Olivia D Herrington1, Ashley Clayton2, Laelia Benoit3, Cecil Prins-Aardema4,5, Madeline DiGiovanni1, Indigo Weller6, Andrés Martin7,8. 1. Yale School of Medicine, New Haven, CT, USA. 2. Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA. 3. Public Health and Sociology, Inserm (Institut National de La Santé et de La Recherche Médicale) and CESP (Centre de recherche en Epidémiologie et Santé des Populations), Paris, France. 4. GGZ Drenthe (Geestelijke Gezondheids Zorg: Mental Health Care), Beilen, The Netherlands. 5. Center for Educational Development and Research in Health Sciences (CEDAR), University Medical Center Groningen, Groningen, The Netherlands. 6. Bioethics Program, Harvard University, Cambridge, MA, USA. 7. Center for Educational Development and Research in Health Sciences (CEDAR), University Medical Center Groningen, Groningen, The Netherlands. andres.martin@yale.edu. 8. Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT, 06520-7900, USA. andres.martin@yale.edu.
Abstract
OBJECTIVE: To examine, through photo-elicitation, the personal and professional impact of the COVID-19 pandemic on mental health professionals working with children and adolescents around the globe. METHODS: We invited the submission of images collected about the pandemic between May and August 2020. We encouraged participants to yoke personal reflections or voice memos to their images. Using snowball sampling, we began with two invitations, including one to the graduates of a mentorship program continuously hosted since 2004 by the International Association of Child and Adolescent Psychiatry and Allied Professions (IACAPAP). We analyzed de-identified images and anonymized transcripts through iterative coding using thematic analysis informed by rich picture analysis and aided by NVivo software. RESULTS: We collected submissions from child and adolescent mental health professionals (n = 134) working in 54 countries spread across the five continents. We identified four overarching domains with component themes that revealed both the commonality and the uniqueness of the pandemic experience around the globe: (1) Place (adjusting to emptiness and stillness; shifting timeframes; blending of spaces); (2) Person (disruption to life rhythms; emotional toll; positives of the pandemic); (3) Profession (changing practices; outreach efforts; guild pride-and guilt); and (4) Purpose (from pandemic to syndemic; from lamenting to embracing; planning toward a better tomorrow). CONCLUSIONS: Photo-elicitation provided a disarming and efficient means to learn about individual, regional, and global similarities and differences regarding the professionals charged with addressing the mental health needs of children and adolescents around the globe. These findings may help inform practice changes in post-pandemic times.
OBJECTIVE: To examine, through photo-elicitation, the personal and professional impact of the COVID-19 pandemic on mental health professionals working with children and adolescents around the globe. METHODS: We invited the submission of images collected about the pandemic between May and August 2020. We encouraged participants to yoke personal reflections or voice memos to their images. Using snowball sampling, we began with two invitations, including one to the graduates of a mentorship program continuously hosted since 2004 by the International Association of Child and Adolescent Psychiatry and Allied Professions (IACAPAP). We analyzed de-identified images and anonymized transcripts through iterative coding using thematic analysis informed by rich picture analysis and aided by NVivo software. RESULTS: We collected submissions from child and adolescent mental health professionals (n = 134) working in 54 countries spread across the five continents. We identified four overarching domains with component themes that revealed both the commonality and the uniqueness of the pandemic experience around the globe: (1) Place (adjusting to emptiness and stillness; shifting timeframes; blending of spaces); (2) Person (disruption to life rhythms; emotional toll; positives of the pandemic); (3) Profession (changing practices; outreach efforts; guild pride-and guilt); and (4) Purpose (from pandemic to syndemic; from lamenting to embracing; planning toward a better tomorrow). CONCLUSIONS: Photo-elicitation provided a disarming and efficient means to learn about individual, regional, and global similarities and differences regarding the professionals charged with addressing the mental health needs of children and adolescents around the globe. These findings may help inform practice changes in post-pandemic times.
Entities:
Keywords:
COVID-19 pandemic; Mental health professionals; Photo-elicitation; Professional identity; Qualitative methods; Rich picture analysis; Thematic analysis
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