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Morgenstern J, Levak S, Madden SP, Moon KC, Muench F, Koroly L, Bancroft C, Grella M, Romano RJ, Katechia M, Sapra M. Improving Access and Quality of Behavioral Health Services for Health Care Employees. J Occup Environ Med 2024; 66:e258-e265. [PMID: 38595306 DOI: 10.1097/jom.0000000000003109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2024]
Abstract
OBJECTIVE To describe key features and the initial implementation of an employer-sponsored program designed to increase access to quality mental health treatment for employees of a large health care system. Methods: Retrospective data were collected on employer's efforts to develop a programmatic solution to address barriers to accessing quality mental health treatment among its employees and on initial program implementation. Results: Data from the initial cohort ( N = 1049) of program participants support the use of low threshold digital tools to enhance access to care, the importance of care navigation and a robust curated provider network in matching employees to appropriate care options, and the value of providing online, evidence-based psychotherapy to facilitate high rates of treatment engagement. Conclusions: Findings can help inform employers about approaches to improve access to quality mental health treatment for their employees.
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Affiliation(s)
- Jon Morgenstern
- From the Northwell, New Hyde Park, New York (J.M., S.L., S.P.M., K.C.M., F.M., L.K., C.B., M.G., R.J.R., M.K., M.S.); Institute of Behavioral Science, Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York (J.M.); and Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (J.M., M.S.)
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Doukas AM, Sharma V, DePierro JM, Ho S, Starkweather S, Marin DB. Effectiveness of CBT-Informed Behavioral Health Interventions for Health Care Workers in a Specialized Clinical Service During the COVID-19 Pandemic. Am J Public Health 2024; 114:167-170. [PMID: 38354342 PMCID: PMC10916725 DOI: 10.2105/ajph.2023.307435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2023] [Indexed: 02/16/2024]
Abstract
Objectives. To evaluate symptomatology and clinical outcomes among treatment-seeking health care workers (HCWs). We examined engagement, presenting symptomatology, and treatment outcomes among a diverse group of HCWs in a large urban health system. Methods. Demographic and pretreatment-posttreatment outcome data were available for 69 HCWs who sought cognitive behavioral therapy (CBT), with or without medication management, at a specialized clinical center from July 1, 2020, to April 25, 2022. Results. Treatment-seeking HWCs predominantly identified as female (78.3%) and non-White (53.6%) and had a mean age of 36.33 ± 10.72 years. Wilcoxon signed-rank tests showed significant reductions in all symptoms and increased well-being (P < .001), with effect sizes ranging from 0.59 to 0.71. Conclusions. Our findings replicate those of existing research on the prevalence of psychiatric distress among HCWs, uniquely focusing on those seeking care. Our outcome data suggest that short-term CBT is effective in reducing clinical symptoms and increasing HCW well-being. Public Health Implications. Given the elevated rates of distress found in HCW surveys, evidence-based interventions such as ours are essential to ensure workforce well-being. Providing mental health care to HCWs has both individual benefits and potential implications for improved patient care and workforce retention. (Am J Public Health. 2024;114(S2):S167-S170. https://doi.org/10.2105/AJPH.2023.307435).
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Affiliation(s)
- Ashley M Doukas
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
| | - Vanshdeep Sharma
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
| | - Jonathan M DePierro
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
| | - Scarlett Ho
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
| | - Sydney Starkweather
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
| | - Deborah B Marin
- The authors are with the Department of Psychiatry, Icahn School of Medicine, Mount Sinai Health System, New York, NY
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Costello Z, Roberson-Miranda K, Ho S, DePierro JM, Starkweather S, Katz CL, Sharma V, Marin DB. A Resilience Program for Hospital Security Officers During the COVID-19 Pandemic Using a Community Engagement Model. J Community Health 2023; 48:963-969. [PMID: 37728723 PMCID: PMC10623110 DOI: 10.1007/s10900-023-01282-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2023] [Indexed: 09/21/2023]
Abstract
Security officers in health systems are subject to high levels of stress and current support interventions do not necessarily target their needs. To address this gap, a resilience center at a major urban tertiary care hospital utilized community engagement principles to adapt and implement resilience and mental health awareness workshops, which were informed by initial piloting. The program consisted of twelve short briefings in which officers were provided psychoeducation on psychological first aid and adaptive coping. The program reached 107 security officers (89.5% men, 95.2% people of color); both qualitative and quantitative feedback indicated a generally positive reception. Further efforts to support security officers are warranted given their high exposure to patient crises and under-acknowledgement as frontline workers in healthcare.
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Affiliation(s)
- Zorina Costello
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Katheryn Roberson-Miranda
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
- Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
- Division of Psychological and Educational Services, Fordham University, New York, NY, USA.
| | - Scarlett Ho
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Jonathan M DePierro
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Sydney Starkweather
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Craig L Katz
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Health System Design & Global Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Vanshdeep Sharma
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Deborah B Marin
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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