and COVID-19 Child · Summar y of changes since the April 2020 repor t ... Disruption of internship programming Disruption of practicum programming Disruption of volunteer programming

COVID-19 Child

Life Staffing

and

Programming

Changes

www.childlife.org

Data Collection WindowMay 4-11, 2020

Report ReleasedMay 18, 2020

Contents

ChangesSummary of changes since the April 2020 report

Survey ParticipantsOverview of survey participants, survey methods, and data use

USA Aggregate data for the United States

CanadaAggregate data for Canada

Other CountriesAggregate data for all other countries

Changes since April 2020

Survey ParticipationSurvey participation decreased signi�cantly to only 17.2% ofCCLS vs 32.6% in April.

Reduced HoursWe saw an increase in the percentage of CCLSs reportingreduced hours

FurloughsWe saw an increase in the percentage of CCLSs reporting theyare furloughed

Criteria to resume normaloperationsThe majority of program leaders reported that pediatric volumes(both inpatient and outpatient) need to return to usual levelsprior to resuming normal operations.

Virtual InterventionsCCLSs continue to utilize virtual interventions, most commonlya CCLS in the hospital connecting to a patient in the hospital.

Survey Participants5577Number of Certi�ed Child Life Specialists that were sent thesurvey

961Number survey responses (complete & partial responses)

774Responses from CCLSs in the USA

41Responses from CCLSs in Canada

17Responses from CCLSs in other countries

Why survey individual CCLSs rather than programs?Staffing and programming changes are impacting child life specialists differently, even within the same program. In order to try to assess the full impact on the child life workforce, this survey was targeted at individual child life specialists with some additional questions reserved for child life program leaders.

How can I use this data?ACLP is providing this data as a resource to members and a snapshot of what is happening in the child life field at this point in time. This data should not be interpreted as recommendations of what child life programs should be doing to navigate COVID-19.

USA

25.60%

26.01%13.00%

21.18%

5.50%8.71%

Normal hours, shifts, assigned unit, or job duties - minor disruptions if any

Normal hours but changes to shifts, assigned unit, or job duties

Partial hospital-based work, partial work-from-home Reduced hours

Furloughed Other

Current Job Status (percentage of CCLS respondents)

Job Disruptions (number of CCLS respondents)800

600

400

200

0

359 330

632

43

392

128

Disruption of internship programming Disruption of practicum programming

Disruption of volunteer programming

Sta�ng child care for children of hospital employees

Restrictions on patient diagnoses or units served Other

USA continuedChanges implemented as a result of COVID-19 (number of CCLS respondents)

800

700

600

500

400

300

200

100

0

161

683 677

204

611

470

127

217

137

66

Limits on sibling visitation Bans sibling visitation

Limits on parent/caregiver visitation Limits on playroom usage

Playroom closure

Child life cannot enter COVID-19 rule out or COVID-19 positive rooms

Child life cannot enter isolation rooms

Limits on child life assistant/activity coordinator activities

Suspension of child life assistant/activity coordinator activities Other

USA continued

Virtual Interventions (number of CCLS respondents)

400

300

200

100

0

237

55 42 30

359

74

CCLS in hospital to patient in hospital CCLS in hospital to patient at home

CCLS at home to patient in hospital CCLS at home to patient at home N/A

Other

Job Role (percentage of CCLS respondents)

62.72%

21.13%

7.81%8.34%

Clinical child life specialist

Clinical child life specialist with some administrative duties

Split clinical and administrative child life role

Full time administrative/managerial role

USA continued

CCLS able to work from home (percentage of CCLS respondents)

160

140

120

100

8060

40

20

0

27

133124

4226

3929

7

33

Virtual patient interactions

Creating program resources (teaching materials, updating policies, etc)

Professional development Updating student programming resources

Updating volunteer programming resources Supervising hospital-based staff

Supervising work-from-home staff Supervising child life students Other

Work from Home Tasks (number of CCLS respondents)

22.25%

77.75%

Yes No

USA Program Leaders

Staffing Level Reductions due to Furloughs (program leader respondents)

If team members are working from home or furloughed, is there an expected return date? (percentage of program leader respondents)

7.14%7.14%

21.43%

21.43%

42.86%

1-2 weeks 2-4 weeks 4-6 weeks 6-8 weeks 8+ weeks

20%One quarter of child life programs experiencing furloughs havereduced their sta�ng to 20% or less of their usual level

50%Half of child life programs experiencing furloughs have reducedtheir sta�ng to 50% or less of their usual level

76.25%Three-quarters of child life programs experiencing furloughshave reduced their sta�ng to 76.25% or less of their usual level

USA Program Leaders

Criteria for child life team to resume normal operations (number of program leader respondents)

60

50

40

30

20

10

0

1015

11

5044

51

11

Number of COVID-19 cases in hospital fall below a designated threshold

Number of COVID-19 cases in region fall below a designated threshold

PPE stock is replenished Pediatric census returns to expected level

Pediatric ambulatory surgery/outpatient radiology/clinic visits return to expected level

Unknown Other

Hospital Policy Changes (percentage of program leader respondents)

50

40

30

20

10

0

47

31

19

32

Ability to go into negative PTO during COVID-19 Separate COVID-19 PTO

% paycut for highly compensated employees Other

Canada

47.83%

26.09%

4.35%4.35%0.00%

17.39%



Partial hospital-based work, partial work-from-home Reduced hours

Furloughed Other


Job Disruptions (number of CCLS respondents)

40

30

20

10

0

17

7

36

0

137





Canada continued

Changes implemented as a result of COVID-19 (number of CCLS respondents)

45

40

35

30

25

20

15

10

5

0

8

3739

14

34

31

4 4

7



Playroom closure





Canada continued

Virtual Interventions (number of CCLS respondents)30

25

20

15

10

5

0

75

1 2

26

3



Other


60.00%

30.00%

7.50%2.50%





Canada continued


4

3

2

1

0

3

4 4

1

0

1

0 0 0







12.50%

87.50%

Yes No

Canada Program Leaders


2.0

1.6

1.2

0.8

0.4

0 0

1

0

1

0





Unknown Other

Other Countries

58.82%

11.76%

17.65%

0.00%0.00%

11.76%



Partial hospital-based work, partial work-from-home Reduced hours Other


Job Disruptions (number of CCLS respondents)

10

8

6

4

2

01

0

9

1

67





Other Countries continued

Changes implemented as a result of COVID-19 (number of CCLS respondents)

18

16

14

12

10

8

6

4

2

0

3

16 16

5

9

7

2

8

32



Playroom closure






Virtual Interventions (number of CCLS respondents)8

6

4

2

0

54

12

7

2



Other


47.06%

23.53%

17.65%

11.76%







4

3

2

1

0

1

4

3

1 1

3

1

0 0







29.41%

70.59%

Yes No

Other Countries Program Leaders


3.5

3.0

2.5

2.0

1.5

1.0

0.5

0 0

1 1

2 2

3

0





Unknown Other

ACLP will reissue this survey periodically to track trends in the child life field. Accuracy of this report is dependent on your participation - please retake it even if you have not experienced changes from the previous survey. Questions? Email [email protected].

Note: In order to protect member privacy, ACLP will not release responses related to a specific hospital.

mailto:[email protected]

Documents

and COVID-19 Child · Summar y of changes since the April 2020 repor t ... Disruption of internship programming Disruption of practicum programming Disruption of volunteer programming