They adopted a four-tiered “pyramid” approach, with self-care resources (Tier 1) at the base Tier 2 programs to teach supervisors how to support their employees Tier 3 programs for peer support and professional therapy at Tier 4. The Department of Psychiatry and Human Behavior, along with HR, launched a wide variety of mental health offerings at different levels of engagement beginning in March 2020. While patient services did not require much structural change, mental health support for employees, specifically frontline health care workers, required significant development. A large, university-based health system reorganized and expanded its behavioral health services to respond to the special needs of health care workers, students, faculty, patients, and caregivers across the Covid-19 pandemic.
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