دورية أكاديمية
أعرض في EDS

Mental health services during the first wave of the COVID-19 pandemic in Europe: Results from the EPA Ambassadors Survey and implications for clinical practice.

التفاصيل البيبلوغرافية
العنوان: Mental health services during the first wave of the COVID-19 pandemic in Europe: Results from the EPA Ambassadors Survey and implications for clinical practice.
المؤلفون: Rojnic Kuzman M; Zagreb School of Medicine, Zagreb University Hospital Centre, Zagreb, Croatia., Vahip S; Department of Psychiatry, Ege University Medicine Faculty, Affective Disorders Unit, Izmir, Turkey., Fiorillo A; Department of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy., Beezhold J; Norwich Medical School, University of East Anglia, Norwich, United Kingdom., Pinto da Costa M; Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.; Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Porto, Portugal., Skugarevsky O; Psychiatry & Medical Psychology Department, Belarusian Psychiatric Association, Belarusian State Medical University, Minsk, Belarus., Dom G; Belgian Professional Association of Medical Specialists in Psychiatry, Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp (UAntwerp), Antwerp, Belgium., Pajevic I; Department of Psychiatry University Clinical Center Tuzla, School of Medicine University of Tuzla, Bosnia and Herzegovina Psychiatric Association of Bosnia-Herzegovina, Tuzla, Bosnia-Herzegovina., Peles AM; Zagreb School of Medicine, Zagreb University Hospital Centre, Zagreb, Croatia.; Croatian Psychiatric Association, Zagreb, Croatia., Mohr P; Czech Psychiatric Association, National Institute of Mental Health, Klecany, Czechia.; Third Faculty of Medicine, Charles University, Prague, Czech Republic., Kleinberg A; Tallinn Children Hospital Children Mental Health, Tallinn, Estonia., Chkonia E; Estonian Psychiatric Association, Centre Tartu University Psychiatry Clinic, TartuEstonia.; Society of Georgian Psychiatrists, Tbilisi State Medical University, Tbilisi, Georgia., Balazs J; Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.; Hungarian Psychiatric Association, Bjørknes University College, Oslo, Norway., Flannery W; Department of Adult Psychiatry, College of Psychiatrists of Ireland, Mater Misericordiae University Hospital, Dublin, Ireland., Mazaliauskiene R; Lithuanian Psychiatric Association, Lithuanian Health Sciences university, Psychiatric Clinic, Lithuanian Health Sciences university Kaunas hospital, Kaunas, Lithuania., Chihai J; Society of Psychiatrists, Narcologists, Psychotherapists and Clinical Psychologists from Republic of Moldova, Department of Psychiatry, Narcology, Medical Psychology State Medical and Pharmaceutical University 'Nicolae Testemitanu' from Republic of Moldova, Kishinev, Moldova., Samochowiec J; Polish Psychiatric Association, Department of Psychiatry, Pomeranian Medical University in Szczecin Poland, Szczecin, Poland., Cozman D; Romanian Association of Psychiatry and Psychotherapy, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania., Mihajlovic G; Department of Psychiatry, Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia., Izakova L; Slovak Psychiatric Association, Department of Psychiatry, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia., Arango C; Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, School of Medicine, Universidad Complutense, Madrid, Spain., Goorwod P; INSERM, U1266 (Institute of Psychiatry and Neuroscience of Paris), Université de Paris, Paris, France.; CMME, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Paris, France.
المصدر: European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2021 Jun 09; Vol. 64 (1), pp. e41. Date of Electronic Publication: 2021 Jun 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cambridge University Press Country of Publication: England NLM ID: 9111820 Publication Model: Electronic Cited Medium: Internet ISSN: 1778-3585 (Electronic) Linking ISSN: 09249338 NLM ISO Abbreviation: Eur Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Publication: 2020- : Cambridge : Cambridge University Press
Original Publication: Paris : Editions scientifiques Elsevier, c1991-
مواضيع طبية MeSH: Pandemics*, COVID-19/*psychology , Mental Disorders/*therapy , Mental Health Services/*organization & administration, Adult ; COVID-19/epidemiology ; Europe/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Psychiatry/statistics & numerical data ; Societies, Medical ; Surveys and Questionnaires
مستخلص: Background: The COVID-19 pandemic caused an unprecedented worldwide crisis affecting several sectors, including health, social care, economy and society at large. The World Health Organisation has emphasized that mental health care should be considered as one of the core sectors within the overall COVID-19 health response. By March 2020, recommendations for the organization of mental health services across Europe have been developed by several national and international mental health professional associations.
Methods: The European Psychiatric Association (EPA) surveyed a large European sample of psychiatrists, namely the "EPA Ambassadors", on their clinical experience of the impact of COVID-19 pandemic on the treatment of psychiatric patients during the month of April 2020 in order to: a) identify and report the views and experiences of European psychiatrists; and b) represent and share these results with mental health policy makers at European level. Based on the recommendations issued by national psychiatric associations and on the results of our survey, we identified important organisational aspects of mental health care during the peak of the first wave of the COVID-19.
Results: While most of the recommendations followed the same principles, significant differences between countries emerged in service delivery, mainly relating to referrals to outpatients and for inpatient admission, assessments and treatment for people with mental disorders. Compared to previous months, the mean number of patients treated by psychiatrists in outpatient settings halved in April 2020. In the same period, the number of mentally ill patients tested for, or developing, COVID-19 was low. In most of countries, traditional face-to-face visits were replaced by online remote consultations.
Conclusions: Based on our findings we recommend: 1) to implement professional guidelines into practice and harmonize psychiatric clinical practice across Europe; 2) to monitor the treatment outcomes of patients with COVID-19 and pre-existing mental disorders; 3) to keep psychiatric services active by using all available options (for example telepsychiatry); 4) to increase communication and cooperation between different health care providers.
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فهرسة مساهمة: Keywords: COVID-19; Europe; mental health services
تواريخ الأحداث: Date Created: 20210609 Date Completed: 20210720 Latest Revision: 20210803
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8314055
DOI: 10.1192/j.eurpsy.2021.2215
PMID: 34103102
قاعدة البيانات: MEDLINE
الوصف
تدمد:1778-3585
DOI:10.1192/j.eurpsy.2021.2215