COVID19 Roundtable 12 May 2020

Exploring opportunities to accelerate COVID19 translation

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Agenda for Today

Confidential

10 mins Opening and welcome

● Acknowledgement of Traditional Owners

● Principles for today’s conversation

● How the meeting will work today

● Who’s on the call – What role do you play?

● What would you like to get from today?

David Bunker

Interactive Session

35 mins Feature COVID-19 Activities

1. Overview of BDHP Roundtable Discussion #2 – 16 April

2. Promoting Wellbeing of Critical Care Doctors

3. The Social Cure

4. Research Projects with a connection to mental health

● What’s most interesting / most captured your attention?

David Bunker

Dylan Flaws

Jolanda Jetta

Shane Warren

Interactive / Chat

15 mins Interactive Feedback and Discussion

● What would you like to hear more about in upcoming events?

● What did you find valuable today?

● Thanks/acknowledgements

David Bunker

Interactive Session

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

Confidential 3

Section 1: Roundtable Discussion Purpose

To enable the integration of innovative research

with education, training, clinical care and the

highest quality healthcare for our local and

extended communities

Improved population health outcomes through

collaborative partnerships that translate

discoveries and knowledge into practice

BDHP’s role is to connect the efforts of individuals, organisations and

communities in Queensland for better health.

Our partners are health, research and education leaders who combine their

strengths in state-of-the-art facilities to solve major health challenges.

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Principles for today’s Roundtable Discussion:

1. Do everything we can, but don’t get in the way

2. The healthcare delivery system is focused on coordinating the response, we

are working to support translational research coordination and collaboration

3. Today we will work to identify what we can collectively do to support the

response

4. Today we will work to achieve our mission:

To enable the integration of innovative research with education, training, clinical

care and the highest quality healthcare for our local and extended communities

Section 1: Roundtable Discussion Purpose

Making

best use

of our

time

today

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Fostering high-value discussion

• We will invite questions/comments regularly –

when we do, feel free to jump in and start by stating your name

• You can use the chat channel at any time to share short written

comments/questions – we may invite you to follow up

• We’ll also use an online polling tool at specific points

Section 1: Roundtable Discussion Management

Zoom management• We are managing Zoom within the current constraints

• Please connect with the Zoom client/app, not by telephone dial in

• Please mute your audio when you’re not talking

• Please switch off your video

• Please use the Chat Window to ask questions and make comments

• Please be ready for the interactive parts of the discussion

Confidential 6

Group contribution tool

• On your web browser

(phone, tablet or desktop)

• Go to: www.menti.com and

enter the code: 57 05 93

Section 1: Roundtable Discussion Management

Confidential 7

Confidential 8

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Agenda for Today

Confidential

10 mins Opening and welcome

● Acknowledgement of Traditional Owners

● Principles for today’s conversation

● How the meeting will work today

● Who’s on the call – What role do you play?

● What would you like to get from today?

David Bunker

Interactive Session

35 mins Feature COVID-19 Activities

1. Overview of BDHP Roundtable Discussions

2. Promoting Wellbeing of Critical Care Doctors

3. The Social Cure

4. Research Projects with a connection to mental health

● What’s most interesting / most captured your attention?

David Bunker

Dylan Flaws

Jolanda Jetten

Shane Warren

Interactive / Chat

15 mins Interactive Feedback and Discussion

● What did you find valuable today?

● Thanks/acknowledgements

David Bunker

Interactive Session

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

Confidential 11

Section 2: Overview of Roundtable Discussions

https://brisbanediamantina.com/covid-19/roundtable-discussions/

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Section 2: What we learnt from Roundtable Discussion #1 and 2

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Section 2.1: Promoting Well Being of Critical Care Doctors

A/Prof Dylan Flaws

Metro North Mental Health

Queensland Health

Promoting Wellbeing of Critical Care DoctorsA/PROF DYLAN FLAWS

DYLAN.FLAWS@HEALTH.QLD.GOV.AU

HTTPS://FORMS.GLE/O7CGHBNFYKYTRWWT8

An existing partnership

MNMH + CCRG

“ICU of the Future”

Recovery following Severe Illness

The rise of COVID-19

Rising distress among critical care staff

Reached out to MNMH through existing partnership

Also reaching out publicly

Wanting support from MH colleagues

MNMH Response

Reviewed the literature & developed a preliminary model

Sought support from MNMH & MNHHS Exec

Developed Multidisciplinary Focus Group

Took ~4 weeks to develop

Initially formed a small steering group

Peer Support Model

1. General information on stress & how to promote wellbeing during pandemic

2. Huddle & shift brief/debrief

3. Buddy system

4. Peer support hotline

Mon-Fri business hours

Available to Critical care SMOs

10 Psychiatrists

Peer support & psychological first aid

Follow-up call

Refer-on options

• GP

• Benestar

• Doctors Health Advisory Service

• Private Psychiatrist Bulk Billing

Peer Support Hotline

Australia’sFlattened Curve

International Survey

InternationalSurvey

Confidential 22

Section 2.1: Promoting Wellbeing of Critical Care Doctors

Initiative 1

Promoting Wellbeing of Critical Care Doctors

Summary

• Growing concerns from clinicals facing the response, with critical care clinicians reaching out for support within the hospital, and publicly. And the hospital could see they needed to respond.

• Metro North HHS formed a steering committee with experts and leaders, and then formed a multi-discipline focus group with over 30 people to trouble shoot models for care and the response.

• A model was developed encompassing how escalating stress levels, needed to be matched to escalating response.

• One of the response elements was to establish a buddy system, with a peer-support model and a peer support hotline.

• With international collaboration a survey has been developed

Discussion

Wonderful initiative - excellent work

Link to the survey: https://forms.gle/o7cGHbNfYKytrWWT8

Agreed

Interested in how much guidance/structure was given to the “team huddles”?

Care for the carer… brilliant initiative!

Interested to know if there has been an increased awareness of ICU impact on patients and families? Including role of staff stress on patient and families.

Thanks Dylan

Jenny Strong here. At Metro North we have appointed a Chief Wellness Officer. We have currently have 30 COVID-19 research and quality projects approved in the HHS. To my knowledge, 3 of them are directly related to staff wellness and resilience. One is about digital connection.

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Section 2.2: The Social Cure

Prof Jolanda Jetten

School of Psychology

The University of Queensland

Jolanda Jetten, School of Psychology, University of Queensland

The Social Cure

understanding health

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9

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4

3

1

2

Meta-analysis of 148 studies, over 300,000 participants:

Correct answers (based on Holt-Lunstad et al, 2010, PloS Med)

Rank the following 11 factors in terms of their importance as predictors of mortality:

☐ Not smoking

☐ Quitting smoking

☐ Not being obese

☐ Not being exposed to air pollution

☐ Receiving social support

☐ Taking appropriate medication

☐ Exercising

☐ Being socially integrated

☐ Being physically active

☐ Not drinking excessive alcohol

☐ Flu vaccination

Understanding health

Risk of death in the first 6 years of retirement

12.10%

5.20%

2.20%

0.95%0.41%

0%

5%

10%

15%

lose 2 lose 1 none gain 1 gain 2

Change in group memberships

Steffens, Cruwys, CHaslam,

Jetten & AHaslam (2016)

BMJOpen

Loss of group memberships leads to early death

“As a rough rule of thumb, if you belong to no group but

decide to join one, you cut your risk of dying over the next

year in half.

If you smoke and belong to no groups, it’s a toss-up

statistically whether you should stop smoking or start

joining.

(Putnam, 2000, p.331).

The size of these effectsThe size of these effects

political groups

family groups

religious groupsethnic groups

interest groupssporting groups

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work groups

national groups

Humans are social animals

Representative survey of 54,000 Australians

Loneliness a key issue (S.A. Haslam, C. Haslam & Cruwys, 2019)Only half (54%) of Australians reported “rarely” or “never” feeling lonely.

Loneliness is a problem for:

Young people. Only 32% of people aged 18-24 “rarely” or “never” feel lonely (vs. 71% of those aged 65-75).

People on low income. 21% of people earning < A$600 pw feel lonely “frequently” or “always” (vs 10% of people who earn > A$3,000 pw).

Loneliness: a growing problem

Australia Talks (2019)

Loneliness: a growing problem

• N=730 Australians

• Those who are chronically lonely, more worried about self-isolation, feel less in control, more overwhelmed, helpless, scared, at risk and vulnerable.

COVID-19 survey COVID-19 survey

COVID-19 survey

• On behaviours to stay safe, no age effects.

• On trust, younger people are less trusting of government

• On isolation, younger people appear more concerned about loneliness.

• When considering how lonely one would be if one would have to self-isolate, younger people thought they would be lonelier than older people.

COVID-19 survey

The younger the participant, the more they agree with the statements:

• Members of the groups to which I belong panic about COVID-19

• I feel that there is not enough information available to me to help me deal with COVID-19.

• I feel that the COVID-19 situation is out of control, and I am scared about what might happen

• I fear the worst-case scenario that other people who are close to me could die as a result of COVID-19.

• I feel that there is nothing I can do to help with the COVID-19 outbreak.

• Fear that COVID is pulling us apart

COVID-19 survey

The younger the participant, the less they agree with the statements:

• I trust my government to respond to COVID-19 in a way that manages the risk appropriately

• I trust the media to responsibly manage the flow of information in ways that help us to respond to COVID-19 in a way that manages the risk appropriately.

• I feel that there is enough high-quality knowledge available to help me deal with COVID-19.

• I feel that my family are responding responsibly to COVID-19.

• I feel that Australia is responding responsibly to COVID-19.

• I fear that COVID-19 might pose a significant risk to my own health.

COVID-19 survey

COVID-19 survey

GROUPS 2 CONNECT is a simple

on-screen activity designed to get

people thinking about how to stay

socially connected whilst maintaining

physical distance.

• Designed by researchers at

The University of Queensland

• The programme gets people to think about their connections

and make goals to improve their connections

• Works on all platforms, takes less than 10 minutes

• Trialled with 200 UK adult residents, at two separate time points

3.75

3.8

3.85

3.9

3.95

4

4.05

4.1

Pre-intervention Post-intervention

"Rate your ability to stay connected to others right now" - comparing scores before G2C to

immediately after

Feedback on the GROUPS 2 CONNECT intervention

“I found the activity helpful because it reminded me of

the various ways I can stay connected to people, and

that I need to take action to connect with people if I am

feeling isolated”.

10 days after doing the G2C activity

• 53% of users reported completing both of

their social goals

• 34% reported completing at least one of

their social goals

• When asked ‘To what extent did you feel

good about achieving this goal?’ the

average response was 8.21 on a

10-point scale

GROUPS 2 CONNECT pilot results…

The team

Alex Haslam

Tegan Cruwys

Sarah Bentley

Cath Haslam

Jolanda Jetten

The Team

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Section 2.2: The Social Cure

Initiative 2

The Social Cure

Summary

3 great projects!

Digital is always the answer :)

Thank you and if anyone is interested in finding out more, do get in touch

Summary• Background on understanding what the predictors for health

are. Evidence shows that the top two items for early mortality includes social support and social integration.

• Evidence also shows loss of group membership was a risk predictor for people in their first six years of retirement.

• Loneliness is a significant issue in Australia, with over 50% identifying themselves as feeling lonely.

• With COVID-19 people who are already lonely are more likely to be concerned by social isolation policies.

• Whilst there wasn’t an age affect, it has been shown that younger people have more issues with trust.

• How do we stay socially connected whilst physically distanced.

• A survey has been developed, which will also follow people over the coming period of time as we continue to deal with the pandemic.

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Section 2.3: Mental Health Research at QUT

Dr Shane Warren

School of Public Health and Social Work, Faculty of Health

Queensland University of Technology

Presentation to the COVID-19 Roundtable

Research Projects with a connection to mental health

Dr Shane Warren

On behalf of School of Public Health and Social Work

Faculty of Health

Queensland University of Technology

QUT acknowledges the Turrbal and Yugara, as the First Nations owners of the

lands where QUT now stands. We pay respect to their Elders, lores, customs and

creation spirits. We recognise that these lands have always been places of

teaching, research and learning.

QUT acknowledges the important role Aboriginal and Torres Strait Islander

people play within the QUT community.

Acknowledgement of Traditional Owners

3 Research projects that have potential to intersect with mental health and wellbeing during COVID-19

• Domestic and family violence during COVID-19 - Partnership with the Centre for Justice, QUT to undertake a quantitative and qualitative research project about service provider experiences of domestic and family violence during COVID-19

• Social Isolation - Social action research project with the Queensland Community Alliance focusing on social isolation across Greater Brisbane

• Emergency Relief assistance - Research and analysis undertaken by Masters Level students to explore patterns of provided by NGOs and understandings of cohorts during COVID

1. Domestic and Family Violence during COVID-19 –Queensland Service Provider Experiences Research Project• Domestic violence is a driver of women’s inequality, ill-health, subjection

and homicide; ‘one of the most significant issues to be addressed in our time’ (United Nations 2015). Vulnerabilities, risk and impacts of violence escalate in times of crisis.

• Early indications are that rates are escalating as women are more vulnerable, isolated and less able to access support (Allen-Ebrahiman2020).

• Advocates have reported increased complexities and challenges in assisting victims/survivors amidst COVID-19 (Women’s Safety, NSW 2020).

• Technology affords opportunities to information and seek support from informal networks, engage support workers and first responders (Harris, Dragiewicz & Woodlock, forthcoming).

1. DFV Research Project Continued

• The project will conduct a small pilot project from which to leverage for larger external funding after completion. It will address the following questions:

• How have rates of domestic violence and service provision been impacted by COVID-19? (eg, housing impacts, access to community services, organisational capacity, changes to service delivery etc)

• What do understand as the key drivers for the changes (if any) in rates of domestic violence (eg, isolation, restricted to same household, job loss, financial stress, loss of housing/overcrowding, school closures etc)

• What challenges exist when responding to particular groups (e.g. LGBTIQ+, CALD and Aboriginal and Torres Strait Islander survivors, those with a lived experience of disability)?

• How has your service used digital, communication or internet technologies to support people experiencing domestic violence during the COVID-19 pandemic?

1. Domestic and Family Violence Research project –Continued

Next Steps

• Seed funding obtained and research team has formed

• Currently seeking ethics approval (May 2020)

• Qualtrics survey administered Mid 2020 to service providers throughout Queensland

• Briefing paper and Research Report

• Aiming to seek longer term funding in 2021

2. Partnering with Queensland Community Alliance to participate in Social Action Research on Social Isolation

• The Field Education Unit, School of Public Health and Social Work will partner with Queensland Community Alliance (QCA) to participate in their ongoing social research and action focusing on social isolation

• This includes working with QCA to support their work to establish a parliamentary inquiry into social isolation.

• Understanding the nature of social isolation for people in suburban Brisbane, and how COVID-19 has impacted people’s experience of social isolation

3. Emergency Relief and Assistance Research Project• Masters Social Work Students supervised by Academic Staff

undertaking analysis and review of Emergency Relief (ER) and related assistance programs during COVID-19 as their placement project in Semester 2

• Need to understand the pressures on ER and related schemes and the cohorts assisted by these schemes, including:

• New service user groups including International students• People experiencing housing and financial stress• People with mental health concerns

• Intent is to build recommendations for service delivery and practice, policy and program design

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Section 2.2: Mental Health Research at QUT

Initiative 3

Mental Health Research at QUT

Discussion

Is anyone doing any work on future downstream effects of COVID on mental health of young people?

Yes, TPCH are planning some work if you want to touch base with Tegwen

Great Session, thanks everyone

Summary

• Three projects were showcased on Domestic Violence, Social Isolation and Emergency Relief Assistance

• The pandemic is causing greater stress in families, increasing the demand on social services and a project has been established to better understand this and develop better techniques to support the response.

• Technology affords an opportunity to inform and seek support through informal networks and reach out to people who need support.

• Working with Queensland Community Alliance to participate in their ongoing social research focussing on social isolation.

• The third project is looking at the pressures on ER and related schemes with a view to build recommendations for service delivery and practice, policy and program design.

Agenda for Today

Confidential

10 mins Opening and welcome

● Acknowledgement of Traditional Owners

● Principles for today’s conversation

● How the meeting will work today

● Who’s on the call – What role do you play?

● What would you like to get from today?

David Bunker

Interactive Session

35 mins Feature COVID-19 Activities

1. Overview of BDHP Roundtable Discussions

2. Promoting Wellbeing of Critical Care Doctors

3. The Social Cure

4. Research Projects with a connection to mental health

● What’s most interesting / most captured your attention?

David Bunker

Dylan Flaws

Jolanda Jetten

Shane Warren

Interactive / Chat

15 mins Interactive Feedback and Discussion

● What did you find valuable today?

● Thanks/acknowledgements

David Bunker

Interactive Session

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

Confidential 49

What did you find valuable -

Feedback

• On your web browser

(phone, tablet or desktop)

• Go to: www.menti.com and

enter the code: 57 05 93

Section 1: Roundtable Discussion Management

Confidential 50

Acknowledgements

and next steps

brisbanediamantina.com/covid-19/

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