Four-year patterns of a mental health support service for employees of a healthcare system delivered by lay professionals.

Steinberg, Michael B; Weiss, Michal; Benjamin Wolk, Courtney; Pieri, Matteo F; Kishton, Rachel; Beck, Sarah; Bellini, Lisa; Becker-Haimes, Emily M · J Occup Environ Med · 2026

retrospective_cohort · Level III

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Abstract

To understand how and when mental health programs can best address healthcare workers' needs as the COVID-19 pandemic recedes. We conducted a retrospective descriptive study using administrative program data (N = 524 unique clients served) to examine variations in use, client presenting concerns, and interventions delivered for a lay mental health program within an academic medical center in Philadelphia between April 2020 and March 2024. Results suggested gradual decline in program utilization over four years; however, rates of referral of clients to professional mental health services remained steady. Clients presented with fewer emotional and social support needs and more cognitive challenges over time. Results suggest the need for nimble programming that can rapidly adjust to the needs of healthcare workers in a changing healthcare landscape. We provide suggestions for adapting programs over time.