Ten Care Under Pressure principles for use by those refining/designing interventional strategies to tackle doctor mental ill-health
- Be clear about who the intervention is for (given the continuum from full health, to ‘under pressure’, to mental ill-health).
- Give options by signposting to a range of interventions (e.g. a ‘one-stop shop’ of local, regional and national resources).
- Ensure that information about the intervention is readily and rapidly available.
- Ensure that interventions are accessible to someone who works long and inflexible hours.
- At the initial enquiry stage, invest time in building trust and normalising stigma and struggle.
- Provide interventions in groups, whenever possible, to prioritise connectedness, relationships and belonging.
- Ensure that interventions for individuals are endorsed by or embedded in the workplace, where possible.
- Encourage and empower individuals to tackle low-level everyday hassles at work, to free up capacity to deal with bigger issues.
- Emphasise that prioritising and investing in physical and mental health is essential for optimal patient care.
- Evaluate and improve the intervention regularly, using data such as numbers and types of attendee, programme adherence and user perceptions.
Please note that the research evidence indicates that system-wide approaches are more likely to succeed in tackling mental ill-health in doctors.