ABSTRACT
The Covid-19 pandemic exposed and amplified many problems in political and healthcare systems around the world, and the United States has been no exception. One such issue is racial injustice, including its impact as a social determinant of health and its manifestation in disparities in healthcare access-including behavioral healthcare. This paper examines this problem in detail and highlights the work of the Center for Practice Innovations. This intermediary organization provides training and implementation support to behavioral healthcare organizations across New York State. This work includes changes and awareness building related to racial injustice within its organization that will drive changes in training and supports provided to behavioral healthcare organizations across New York State. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Italian) La pandemia di Covid-19 ha portato alla luce e amplificato molti problemi nei sistemi politici e sanitari in tutto il mondo, e gli Stati Uniti non hanno fatto eccezione. Uno di questi problemi e l'ingiustizia razziale, compreso il suo impatto come determinante sociale della salute e la sua manifestazione nelle disparita di accesso all'assistenza sanitaria - compresi i servizi di salute comportamentale. Questo documento esamina il problema nel dettaglio e evidenzia il lavoro del Center for Practice Innovations. Questa organizzazione intermediaria fornisce formazione e supporto nell'implementazione alle organizzazioni di assistenza sanitaria comportamentale in tutto lo Stato di New York. Questo lavoro include i cambiamenti e il consolidamento della consapevolezza relativi all'ingiustizia razziale all'interno della sua organizzazione, che guideranno i cambiamenti nella formazione e nei supporti forniti alle organizzazioni e servizi di salute comportamentale in tutto lo Stato di New York. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
BACKGROUND: Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce. METHODS: We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively. RESULTS: The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China. CONCLUSION: Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened.