Non-pharmaceutical emotional support -
Pet therapy in dementia, most often involving dogs, has been tested daily or one to two times per week for 30—90 min for 1—12 weeks, in a structured or unstructured format Bernabei et al.
In small studies, it has reduced agitation and disruptive behavior, increased social and verbal interactions, and decreased passivity Bernabei et al. Preliminary studies using a robotic dog or cat—which may be more feasible to implement by reducing maintenance costs, but does require initial capital investment—have shown positive increases in mood and decreased agitation Bernabei et al.
Overall, there is a small and preliminary evidence base for pet therapy, with most studies using quasi-experimental or repeated measure within-participant designs Livingston et al. Specialized training and resource allocation may be required to care for and handle the animal or to contract with an outside agency, unless stuffed or robotic pets are used in place of live animals.
The importance of tailoring activities is noted as particularly important for ensuring that individuals are able to fully participate and benefit, regardless of their cognitive capacity or functional abilities Trahan et al.
Overall, the evidence base for individualized activities is moderate, with mixed findings. A recent review found that nonindividualized meaningful activities reduced mean agitation levels in the short run, with mixed findings about the additional benefit of individualizing activities according to functional level and interest; there was a lack of evidence about longer-term effect Livingston et al.
Like other nonpharmacological practices for BPSDs, the provision of meaningful activities is consistent with the broader aims of person-centered care.
Investment required for implementation varies depending on the type of activity, but in most cases will be low to moderate; meaningful activities take time, but can often be facilitated by regular care providers or informal caregivers without extensive additional training.
Anticipated resistance to daily mouth care e. Using mouth care protocols that include person-centered strategies for approaching, communicating with, and touching the individual, along with technical skills, may help reduce threat and thereby minimize resistive behaviors.
This review found that the evidence base for the effect of mouth care protocols on global or individual BPSDs is small and preliminary. One review Konno et al. From the limited evidence, our assessment is that little investment is required to implement structured protocols to prevent or minimize BPSDs during mouth care.
Minimal capital expenditures include appropriate toothbrushes and other mouth-care supplies. However, training is required to ensure that family caregivers and other care providers are well prepared to implement the protocol appropriately, effectively, and consistently.
No harmful effects have been identified. As with mouth care, distress during bathing may signify a fear response that may potentially be alleviated by implementing person-centered strategies and skills.
Results from this small evidence base suggests that bathing protocols show positive results in reducing agitation, aggression, irritability, and anxiety as well as physical discomfort Konno et al.
Our review suggests that implementing structured protocols for bathing requires minimal investment, given that they can be incorporated into ongoing care by usual staff, with some training and support. A large body of research indicates that a range of sensory practices, psychosocial practices, and structured care protocols can be effective to some extent in addressing BPSDs, thus aligning with the causal mechanisms described in the competence-environmental press framework, the progressively lowered stress threshold model, and the needs-driven dementia-compromised model.
Although the evidence base for virtually every practice requires further development, it was possible to identify a conceptual justification for the potential effectiveness of each one e. Broadly speaking, enhanced continuity of care is associated with reduced health care use, cost, and complications Hussey et al.
Two caveats are noted regarding use of evidence-based practices to address BPSDs. In sum, nonpharmacological practices to treat BPSDs are recommended to be person-centered. For example, the potential for validation or reminiscence therapy to evoke distressing memories for a particular individual requires careful consideration, and pet therapy may only be acceptable to individuals who are comfortable around animals.
However, little literature has specifically examined outcomes in relation to the extent to which practices have been individually chosen and tailored, which seems an area important for future study; in fact, it may be the lack of individualization that in some cases is responsible for inconclusive evidence.
For this reason, it is important that systems be put in place to evaluate the effectiveness of practices and allow for change as needed. Second, many practices for BPSDs lack readily accessible evidence-based protocols for administration. The absence of such protocols means that family caregivers and other care providers do not have sufficient guidance to implement practices that are likely to be efficacious as part of their caregiving efforts.
Given that many of the manuscripts reviewed for this article were derived from research that used standardized protocols, creating a toolkit of evidence-based practices for BPSDs seems an easy next step to improve the quality of life of people living with dementia.
Once such protocols are available, care providers are advised to adhere to the protocols of administration to ensure that practices are used. That said, the protocols themselves may need to evolve over time, given the progressive nature of dementia and the individualized nature of BPSDs.
An additional consideration relates to the investment required to enact the practices. The typology used in this article Seitz et al. Indeed, the developers suggest that if a practice does not meet all criteria within a category, it may best be assigned to the next lowest category.
Therefore, consideration and ratings of investment are best individualized, which is consistent with the overall person-centered focus of care provision. Based on this synthesis of findings from previous systematic reviews, and a critical consideration of implementation and investment required to implement evidence-based practices to address BPSDs, the following five practice recommendations are suggested:.
Identify characteristics of the social and physical environment that trigger or exacerbate behavioral and psychological symptoms for the person living with dementia. BPSDs result from changes in the brain in relation to characteristics of the social and physical environment; this interplay elicits a response that conveys a reaction, stress, or an unmet need and affects the quality of life of the person living with dementia.
The environmental triggers of BPSDs and responses to them differ for each person, meaning that assessment must be individualized and person-centered.
Implement nonpharmacological practices that are person centered, evidence based, and feasible in the care setting. Antipsychotic and other psychotropic medications are generally not indicated to alleviate BPSDs, and so nonpharmacological practices should be the first-line approach.
Practices that have been developed in residential settings and which may also have applicability in community settings include sensory practices, psychosocial practices, and structured care protocols. Recognize that the investment required to implement nonpharmacological practices differs across care settings.
Different practices require a different amount of investment in terms of training and implementation, specialized caregiver requirements, and equipment and capital resources.
Depending on the investment required, some practices developed in residential settings may be feasible for implementation by caregivers in home-based settings.
Adhere to protocols of administration to ensure that practices are used when and as needed, and sustained in ongoing care. These protocols may evolve over time, responsive to the particular components of the practice that are most effective for the person living with dementia.
Develop systems for evaluating the effectiveness of practices and make changes as needed. The capacity and needs of persons living with dementia evolve over time, and so practices to alleviate BPSDs also may need to evolve over time.
Therefore, it is necessary to routinely assess the effectiveness of the practice and, if necessary, adapt it or implement other evidence-based practices. This work was supported by a grant from the National Institute on Aging grant R01 AG Achterberg , W.
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The aim of this systematic review is to synthesize the characteristics of emotional support programs and interventions targeted to healthcare workers and students since the onset of COVID and other SARS-CoV pandemics and to describe the effectiveness and experiences of these programs.
This was a mixed method systematic review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA guidelines were followed, and the review was registered on PROSPERO [CRD]. Searches were conducted using Medline, CINAHL, PsycINFO, Cochrane Library, and Scopus databases.
The COVIDENCE systematic review management system was used for data selection and extraction by two independent reviewers. The JBI Joanna Briggs Institute critical appraisal tools were used to assess the quality of selected studies by two additional reviewers.
Finally, data extraction and narrative analysis were conducted. The search retrieved results including duplicates. After screening, a total of 19 articles were included in this review. Participants in studies were nurses, physicians, other hospital staff, and undergraduate medical students mostly working on the front-line with COVID patients.
Most Interventions mostly showed good effectiveness support-seeking, positive emotions, reduction of distress symptoms etc. and acceptance and were experienced as helpful, but there were some conflicting results. Healthcare organizations have developed support strategies focusing on providing emotional support for these healthcare workers and students, but it is difficult to conclude whether one program offers distinct benefit compared to the others.
More research is needed to evaluate the comparative effectiveness of emotional support interventions for health workers. Peer Review reports. Pandemics such as SARS, MERS, and COVID pose threats to the physical safety of healthcare workers HCWs , trainees and students.
Frontline HCWs and students exposed to these pandemic viruses can have traumatic experiences affecting their personal and professional lives in the short and longer term. Working in healthcare institutions during a pandemic generates a significant emotional burden for HCWs [ 1 ].
Increasing rates of burnout, substance abuse, depression, and suicide among HCWs in many countries had already been identified prior to the COVID pandemic, making mental health and psychological wellbeing of the HCWs a major issue [ 2 , 3 ].
Unique demands posed by major pandemics have placed HCWs at an additional risk for mental health problems [ 4 , 5 ]. Long working days and unpredictable courses of disease increase feelings of stress, helplessness, and fear [ 6 , 7 , 8 ].
Pandemic put HCWs at risk for depression, anxiety, post-traumatic stress disorder PTSD and moral injury [ 9 , 10 , 11 ]. Maunder and colleagues [ 12 ] found higher levels of anxiety and stress among HCWs during the SARS pandemic. Usually, these are related to workforce shortage and can lead to prolonged mental health problems.
The widespread disruptions triggered by the COVID pandemic increased attention to the mental health and wellbeing of HCWs. The unprecedented scale and duration of the crisis, social isolation, and unique professional demands have placed frontline HCWs at additional risk of developing mental health problems [ 13 , 14 ].
Similarly, healthcare trainees working on the frontline were subjected to great psychological distress [ 15 , 16 ]. In addition to personal suffering, this situation has jeopardized the HCWs ability to care for patients. Several international agencies have suggested the need to provide support for the HCWs and trainees during and after pandemics.
The World Health Organization WHO [ 17 ] suggested the need of psychological services such as directed psychological counselling and interventions to improve the emotional well-being of HCWs. Researchers have suggested several interventions such as providing social support, psychological services, adequate personal protection including vaccination and a safe work environment, financial support and incentives, and enhancing capabilities through continuous education and training [ 7 , 18 ].
Healthcare organizations have developed support strategies focusing on providing emotional support for HCWs and students [ 19 ]. However, there are limited data on the efficacy and efficiency of these programs and interventions.
There is also a lack of evidence regarding what kind of interventions and support programs are more helpful for HCWs and students working in high-risk environments such as pandemics [ 20 ].
It is also difficult to foresee if the well-intentioned interventions can decrease the psychological distress experienced by HCWs [ 21 ]. Furthermore, research has demonstrated that in the peak phase of crisis might, HCW might not give priority to psychological interventions and be reluctant to use the services offered to them [ 22 ].
Previous systematic reviews have aimed to study medical students support, interventions to reduce HCWs stress or mental health symptoms, or e-mental health interventions.
There are also several published scoping or rapid reviews related to this topic. These found limitations to rapidly map recently developed brief interventions to meet the need for information raised by the COVID pandemic to support frontline HCWs.
There is also available information about experiences with recently implemented interventions. This systematic review aims to synthesize the characteristics of emotional support programs and interventions targeted to HCWs and students since the onset of COVID and other SARS-CoV pandemics.
A mixed-methods approach [ 27 ] was employed to capture both the effectiveness of interventions and experiences with them from the perspective of HCWs and students.
This is a mixed-methods systematic review including both quantitative and qualitative studies, as well as systematic reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA [ 28 ] guidelines were followed.
This review was registered at PROSPERO—International prospective register of systematic reviews under the registration number CRD [ 29 ]. We included all research documents reporting support programs or interventions to improve the emotional well-being of HCWs.
The exclusion criteria were: a editorials, discussion papers, case studies, comments, letters, book chapters, and scoping or rapid reviews, b published other language than English, Finnish, Spanish, German, Nepali, Indian, French, or Italian.
Searches were made using following databases: Medline, Cumulative Index of Nursing and Allied Health Literature CINAHL , PsycINFO, Cochrane Library, and Scopus for publications within years — to capture the most recent pandemics and epidemics severe acute respiratory syndrome, SARS; influenza A - H1N1; and SARS-CoV Only peer reviewed full-text articles from healthcare fields nursing, medicine, and health education were included.
No geographical limitations were made for included studies. After many test searches, the final searches were conducted in 2nd of July Used search terms are described in Table 1.
The COVIDENCE systematic review management system was used for data selection and extraction. Each excluded study and the reason for its exclusion was recorded.
Disagreement were resolved by as third reviewer MH or by discussion between reviewers. Then, one reviewer MH extracted data from the included studies using the COVIDENCE tool. Data extraction was conducted based on publication details title, journal, author, year of publication , country of the study location, study design, virus pandemic, type of study participants, sample size the number of included studies for reviews , aims, study intervention or support program and the findings on the impact effectiveness and experiences of the intervention or programs.
Any potential discrepancies between reviewers were discussed and if required, a third reviewer was consulted. Study characteristics were tabulated by the study design. A descriptive narrative synthesis of the studies was conducted comparing the type and content of the emotional support programs or interventions, and the impact effectiveness and experiences of these programs or interventions.
Effectiveness refers to the relationship between an intervention and clinical or health outcomes. Feasibility experience refers to whether an intervention is practical, appropriateness is about how an intervention relates to the given context.
Meaningfulness relates to the personal experience, opinions, values, thoughts, beliefs, and interpretations of participants [ 27 ]. Additionally, we reported the quality evaluation of the included studies.
We emphasized those rated as poor quality to help to assess the evidence. The search retrieved results, which included duplicates. After removing duplicates, articles were screened, and 19 articles were included.
The selection process is shown in the PRISMA flow diagram Fig. The results of the quality evaluation of studies are presented in Online Only materials 1 , 2 , 3 , 4 and 5.
The methodological quality of the RCT by Procaccia et al. The language of all included studies was English. Participants were HCWs nurses, physicians, and other hospital staff mostly working on the front-line and in direct contact with infected patients.
One study concerned undergraduate medical students. Number of participants in studies ranged from 6 to , and number of studies in the systematic reviews ranged from 7 to All studies were published since the beginning of the COVID pandemic — , except for one study that was published in after SARS pandemic.
Studies concerning MERS pandemic was not included Table 2. Most of the interventions In person face-to-face interventions were also used.
Among interventions, In an RCT, Amsalam et al. This resulted greater increases in treatment-seeking intentions vs control, particularly among participants in the repeat-video group.
Exploratory analysis revealed that in both video groups, the effect was greater among nurses than non-nurses. The study by Coifman et al. Procaccia et al. Participants who received the EW intervention showed greater improvements in PTSD, depression, and global psychopathology symptoms.
Contradictory findings were obtained from an RCT conducted by Fiol-DeRoque et al. After 2 weeks, there were no significant differences in outcomes between the groups.
However, the usability and acceptability of the intervention were still high. In a SARS program developed by Chen et al. Similarly, in a pilot study by Chochol et al.
This intervention was also found to be feasible and acceptable. In cross-sectional study results describing views and experiences of participants, interventions were mostly seen as positive.
Blake et al. The centres were described as very supportive spaces away from the stress of the hospital. Geoffroy et al. They found a need for psychological support system and that this kind psychological support system could be easily duplicated and seemed to benefit all HCWs.
A video-based debriefing program to support emergency clinician well-being by Monette et al. Based on work by Teall et al.
Petrella et al. However, the majority of staff used at least one service most common was free food, followed by donations and care packages and an off-site respite centre and rated it as helpful.
The study by Sockalingam et al. They found that these were viewed as critical for the wellbeing of hospital employees during the COVID They also found that this kind of initiatives requires managerial advocacy and to address job-related barriers to work breaks and accessing staff wellbeing resources.
Vera San Juan et al. They found that guidelines placed greater emphasis on individual mental health and psychological support, whereas healthcare workers placed greater emphasis on structural conditions at work, responsibilities outside the hospital and the support of the community.
The well-being support interventions proposed in the guidelines did not always respond to the lived experience of staff, as some reported not being able to participate in these interventions because of under-staffing, exhaustion or clashing schedules.
Yoon et al. Frontline workers described a need for ongoing social support and peer support community, but there were concerns about virtual peer interactions. Buselli et al. They found that whether one program offers distinct benefit compared to the others cannot be known given the heterogeneity of the protocols and the lack of a rigorous protocol and clinical outcomes.
Similarly, Drissi et al. Feedback on the identified interventions was mostly positive, but there was a lack of empirical evaluation of these interventions. Another gap in the research evidence was the lack of RCTs, to provide rigorous evidence.
They further noted that facilitators and barriers to the implementation of these interventions should be identified. Ardekani et al. They also found that most studies merely described only very positive effects of the program rather than providing a more comprehensive evaluation of these systems.
Hooper et al. This systematic review synthesized the characteristics of emotional support programs and interventions targeted at healthcare workers and students during and after COVID and other SARS-CoV pandemics, and described the effectiveness and experiences of these programs.
These programs have focused on professionals in the frontline of care for infected patients. Most of the interventions were found to be effective and were experienced to be feasible, useful, helpful, and acceptable.
It is possible that HCW recipients of the interventions were grateful for any intervention to support their mental health and wellbeing. However, some studies have highlighted that some workers did not recognize any problems and refused any psychological help [ 22 , 46 ].
The main focus of the interventions identified in this study was on providing emotional support at a critical moment of the COVID pandemic, seeking to reinforce the work capacity of frontline professionals. The same is true for the intervention reviewed in the case of SARS.
This probably justifies that not enough evidence has been provided on the effectiveness of these interventions, although there was a positive experience of the recipients of the programs. For the same reason, the urgency of providing some type of support helps explain the biases noted in the studies.
Below is a list of community-specific resources available to promote mental health and wellbeing. Holistic healing services for Indigenous children, youth and families through video or telephone counselling.
Walk-In Counselling Services are available at our Gerrard Street location, Wednesdays and Fridays, 10 a. m p. and p. Indigenous Communities Indigenous COVID Pathways Hotline. Helps connect Indigenous Peoples in the GTA to needed services during COVID Indigenous Communities Toronto Aboriginal Support Services Council.
A list of various services available to Indigenous People in Toronto during COVID offered by member agencies. Indigenous Communities Talk4Healing HelpLine. A culturally grounded, fully confidential helpline for Indigenous women available in 14 languages across Ontario.
Telephone and e-chat provided. Immediate, culturally competent, telephone crisis intervention counselling for First Nations and Inuit Peoples. Counselling is available in English, French, Cree, Ojibway, and Inuktitut. Indigenous Communities Assembly of the First Nations: COVID Info and Resources Indigenous Communities COVID and Indigenous Ceremonial Spiritual Practices Indigenous Communities COVID Strategies to Address Stress and Anxiety for Indigenous Peoples video Black Communities Across Boundaries.
Holistic mental health and addiction services for racialized communities. Black Communities Caribbean African Canadian Social Services. Offers a range of social services for Black residents, including mental health counselling.
Stay informed about service changes due to COVID Black Communities Substance Use Program for African Canadian and Caribbean Youth. Services for African and Caribbean youth and their families who are dealing with problem substance use and mental health concerns.
Registration required. Holistic mental health and addiction services for racialized communities, including those who are newcomers and refugees. Offers a range of social services for Black residents newcomers and refugees including mental health counselling. Provide a wide range of services for newcomers and refugees, including short-term counselling.
Services to address the mental health concerns of the Cambodian, Chinese Cantonese and Mandarin , Korean and Vietnamese communities, including newcomers and refugees. Racialized Communities Caribbean African Canadian Social Services.
Provides mental health and other services to the African, Black, Caribbean, Latin American and South Asian communities in Toronto and surrounding municipalities. Using a feminist, anti-racist, anti-oppressive approach.
Racialized Communities Hong Fook Mental Health Association. Racialized Communities Project Protech. Provides online information related to COVID, mental health and practical coping strategies for Chinese Canadians. Includes live support by text or telephone. Peer support to LGBT people 29 years and under.
Text and online chat is available. Single session virtual counselling available to all persons 18 years and older. Peer-led support program for LGBTTQQ2SIA youth ages who use substances.
Peer support for trans and questioning callers. Counselling over text is also available. Free mental health counselling by phone or video for children, youth, young adults and their families.
Online support and counselling for young adults aged and current George Brown College students with no age restriction in Toronto. Confidential support services for post-secondary students in Ontario provided by phone or text GOOD2TALKON to Supports clients from the pre-natal stage to age 29 and their families who are currently or at risk of experiencing social, emotional, behavioural or adjustment difficulties or disorders.
Support for people living with a mental illness. People with Disabilities Centre for Independent Living in Toronto CILT.
Peer support for people with disabilities, including those parenting with a disability. People with Disabilities CNIB. Free virtual programs available to Toronto residents who are blind or partially sighted as well as their families, friends and caregivers.
People with Disabilities Looking after your mental health during COVID Council for Intellectual Disabilities People with Disabilities COVID Resources for Adults with Disabilities People with Disabilities COVID Disability-Related Resources for Families People with Disabilities What to do while in isolation: COVID Resources for the Disability Sector People with Disabilities COVID and people with disabilities in Canada People with Disabilities How to stay safe, well and connected: COVID information for people with developmental disabilities People Living with Mental Health Issues Progress Place.
Find out which services are being offered virtually during COVID People Living with Mental Health Issues Warm Line Progress Place. Online chat 8 p. to midnight. People Living with Mental Health Issues Gerstein Crisis Centre. People Living with Mental Health Issues Mood Disorders Association of Ontario.
Provides a telephone support line for people across Ontario, and their families, who are living with depression, anxiety or bipolar disorder.
People Living with Mental Health Issues Support Line — Institute for Advancements in Mental Health. Supportive counseling, system navigation, information and education to caregivers, individuals living with chronic mental illness, and the community as a whole.
People Living with Mental Health Issues Sound Times. Mental health and addiction services in downtown Toronto provided by people who have histories of mental and substance use issues. People Living with Mental Health Issues The Access Point. Mental health case managers and service navigators provide phone support, service navigation and resources for those experiencing mental health and addictions challenges.
People Living with Mental Health Issues Coping with anxiety and COVID People Living with Mental Health Issues COVID and Mental Health People Living with Mental Health Issues COVID Mental Health and Addiction Resources People Who Use Substances Connex Ontario.
Free and confidential health services information for people experiencing problems with alcohol and drugs, mental illness or gambling over the phone. People Who Use Substances Overdose Prevention Line. Connect with a peer who can stay on the line with you as you use drugs.
People Who Use Substances Gerstein Crisis Centre. Provides 24, 7 support to people experiencing a crisis due to substance use or mental health issues. People Who Use Substances The Access Point.
People Who Use Substances Supervised Consumption Services Locations and Hours. Using supervised consumption services reduce drug overdoses. Services also provide sterile injection supplies, education on overdose prevention and intervention, health counselling services and referrals to drug treatment, housing, income support and other services.
People Who Use Substances Harm Reduction Supplies and Locations. COVID has affected harm reduction services in Toronto.
Please check with individual agency websites or call ahead. For example, the following harm reduction programs have modified services during COVID Point of access for seniors and caregivers to receive information as well as access to community, home, and crisis services.
Web chat also available. Safety planning and supportive counseling for older adults who are being abused or at-risk of abuse. Family members and service providers can also call for information. Seniors and Older Adults A Friendly Voice. Empathetic support to seniors who may be feeling lonely or isolated by trained volunteers.
Supports individuals, families and friends affected by eating disorders to overcome barriers and provide effective, community-based services at all stages of recovery. People Affected By Eating Disorders or Body Image National Eating Disorder Information Centre. Provides information, resources, referrals and support to Canadians affected by eating disorders.
Telephone and online support available. Black Communities Black CAP. Provides mental health supports education and harm reduction for low income African, Caribbean and Black Torontonians including LGBTQ youth and seniors, and those living with HIV.
Black Communities CEE. Provides black-led mental health grassroots groups with funding to enhance the provision of a variety of mental health services and supports throughout the city. Black Communities Harriet Tubman Community Organization.
Provides culturally relevant emergency and wellness support for young people of African descent. Black Communities La Passerelle I.
LGBTQ2S LGBT YouthLine. Black Communities Stolen from Africa. Provides online, individual and group discussions on trauma, goal setting, conflict resolution, and safety plan.
Black Communities TAIBU. Provides a hotline for crisis intervention and mental health support. Black Communities Wanasah. People Living with Mental Health Issues Leap of Faith Together LOFT. Service include: mental health counselling, case management, crisis support, psychogeriatic supports, and housing for youth, adults and seniors.
Black Communities Generation Chosen. Provides mental health group therapy sessions and safety-planning to young adults from underserved communities. I Am Supporting Others Difficult times call for all of us to take care of one another whether you are a concerned friend, a caregiver or a healthcare worker.
The last few years has changed all of our lives in significant ways. The three steps below will guide you. If someone is so distressed that they pose a danger to themselves or others then call a crisis helpline or in emergencies call Learn about how to help someone at risk of suicide.
Adapted from: Talking to someone you are worried about and Be there. The last three years have been difficult for many of us. Children and youth may feel sad, stressed, confused or frustrated All of these things are natural and common during this uncertain time.
The Ontario Caregiver Helpline provides caregivers with a one-stop resource for information and support. Call The Hospice Palliative Hotline responds to the emotional needs of people who are facing serious illness, including COVID, and end of life.
They provide service to the person who is ill, their family and those who are grieving. This service is open a. to p. from Monday to Friday. Over the last few years, there have been increased demands on our healthcare system which has put healthcare workers under more intense pressure.
There are a variety of supports for healthcare workers in Toronto:. There are free online mental health programs and interactive tools that can support healthy coping. This list of mental health apps is for information only and should not be considered a recommendation or endorsement by the City of Toronto.
These apps are not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek the advice of your mental health professional or other qualified health provider. Call a distress service if you are in crisis or in cases of emergency.
Self-Help This app will assist you in managing symptoms of panic, and will help you develop skills to challenge fearful thinking. Stress Chat Get free anonymous emotional support and counseling on-demand from trained active listeners and therapists.
Apple MindShift CBT. Anxiety Canada MindShift uses scientifically proven strategies based on Cognitive Behavioural Therapy CBT to help you learn to relax and be mindful, develop more effective ways of thinking, and use active steps to take charge of your anxiety.
Android Apple MindDoc. Android Apple Headspace This app will review meditation and mindfulness exercises that will help reduce feelings of stress. Android Apple Calm App Calm is an app to assist with Sleep, Meditation and Relaxation.
Provides support and guidance to experience better sleep, lower stress, and less anxiety.
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