{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:14:17Z","timestamp":1765826057714,"version":"3.48.0"},"reference-count":29,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"crossref","award":["C19 20-207"],"award-info":[{"award-number":["C19 20-207"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,11,22]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Employee Occupational Health (\u2018occupational health\u2019) clinicians have expansive perspectives of the experience of healthcare personnel. Integrating mental health into the purview of occupational health is a newer approach that could combat historical limitations of healthcare personnel mental health programmes, which have been isolated and underused.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to document innovation and opportunities for supporting healthcare personnel mental health through occupational health clinicians. This work was part of a national qualitative needs assessment of employee occupational health clinicians during COVID-19 who were very much at the centre of organisational responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative needs assessment included key informant interviews obtained using snowball sampling methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We interviewed 43 US Veterans Health Administration occupational health clinicians from 29 facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>This analysis focused on personnel mental health needs and opportunities, using consensus coding of interview transcripts and modified member checking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key results<\/jats:title>\n                    <jats:p>Three major opportunities to support mental health through occupational health involved: (1) expanded mental health needs of healthcare personnel, including opportunities to support work-related concerns (eg, traumatic deployments), home-based concerns and bereavement (eg, working with chaplains); (2) leveraging expanded roles and protocols to address healthcare personnel mental health concerns, including opportunities in expanding occupational health roles, cross-disciplinary partnerships (eg, with employee assistance programmes (EAP)) and process\/protocol (eg, acute suicidal ideation pathways) and (3) need for supporting occupational health clinicians\u2019 own mental health, including opportunities to address overwork\/burn-out with adequate staffing\/resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Occupational health can enact strategies to support personnel mental health: to structurally sustain attention, use social cognition tools (eg, suicidality protocols or expanded job descriptions); to leverage distributed attention, enhance interdisciplinary collaboration (eg, chaplains for bereavement support or EAP) and to equip systems with resources and allow for flexibility during crises, including increased staffing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-075920","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:05:16Z","timestamp":1705017916000},"page":"e075920","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Qualitative interview study of strategies to support healthcare personnel mental health through an occupational health lens"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5415-3665","authenticated-orcid":false,"given":"Cati","family":"Brown-Johnson","sequence":"first","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA"},{"name":"Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheyenne","family":"DeShields","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"McCaa","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Connell","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan N","family":"Giannitrapani","sequence":"additional","affiliation":[{"name":"Employee Occupational Health, Wilmington VA Medical Center, Wilmington, Delaware, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Thanassi","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Stanford, California, USA"},{"name":"Occupational Health Service, VA Palo Alto Health Care System, Palo Alto, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth M","family":"Yano","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA"},{"name":"Department of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, USA"},{"name":"Department of Medicine, Geffen School of Medicine, UCLA, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara J","family":"Singer","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA"},{"name":"Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl A","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA"},{"name":"Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0987-6204","authenticated-orcid":false,"given":"Karleen","family":"Giannitrapani","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA"},{"name":"Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"2025121511084219000_14.1.e075920.1","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1097\/JOM.0000000000002263","article-title":"Burnout among primary care healthcare workers during the COVID-19 pandemic","volume":"63","author":"Apaydin","year":"2021","journal-title":"J Occup Environ 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