, 277, 55–64. https://doi.org/10.1016/j.jad.2020.08.001
  43. Yau, B., Vijh, R., Prairie, J., McKee, J., & Schwandt, M. (2021). Lived experiences of frontline workers and leaders during COVID-19 outbreaks in long-term care: A qualitative study. American Journal of Infection Control, 49(8), 978-984. https://doi.org/10.1016/j.ajic.2021.03.006
  44. Zhang, M., Wang, W., Millar, R., Li, G., & Yan, F. (2017). Coping and compromise: a qualitative study of how primary health care providers respond to health reform in China. Human Resources for Health. https://doi.org/10.1186/s12960-017-0226-z.
  45. Zhang, W. R., Wang, K., Yin, L., Zhao, W. F., Xue, Q., Peng, M., Min, B. Q., Tian, Q., Leng, H. X., Du, J. L., Chang, H., Yang, Y., Li, W., Shangguan, F. F., Yan, T. Y., Dong, H. Q., Han, Y., Wang, Y. P., Cosci, F., & Wang, H. X. (2020). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics, 89(4), 242–250. https://doi.org/10.1159/000507639.
  46. Zhang, Y., Li, R., Sun, X., Peng, M., & Li, X. (2021). Social Media Exposure, Psychological Distress, Emotion Regulation, and Depression During the COVID-19 Outbreak in Community Samples in China. https://doi.org/10.3389/fpsyt.2021.644899