Figure 6: Adult Bereavement Care Pyramid, Irish Hospice Foundation; 2020
Adult Bereavement Care Pyramid
A national collaborative
project 2020
Mental
Specialised Therapeutic Services Specialised therapeutic services/ Interventions
Expert Skill/
Health
Needs Acute distress,
Knowledge Additional specialised
persistent disruption to daily
bereavement
life or impact of pre-existing stressors
training &
substantial clinical
experience
Professional/ Therapeutic Services
Complex Needs
Advanced Knowledge/Skills
• Acknowledgement of the
uniqueness of the loss
• Appropriate counselling/
• Qualiŀed & accredited
psychotherapy model of care
• Needs more pronounced
with a professional body
• Ļerapeutic assessment
• May lead to a more complex grief
• Knowledge of interagency/
reaction
disciplinary roles
• Clear referral pathways
• Accessible services
Formal Knowledge/Skills
Range of Organised Supports
Additional Needs
• Understanding of the impact of loss
• Formal and organised service provision (includes
• To explore grief outside their social network
signposting & referral services)
• To explore coping strategies
• Listening, empathy & assessment skills
• Preferably community based
• Knowledge of bereavement services
• To share experience with others in similar
situation
• Quality assured services
Compassion & Understanding of Grief Responses
Informal Supports & Accessible Information
Acknowledgement, Support & Information
• Acknowledgement of the loss & a compassionate response
• Kindness and tolerance
• Provided by the social network
• Practical & emotional support
• Easily accessible information
• Understanding common reactions to loss & diĿerent
levels of need
• Information
• Widely available
• Awareness of how to access information and services
NEEdS
SERVICES/SUPPORTS
KNOwLEdGE/SKILLS
Time
CHY 6830
Registered Charity Number 20013554
4.1 Impact of COVID-19 on General Attitudes to Dying, Death, and Bereavement
Findings highlighted that COVID-19 impacted general attitudes and perceptions of dying, death, and bereavement. Most participants reported that their views had changed due to COVID-19 and that they have spoken about dying and death more since the beginning of the pandemic. Most participants also reported a greater awareness of grief and loss due to COVID-19. is increased awareness of dying, death, and bereavement was even more pronounced for those who were bereaved during this time and for healthcare workers.
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