The SARS-CoV-2 (COVID-19) pandemic has placed a tremendous strain on healthcare providers. Although there is a burgeoning body of literature on how COVID-19 has impacted frontline healthcare workers (i.e., providers treating COVID-19 patients), little attention has been dedicated to second-line workers (i.e., providers treating the mental health of people impacted by COVID-19). In this paper, we present findings from a thematic analysis of open text responses (n = 136) examining how COVID-19 shaped both the wellbeing of second-line workers, specifically mental health providers, as well as their clinical work in the early months of the COVID-19 pandemic in the United States. Results indicated that mental health providers were experiencing significant COVID-19-related burnout and poor physical and mental health outcomes. Participants described diminished negative effects on the quality of their clinical care from the burnout and trauma associated with COVID-19. Many also demonstrated resilience, identifying the duality of both negative (e.g., exhaustion) and positive (e.g., pride in helping others) meaning derived from their second-line work experiences. We conclude with recommendations for preventing and addressing burnout among mental health professionals in the era of COVID-19 and subsequent health emergencies.

中文翻译：

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“每周都像一座山”：COVID-19 对心理健康提供者的健康和临床工作的影响。

SARS-CoV-2 (COVID-19) 大流行给医疗保健提供者带来了巨大压力。尽管有大量关于 COVID-19 如何影响一线医护人员（即治疗 COVID-19 患者的提供者）的文献，但很少有人关注二线工作人员（即治疗受影响人群心理健康的提供者）由 COVID-19）。在本文中，我们展示了对开放文本回复 (n = 136) 的主题分析的结果，研究了 COVID-19 如何影响二线工作者（特别是心理健康提供者）的福祉，以及他们在最初几个月的临床工作COVID-19 在美国大流行。结果表明，心理健康提供者正在经历与 COVID-19 相关的严重倦怠和身心健康状况不佳。参与者描述了与 COVID-19 相关的倦怠和创伤对他们临床护理质量的负面影响。许多人还表现出韧性，从他们的二线工作经历中识别出消极（例如，疲惫）和积极（例如，为帮助他人而自豪）意义的二元性。最后，我们提出了在 COVID-19 和随后的突发卫生事件时代预防和解决精神卫生专业人员倦怠的建议。