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What does social disruption and physical distancing mean for our mental health and for our personal safety during the #COVID19 pandemic?

Here's our Q&A with @ccdickey (@schulichmeddent) and Barb MacQuarrie (@learntoendabuse) 👇
Thank you to @asksarahdawson and @westernuAlumni for hosting this live #COVID19 Q&A with our #WesternU research experts. #purpleandproud
Dr. Chandlee Dickey (@SchulichMedDent) is an internationally renowned expert in psychiatric education. She's especially focused on #mentalhealth for all and effective ways to stay calm and manage your well-being during these uncertain times. schulich.uwo.ca/psychiatry/peo… Dr. Chandlee Dickey
Barb MacQuarrie (@learntoendabuse, @westernuEdu) is an expert on workplace harassment and sexual violence, and is currently studying the increased vulnerability for abused women and children in isolation due to #COVID19. learningtoendabuse.ca/about/faculty-… Barb MacQuarrie speaking.
Q1: Social distancing is helping flatten the curve, but what are the potential impacts of distancing on people's sense of well-being? - Sarah Dawson, @westernuAlumni
A1: “I think many of us maybe chose the wrong term (social distancing). We really need social connection. Throughout history, people have had to come together in times of distress and in in times of worry.” - @ccdickey (@schulichmeddent) The term social distancing has caused some cognitive dissonance for us, because we know we have to maintain two meter physical distancing - but the social connection is what we really need. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Q2: Have the recommended public health measures created more vulnerabilities for people? - Sarah Dawson, @westernuAlumni
A2: For women who are in abusive relationships, isolation is already a primary dynamic of that relationship. They're already being limited in terms of who they can interact with - family members, friends, and even co workers. - Barb MacQuarrie, @learntoendabuse In the hands of an abusive person, those directives to maintain distance, they almost become a weapon that is used to even more isolate people who are experiencing abuse. - Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
A2: The number of people experiencing abuse that actually reach out to professional services is relatively low. The people who know that something is wrong, those are really our social circles, our friends, neighbours families and co-workers. - Barb MacQuarrie, @learntoendabuse We have to empower everybody to be able to say, look, I think something's wrong. I'm worried about you. Do you know that help is available? - Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
Q3: There's just a constant barrage of new stories about COVID-19 and it's hard to avoid that. Some people are getting really anxious reading everything, seeing everything all the time. Is this normal? - Sarah Dawson, @westernuAlumni
A3: If we see this as happening to us, as opposed to us controlling our lives, we're not going to do as well. If we see this as an opportunity and ourselves as empowered agents, then we'll fare better. But yes of course we're going to being anxious. - @ccdickey (@schulichmeddent)
Q4: Do you have some strategies that either one of you might be able to share on how to mitigate the anxiety that comes with uncertainty? - Sarah Dawson, @westernuAlumni
A4: The best thing we can do is to connect through means that we have available to us. A telephone is a really good way to talk to somebody. Finding ways to stay in touch has never been more important. - Barb MacQuarrie, @learntoendabuse
A4: At times of stress, we often lose the basics like healthy eating habits, maintaining exercise. Sleep is very, very important. It affects our well-being, our ability to pay attention, our optimism. - @ccdickey (@schulichmeddent) You can run in place. You can do push-ups and sit-ups, as painful those may be. You could learn how to do a burpee. There are all sorts of things that you can do in your restricted little space. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
A4: Also basic meditation. There are lots of free apps for guided meditations that are simple. It's not that we have to become this super zen-like person. We just start where we are and do what we can to stay focused during these difficult days. - @ccdickey (@schulichmeddent)
Q5: One of the questions that came in over social media was “Is it okay that I'm not as productive at work and are we supposed to be productive right now?” - Sarah Dawson, @westernuAlumni
A5: It's a little bit of surrender to the circumstances, let go of some expectations, some wonderful plans. Rethink how you might be able to do things that were supposed to happen, but not caught up in business as usual, because it's just not. - Barb MacQuarrie, @learntoendabuse
A5: Appreciate what we each are contributing during this pandemic. “My job is to stay home, not get the disease, not pass on the disease. And that's okay.” Reframing in a positive way, seeing oneself again as an actor, can be really helpful. - @ccdickey (@schulichmeddent) We have asked many many millions of people to stay home. That is a gift. It is a gift that we give one another. It’s a gift that we’re giving to our hospitals and our healthcare workers, that we’re staying home and not flooding the country with COVID-19 cases. It is a way of contributing.  - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Q6: People might talk about not having the luxury of self care. Is there a way of thinking about that differently? - Sarah Dawson, @westernuAlumni
A6: Self-care is really critical. And, for people who are experiencing abuse, really, really difficult. But in order to cope, in order to survive in those circumstances, you have to find small ways to take care of yourself. - Barb MacQuarrie, @learntoendabuse Self-care can be really specific to each individual. Eating your favourite food. Finding that five minutes, some place to yourself, just you. It might be not blaming yourself for what's happening. It might be wearing your favourite piece of jewelry. It might be finding a way to take a short walk.  - Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
Q7: In recent history, do we have any past experiences that we can draw on to understand what the current situation might be like for those who are in abusive relationships? - Sarah Dawson, @westernuAlumni
A7: In times of stress, reports of domestic violence and violence against women and children increase significantly. After the 2008 financial crash, we had increased reports. We have research from natural disasters, where routines and connections are disrupted. - Barb MacQuarrie We’re throwing all of these factors together right now - economic stress, disruption of routines, inability to reach out as easily. <br />
We won’t know until after the pandemic has ended how much violence and abuse has increased because there are many people who aren’t safe to reach out. We know it’s happening, but we don’t know the extent right now.<br />
- Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
Q8: What responsibilities do workplaces have to supporting in this remote environment that we're working in? - Sarah Dawson, @westernuAlumni
A8: In Ontario, we were the first jurisdiction around the world to have specific duties to protect employees from harm, the results of domestic violence. That duty does not end just because we're in a pandemic and people are working from home. - Barb MacQuarrie, @learntoendabuse If we're supervising people, we have to try to be in touch with them, to be aware of warning signs, of somebody who's missing a lot of meetings, somebody who never turned on their video in a chat, somebody who seems more anxious or afraid than what the circumstances would merit. - Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
A8: It would be much easier for workplaces to support employees experiencing domestic violence if we had prepared ahead. We really, really need to focus on how employers can support to employees experiencing domestic violence. - Barb MacQuarrie, @learntoendabuse
Q9: Students have been asked to move from a typical classroom experience to online. If they're asked to continue to learn this way, disconnected from their classmates and from their normal environments that they'd be in, how can they cope? - Sarah Dawson, @westernuAlumni
A9: Some learners are socioeconomically disadvantaged. They don't have stable internet, their parents are less tech savvy, maybe a little less educated. The worry is that this cohort will fall further behind. - @ccdickey (@schulichmeddent)
A9: See what of normal life we can preserve. Is there a way to have trombone practice more online using zoom? If soccer is their thing, can we come up with creative ways that the team can still stay connected? - @ccdickey (@schulichmeddent) We frankly don't know how our children are going to come out of this. The individual child's baseline resiliency is going to be a major contributor to their outcome.  - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Q10: Are we seeing an increase in calls across helplines throughout the province and in Canada? - Sarah Dawson, @westernuAlumni
A10: There is a dramatically large rise in calls to our local health lines and that's good. People have been suffering from #mentalhealth issues, loneliness, anxiety forever. Now it's okay to call. Now it's okay to talk. A #COVID19 silver lining? - @ccdickey (@schulichmeddent) We're open for business. We are here to serve, we care about people. The help lines are here to serve, people's family doctors still care about them - they still want them to come and reach out. We're lucky that here in London, the number of cases of COVID-19 are manageable. So yes, everyone's still open for business, and here to serve. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
A10: It's really important message for anybody experiencing abuse. Some may have the impression that shelters are closed or that they're over capacity. Shelters are innovating and they're changing the way that they service people. - Barb MacQuarrie, @learntoendabuse Don’t hesitate to call the shelter. They are there, they are available, they’re open, they are operating and they don’t just provide the roof over their head and the bed. <br />
They provide safety planning strategies, they provide help navigating any system that you have to be involved with, whether it’s health care, child welfare, family justice or criminal justice system, they help you with all of that. So please know that shelters are still open and spaces available. - Barb MacQuarrie, Community Director, Centre for Research and Education on Violence Against Women and Children
Q11: Do you think that people are framing the pandemic as a monster? And maybe they feel like they can't beat it or win? - Sarah Dawson, @westernuAlumni
A11: When we're talking to little kids or small children about #COVID19, sometimes it's good to make it external like a monster to battle. For other people, that can that kind of framing may create a sense of powerlessness and helplessness. - @ccdickey (@schulichmeddent)
Q12: Do you have any recommendations on how to wear many hats simultaneously during this time? And maintain your well-being? What are the tricks? - Sarah Dawson, @westernuAlumni
A12: Acknowledge and be open about what's going on in your life. Don't try to be the person that can manage everything and that doesn't need to ask for any accommodations. Be open with co-workers and supervisors about what you can and can't do. - Barb MacQuarrie, @learntoendabuse
Q13: Any recommendations for mental health and well-being for elementary and secondary students? - Sarah Dawson, @westernuAlumni
A13: Kids need exercise in order to be effective learners and to be ready to learn. If their exercise goes down, they're not going to sleep as well, which compounds the problem. Develop an exercise routine that they think is really fun. - @ccdickey (@schulichmeddent) Maybe it's putting on a goofy song and just dancing - instead of doing that algebra problem because they can't do that algebra problem right then, they need to move their bodies. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Q14: Are there specific findings regarding Indigenous communities or youth on the streets during this pandemic? Or maybe just your thoughts on how they're being affected? - Sarah Dawson, @westernuAlumni
A14: Yes, those groups are going to be disproportionately impacted. If you think about people who are already less well-resourced, you can see that's going to play out when we're all isolated, not in our routines, have financial stressors. - Barb MacQuarrie, @learntoendabuse
On learningtoendabuse.ca, we have resources that specifically look at the challenges of particular marginalized groups - written in plain english, very accessible. Put whatever you're looking for in the search function and you will find lots. - Barb MacQuarrie, @learntoendabuse
Q15: If you're working with someone that you suspect is struggling but hasn't brought forward their concern, what are some ways that you might check in on people - that also maintain the individual's boundaries? - Sarah Dawson, @westernuAlumni
A15: Something organizations can do upfront, and make formal in a preventative way, is to create a buddy system. Buddies text each other each day. Are you okay? Over time, you can see whether there's been a shift in your partner's responses. - @ccdickey (@schulichmeddent) I have a buddy with a member of my department and it has been fantastic for me because he's really funny, and I didn't know him that well before this but he's made me laugh, many, many days. <br />
It's not too late, because we're still in this, for organizations to consider making it (a buddy system) a more formal sort of preventative way. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Q16: What future of opportunities will be in the mental health field as a profession, coming out of #COVID19? Will we be seeing more opportunity for people to work in this area? - Sarah Dawson, @westernuAlumni
A16: I hope so. And I hope we work differently. We're seeing our patients virtually and that allows patients to stay in their workplace and still get the mental health care they need or stay at home and get the mental health care that they need. - @ccdickey (@schulichmeddent)
My dream from #COVID19 is that we expand our conceptualization of what #mentalhealth care can be like, and empower people with tools to support each other, whether it's a grandmother on the bench or in a high tech way. - @ccdickey (@schulichmeddent) I’m also hopeful that we decentralize the provision of mental healthcare. I don’t think everybody needs to go see a psychiatrist. I’m a psychiatrist, but really.  <br />
In Africa, there is a place where grandmothers are really revered. And they’ve equipped grandmothers with some basic mental health tools and they’re sitting on benches. Just sitting and waiting for people to come. There’s grandmothers on benches. - Dr. Chandlee Dickey, Chair/Chief of the Department of Psychiatry. Schulich School of Medicine & Dentistry
Thank you to our panelists, to our host, and to our #WesternU community for your questions today! The entire live broadcast is available on our Facebook Page: facebook.com/7616007794/vid… facebook.com/7616007794/vid…
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