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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

M. Rojnic Kuzman, S. Vahip, A. Fiorillo, J. Beezhold, M. Pinto da Costa, O. Skugarevsky, G. Dom, I. Pajevic, AM. Peles, P. Mohr, A. Kleinberg, E. Chkonia, J. Balazs, W. Flannery, R. Mazaliauskiene, J. Chihai, J. Samochowiec, D. Cozman, G....

. 2021 ; 64 (1) : e41. [pub] 20210609

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21025594

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.

3rd Faculty of Medicine Charles University Prague Czech Republic

Belgian Professional Association of Medical Specialists in Psychiatry Collaborative Antwerp Psychiatric Research Institute Antwerp Belgium

CMME GHU Paris Psychiatrie et Neurosciences Hôpital Sainte Anne Paris France

Croatian Psychiatric Association Zagreb Croatia

Czech Psychiatric Association National Institute of Mental Health Klecany Czechia

Department of Adult Psychiatry College of Psychiatrists of Ireland Mater Misericordiae University Hospital Dublin Ireland

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

Department of Developmental and Clinical Child Psychology Institute of Psychology Eötvös Loránd University Budapest Hungary

Department of Psychiatry Ege University Medicine Faculty Affective Disorders Unit Izmir Turkey

Department of Psychiatry Faculty of Medical Science University of Kragujevac Kragujevac Serbia

Department of Psychiatry University Clinical Center Tuzla School of Medicine University of Tuzla Bosnia and Herzegovina Psychiatric Association of Bosnia Herzegovina Tuzla Bosnia Herzegovina

Department of Psychiatry University of Campania L Vanvitelli Naples Italy

Estonian Psychiatric Association Centre Tartu University Psychiatry Clinic TartuEstonia

Hungarian Psychiatric Association Bjørknes University College Oslo Norway

INSERM U1266 Université de Paris Paris France

Institute of Biomedical Sciences Abel Salazar University of Porto Porto Portugal

Institute of Psychiatry Psychology and Neuroscience King's College London London United Kingdom

Lithuanian Psychiatric Association Lithuanian Health Sciences university Psychiatric Clinic Lithuanian Health Sciences university Kaunas hospital Kaunas Lithuania

Norwich Medical School University of East Anglia Norwich United Kingdom

Polish Psychiatric Association Department of Psychiatry Pomeranian Medical University in Szczecin Poland Szczecin Poland

Psychiatry and Medical Psychology Department Belarusian Psychiatric Association Belarusian State Medical University Minsk Belarus

Romanian Association of Psychiatry and Psychotherapy University of Medicine and Pharmacy Iuliu Hatieganu Cluj Napoca Romania

Slovak Psychiatric Association Department of Psychiatry Faculty of Medicine Comenius University in Bratislava Bratislava Slovakia

Society of Georgian Psychiatrists Tbilisi State Medical University Tbilisi Georgia

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

Tallinn Children Hospital Children Mental Health Tallinn Estonia

Zagreb School of Medicine Zagreb University Hospital Centre Zagreb Croatia

Citace poskytuje Crossref.org

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