Occupational Therapy News July 2020 | Page 52

FEATURE MENTAL HEALTH You’ve got mail With a big national push for the use of technology in order to support connection through video calls during the COVID-19 pandemic, what do you do if the majority of those accessing your service are not computer literate? Jordan Burrell and Stephanie Leeks reflect on the more traditional approach they took to continue offering an equitable service Orchard House is a therapeutic day hospital supporting older adults experiencing mental health difficulties. The service takes a recovery-based approach and aims to provide its clients with the opportunity to gain insight and valuable life skills to support in increasing resilience, independence, hope and self-efficacy. As a team, we were understandably concerned about the impact of the COVID-19 outbreak on our client group, given that most of them are over the age of 70 and many of them experience co-morbid physical health conditions that would place them at increased risk. We were also mindful that accessing Orchard House is a valuable part of our client’s weekly routines, as it provides many of them with a strong sense of belonging, connection and community, alongside practical support for their mental and emotional needs. Not only that, but it is evidenced that both social isolation and loneliness are significant contributors to poorer health outcomes and even increased mortality, due to associated behaviours and actions (Shankar et al 2011). While we knew that isolation was hugely important for maintaining the physical safety of our clients (in the sense of protecting them from infection) we could not help but feel concerned about the wider impact this would have on their overall wellbeing (physical, emotional and mental) and our clients were, understandably, worried about this too. Following the physical closure of our service to clients, we assembled a small team of practitioners, including two occupational therapists and a link 52 OTnews July 2020