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COVID-19 Behavioral Health Resources
Topic Collection
November 14, 2023

Topic Collection: COVID-19 Behavioral Health Resources

The federal government is taking steps to protect American’s physical and behavioral health in response to the 2019 Novel Coronavirus pandemic. The resources in this collection were created by federal agencies and their partners to help healthcare providers, caregivers, and the general population prepare for and manage the negative behavioral effects that can accompany a public health emergency.

This Resource Collection was reviewed in Fall 2023. Please refer to the Centers for Disease Control and Prevention’s (CDC) Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID-19 outbreak management.

Please note: If you are experiencing negative behavioral effects and need more immediate assistance, please reach out to SAMHSA’s Disaster Distress Helpline (1-800-985-5990) or the National Suicide Prevention Lifeline (1-800-273-TALK). Both are available 24/7, 365 days a year.

If you have COVID-19 promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to Behavioral Health can be placed under the COVID-19 Behavioral Health Resource Sharing Topic.

The resources in this collection were current as of their publication date.

Each resource in this collection is placed into one or more of the following categories (click on the category name to be taken directly to that set of resources). Resources marked with an asterisk (*) appear in more than one category.

Compilation Sites and Documents


American Psychiatric Association. (2023). APA Coronavirus Resources.
This webpage from the American Psychiatry Association contains COVID-19 related resources for psychiatrists and other healthcare providers. Resources address the physical impact of the coronavirus, as well as the potential mental health and psychosocial issues and responses. A section on tele-psychiatry, to prepare for the possibility of isolation and/or quarantine, is also included.
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American Psychological Association. (2020). APA Homepage.
The American Psychological Association (APA) made a resource page available devoted to pandemic information. Click on “view resource page” to access APA resources on a variety of topics (e.g., stigma, managing the psychological effects of a pandemic, and using telehealth to maintain a practice).
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Anxiety and Depression Association of America. (2020). Coronavirus Anxiety-Helpful Expert Tips and Resources.
This webpage provides resources, including videos and handouts, for community members and behavioral health providers regarding how to manage behavioral health concerns related to COVID-19.
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Center for Deployment Psychology. (2023). COVID-19 Behavioral Health Resources.
This website provides a collection of resources to help providers support military-connected patients, including resources for providing telehealth services.
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COVID-19 Healthcare Resilience Working Group. (2020). Behavioral and Mental Health Resources.
This document is a comprehensive, yet broad list of behavioral and mental health resources which can be shared with the healthcare workforce on the front lines and the general public dealing with the public health emergency stemming from COVID-19. Access the comprehensive Resource Collection at: https://asprtracie.hhs.gov/technical-resources/115/covid-19-behavioral-health-resources/99
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Mental Health America shares links to resources on the following: mental health information for disease outbreaks; financial support; tools and information on anxiety; tools to connect with others; resources for immediate response; resources for mental health providers; resources for parents, caregivers, and older adults; and how-to articles.
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National Alliance on Mental Illness. (2020). COVID-19 Resource and Information Guide.
This document contains a broad range of guidance and resources for managing behavioral health concerns during COVID-19.
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National Association of Social Workers. (2020). Coronavirus (COVID-19).
The National Association of Social Workers (NASW) provides a range of resources that can be used to support clients, individuals in special populations, and self-care for behavioral health providers on this coronavirus-specific webpage.
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Pfefferbaum, B., Shaw, J., and the American Academy of Child and Adolescent Psychiatry Committee on Quality Issues. (2013). Practice Parameter on Disaster Preparedness. Child and Adolescent Psychiatry. 52(11): 1224-1238.
This "Practice Parameter" includes links to approaches that can be used to assess and manage the behavioral health needs of children and adolescents throughout all disaster phases.
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Sanderson, W. (2020). Coping with Fear and Sadness During a Pandemic. Hofstra University.
This extensive guide contains practical guidance and resources for managing emotional responses to the COVID-19 pandemic.
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The Compassionate Friends. (2020). Related Organizations.
The Compassionate Friends provides links to resources for families who have had a child die from any cause at any age.
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University of Illinois, Department of Psychology. (2020). COVID-19 Mental Health Resources.
This webpage contains links to resources on a range of behavioral health topics related to COVID-19 (e.g., self-care, connecting with others, and sexual and domestic violence and abuse).
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This resource offers healthcare providers with examples of how to have difficult conversations related to COVID-19 during conventional, contingency, and crisis standards of care settings.
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General Behavioral Health Resources


Administration for Strategic Preparedness and Response. (2020). Working from Home During the COVID-19 Outbreak. U.S. Department of Health and Human Services.
These tips can help people new to teleworking during an infectious disease outbreak.
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This website links to an online course developed in partnership with Columbia University Department of Psychiatry that helps individuals manage feelings of anxiety associated with COVID-19.
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This resource lists steps people can take when feeling overwhelmed by stress related to the COVID-19 outbreak (and in general).
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Brooks, S., Webster, R., Smith, L., et al. (2020). The Psychological Impact of Quarantine and How to Reduce it: Rapid Review of the Evidence. The Lancet. 395(10227): 912-920.
The authors conducted a literature review to synthesize lessons learned from SARS, Ebola, the 2009 and 2010 H1N1 influenza pandemic, MERS, and equine influenza pandemics. They summarize stressors during quarantine (e.g., fear of infection, frustration and boredom) and after quarantine (e.g., financial hardship and stigma) and list strategies for mitigating negative mental health effects.
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This fact sheet lists steps that can be taken to minimize stress during several phases of a pandemic (preparedness, early pandemic response, mental health intervention planning, and later response and recovery).
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Center for the Study of Traumatic Stress. (2020). When a Loved One Dies From COVID-19.
This tip sheet describes considerations for families when a loved one dies due to COVID-19.
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Center for the Study of Traumatic Stress. (2020). When Family Members are Hospitalized Due to COVID-19.
This tip sheet describes considerations for families when a loved one has been hospitalized due to COVID-19.
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Centers for Disease Control and Prevention. (n.d.). Coping with a Disaster or Traumatic Event. (Accessed 3/25/2020.)
This short fact sheet includes stress management tips for individuals and those with children and a list of common signs of distress.
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* Centers for Disease Control and Prevention. (2023). Coping with Stress.
This webpage can help users (including parents, responders, and people who have been released from quarantine) understand and manage their reactions to stressful situations (e.g., pandemics, natural and human-caused disasters).
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* COVID-19 Schools Task Force, FEMA Region VII, and HHS Region 7. (2021). Mind Over Matter: Strategies to Help Combat the Coronavirus Blues: Toolkit Overview.
This document summarizes the contents of the Mind Over Matter Toolkit, which can be used to support messaging for college and university campus communities to help combat COVID-19 fatigue and promote general wellness, both during and after the pandemic.
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The author lists 19 specific steps people can take to “show kindness, perspective, and insight” during the COVID-19 pandemic.
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This brief YouTube video describes methods for managing stress and anxiety associated with the COVID-19 pandemic.
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IFRC, Unicef, and the World Health Organization. (2020). Social Stigma Associated with COVID-19.
This guide defines stigma, explains why COVID-19 has led to so much stigma, and give sample messaging “do’s and don’ts” to minimize stigma.
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Kaiser Family Foundation, Panchal, N., et al. (2020). The Implications of COVID-19 for Mental Health and Substance Use.
The brief from the Kaiser Family Foundation summarizes implications of social distancing and financial crisis on mental health and substance use, including challenges to accessing related services.
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The steps listed on this webpage are designed to help people experiencing an outbreak: increase a sense of safety, stay connected, cultivate ways to be calmer, improve the sense of control and ability to endure, and remain hopeful.
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Online Counseling Programs. (2020). How to Identify and Address Complicated Grief.
This resource defines and describes complicated grief, including causes, symptoms, and how counselors can address it.
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Substance Abuse and Mental Health Services Administration. (2014). Taking Care of your Behavioral Health: Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak. U.S. Department of Health and Human Services.
This tip sheet defines social distancing, quarantine, and isolation; explains how they may be used during an infectious disease outbreak; and provides suggestions for coping when these measures are implemented.
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U.S. Department of Veterans Affairs. (2020). COVID Coach for Self-Care During the COVID-19 Pandemic.
This app can be used by veterans, servicemembers, and the general public for managing stress responses to COVID-19.
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Managing Conflict or Violence


Center for the Study of Traumatic Stress. (2020). Managing Family Conflict While Home During COVID-19: Intimate Partners.
This tip sheet describes considerations for how to manage conflicts between couples and within families during the COVID-19 pandemic.
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Center on the Developing Child. (2020). Protecting Our Children: COVID-19’s Impact on Early Childhood and ACEs. Harvard University .
Speakers in this presentation discuss how early childhood experiences (e.g., during the COVID-19 pandemic) can affect lifelong health, including not only the young brain, but other developing physiological systems.
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Accessing and using technology can present unique challenges for victims and survivors of domestic violence. This webpage includes information and links to resources on overcoming these challenges as well as recognizing when technology is used in an abusive way.
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StrongHearts Native Helpline. (n.d.). StrongHearts Native Helpline. (Accessed 11/8/2022.)
This website provides resources and contact information for Native people experiencing domestic or dating violence. Individuals with concerns can use the website or call the helpline at 1−844-762-8483.
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Substance Abuse and Mental Health Services Administration. (2020). Intimate Partner Violence and Child Abuse Considerations During COVID-19. U.S. Department of Health and Human Services.
This factsheet provides information and resources for those who are at risk of intimate partner violence or child abuse.
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The Alliance for Child Protection in Humanitarian Action, End Violence Against Children, UNICEF, and WHO. (2020). COVID-19: Protecting Children from Violence, Abuse, and Neglect in the Home.
This technical note (available in several languages) highlights the challenges associated with protecting children from violence, abuse, and neglect during COVID-19 lockdowns and stay-at-home orders. The document includes guidance on protective prevention and response strategies.
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U.S. Department of Veterans Affairs. (2020). Intimate Partner Violence Assistance Program (IPVAP).
This U.S. Department of Veterans Affairs webpage provides resources for those who are impacted by intimate partner violence.
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Resources for Caregivers: Children


* Agency for Toxic Substances and Disease Registry. (2016). Helping Families Deal with the Stress of Relocation After a Disaster.
This document provides information and tips for healthcare professionals about helping families deal with relocation after a disaster. It provides basic information about stress; signs of and ways to help family members deal with relocation stress; signs of stress in young people of different age groups, from preschool to high school age; ways to help young people deal with stress, from preschool to high school age; how to help the elderly deal with relocation stress; and where to find further information on these topics.
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American Academy of Child & Adolescent Psychiatry. (2020). Talking to Children About COVID-19.
This tip sheet includes 14 steps caregivers can take when communicating with children about an infectious disease outbreak such as COVID-19.
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* ASPR TRACIE. (2019). Pediatric/Children Topic Collection. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
The resources in this Topic Collection can help healthcare facilities, healthcare coalitions, and other health and medical providers to consider the specialized care and resources needed for children prior to, during, and after an incident.
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Baylor University’s Online Master’s in Social Work Program. (2019). Grief Interventions for Children with ADHD.
This article highlights how children diagnosed with attention deficit hyperactivity disorder (ADHD) manifest grief in response to various forms of loss. Intervention strategies and tips for modeling healthy coping mechanisms for children with ADHD are included.
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Camelford, K., Vaughn, K., and Dugan, E. (2020). Caroline Conquers her Corona Fears.
This story, activity, and coloring book related to COVID-19 includes coping methods for children. It is also available in Spanish: https://alliedhealth.lsuhsc.edu/clinics/docs/CarolineConquersHerCoronaFearsspanish.pdf
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Center for the Study of Traumatic Stress. (2020). Discussing Coronavirus with Your Children.
This tip sheet discusses practical ways parents and caregivers can discuss COVID-19 with children.
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Center for the Study of Traumatic Stress. (2020). Finding the Right Words to Talk with Children and Teens.
This tip sheet discusses practical methods for talking with children and adolescents about COVID-19.
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This two-page tip sheet can help parents and other caregivers stay informed, stay calm, and involve children in family healthcare.
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Center for the Study of Traumatic Stress. (2020). Talking with Children about Coronavirus.
This infographic highlights considerations when talking to children about COVID-19.
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Centers for Disease Control and Prevention. (2020). Helping Children Cope with Emergencies.
This webpage includes tips for helping children cope before, during, and after a disaster. It lists common reactions by age group and concludes with links to helpful resources.
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* Centers for Disease Control and Prevention. (2023). Coping with Stress.
This webpage can help users (including parents, responders, and people who have been released from quarantine) understand and manage their reactions to stressful situations (e.g., pandemics, natural and human-caused disasters).
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Child Mind Institute. (2020). Supporting Families During COVID-19.
This webpage provides resources for parents and caregivers working to manage children diagnosed with a range of behavioral concerns including anxiety, attention deficit hyperactivity disorder, autism spectrum disorders, and mood disorders, during the COVID-19 pandemic.
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Child trauma experts provide links to recommendations for supporting children’s emotional well-being, as well as resources for parents and caregivers, educators, childcare providers, and communities on this webpage.
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ChildCare Aware of America. (2020). Coronavirus (COVID-19).
This webpage provides webinars, maps (that illustrate closures and childcare needs for essential employees), and other COVID-19-related resources for childcare professionals and families.
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Federal Emergency Management Agency and The American Red Cross. (2004). Helping Children Cope with Disaster.
This document includes tips for parents, caregivers, and other adults regarding helping children cope with the effects of disaster. It also includes information on preparedness.
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Mental Health America shares links to resources on the following: mental health information for disease outbreaks; financial support; tools and information on anxiety; tools to connect with others; resources for immediate response; resources for mental health providers; resources for parents, caregivers, and older adults; and how-to articles.
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The National Association of School Psychologists offers recommendations to help parents and caregivers respond to COVID-19 related stigma and racism and support children’s sense of safety.
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National Association of School Psychologists. (2020). Talking to Children about COVID-19: A Parent Resource.
These suggestions can help parents and other caretakers work with children on their hand and cough hygiene and mental health (including stress reactions). This webpage also includes lists of COVID-19 symptoms and communication tips.
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National Center for Disaster Medicine and Public Health. (2021). The Impact of COVID-19 on Children and Families.
The speakers explain the role of the pandemic on children and families, highlight helpful resources, and discuss vaccine disparity and progress being made to address it.
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* National Child Traumatic Stress Network. (2020). Age-Related Reactions to a Traumatic Event.
This tip sheet lists potential reactions to trauma by age and provides related suggestions for parents and caregivers. Note: Resource has been translated into Ukrainian, Russian, German, Spanish, Dari, and Pashto.
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This resource lists tips for preparing family members for COVID-19 during the readiness, response and phases. Tips for helping children cope are included by age group.
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Common responses to trauma by age group, strategies for helping children cope with trauma, and links to helpful resources are provided on this National Institute of Mental Health webpage.
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This webpage includes a story for young children and a caregiver guide that can help steer conversations with young children about COVID-19 and coping methods.
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This guide can help parents and caregivers provide psychological first aid to their children during and following a disaster.
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Substance Abuse and Mental Health Services Administration. (2014). Talking With Children: Tips for Caregivers, Parents, and Teachers During Infectious Disease Outbreaks. U.S. Department of Health and Human Services.
This tip sheet can help adults communicate with children during outbreaks. It is also available in Spanish: https://store.samhsa.gov/product/Talking-With-Children-Tips-for-Caregivers-Parents-and-Teachers-During-Infectious-Disease-Outbreaks-Spanish-/SMA14-4886SPANISH
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This website includes links to a fact sheet and poster that can help adults communicate about COVID-19 with children living in American Indian and Alaska Native communities.
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Wang, G., Zhang, Y., Zhao, J., et al. (2020). Mitigate the Effects of Home Confinement on Children During the COVID-19 Outbreak. The Lancet. 395(10228): 945-947.
This article describes the psychological effects of quarantine on children and encourages governments to support families by, for example, providing guidelines and principles specific to online learning.
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World Health Organization. (2020). Helping Children Cope with Stress During COVID-19.
This one-page tip sheet lists coping strategies caretakers can teach and use with children.
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Resources for Caregivers: Older Adults


* Agency for Toxic Substances and Disease Registry. (2016). Helping Families Deal with the Stress of Relocation After a Disaster.
This document provides information and tips for healthcare professionals about helping families deal with relocation after a disaster. It provides basic information about stress; signs of and ways to help family members deal with relocation stress; signs of stress in young people of different age groups, from preschool to high school age; ways to help young people deal with stress, from preschool to high school age; how to help the elderly deal with relocation stress; and where to find further information on these topics.
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This fact sheet responds to common questions about COVID-19 and at-risk populations. It includes a list of symptoms, tips for self-protection, preparing a home in case of quarantine, and other helpful information.
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American Foundation for Suicide Prevention. (2020). We Must Care for Older Adults’ Mental Health.
This webpage describes tips for helping to support older adults during the COVID-19 pandemic.
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American Psychological Association. (n.d.). Older Adults and Disasters: How to be Prepared and Assist Others. (Accessed 4/20/2020.)
This tip sheet provides information for older adults regarding how to prepare for disasters.
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Centers for Disease Control and Prevention. (2020). COVID-19 Risks and Information for Older Adults.
This webpage provides COVID-19 resources geared towards older adults.
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COVID-19 Healthcare Resilience Task Force. (2020). Managing the Effects of Social Distancing in Older Adults During COVID-19.
This document provides guidance and resources to address the behavioral health implications of social distancing and isolation for older adults due to current social distancing guidance in place for senior living facilities.
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HealthinAging.org. (2023). Coronavirus (COVID-19).
This webpage provides information for older adults and their caregivers about COVID-19 and how to ease isolation while practicing social distancing
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This article provides recommendations for caregivers on keeping older adults safe and socially connected.
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Mental Health America shares links to resources on the following: mental health information for disease outbreaks; financial support; tools and information on anxiety; tools to connect with others; resources for immediate response; resources for mental health providers; resources for parents, caregivers, and older adults; and how-to articles.
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This webpage includes links to organizations and related activities, websites and articles for older adults and their loved ones, and resources for connecting through technology that can help address the social isolation felt by many older adults during the COVID-19 pandemic and beyond.
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Substance Abuse and Mental Health Services Administration. (n.d.). Helping Older Adults after Disasters: A Guide to Providing Support. (Accessed 3/25/2020.) U.S. Department of Health and Human Services.
This information can help those who work with older adults understand common disaster reactions and tips for coping.
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The Gerontological Society of America. (2021). COVID-19 Updates.
This page features numerous COVID-19 resources for older adults, their caregivers, and professionals in the aging field.
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Resources for Community Leaders


ASPR TRACIE has worked closely with ASPR At-Risk Individuals, Behavioral Health & Community Resilience (ABC) interagency/ external partner working groups in every disaster recovery operation for the last four years. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. These modules are designed for healthcare workers in all settings, but primarily hospital-based providers.
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Center for Faith and Opportunity Initiatives (Partnership Center). (2020). COVID-19: Recommended Preventative Practices and FAQs for Faith-based and Community Leaders. U.S. Department of Health and Human Services.
The U.S. Department of Health and Human Services’ Center for Faith and Opportunity Initiatives recommends preventive practices and answers frequently asked questions about the impact of COVID-19 on faith communities on this webpage.
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This one-page fact sheet provides nine considerations for workplace pandemic planning and continuity.
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Center for the Study of Traumatic Stress. (2020). Grief Leadership During COVID-19.
This tip sheet can help leaders understand grief and tailor messages during and after a public health emergency such as COVID-19.
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This one-page fact sheet provides tips for leaders to use when developing messaging during public health emergencies.
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This two-page tip sheet highlights issues relevant to public health leaders specific to managing the psychological effects related to residents placed under quarantine.
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This tip sheet describes stress management techniques for leaders and supervisors of mortuary and death care workers during COVID-19.
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In this webinar, experts provide recommendations for faith leaders and others for managing anxiety and stress in response to COVID-19.
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While the COVID-19 pandemic confronted professional Chaplains with distressing realities that sometimes pushed them beyond the limits of our training and ability to cope, it also highlighted their unique contributions in providing end of life care, supporting staff, and enhancing an organization’s capacity to mitigate the impact of trauma and health inequities. The author shares his experience as the leader of Spiritual Care at Hennepin Healthcare, a Level One Trauma Center, safety net hospital in downtown Minneapolis.
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This resource outlines steps providers and community leaders can take to spot and manage stress reactions in clients and residents.
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National Voluntary Organizations Active in Disaster. (2017). Light Our Way: A Guide for Spiritual Care in Times of Disaster.
This resource highlights recommendations for providing emotional and spiritual care following a disaster.
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This manual provides information for chaplains and ministers that can help increase awareness, preparation, and ability to implement their responsibilities during the COVID-19 pandemic. It also includes links to other related resources.
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This short guide outlines a psychological first aid approach to help community members manage behavioral health responses following a disaster.
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Substance Abuse and Mental Health Services Administration. (2011). Promising Practices in Disaster Behavioral Health Planning (DBH): Assessing Services and Information. U.S. Department of Health and Human Services.
This presentation, part of a Substance Abuse and Mental Health Services Administration (SAMHSA) series, identifies methods for assessing behavioral health services capacity, conducting needs assessments for special populations, and coordinating care.
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Substance Abuse and Mental Health Services Administration. (2016). Stronger Together: An In-Depth Look at Selected Community-Level Approaches to Disaster Behavioral Health. U.S. Department of Health and Human Services.
The Substance Abuse and Mental Health Services Administration (SAMHSA) highlights strategies to support the behavioral health of whole communities during and after disasters, including the Crisis Counseling Assistance and Training Program (CCP).
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The Partnership Center, Center for Faith and Opportunity Initiatives. (2020). COVID-19: Recommended Preventative Practices and FAQs for Faith-based and Community Leaders. U.S. Department of Health and Human Services.
This document can help faith-based and community leaders continue to safely serve and educate their communities during the COVID-19 pandemic.
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The World Health Organization provides this toolkit to help those designing and conducting an assessment of mental health and psychosocial needs and disseminating resources in major humanitarian crises.
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Resources for Educators


* COVID-19 Schools Task Force, FEMA Region VII, and HHS Region 7. (2021). Mind Over Matter: Strategies to Help Combat the Coronavirus Blues: Toolkit Overview.
This document summarizes the contents of the Mind Over Matter Toolkit, which can be used to support messaging for college and university campus communities to help combat COVID-19 fatigue and promote general wellness, both during and after the pandemic.
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National Association of School Psychologists. (2020). Health Crisis Resources.
This site contains resources designed to help schools and districts support their students and communities in the event of a public health crisis.
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National Center for School Crisis and Bereavement. (2020). COVID-19 Pandemic Resources.
This webpage has links to presentations for parents, teachers, and healthcare providers regarding talking to and supporting children during the pandemic.
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* National Child Traumatic Stress Network. (2020). Age-Related Reactions to a Traumatic Event.
This tip sheet lists potential reactions to trauma by age and provides related suggestions for parents and caregivers. Note: Resource has been translated into Ukrainian, Russian, German, Spanish, Dari, and Pashto.
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Common responses to trauma by age group, strategies for helping children cope with trauma, and links to helpful resources are provided on this National Institute of Mental Health webpage.
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Readiness and Emergency Management for Schools. (n.d.). 10 Tips for Teaching the Psychological First Aid Model for K-12 Education Agencies. (Accessed 4/1/2020.) U.S. Department of Education.
This brief handout provides educators with tips on implementing the “Listen, Connect, and Protect” form of Psychological First Aid.
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Resources for Responders and Behavioral Healthcare Providers


This webpage highlights the behavioral health challenges facing children during the COVID-19 pandemic and includes links to resources on identifying and managing these issues.
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The steps listed on this webpage can help behavioral health providers prepare their practice and continue serving patients during a public health emergency.
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ASPR Division for At-Risk Individuals, Behavioral Health, and Community Resilience. (2023). Planning for Psychiatric Patient Movement During Emergencies and Disasters. U.S. Department of Health and Human Services, Administration for Strategic Preparedness and Response.
This tip sheet highlights basic considerations that can help public health and medical planners prepare for the movement of patients of psychiatric facilities in the event of a disaster.
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ASPR Division for At-Risk Individuals, Behavioral Health, and Community Resilience (ABC). (2023). Steps for Assisting and Directing People in Crisis. U.S. Department of Health and Human Services, Administration for Strategic Preparedness and Response.
This resource can help responders gain trust and minimize anxiety during a disaster. Helpful strategies are listed (e.g., show empathy, use positive language) followed by general messaging approaches.
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* ASPR TRACIE. (2019). Pediatric/Children Topic Collection. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
The resources in this Topic Collection can help healthcare facilities, healthcare coalitions, and other health and medical providers to consider the specialized care and resources needed for children prior to, during, and after an incident.
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ASPR TRACIE. (2020). Crisis Standards of Care. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
The provision of medical care under catastrophic disaster conditions requires considerable pre-event planning, along with the recognition that the delivery of healthcare services will likely change due to the potential scarcity of required resources. The resources in this Topic Collection can help healthcare providers create and update effective crisis standards of care plans.
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* ASPR TRACIE. (2020). Mental/Behavioral Health Topic Collection. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
This Topic Collection addresses the impact of post-disaster mental and behavioral health-related challenges on the health care system. It includes links to plans, tools, and templates and resources geared towards health care providers and responders and survivors.
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This ASPR TRACIE TA response document includes comments from ASPR TRACIE Subject Matter Expert Cadre members and resources related to the surge of patients with behavioral health challenges in hospitals during the COVID-19 pandemic.
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Disaster behavioral health (DBH) includes the provision of mental health, substance abuse, and stress management services to disaster survivors and responders (ASPR ABC, 2012). Incorporating DBH into all phases of emergency management can ensure resident and responder preparedness, an effective, compassionate response effort, and a more resilient community moving forward. The resources on this page can help our stakeholders accomplish these goals.
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This two-page tip sheet lists six considerations for clinicians to take into account when working with patients during an infectious disease outbreak.
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Working with the dead, especially following mass-casualty events is one of the most stressful aspects of disaster work. In order to deal with this stress, an innovative early intervention was developed that uses the principles of Psychological First Aid.
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Center for the Study of Traumatic Stress. (2020). Notifying Families After a COVID-19 Death.
This tip sheet describes considerations for healthcare workers when notifying family members about the death of a loved one.
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This two-page fact sheet describes the psychological effects of quarantine and how providers can promote psychological wellbeing and practice self-care.
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This tip sheet describes stress management techniques for mortuary and death care workers during COVID-19.
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This two-page tip sheet lists steps psychiatrists can take to support patients during an infectious disease outbreak.
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This guidance is specific to intermediate care facilities, including Psychiatric Residential Treatment Facilities, and can help them improve their infection control and prevention practices to prevent the transmission of COVID-19, including revised guidance for visitation.
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* COVID-19 Health Care Resilience Taskforce. (2020). Managing Patient and Family Distress Associated with COVID-19.
These strategies can help healthcare providers in hospitals and alternate care settings ease stress and anxiety experienced by patients during infectious disease outbreaks.
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The resilience of our Nation’s healthcare system depends on our healthcare workforce’s ability to report for duty. The actions listed in this document can help healthcare facility leaders protect workers’ psychological health and well-being.
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This document lists COVID-19-specific guidance and resources for in-patient and out-patient programs and facilities providing Medication Assisted Treatment (MAT) for individuals with opioid use disorder (OUD).
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Because the medical status of individuals with COVID-19 can quickly change to the point that they may need advanced life support (e.g., a ventilator), it is important for patients to have advance directives. This resource can help practitioners talk to patients about these documents using the "REMAP" framework (Reframe, Expect emotion and empathize, Map out the patient's values and goals, Align with the patient’s values and goals, and Propose a plan).
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Division for At-Risk Individuals, Behavioral Health, and Community Resilience (ABC). (2012). Disaster Response for Homeless Individuals and Families: A Trauma-Informed Approach. U.S. Department of Health and Human Services, Administration for Strategic Preparedness and Response.
This factsheet includes tips for responders when disaster planning for people experiencing homelessness and families. Responders are encouraged to incorporate a trauma-informed approach (i.e., recognize that many members of the population have high rates of past trauma) when planning and responding. Links to additional resources are provided.
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Behavioral health providers can use the information in this document to understand mental health and psychosocial support considerations related to COVID-19. It includes information on helping older adults, supporting people with access and functional needs, helping children deal with stress, and supporting people working on the outbreak.
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Mental Health America shares links to resources on the following: mental health information for disease outbreaks; financial support; tools and information on anxiety; tools to connect with others; resources for immediate response; resources for mental health providers; resources for parents, caregivers, and older adults; and how-to articles.
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This resource outlines steps providers and community leaders can take to spot and manage stress reactions in clients and residents.
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Common responses to trauma by age group, strategies for helping children cope with trauma, and links to helpful resources are provided on this National Institute of Mental Health webpage.
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National Institute on Drug Abuse. (2020). COVID-19 Potential Implications for Individuals with Substance Use Disorders. National Institutes of Health.
This article explains that people with substance use disorders—particularly those who smoke tobacco, marijuana, or vape and those with opioid use disorder—may be more vulnerable to COVID-19 because of pre-existing lung damage. It encourages providers to monitor patients and ensure they are not discriminated against during the pandemic.
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Substance Abuse and Mental Health Services Administration. (2013). Disaster Planning Handbook for Behavioral Health Treatment Programs: Technical Assistance Publication (TAP) Series 34. U.S. Department of Health and Human Services.
The information in this handbook can help behavioral health treatment program staff plan (or enhance existing plans) for all types of disasters. The guide includes informative chapters and templates that can be customized or used as is by program staff.
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Substance Abuse and Mental Health Services Administration. (2022). Coronavirus (COVID-19). U.S. Department of Health and Human Services.
This webpage includes links to general information and guidance for opioid treatment programs (e.g., telehealth strategies and provision of methadone and buprenorphine) specific to COVID-19. SAMHSA-funded training and technical assistance centers can be accessed at this link: https://www.samhsa.gov/sites/default/files/training-and-technical-assistance-covid19.pdf
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The National Child Traumatic Stress Network. (2019). Childhood Traumatic Grief: Information for Pediatric Providers.
This guide can help pediatric providers discuss grief with children. It explains childhood traumatic grief and how it effects physical and mental health.
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The National Child Traumatic Stress Network. (2020). Skills for Psychological Recovery (SPR) Online*.
Skills for Psychological Recovery (SPR) is a 5-hour interactive course designed for providers to help survivors gain skills to manage distress and cope with post-disaster stress and adversity. This course is for individuals who want to learn about using SPR, learning the goals and rationale of each core skill, delivering SPR, and supporting survivors in the aftermath of a disaster or traumatic event (https://learn.nctsn.org/enrol/index.php?id=535 *).
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This fact sheet defines the terms "person with limited English proficiency" and "person with a disability" and lists specific recommendations, action steps, and effective practices for working with interpreters during an emergency. Links to related resources are provided at the end of the fact sheet.
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U.S. Department of Health and Human Services, Administration for Children and Families, Family and Youth Services Bureau. (n.d.). FIRST RESPONDERS: Support for Pregnant Survivors of Abuse or Rape during Disasters. (Accessed 4/1/2020.)
This three-page tip sheet includes information that can help first responders provide support to pregnant women who have been abused or raped following a disaster. It provides links to resources for referrals to additional supportive resources and is also available in Spanish: https://www.phe.gov/Preparedness/planning/abc/Documents/1st-responder-factsheet-spanish.pdf.
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Self-Care and Resilience Resources for Responders and Healthcare Workers


ASPR TRACIE has worked closely with ASPR At-Risk Individuals, Behavioral Health & Community Resilience (ABC) interagency/ external partner working groups in every disaster recovery operation for the last four years. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. These modules are designed for healthcare workers in all settings, but primarily hospital-based providers.
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This speaker series focuses on how the COVID-19 pandemic can affect healthcare professional stress and resilience. Topics in this series include acute and chronic stressors, identifying at-risk employees, and fostering resilience.
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The articles in this issue of The Exchange focus on three categories: understanding acute and chronic stressors in the healthcare worker population, identifying at-risk employees, and promising practices in building resilience. The articles feature authors at all levels of government who represent urban, suburban, and rural areas of the country.
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* ASPR TRACIE. (2020). Mental/Behavioral Health Topic Collection. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
This Topic Collection addresses the impact of post-disaster mental and behavioral health-related challenges on the health care system. It includes links to plans, tools, and templates and resources geared towards health care providers and responders and survivors.
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ASPR TRACIE. (2020). Responder Safety and Health. U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
The resources in this Topic Collection focus on safety strategies (e.g., preventing fatigue, ensuring the availability and correct use of personal protective equipment) and maintaining behavioral health (e.g., working through stress and preventing/addressing compassion fatigue).
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These mini-modules are designed for healthcare workers in all settings, but primarily hospital-based providers, staff, and leaders to use prior to and during a disaster to help recognize and reduce their stress levels and maintain resilience. While these mini modules were developed during the COVID-19 pandemic, they can be used before, during, and after any type of incident.
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Disaster behavioral health (DBH) includes the provision of mental health, substance abuse, and stress management services to disaster survivors and responders (ASPR ABC, 2012). Incorporating DBH into all phases of emergency management can ensure resident and responder preparedness, an effective, compassionate response effort, and a more resilient community moving forward. The resources on this page can help our stakeholders accomplish these goals.
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This tip sheet describes military life and what makes it unique and explains how to support personnel and their family members.
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Center for the Study of Traumatic Stress. (2020). Fight COVID-19 with Better Sleep Health: A Guide for Hospital Workers.
This tip sheet describes methods that healthcare workers can use to improve their sleep to maintain their health.
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This tip sheet describes recommendations for responders and healthcare workers regarding how to manage stress associated with the prolonged use of personal protective equipment.
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This tip sheet describes stress management techniques for leaders and supervisors of mortuary and death care workers during COVID-19.
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Center for the Study of Traumatic Stress. (2020). Supporting Families of Healthcare Workers Exposed to COVID-19 *.
This tip sheet describes considerations for the families of healthcare workers when that healthcare worker has been or is at risk of being exposed to COVID-19.
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This one-page tip sheet lists the challenges healthcare personnel face during infectious disease outbreaks followed by “strategies for sustaining healthcare personnel well-being.”
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* Centers for Disease Control and Prevention. (2023). Coping with Stress.
This webpage can help users (including parents, responders, and people who have been released from quarantine) understand and manage their reactions to stressful situations (e.g., pandemics, natural and human-caused disasters).
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* COVID-19 Health Care Resilience Taskforce. (2020). Managing Patient and Family Distress Associated with COVID-19.
These strategies can help healthcare providers in hospitals and alternate care settings ease stress and anxiety experienced by patients during infectious disease outbreaks.
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COVID-19 Healthcare Resilience Task Force. (2020). Health Promotion to Enhance Healthcare Worker Performance During COVID-19.
This document provides information on policies and best practices to use in the workplace to promote the health of the workforce and subsequently enhance and improve worker performance.
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The resilience of our Nation’s healthcare system depends on our healthcare workforce’s ability to report for duty. The actions listed in this document can help healthcare facility leaders protect workers’ psychological health and well-being.
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While the COVID-19 pandemic confronted professional Chaplains with distressing realities that sometimes pushed them beyond the limits of our training and ability to cope, it also highlighted their unique contributions in providing end of life care, supporting staff, and enhancing an organization’s capacity to mitigate the impact of trauma and health inequities. The author shares his experience as the leader of Spiritual Care at Hennepin Healthcare, a Level One Trauma Center, safety net hospital in downtown Minneapolis.
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This guide provides an overview of burnout, stress, and other mental health challenges, and highlights strategies and resources for addressing them.
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Healthcare workers and responders can use the information on this webpage to recognize and manage their stress during and in the aftermath of an infectious disease outbreak.
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This manual for firefighters and emergency medical services personnel highlights the tools of stress first aid.
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National Institute of Environmental Health Sciences. (2014). Caring for Yourself in the Face of Difficult Work.
This factsheet provides recommendations for self-care related to sleep, eating, exercise and interacting with others.
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National Institute of Environmental Health Sciences. (2014). Connecting with Others.
This factsheet provides recommendations for providing and receiving social support following traumatic events.
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National Institute of Environmental Health Sciences. (2014). Information for Families.
This factsheet provides recommendations for family members when someone (e.g., a responder or healthcare worker) is exposed to a traumatic event.
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National Institute of Environmental Health Sciences. (2014). When Terrible Things Happen.
This factsheet provides information for responders and others about common reactions to traumatic events and recommendations for effective coping strategies.
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This website provides links to behavioral health resources for healthcare workers. Links include those specific to sleep, exercise, healthy eating, counseling and support, mindfulness, entertainment, and positive attitude.
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Office of the Assistant Secretary for Preparedness and Response. (2022). COVID-19 Recovery and Resilience Speaker Series. U.S. Department of Health and Human Services.
The COVID-19 pandemic has had devastating impacts on first responders’ mental and physical health. Throughout the disaster response phase, regional recovery leaders, and dedicated interagency partners worked to create a coordination forum to discuss both challenges, solutions, and resources. This three-part COVID-19 Recovery and Resilience Speaker Series explores opportunities to raise awareness about resources that can help reduce burnout, promote mental health, and encourage trauma-informed care strategies among the health and emergency management workforce in response to COVID-19.
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Physician Support Line. (2020). Physician Support Line 1 (888) 409-0141.
This national, free, and confidential support line is answered by volunteer psychiatrists and provides peer support to physician colleagues.
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These resources can help nurses and other healthcare professionals sustain mental health and resilience during the pandemic and beyond.
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Richardson, K. (2020). Internal Peer Support for Healthcare Professionals during the COVID-19 Pandemic. Crisis, Stress, and Human Resilience. 2(3):112-124.
The author shares how a peer support team (part of Community Health Network based in Indianapolis) has provided assistance to a 16,000-person healthcare system during the COVID-19 pandemic.
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Telehealth Resources


This white paper commentary contextualizes findings from two evidence reviews on telehealth.
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This website is regularly updated and details state-by-state expansion of telehealth and licensing waivers during the COVID-19 pandemic.
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American Psychiatric Association. (2020). Child & Adolescent Telepsychiatry. (Accessed 10/16/2023.)
This webpage provide links to information and trainings for providing telepsychiatry services for children and adolescents.
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American Psychiatric Association. (2020). Telepsychiatry Toolkit.
This webpage provides resources supporting clinical, training, and policy considerations for telepsychiatry.
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American Psychiatric Association. (2020). Telepsychiatry Toolkit. (Accessed 4/17/2020.)
This webpage provide links to information and trainings for providing telepsychiatry services.
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Association of State and Provincial Psychology Boards. (2020). Temporary Interjurisdictional Telepsychology Practice & COVID-19.
This webpage provides updates regarding how changes at the Centers for Medicare & Medicaid Services (CMS) affect teletherapy and resources for psychologists.
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Attachment Biobehavioral Catch-Up (ABC) Program. (2020). About ABC.
This webpage provides information about obtaining interventions through telehealth.
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Birdsall, J., Lind, L., and Lane, J. (2020). How to Provide Telehealth in Nursing Homes. American Psychological Association.
This article describes practical tips about how to provide psychological services to older adults living in nursing homes during the COVID-19 pandemic.
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Center for Connected Health Policy. (2020). Telehealth in the Time of COVID-19.
This website provides regular updates regarding telehealth-related state policy changes.
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Centers for Medicare & Medicaid Services. (2023). List of Telehealth Services.
This resource discusses the list of services payable under the Medicare Physician Fee Schedule when furnished via telehealth for coverage years 2018 and 2019.
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In the event that a patient presents with a life-safety risk of harm to self or others—or has a medical or other type of emergency—the behavioral healthcare provider may need to call 911 to get immediate assistance for the patient. Providers can follow the steps listed in this one-page tip sheet to effectively use 911 emergency services during telehealth appointments.
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This document identifies key telehealth resources behavioral health clinicians can use to serve patients during the COVID-19 pandemic.
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National Association of Social Workers. (2020). Telehealth Medicare Flexibilities for LCSWs *.
This webpage provides updates regarding how changes at the Centers for Medicare & Medicaid Services (CMS) affect teletherapy and resources for social workers.
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National Consortium of Telehealth Resource Centers. (2020). NCTRC Homepage.
This webpage provides links to state Telehealth Resource Centers and helpful resources (e.g., a telehealth program developer kit and a remote patient monitoring toolkit).
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Substance Abuse and Mental Health Services Administration. (2015). TIP 60: Using Technology-Based Therapeutic Tools in Behavioral Health Services. U.S. Department of Health and Human Services.
This manual can help healthcare providers use technology-based care in the delivery of behavioral health treatment services.
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Substance Abuse and Mental Health Services Administration. (2017). PowerPoint: SAMHSA-HRSA Center for Integrated Health Solutions: Telebehavioral Health in Primary Care. U.S. Department of Health and Human Services.
This PowerPoint presentation provides a general overview of telebehavioral health and how it is used in primary care.
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Substance Abuse and Mental Health Services Administration. (2020). Training and Technical Assistance Related to COVID-19.
This document provides links to COVID-19 related webinars and resources, with a particular focus on telehealth resources.
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Agencies and Organizations


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