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. 2021 Jan;56(1):25-37.
doi: 10.1007/s00127-020-01927-4. Epub 2020 Aug 28.

Impact on mental health care and on mental health service users of the COVID-19 pandemic: a mixed methods survey of UK mental health care staff

Sonia Johnson #  1   2 , Christian Dalton-Locke #  3 , Norha Vera San Juan  4 , Una Foye  4 , Sian Oram  4 , Alexandra Papamichail  4 , Sabine Landau  4 , Rachel Rowan Olive  5 , Tamar Jeynes  5 , Prisha Shah  5 , Luke Sheridan Rains  1 , Brynmor Lloyd-Evans  1 , Sarah Carr  6 , Helen Killaspy  1   2 , Steve Gillard  7 , Alan Simpson  4   8   9 ; COVID-19 Mental Health Policy Research Unit Group
Collaborators, Affiliations

Impact on mental health care and on mental health service users of the COVID-19 pandemic: a mixed methods survey of UK mental health care staff

Sonia Johnson et al. Soc Psychiatry Psychiatr Epidemiol. 2021 Jan.

Abstract

Purpose: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users.

Methods: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed methods online survey. Recruitment channels included professional associations and networks, charities, and social media. Quantitative findings were reported with descriptive statistics, and content analysis conducted for qualitative data.

Results: 2,180 staff from a range of sectors, professions, and specialties participated. Immediate infection control concerns were highly salient for inpatient staff, new ways of working for community staff. Multiple rapid adaptations and innovations in response to the crisis were described, especially remote working. This was cautiously welcomed but found successful in only some clinical situations. Staff had specific concerns about many groups of service users, including people whose conditions are exacerbated by pandemic anxieties and social disruptions; people experiencing loneliness, domestic abuse and family conflict; those unable to understand and follow social distancing requirements; and those who cannot engage with remote care.

Conclusion: This overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: we suggest that how to combine infection control and a therapeutic environment in hospital, and how to achieve effective and targeted tele-health implementation in the community, should be priorities. The limitations of our convenience sample must be noted.

Keywords: COVID-19; Coronavirus; Mental health care; Mental health services; Mental health staff; Pandemic.

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Conflict of interest statement

SJ, AS, BLE, SO, and SC are grant holders for the NIHR Mental Health Policy Research Unit.

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