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Healthcare workers, globally, volunteered time and skills to the COVID-19 pandemic frontline response. In March 2020, the predicted high demand for extra critical care beds led to the rapid construction of the UK National Health Service (NHS) Nightingale field hospital, London. I volunteered to develop and deliver psychological preparedness training – coined 'Psychological PPE' – to over 2300 frontline staff over an 8-week period. Existing research has identified broad themes of the impact working on the COVID-19 frontline has on healthcare workers but does not capture in-depth accounts of individuals' experiences. Using autoethnographic enquiry, this research explores my frontline experience at the NHS Nightingale during this time, and the personal impact this had on me. Reflexive thematic analysis explored themes of recognition and sacrifice, emotional lability and fragility, and the impact of transitions. Findings inform personal recovery, as well as future research and policy development pertaining to the sustainable recovery of our NHS people. [ABSTRACT FROM AUTHOR]

Adolescence is a period of increased vulnerability for low well-being and mental health problems, particularly for girls and older adolescents. Accurate measurement via brief self-report is therefore vital to understanding prevalence, group trends, screening efforts, and response to intervention. We drew on data from the #BeeWell study (N = 37,149, aged 12–15) to consider whether sum-scoring, mean comparisons, and deployment for screening were likely to show bias for eight such measures. Evidence for unidimensionality, considering dynamic fit confirmatory factor models, exploratory graph analysis, and bifactor modeling, was found for five measures. Of these five, most showed a degree of non-invariance across sex and age likely incompatible with mean comparison. Effects on selection were minimal, except sensitivity was substantially lower in boys for the internalizing symptoms measure. Measure-specific insights are discussed, as are general issues highlighted by our analysis, such as item reversals and measurement invariance. [ABSTRACT FROM AUTHOR]

Military-to-civilian community reintegration in Northern Irish (NI) veterans has not been previously examined. The existing reintegration studies indicate that post-military service life can be challenging for many veterans. The current exploratory study aimed to identify service-related predictors of community reintegration difficulties in a sample of 749 NI veterans. Data were collected through a cross-sectional self-report survey of UK Armed Forces veterans residing in NI. Service-related variables were examined as predictors of overall and subdomain-specific reintegration difficulties. Combat exposure, time spent deployed in NI, length of service, being medically discharged, and being physically injured during service were significant predictors of reintegration difficulties. Receiving a mental health diagnosis since discharge and having been medically discharged were the two strongest predictors. Further results and implications are also discussed. Post-service adjustment to civilian life is affected by service variables, with implications for military/post-military interventions aimed at mitigating difficult transition experiences. [ABSTRACT FROM AUTHOR]

Music students in tertiary education struggle with a range of health-related problems. We investigated students' self-referrals for counseling at a UK conservatoire to explore trends in students' attendance at counseling sessions over time and identify their reasons for seeking and continuing to attend counseling. We conducted a secondary analysis of data collected from 645 students by two in-house counselors at the conservatoire between 2000 and 2016. We obtained analogous data on all students registered during the same period for comparison and conducted nonparametric tests of association between the groups. A total of 645 students attended a mean of eight (Mdn = 4) counseling sessions over the 16-year period: 63% were female, 79% were from the UK, and 72.5% were undergraduate students. The percentages of students attending counseling increased from 2 (1%) in 2000–2001 to 71 (13%) in 2015–2016. The presenting concerns of almost one in 10 students who sought counseling were related to self-esteem, self-confidence, ego strength, and coping ability. Their main reasons for continuing to attend counseling were also to do with self and identity, relationships, academic concerns, loss, abuse, and anxiety. Female students, postgraduate students, and those studying singing were most likely to attend counseling sessions. [ABSTRACT FROM AUTHOR]