摘要：The COVID-19 pandemic poses ongoing threats to global mental health. There are particular groups of people who will be exposed to high levels of psychological trauma. We formed a working group to collate, disseminate and produce immediately accessible, evidence-based, and traumainformed guidance on the psychological response to COVID-19 and conduct research to inform this guidance. To produce guidance for two key groups at high risk of traumatisation: healthcare workers and survivors of severe COVID-19 illness. Method: Working group members were selected on the basis of relevant multidisciplinary clinical and research experience. We are comprised of clinical academics, clinicians, and researchers in psychiatry and clinical psychology. We rapidly reviewed the research literature. Findings and expert opinion were discussed in the working group and initial recommendations were made. The draft documents were then revised through written feedback and discussion by teleconference until consensus was achieved. Results: For healthcare workers, we recommend both systemic approaches that foster resilience and the provision of Psychological First Aid and highquality evidence-based psychological therapy for individuals. For survivors of severe COVID-19 we recommend the creation of centrally coordinated “screen and treat programmes” to detect, actively monitor and treat survivors who develop post-traumatic stress disorder (PTSD). Conclusions: We urgently need to meet the mental health needs of those who have been traumatised by the pandemic. Our guidance offers a framework to address these needs. Future work is needed to evaluate the impact of our guidance.
