COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response

Purpose – There is a high prevalence of trauma among mental health clients, with risk of re-traumatisation when admitted to a Department of Psychiatry (DoP) (Kimberg and Wheeler, 2019). The COVID-19 pandemic poses challenges to therapy service operations in DoPs, with infection control measures impa...

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Main Authors: Laura Carroll, Hannah Casey, Rory Adams, Stephanie O’Connor, Áine O’Reilly
Format: Article
Language:English
Published: Emerald Publishing 2022-03-01
Series:Irish Journal of Occupational Therapy
Subjects:
Online Access:https://www.emerald.com/insight/content/doi/10.1108/IJOT-04-2021-0011/full/pdf?title=covid-19-on-an-acute-psychiatric-unit-an-interdisciplinary-trauma-informed-response
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author Laura Carroll
Hannah Casey
Rory Adams
Stephanie O’Connor
Áine O’Reilly
author_facet Laura Carroll
Hannah Casey
Rory Adams
Stephanie O’Connor
Áine O’Reilly
author_sort Laura Carroll
collection DOAJ
description Purpose – There is a high prevalence of trauma among mental health clients, with risk of re-traumatisation when admitted to a Department of Psychiatry (DoP) (Kimberg and Wheeler, 2019). The COVID-19 pandemic poses challenges to therapy service operations in DoPs, with infection control measures impacting opportunities for therapeutic and social engagement. A trauma-informed care (TIC) lens was used when adapting services in Tallaght University Hospital DoP in response to COVID-19. Design/methodology/approach – An interdisciplinary approach was taken to adapt therapy services during early stages of the pandemic. Changes were informed by TIC principles to minimise re-traumatisation while maintaining high-quality services. Changes included expansion of the therapeutic activity programme, changes to groups, addition of COVID-19-specific groups and increased awareness of communication support needs. Findings – The early response to the pandemic, combined with the focus on TIC, resulted in continued, effective therapy services and positive client feedback. With clients’ involvement in their care enhanced, Individual Care Planning goals were achieved through group interventions. Originality/value – The COVID-19 pandemic brought unprecedented changes to mental health services. This paper highlights a response to unique challenges brought by COVID-19 on a DoP.
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spelling doaj.art-20cfeb1daf9a488aac8ddd5aab5101232022-12-22T04:30:36ZengEmerald PublishingIrish Journal of Occupational Therapy2398-88192022-03-01501101510.1108/IJOT-04-2021-0011681301COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed responseLaura Carroll0Hannah Casey1Rory Adams2Stephanie O’Connor3Áine O’Reilly4Department of Psychiatry, Tallaght University Hospital, Dublin, IrelandDepartment of Psychiatry, Tallaght University Hospital, Dublin, IrelandDepartment of Psychiatry, Tallaght University Hospital, Dublin, IrelandDepartment of Psychiatry, Tallaght University Hospital, Dublin, IrelandDepartment of Psychiatry, Tallaght University Hospital, Dublin, IrelandPurpose – There is a high prevalence of trauma among mental health clients, with risk of re-traumatisation when admitted to a Department of Psychiatry (DoP) (Kimberg and Wheeler, 2019). The COVID-19 pandemic poses challenges to therapy service operations in DoPs, with infection control measures impacting opportunities for therapeutic and social engagement. A trauma-informed care (TIC) lens was used when adapting services in Tallaght University Hospital DoP in response to COVID-19. Design/methodology/approach – An interdisciplinary approach was taken to adapt therapy services during early stages of the pandemic. Changes were informed by TIC principles to minimise re-traumatisation while maintaining high-quality services. Changes included expansion of the therapeutic activity programme, changes to groups, addition of COVID-19-specific groups and increased awareness of communication support needs. Findings – The early response to the pandemic, combined with the focus on TIC, resulted in continued, effective therapy services and positive client feedback. With clients’ involvement in their care enhanced, Individual Care Planning goals were achieved through group interventions. Originality/value – The COVID-19 pandemic brought unprecedented changes to mental health services. This paper highlights a response to unique challenges brought by COVID-19 on a DoP.https://www.emerald.com/insight/content/doi/10.1108/IJOT-04-2021-0011/full/pdf?title=covid-19-on-an-acute-psychiatric-unit-an-interdisciplinary-trauma-informed-responsetrauma-informed carecovid-19acute psychiatrytherapeutic activity programme (tap)interdisciplinary team (idt)multidisciplinary team
spellingShingle Laura Carroll
Hannah Casey
Rory Adams
Stephanie O’Connor
Áine O’Reilly
COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
Irish Journal of Occupational Therapy
trauma-informed care
covid-19
acute psychiatry
therapeutic activity programme (tap)
interdisciplinary team (idt)
multidisciplinary team
title COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
title_full COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
title_fullStr COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
title_full_unstemmed COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
title_short COVID-19 on an acute psychiatric unit: an interdisciplinary, trauma-informed response
title_sort covid 19 on an acute psychiatric unit an interdisciplinary trauma informed response
topic trauma-informed care
covid-19
acute psychiatry
therapeutic activity programme (tap)
interdisciplinary team (idt)
multidisciplinary team
url https://www.emerald.com/insight/content/doi/10.1108/IJOT-04-2021-0011/full/pdf?title=covid-19-on-an-acute-psychiatric-unit-an-interdisciplinary-trauma-informed-response
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AT hannahcasey covid19onanacutepsychiatricunitaninterdisciplinarytraumainformedresponse
AT roryadams covid19onanacutepsychiatricunitaninterdisciplinarytraumainformedresponse
AT stephanieoconnor covid19onanacutepsychiatricunitaninterdisciplinarytraumainformedresponse
AT aineoreilly covid19onanacutepsychiatricunitaninterdisciplinarytraumainformedresponse