I spoke with @SLangeneggerCBC on the radio this morning about the psychology of pandemic rules and some of the reasons why we may be seeing more apathy from some of our partners on this large-scale group project where we all need to do our part. 🧵:
Rules need to be consistent and simple. Most want to do their part but we need to make rules easy to understand. I’m often asked what the various restrictions are for indoor vs outdoor vs restaurants gatherings, how long do you need to self isolate with a negative test? Etc.
Support people to do the right thing. Paid sick leave and other safety nets are crucial. If you’re in isolation, do you have a way to get groceries? Public health checking in on people in quarantine every day is great for mental health but also for enforcement. Speaking of which,
rules need to be enforced. We know that speeding and drunk driving are against the law, yet we still have hardworking police officers out there making sure we all follow the rules. Apathy & cynicism build when enforcement is not applied consistently & fairly. This needs funding.
Remind us why rules are in place. More public awareness campaigns with ppl who are most affected might help; personalizing this crisis helps to unify us. At a recent physician town hall, a photo of one of our executive’s grandparents drove the point home about 💉 prioritization.
As a child psychiatrist, I’m always telling caregivers that rules and consequences need to be logical. In the case of a province, transparent guidelines from our leaders about what will lead to tightened or loosened restrictions would get people out of the dark and help us feel
like we are part of the solution. Remember when we were told more restrictions would come when case counts were > 60/day? That never happened and now we are in the 200-300’s.
It was a mistake to implement a mask mandate based on geography that didn’t line up with case rates.
Data needs to inform our rules. Evidence-based restrictions using objective measures like case or hospitalization rates is key.

TL;DR: rules that are simple, timely, logically consistent, and enforced are more likely to be followed.

*steps off soapbox*

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More from @hinz_tamara

3 Dec 20
From @MMandryk: “As Moe watches malls and box stores crowded with Christmas shoppers and sees daily case COVID-19 cases and deaths rise, surely he understands now is not the time to send signals we can be lax?”

This is what blows my mind:

1/5

google.ca/amp/s/leaderpo…
The premier has seen the same modelling numbers the physicians did at our provincial town hall last week (this is now available on the SHA website). He knows what the forecast shows in terms of our hospital capacity - even *with* our current level of restrictions.

2/5
This graph shows that the high end of the estimates for hospitalizations - **assuming current public health orders stay in place and aren’t loosened** - will reach 50% OF ALL BED CAPACITY by February.

3/5
Read 5 tweets
16 Mar 20
I've been asked to do a post on how to manage anxiety and other mental health symptoms that may be popping up or exacerbated by the #pandemic. As a psychiatrist I can't help manage ventilators or relieve our tired ER physicians so hopefully this is a small way I can be helpful:
1. News and social media can be a vital source of information updates but there's a fine line between being informed and getting overwhelmed by (mis)information. Bombarding yourself like that is a surefire way to worsen anxiety; try to unplug and disconnect for a few hours a day
2. Exercise is a powerful stress buster and mood booster - it literally grows new brain cells! Your gym may be closed so get creative about other ways to move your body. Find some exercises on YouTube or dig out an old workout DVD.
Read 8 tweets

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