Patterns and Correlates of Utilization of Mental Health Services, Distress, and Flourishing Among Academic Medical Trainees and Faculty Throughout the COVID Pandemic and Beyond
Marie Soller, Mary Moffit, Christie Kesserwani, Benjamin Ladd
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引用次数: 0
Abstract
Objective
The COVID pandemic struck after decades of high distress among clinicians, but little is known about their utilization of mental health services. This investigation examines peri-pandemic mental health services utilization by academic medical trainees and faculty, including levels of distress and flourishing among utilizers.
Methods
Authors examined psychological and psychiatric service utilization through an academic medical center’s wellness program between 2019 and 2023. Program utilizers consenting to research completed standardized measures of distress and flourishing. Statistical analysis compared results including demographic correlates during four intervals: before the COVID pandemic, before and after vaccine availability, and after the state of emergency was lifted.
Results
Of the 1212 individuals who utilized the program, 697 consented to research participation. Utilization rates ranged among eligible trainees between 26.4% (273/1032) and 36.0% (378/1050) and faculty between 6.4% (125/1946) and 8.2% (213/2592) per 9-month interval. Utilization was more intensive pre-vaccine and post-state of emergency. BIPOC utilization significantly increased in all three intervals after COVID began, including an observed increase in Asian utilizers. Flourishing was lowest in the post-vaccine and post-state of emergency intervals. Surgical specialties reported higher flourishing than non-surgical specialties. No differences in distress were observed.
Conclusions
Within this robustly utilized program, the percentage of eligible clinicians initiating services was steady and increased after the state of emergency was lifted. An increase in utilization by BIPOC clinicians coincided with an increase in Asian discrimination nationally. Academic medical institutions should be prepared to meet the evolving and expanding mental health treatment needs of diverse trainees and faculty.
期刊介绍：
Academic Psychiatry is the international journal of the American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry, and Association of Directors of Medical Student Education in Psychiatry.
Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy.
The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.
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