ABSTRACT
Public Significance Statement The COVID-19 pandemic has disrupted the provision of mental health services in long-term care (LTC) settings, resulting in negative impacts not only for LTC residents who had previously been receiving mental health services but also the clinicians providing the services. This study examines the impact of the COVID-19 pandemic on mental health providers' ability to provide mental health services in LTC settings, patient functioning, and providers' personal well-being and professional functioning. The authors hope that information within this article will assist in elucidating critical insights that can serve as a guide for policymakers, administrators, employers, and mental health clinicians regarding the provision of mental health services to residents in LTC settings during future pandemics. Due to the rapid spread of COVID-19 in long-term care (LTC) settings and the subsequent mandatory visitor restrictions that were put in place, the provision of behavioral health services in LTC settings was impacted. To examine the pandemic's effect on the provision of psychological services in this setting and its impact on clinicians and their patients, we surveyed 126 licensed mental health clinicians working in LTC settings during the pandemic. The sample consisted of psychologists, social workers, and psychiatry mid-level practitioners from 31 states who had provided mental health care services in LTC settings during the initial 7 months after the COVID-19 pandemic was declared a national emergency. This exploratory study revealed that the pandemic significantly impacted the availability and use of mental health services in LTC settings. Although there was a reported increase in the use of telehealth services compared to prepandemic frequency, it was noted that LTC residents went long periods of time without access to mental health services. Government-imposed visitor restrictions and pandemic-related restrictions were perceived as negatively impacting the emotional well-being, loneliness, and quality of life of LTC residents. Perceived factors contributing to the financial and emotional impact of COVID-19 on clinicians were explored, and it was noted that more than half of the sample reported experiencing burnout and nearly one third of surveyed clinicians believed they had experienced trauma by providing mental health services in LTC settings during the COVID-19 pandemic. Understanding this impact has implications for providing mental health services during the current and future pandemics.
ABSTRACT
Aims: To evaluate attitude toward and knowledge of first aid of the public in Makkah region, Saudi Arabia, considering the effects of the COVID-19 pandemic on changing perceptions. Study Design: A descriptive cross-sectional study. Place and Duration of Study: Department of Medicine, between June 2020 and November 2021. Methodology: A descriptive cross-sectional study targeted the whole accessible population in Makkah region. All those aged 18 or older living in the region were invited to participate in the survey. Data collection was through an online pre-structured questionnaire from July 15th to August 12th, 2021. It covered sociodemographic data, knowledge, and attitude regarding first aid, and the effects of the COVID-19 pandemic. Results: A total of 1,368 participants met the inclusion criteria. Ages ranged from 18 to 70 years. A total of 1,132 (82.7%) participants had poor knowledge, and 1,028 (75.1%) reported they would help in providing first aid. Conclusion: Despite high motivation and readiness to attain knowledge of first aid, public knowledge was very low. Attitudes were very good, but practice was restricted by some barriers.