{"id":1339,"date":"2022-11-24T16:12:38","date_gmt":"2022-11-24T16:12:38","guid":{"rendered":"https:\/\/sites.exeter.ac.uk\/careunderpressure\/?page_id=1339"},"modified":"2025-04-25T12:13:40","modified_gmt":"2025-04-25T12:13:40","slug":"guidance","status":"publish","type":"page","link":"https:\/\/sites.exeter.ac.uk\/careunderpressure\/guidance\/","title":{"rendered":"Guidance"},"content":{"rendered":"\n<p>Ten <a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/care-under-pressure-1\/\" data-type=\"page\" data-id=\"311\">Care Under Pressure<\/a> principles for use by those refining\/designing interventional strategies to tackle doctor mental ill-health:<\/p>\n\n\n\n<ol>\n<li>Be clear about who the intervention is for (given the continuum from full health, to \u2018under pressure\u2019, to mental ill-health).<\/li>\n\n\n\n<li>Give options by signposting to a range of interventions (e.g. a \u2018one-stop shop\u2019 of local, regional and national resources).<\/li>\n\n\n\n<li>Ensure that information about the intervention is readily and rapidly available.<\/li>\n\n\n\n<li>Ensure that interventions are accessible to someone who works long and inflexible hours.<\/li>\n\n\n\n<li>At the initial enquiry stage, invest time in building trust and normalising stigma and struggle.<\/li>\n\n\n\n<li>Provide interventions in groups, whenever possible, to prioritise connectedness, relationships and belonging.<\/li>\n\n\n\n<li>Ensure that interventions for individuals are endorsed by or embedded in the workplace, where possible.<\/li>\n\n\n\n<li>Encourage and empower individuals to tackle low-level everyday hassles at work, to free up capacity to deal with bigger issues.<\/li>\n\n\n\n<li>Emphasise that prioritising and investing in physical and mental health is essential for optimal patient care.<\/li>\n\n\n\n<li>Evaluate and improve the intervention regularly, using data such as numbers and types of attendee, programme adherence and user perceptions.<\/li>\n<\/ol>\n\n\n\n<p>Please note that the research evidence indicates that system-wide approaches are more likely to succeed in tackling mental ill-health in doctors.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-41b9805f-6819-4064-881b-955f532dd9cd\" href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/CUP1-Key-Findings-Recommendations-and-Principles.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">CUP1 Key Findings, Recommendations and Principles<\/a><a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/CUP1-Key-Findings-Recommendations-and-Principles.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-41b9805f-6819-4064-881b-955f532dd9cd\">Download<\/a><\/div>\n\n\n\n<p>For more information, please see our paper (open access):&nbsp;<a href=\"https:\/\/bmcmedicine.biomedcentral.com\/articles\/10.1186\/s12916-020-01532-x\" target=\"_blank\" rel=\"noreferrer noopener\">Optimising strategies to address mental ill-health in doctors and medical students: \u2018Care Under Pressure\u2019 realist review and implementation guidance<\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Summaries<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Care Under Pressure Summary for Senior Leaders<\/h2>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\"  class=\"wp-block-file__embed\" data=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP-summary-for-senior-leaders-FINAL.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of CUP-summary-for-senior-leaders-FINAL.\"><\/object><a id=\"wp-block-file--media-aa8b6d2b-1502-4e4a-962f-c51770231a07\" href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP-summary-for-senior-leaders-FINAL.pdf\">CUP-summary-for-senior-leaders-FINAL<\/a><a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP-summary-for-senior-leaders-FINAL.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-aa8b6d2b-1502-4e4a-962f-c51770231a07\">Download<\/a><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Care Under Pressure 3 Plain English Summary<\/h2>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\"  class=\"wp-block-file__embed\" data=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP3-plain-english-summary-1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of CUP3-plain-english-summary-1.\"><\/object><a id=\"wp-block-file--media-6cf91b8e-7eea-4969-9245-0fc8fc9fe08b\" href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP3-plain-english-summary-1.pdf\">CUP3-plain-english-summary-1<\/a><a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2025\/04\/CUP3-plain-english-summary-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-6cf91b8e-7eea-4969-9245-0fc8fc9fe08b\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ten Care Under Pressure principles for use by those refining\/designing interventional strategies to tackle doctor mental ill-health: Please note that the research evidence indicates that system-wide approaches are more likely to succeed in tackling mental ill-health in doctors. For more information, please see our paper (open access):&nbsp;Optimising strategies to address mental ill-health in doctors and [&hellip;]<\/p>\n","protected":false},"author":245,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Guidance - Care Under Pressure<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/guidance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Guidance - Care Under Pressure\" \/>\n<meta property=\"og:description\" content=\"Ten Care Under Pressure principles for use by those refining\/designing interventional strategies to tackle doctor mental ill-health: Please note that the research evidence indicates that system-wide approaches are more likely to succeed in tackling mental ill-health in doctors. 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