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Tytuł:
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The Early Impact of the COVID-19 Pandemic on Acute Care Mental Health Services.
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Autorzy:
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Abbas MJ; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Kronenberg G; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
McBride M; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Chari D; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Alam F; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Mukaetova-Ladinska E; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Al-Uzri M; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
Brugha T; Leicestershire Partnership National Health Service Trust, Leicestershire, United Kingdom (Abbas, Kronenberg, McBride, Chari, Alam, Al-Uzri); Department of Health Sciences (Abbas, Al-Uzri, Brugha), College of Life Sciences (Kronenberg), and Department of Neuroscience, Psychology and Behaviour (Mukaetova-Ladinska), University of Leicester, Leicester, United Kingdom.
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Źródło:
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Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2021 Mar 01; Vol. 72 (3), pp. 242-246. Date of Electronic Publication: 2020 Oct 20.
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Typ publikacji:
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Comparative Study; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Washington, DC : American Psychiatric Association, c1995-
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MeSH Terms:
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COVID-19*
Commitment of Mentally Ill/*statistics & numerical data
Mental Disorders/*therapy
Mental Health Services/*statistics & numerical data
Psychiatric Department, Hospital/*statistics & numerical data
Acute Disease ; Adult ; Commitment of Mentally Ill/legislation & jurisprudence ; England ; Female ; Humans ; Male ; Mental Health Services/legislation & jurisprudence ; Middle Aged ; Patient Admission/statistics & numerical data ; Referral and Consultation/statistics & numerical data
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Contributed Indexing:
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Keywords: COVID-19; Mental Health Act; acute mental health services; inpatient admission; lockdown; public health measures
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Entry Date(s):
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Date Created: 20201020 Date Completed: 20210308 Latest Revision: 20210308
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Update Code:
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20240105
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DOI:
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10.1176/appi.ps.202000467
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PMID:
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33076794
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Objective: This study aimed to explore the effects of COVID-19 and the lockdown measures adopted in England on patients with acute mental illness.
Methods: The authors analyzed referrals to the crisis resolution and home treatment (CRHT) team and inpatient admissions to acute adult wards, at Leicestershire Partnership National Health Service Trust, an integrated community and mental health trust in the United Kingdom. Number of CRHT referrals and inpatient admissions during a 4-week period starting March 16, 2020 ("COVID-19 period"), was studied and compared with the same period in 2018 and 2019 ("control periods"). Demographic and clinical characteristics of patients admitted during the COVID-19 period were compared with those admitted during the 2019 control period.
Results: The number of CRHT referrals and inpatient admissions were lower during the COVID-19 period, compared with the control periods, by approximately 12% and 20%, respectively. Patients admitted during the COVID-19 period were significantly more often detained under the Mental Health Act and were considered to pose a risk of aggression. The pattern of diagnoses differed significantly between 2020 and 2019. A higher percentage of patients admitted during the COVID-19 period were diagnosed as having nonaffective psychotic disorders (52% versus 35%) or bipolar disorder (25% versus 15%), and fewer received a diagnosis of depression (8% versus 16%), anxiety disorder (0% versus 3%), adjustment disorder (0% versus 8%), emotionally unstable personality disorder (6% versus 15%), or any other personality disorder (0% versus 5%) (p=0.01).
Conclusions: These findings suggest that the pandemic has profoundly affected care by acute mental health services.
