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. 2020 Aug 28;56(1):25–37. doi: 10.1007/s00127-020-01927-4

Table 3.

Summary of staff perspectives on which of their service users’ and carers’ problems are most relevant, in order of % rated very or extremely relevant (n = 2,180) (see Table 10x in the Supplementary report for further details)

n n Rated very or extremely relevant % Rated very or extremely relevant
Lack of access to usual support networks of family and friends 2,171 1,609 74.1
Loneliness due to or made worse by social distancing, self-isolation and/or shielding 2,180 1,504 69.0
Lack of usual work and activities 2,165 1,432 66.1
Worries about getting COVID-19 infection 2,166 1,334 61.6
Lack of access to usual support from other services (primary care, social care, voluntary sector) 2,173 1,333 61.3
Worries about family getting COVID-19 infection 2,169 1,296 59.8
Increased difficulties for families/carers 2,161 1,189 55.0
Lack of access to usual support from NHS mental health services 2,172 1,120 51.6
Relapse and deterioration in mental health triggered by COVID-19 stresses 2,180 1,010 46.3
High personal risk of severe consequences of COVID-19 infection (e.g., due to physical health comorbidities) 2,168 988 45.6
Increase in reliance on family/family tensions 2,164 892 41.2
Difficulty understanding or following current government requirements on social distancing, self-isolation and/or shielding 2,168 882 40.7
Difficulty engaging with remote appointments by phone or via digital platforms 2,172 862 39.7
Increased risk from abusive domestic relationships 2,165 821 37.9
Diminished access to physical health care for problems other than COVID-19 2,172 735 33.8
Having to stay at home in poor circumstances, or not having a home to go to 2,169 752 34.7
Difficulty getting food, money, or other basic resources 2,162 714 33.0
Effects of COVID-19-related trauma 2,165 597 27.6
Risk of increased drug and alcohol use or gambling 2,167 595 27.5
Lack of access to or of equitable provision of physical healthcare for COVID-19 2,173 504 23.2
Loss of liberty and rights due to changes in implementation of mental health legislation 2,165 412 19.0
Lack of access to medication and to processes for administering and monitoring it 2,172 383 17.6
Problems with police or other authorities because of lack of understanding of/ability to stick to current government requirements 2,170 295 13.6