학술논문
COMVC-19: A Program to protect healthcare workers’ mental health during the COVID-19 Pandemic. What we have learned
Document Type
article
Author
Fukuti, Pedro; Uchôa, Caroline Louise Mesquita; Mazzoco, Marina Flaborea; Cruz, Isabella D'Andrea Garcia da; Echegaray, Mariana V.F.; Humes, Eduardo de Castro; Silveira, Júlia Belizário; Santi, Talita Di; Miguel, Euripedes Constantino; Corchs, Felipe; Fatori, Daniel; Campello, Guilherme; Oliveira, Gabriel M. de; Argolo, Felipe C.; Ferreira, Felipe de M.; Machado, Gustavo; Argeu, Adriana; Oliveira, Graça Maria Ramos de; Serafim, Antônio de Pádua; Siqueira, Luciana de Lima; Rossi, Luciane de; Rios, Izabel Cristina; Oliveira, Talita Rodrigues de; Antoniazzi, Leilane C. K.; Gagliotti, Daniel Augusto Mori; Abelama Neto, Emílio; Oliveira Junior, Paulo Novais de; Correia, Aline Villalobo; Gonçalves, Luca Schilling; Tortato, Liana Silva; Busato, Wagner Machado Moraes; Guimarães-Fernandes, Flávio; Alves, Marcos; Leite Netto, Oswaldo Ferreira; Schoueri, Patrícia de Campos Lindenberg; Roque, Márcio de Assis; Merlin, Silvia Stahl; Boer, Giovana Cardoso Machado; Sallet, Paulo Clemente; Malbergier, André; Spedo, Mariana Abrahão; Kamitsuji, Carla Satie; Faria, Elizabeth de; Moreira, Moacyr Vergara de Godoy; Kaufman, Arthur; Abdo, Carmita; Scanavino, Marco de Tubino; Lancman, Selma; Tavares, Hermano; Polanczyk, Guilherme; Brunoni, André R.; Forlenza, Orestes V.; Barros-Filho, Tarcísio Eloy Pessoa de
Source
Clinics. January 2021 76
Subject
Language
English
ISSN
1807-5932
Abstract
OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.