Frontline Workers Research Articles

Hostilities faced by people on the frontlines of sexual and reproductive health and rights: a scoping review

Frontline workers for sexual and reproductive health and rights (SRHR) provide life-changing and life-saving services to millions of people every year. From accompanying the pregnant, delivering babies and caring for...

Linking frontline construction workers' perceived abusive supervision to work engagement: job insecurity as the game-changing mediation and job alternative as a moderator

PurposeThis research focuses on exploring a psychological mechanism between abusive supervision and job engagement via job insecurity and job alternative to understand how frontline construction workers' perceived abusive supervision impacts on their work engagement.Design/methodology/approachThis study draws on the conservation of resources theory (COR) to postulate that workers' job insecurity acts as a mediation between abusive supervision and work engagement, and the perception of job alternative moderates the impact of abusive supervision on job insecurity. This study empirically tests survey data from 357 frontline construction workers and adopts partial least square structural equation modeling (PLS-SEM) to test the proposed model.FindingsThis paper proved the dark-side of abusive supervision, dual character of job insecurity and moderating role of job alternative. The game-changing mediation effects of job insecurity were examined, which suggested that work engagement would be higher when abusive supervision stimulates stronger job insecurity. Furthermore, the result indicated that the relationship between abusive supervision and job insecurity should be weaker when job alternative is high.Practical implicationsThis research suggests construction project managers (CPMs) must take steps such as enhancing supervisors' emotional management skills to control frequency of abuse and thus lessen compromising engagement. Moreover, overall understanding frontline workers' job insecurity is meaningful for better construction performance management.Originality/valueThis research contributes to the disputed leadership style (abusive supervision) and positive psychology knowledge (work engagement) in construction projects by unveiling the psychosocial mechanism (game-changing effects of job insecurity) of construction frontline workers positive engaged feeling. This study highlights the function of personal and job resources in process of resource conservation.

Time for You: A process evaluation of the rapid implementation of a multi-level mental health support intervention for frontline workers during the COVID-19 pandemic.

The coronavirus (COVID-19) pandemic had wide-ranging negative impacts on mental health. The pandemic also placed extraordinary strain on frontline workers who were required to continue working and putting themselves at risk to provide essential services at a time when their normal support mechanisms may not have been available. This paper presents an evaluation of the Time for You service, a rapidly developed and implemented intervention aimed at providing frontline workers with quick access to flexible online mental health support. Time for You provided service users with three service options: self-guided online cognitive behavioural therapy (CBT) resources; guided engagement with online CBT resources; 1-1 psychological therapy with trainee sport and exercise psychologists and trainee health psychologists. A process evaluation informed by the Consolidated Framework for Implementation Research considered service fidelity, adaptations, perceived impact, reach, barriers, and facilitators. Interviews with project managers (n = 5), delivery staff (n = 10), and service users (n = 14) explored perceptions of the service implementation and outcomes, supported by data regarding engagement with the online CBT platform (n = 217). Findings indicated that service users valued the flexibility of the service and the speed with which they were able to access support. The support offered by Trainee Psychologists was perceived to be of high quality, and the service was perceived by service users to have improved mental health and wellbeing. The rapid implementation contributed to issues regarding appropriate service user screening that led to trainee psychologists being unable to provide the service users with the support they needed as the presenting issues were outside of trainees' competencies. Overall, the findings suggest that interventions offering flexible, online psychological support to frontline workers can be an effective model for future interventions. Trainee psychologists are also able to play an important role in delivering such services when clear screening processes are in place.

Symptoms of Posttraumatic Stress During the COVID-19 Pandemic in the Governmental Public Health Workforce and General Population.

We aimed to estimate the prevalence of COVID-19-related posttraumatic stress symptoms (PTSS) in the governmental public health workforce and in US adults, assess differences in reporting PTSS within subgroups, and evaluate whether frontline workers reported higher levels of PTSS than persons in other jobs. We used data from 2 nationally representative studies: the 2021 Public Health Workforce Interests and Needs Survey (PH WINS) and the COVID-19 and Life Stressors Impact on Mental Health and Well-being (CLIMB) study. Our study found that the state and local governmental public health workforce was more likely to report PTSS than the general adult population. Almost a quarter of public health agency employees (24.7%) and 21.1% of adults reported at least 3 symptoms of posttraumatic stress. Differences in levels of PTSS appeared within demographic groups for both samples. Personal care and service frontline workers had 4.3 times the odds of reporting symptoms of posttraumatic stress than non-frontline workers.

The toll of the COVID-19 pandemic on Latinx mixed-status immigrant families in a restrictive immigration policy climate in the Southeast

Immigration-related policies rooted in structural racism negatively affect the wellbeing of Latinx immigrant families with undocumented family members, and these harms may be exacerbated by the COVID-19 pandemic. To explore these intersecting challenges and identify opportunities for intervention, we conducted 15 in-depth interviews with frontline workers serving Latinx immigrants during the pandemic. Through these interviews, we sought to understand frontline workers' perceptions of the role of immigrant-related policies on the psychosocial impacts of the COVID-19 pandemic on mixed-status Latinx immigrant families in Georgia. All interviews were audio recorded and transcribed, with Spanish-language interviews translated to English. Transcripts were double-coded and codes were analyzed following a grounded-theory informed analysis from which we identified three themes: 1) “Forgotten from the system”: Impacts of existing exclusionary policies and structural barriers on undocumented immigrants were magnified during the pandemic, 2) “Continual Stress”: The compounding psychosocial impacts of the policy environment and COVID-19, and 3) Advocating for the rights and wellbeing of immigrant families in a shifting policy landscape. These themes reflected the multiple interlocking systems that exclude undocumented and mixed-status families from social services and healthcare, create fear and stress, and harm the wellbeing of families. They also reveal community assets to respond to emergent and long-term challenges faced by families, though gaps remain due to existent state and federal policies. Findings from frontline workers demonstrate the need to address inequitable interlocking systems with policy reform, including to housing, healthcare, and transportation to include undocumented immigrants during the COVID-19 pandemic and beyond. Future research on inclusionary policy recommendations made by frontline workers to improve wellbeing of mixed-status families is needed.

Role of safety-specific transformational leadership in fostering extra-role behaviors through psychological contract fulfillment among frontline workers during COVID-19

Objectives. The emergence of COVID-19 has drastically changed the safety outlook of how the work world is viewed by leaders and followers. In this backdrop, the current study aimed at extending the safety leadership literature in the context of organizations operating in crisis situations by investigating the impact of safety-specific transformational leadership on the followers’ extra-role behaviors through the mediation of psychological contract fulfillment. Methods. Using a time-lagged and multisource design, data were collected from 384 frontline rescue and healthcare workers dealing with COVID-19-related situations. Results. Results revealed that safety-specific transformational leadership behavior positively affects extra-role behaviors of frontline employees by enhancing their innovative work behavior, knowledge sharing behavior and organizational citizenship behavior. Also, psychological contract fulfillment plays a bridging role in translating the impact of safety-specific transformational leadership behavior on extra-role behaviors. Conclusion . The followers working in an unsafe context view the safety concern of their leader as a fulfillment of their unwritten expectations from their employers. Implications of these findings along with limitations and future research directions are also delineated.

CLIMIGRANT: An educational resource about climate change, human movements and health

Abstract Background Climate change in combination with other social, economic, and political factors, can result in population displacement, relocation or migration, which may be forced or may be a voluntary adaptation strategy. For some, however, moving is not an option due to a lack of access to resources, capacity and power. These experiences have implications for health. Our objective was to develop an educational resource to raise awareness about climate change and their impacts on human movement and health. Methods This project was an initiative of the Quebec Population Health Research Network, in Quebec, Canada. A survey was distributed to 28 network members who have diverse expertise, including migration, climate change, environmental sciences, law, ethics, and public health, to identify key themes and messages to convey, and to gather supporting references and materials. A workshop was subsequently held with 10 survey participants to brainstorm ideas for the content, approach and format. A core working group then developed CLIMIGRANT in consultation and collaboration with a number of experts. Results Two illustrated stories (for a general public, including children) and an online course (for students, frontline workers, researchers and other stakeholders) were developed in English and French (available at Climigrant.org). Each provides an overview of how climate induced disasters or environment changes can result in inequitable and complex situations regarding migration/relocation. They also highlight the number of health consequences, both physical and psychological, and challenges related to addressing these. Solutions for prevention and adaptation are presented as well. The resource illustrates how anyone can be affected by climate change, regardless of where they live and conveys a message of solidarity and collective responsibility. Conclusions CLIMIGRANT can be used to inform and educate a broad population on climate change, human movement and health. Key messages • A diversity of methods can be used to raise awareness about climate change, human movements and health. • Anyone, anywhere can be impacted and displaced by climate change and we all have a role to play in addressing climate change and its impacts.

Post-traumatic stress symptoms in mental healthcare workers during the COVID-19 outbreak.

In the context of disease outbreaks, healthcare workers are exposed to multiple physical and psychological stressors, which may result in severe mental health outcomes. Although existing literature explores this impact, it is focused on frontline workers, with limited evidence exploring the mental well-being of mental healthcare workers (MHCWs). To explore post-traumatic stress symptoms (PTSS) and associated factors among MHCWs within the context of the coronavirus disease 2019 (COVID-19) pandemic. Four academic hospitals in the Gauteng province, South Africa, with specialised psychiatric units. A cross-sectional study design was used. Participants were selected using a simple random sampling technique and invited to participate in structured interviews. Measurement tools included a demographic questionnaire, the post-traumatic stress disorder checklist for DSM-5 and the Brief Resilient Coping Scale. A total of 120 MHCWs participated. The prevalence of PTSS was 11.7%. The MHCWs' profession was a significant predictor of the occurrence of PTSS (p = 0.046), with nurses being the most affected. Other socio-demographic, employment, COVID-19-related factors and coping skills were not predictors of PTSS. An elevated prevalence of PTSS has been found and was significantly associated with the profession of the MHCW. It is recommended that existing employee wellness programmes be strengthened to promote mental well-being and improve resilience among MHCWs, particularly vulnerable employee groups. This study provides insight into the prevalence of PTSS among MHCWs following the COVID-19 outbreak, as well as associated factors.

Investigating the longitudinal impacts of frontline work on healthcare workers family functioning

Abstract Background At a time when many families were sheltering at home, frontline healthcare workers (FHWs) worldwide continued to work in the community, often under significant stress. While it has been well documented that frontline work during the COVID-19 pandemic has had impacts on healthcare workers’ mental and physical health, the impacts on their family functioning remain unclear. This study investigates the longitudinal impact of frontline work on family functioning amongst Australian healthcare workers. Methods Semi-structured interviews were conducted with Australian FHWs working in high-risk areas such as Emergency Departments, Intensive Care Units, COVID wards, Hospital in the Home, and Aged Care. Interviews occurred across three timepoints (Dec 2020=39 participants, June 2021=34 participants, Jan 2022=31 participants). Transcripts from each timepoint were analysed separately using reflexive thematic analysis, then whole group comparisons were made between timepoints to identify changes and the nature of the changes. Results Flexibility and the need for constant adaptation were consistent themes across the three timepoints, as FHWs struggled to balance the demands of workplace changes alongside lockdown and COVID-19 related changes in their personal lives. In the early stages of the pandemic, families with pre-existing vulnerabilities reported significant challenges whereas others reflected on family resilience and growth. Two years on, even those families that articulated resilience and growth have observed declines associated with the persistent demands of their healthcare roles. Conclusions While healthcare organisations globally have made efforts to support their staff, these challenges observed by participants highlights the need for more targeted workplace and public health strategies within healthcare systems, particularly with respect to family support. Key messages • Healthcare workers have faced considerable challenges through the course of the COVID-19 pandemic, with declines in mental health and family functioning observed. • Beyond resilience and wellbeing interventions, healthcare workers need workplaces that acknowledge and support their family lives.

Tackling breast cancer where almost no care is available. A Europe-Africa partnership

Abstract Background African and European societies share similar challenges, such as the growing cancer burden, and are committed to equity and women's health, as highlighted at the 2022 EU - African Union summit. Breast cancer - the most common cancer worldwide and the leading cause of cancer death among women - disproportionately affects individuals in low-resource settings such as Malawi, where only 9.5% of patients survive beyond 18 months. Early detection and treatment could bring hope and extend the healthy lives of these women. The Akazi project, a collaboration between partners from Ireland and Malawi, is implementing a health systems platform to achieve this goal. Methods Based on the six WHO health systems building blocks framework, a mixed methods health systems capacity assessment was done in Malawi in 2022 to inform the development of a national breast cancer strategy. Results Major gaps were identified in all building blocks, critically in human resources, as no training in breast health was available in the country, and the number of trained health workers was critically low. Only five breast surgeons, five oncologists and one pathologist practice nationwide. In response, a breast health course was developed, tested and implemented with endorsement from MoH. Two cohorts of frontline workers have been trained (n = 37). Local health authorities have designed and implemented community breast care awareness activities. Conclusions This simple intervention provides the basis for critical improvements in national breast cancer services in Malawi. Akazi-funded breast health training needs to be rolled out country-wide by the Ministry of Health and significant infrastructure and human resources investments. Technical and financial support from the global North is essential to ensure progress towards Universal Health Care in Africa. Key messages • Bridging inequities in breast cancer outcomes requires systematic health systems strengthening. • EU-Africa research collaborations can fill critical knowledge gaps through systems analyses to guide national cancer control strategies.

Building a comprehensive online course series to enhance infodemic management globally

Abstract Background Infodemic management has become key to supporting public health prevention and response to epidemics. 91% of WHO Member States declared having capabilities to track and address infodemics and health misinformation (WHO pulse survey). However, the scientific field of infodemiology is quickly evolving, and the practice of infodemic management consequently requires the health workforce to have a multidisciplinary and cross-functional skill set and to update it regularly. Objectives Since 2020, WHO and its partners have developed an innovative global blended training program and created a network of over 1300 infodemic managers from 142 countries. To keep the pace of science development, WHO has created an additional series of online courses allowing frontline workers easy, self-paced, and free access to updated and evidence-based infodemic management frameworks and best practices. Results Mid-2023, a comprehensive “infodemic management” channel, including eight interconnected courses, will be launched on the award-winning platform OpenWHO.org. The first course, “Infodemic management 101”, has already attracted more than 21000 enrolments in English. The seven additional two-hour courses will allow health workers to learn how to generate an infodemic insights report, address health misinformation, be efficient in the field, or co-construct efficient interventions with communities. The course series will be available in English, French, and Spanish. Conclusions This new e-learning program will enhance practice in infodemic management in all countries, even those with low bandwidth. Health workers can access the courses on OpenWHO from anywhere, at any time, and no fees. Key messages • Infodemic management requires the health workforce to have an updated multidisciplinary and cross-functional skill set. • The new comprehensive WHO course series on infodemic management, available in three languages, will help to build skills and competencies for frontline health workers.

How client characteristics cause extra-role behaviours in public service: uncovering invisible frontline work

ABSTRACT Frontline workers have the discretion to extend public services beyond their formal job requirements, yet little is known about the influence of client characteristics on this behaviour. Using a large-scale conjoint design with 1,507 Danish high-school teachers, we uncover how teachers willingly exceed their job expectations when encountering students who demonstrate effort (e.g. handing in assignments) or low well-being (e.g. feeling lonely). However, their willingness diminishes as requested behaviours deviate further from job expectations. Our study highlights the factors driving extra-role behaviours and underscore the importance of recognizing ‘invisible frontline work’.

Neuroscience literacy in educators’ training programs in Asia: A call to action

The center of learning is the brain and the disciplinary science that examines its structure and functioning, and the nervous system as a whole, is called neuroscience. The assimilation of essential neuroscience-related content by educational systems has gained global interest, given the relevance of learning to education. Recognizing the significance of frontline workers, several governmental agencies and educational institutions have launched initiatives to foster the inclusion of neuroscience literacy in educators’ training programs. Their success, however, has depended on collaborative efforts among educators, researchers, and other educational stakeholders, and the process has involved considerable debate. Here, we aim to articulate a rationale to promote neuroscience literacy for educators. In doing so, we revisit prior arguments on the importance of training educators and build up on other reasons to advocate for this kind of endeavor considering cutting-edge research. Following this, we discuss critical elements to advance neuroscience literacy for educators and examine the most important challenges to execute successful initiatives. Finally, we appraise the significance for Asia, reviewing the scholarly literature on educators’ prior experiences, and highlight the case of Singapore as an exemplar initiative that catalizes human capital, infrastructure, and strategies to advance neuroscience literacy. We conclude by arguing that governmental agencies and educational institutions should strengthen their efforts to accommodate their programmatic plans and agendas to embrace neuroscience literacy in educators’ training programs. This global trend has arrived to stay.

Towards the platformisation of employment in post-pandemic Aotearoa New Zealand? Evidence from the Future Worlds of Work survey

It has been widely recognised in the international literature that the impacts of the pandemic on workers have been experienced unevenly, most severely affecting women, minorities, and those on insecure contracts. At the same time, Covid-19 has accelerated technologically driven developments such as platform work and online freelancing. To provide evidence for these shifts in Aotearoa New Zealand, a survey (n=570) was completed by a sample aged over 18 and employed in the previous 12 months. The survey found uneven experiences of pandemic-related disruption, particularly for those in insecure forms of work, Māori, and frontline workers in hospitality and retail. Further, there was evidence for the emergence of a culture of “digital hustling” among younger people, who are seeking supplementary forms of income from the online world, while 43 per cent of respondents with an employment agreement were required to use a smartphone as part of their job. I use these findings to develop the concept of platformisation, capturing broad impacts of digital technology on workplaces, together with trends towards precarity and individual responsibility. The results have implications for public policy analyses of a “tight labour market” which can negate the unevenly felt effects of an economic slowdown.

Deep neural network for prediction of diet quality among doctors and nurses in North China during the COVID-19 pandemic.

The COVID-19 pandemic has placed unprecedented pressure on front-line healthcare workers, leading to poor health status, especially diet quality. This study aimed to develop a diet quality prediction model and determine the predictive effects of personality traits, socioeconomic status, lifestyles, and individual and working conditions on diet quality among doctors and nurses during the COVID-19 pandemic. A total of 5,013 doctors and nurses from thirty-nine COVID-19 designated hospitals provided valid responses in north China in 2022. Participants' data related to social-demographic characteristics, lifestyles, sleep quality, personality traits, burnout, work-related conflicts, and diet quality were collected with questionnaires. Deep Neural Network (DNN) was applied to develop a diet quality prediction model among doctors and nurses during the COVID-19 pandemic. The mean score of diet quality was 46.14 ± 15.08; specifically, the mean scores for variety, adequacy, moderation, and overall balance were 14.33 ± 3.65, 17.99 ± 5.73, 9.41 ± 7.33, and 4.41 ± 2.98, respectively. The current study developed a DNN model with a 21-30-28-1 network framework for diet quality prediction. The DNN model achieved high prediction efficacy, and values of R2, MAE, MSE, and RMSE were 0.928, 0.048, 0.004, and 0.065, respectively. Among doctors and nurses in north China, the top five predictors in the diet quality prediction model were BMI, poor sleep quality, work-family conflict, negative emotional eating, and nutrition knowledge. During the COVID-19 pandemic, poor diet quality is prevalent among doctors and nurses in north China. Machine learning models can provide an automated identification mechanism for the prediction of diet quality. This study suggests that integrated interventions can be a promising approach to improving diet quality among doctors and nurses, particularly weight management, sleep quality improvement, work-family balance, decreased emotional eating, and increased nutrition knowledge.

Increase in Trauma Leading to Psychological Injury Among Canadian Homelessness Services Workers During the COVID-19 Pandemic.

This study examined the traumatic psychological impact of the pandemic on frontline workers in homelessness services. Staff from homelessness serving organizations completed pre- and mid-COVID pandemic surveys measuring traumatic stress symptoms (PTSS), burnout, and job-related traumatic experiences. The mid-pandemic survey was expanded to seven Canadian cities to determine prevalence of workplace PTSS nationally. In the comparison group, baseline rates of PTSS (41%) rose to 47.3% ( n = 164), while 75% reported low-moderate levels of burnout both times. Nationwide, PYSS was 51% ( n = 574). Case managers working at remotely had greater levels of PTSS. COVID-19 exacerbated risk of psychological workplace injury from traumatic stress; however, burnout did not increase significantly, indicating the primary dynamic as anxiety and emotional exhaustion associated with ubiquitous trauma induced by COVID-19. Working remotely increased the hazards of psychological workplace injury.

Disease and social factors associated with healthcare utilization for the treatment of SARS-CoV-2 infections in a longitudinal cohort of essential workers in Arizona

BackgroundDemands on health systems due to COVID-19 are substantial, but drivers of healthcare utilization are not well defined in non-severe SARS-CoV-2 infections. Among a prospective cohort of frontline workers from July 2020 to February 2023, we assessed predictors of healthcare utilization during SARS-CoV-2 infection.MethodsWeekly specimens tested via real-time reverse transcriptase polymerase chain reaction analysis. Participants reported sociodemographic, health status information, and illness experience information. Primary outcome was healthcare utilization during SARS-CoV-2 infection. Predictors included sociodemographic characteristics, baseline health status, and measures of illness severity. Multivariable logistic regression was utilized to generate odds ratios for predictors of healthcare utilization.Results1,923 SARS-CoV-2 infections (1,276 first infections and 647 reinfections from 4,208 participants): 1221 (63.5%) individuals were between 40 and 65 years old; 1115 (58.0%) were female; 449 (23.3%) were Hispanic and 1305 (67.9%) non-Hispanic White. 294 (15.3%) individuals sought medical care during first infection, 106 (5.5%) during reinfection. Sociodemographic and baseline health characteristics were not associated with healthcare utilization during infections from any variant for first infections, while age (OR 1.04, 95%CI 1.01–1.07) was during Omicron reinfection. In first infection, number of symptoms (OR 1.16, 95%CI 1.00-1.36 in Origin/Alpha, OR 1.12, 95%CI 1.00-1.49 in Delta, OR 1.09, 95%CI 1.01–1.16 in Omicron), number of days spent in bed (OR 1.13, 95%CI 1.02–1.33 in Origin/Alpha, OR 1.23, 95%CI 1.00-1.59 in Delta, OR 1.12, 95%CI 1.03–1.22 in Omicron), and illness duration (OR 1.01, 95%CI 1.00-1.04 in Origin/Alpha, OR 1.01, 95%CI 1.00-1.03 in Delta, OR 1.01, 95%CI 1.00-1.02 in Omicron) were related to healthcare utilization for all variants. Number of days in bed (OR 1.12, 95%CI 1.01–1.27), illness duration (OR 1.01, 95%CI 1.00-1.02), and hours of work missed (OR 2.24, 95%CI 1.11–4.74) were positively associated with healthcare utilization during Omicron reinfection.ConclusionThe main factors associated with healthcare utilization for SARS-CoV-2 infection were symptom severity and duration. Practices and therapeutics aimed at decreasing these factors would be most helpful in easing the burden on health systems.

Mental health survey among front-line medical workers after 2 years of supporting COVID-19 efforts in Hubei Province.

During the outbreak of COVID-19 in China, many health care workers have been involved in the front-line fight against the epidemic and have experienced major psychological challenges. This study was aimed at assessing the mental health of front-line health workers after 2 years of COVID-19 efforts. We recruited front-line health workers from Liaoning province who supported Hubei, the epicenter of the COVID-19 outbreak. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), and Insomnia Severity Index (ISI) were used to assess psychological status. A total of 1101 of 1354 contacted individuals completed the survey (participation rate of 81.31%): 963 (87.5%) were 20-45 years of age, 919 (83.47%) were women, 845 (76.7%) were nurses, and 245 (22.3%) were physicians. After 2 years, the mental health symptoms among survey respondents were as follows: 46.6% had depression, 35.5% had anxiety, and 38.1% had insomnia. Thus, 2 years after the COVID-19 pandemic, the front-line health workers who had assisted Hubei province during the COVID‑19 pandemic in China still had high levels of depression, anxiety, and insomnia. Our findings suggest that the pandemic has had significant long-term effects on the mental health of front-line health workers. Therefore, mental health policies should offer long-term rather than short-term services.

Helping Frontline Workers in Texas-A Framework for Resource Development.

First responders disproportionately experience occupational stress when compared to the general population, and COVID-19 has exacerbated this stress. The nature of their duties as law enforcement officers, firefighters, and medics exposes them to repeated trauma, increasing their risk of developing a broad array of mental health issues, including post-traumatic stress disorder (PTSD), substance use disorder (SUD), and compassion fatigue. This paper describes the need for resources for frontline workers and provides a framework for creating and implementing resources. A team of interdisciplinary subject matter experts developed two major resources. The first resource was a 24/7 helpline to support first responders and healthcare workers experiencing substance use or mental health concerns. The second resource was the First Responders Educational Campaign, which developed and delivered focused training modules on useful topics covering substance use and mental health concerns as they pertain to this workforce. Utilizing core interprofessional principles, content was sourced from multiple disciplines and contrasting perspectives to provide a comprehensive understanding of mental health and substance use issues. The curriculum was designed so that the content was interdisciplinary, interprofessional, and accessible to audiences across disciplines and professions. After engaging more than 1500 individuals, resources developed here have augmented mental health and substance use support resources available to the target population.

"It's Like Being a Parent at Work": Antiviolence Frontline Work, Boundaries, and Intimacy During COVID-19.

COVID-19 profoundly shaped how service providers in the antiviolence sector interact with clients, coworkers, and community stakeholders. In addition to stressors inherent in antiviolence work, service providers negotiated new, challenging social distancing and remote communication strategies. In this paper, we analyze interviews with 23 antiviolence workers in the US Great Plains region, focusing on participants' descriptions of workplace boundaries and intimacy. We demonstrate how COVID-19 both expanded and contracted public/private boundaries and formal/informal connections in antiviolence workers' daily experiences. Pandemic conditions revealed the pressing need for frontline workers to exercise discretion over levels of intimate engagement with coworkers and clients.