Auswirkungen der COVID-19-Pandemie auf die Versorgungssituation in psychiatrischen Kliniken in Deutschland

Adorjan, Kristina; Pogarell, Oliver; Pröbstl, Lisa; Rueb, Mike; Wiegand, Hauke Felix; Tüscher, Oliver; Lieb, Klaus; Wassiliwizky, Michael; Gerlinger, Gabriel; Heinz, Andreas; Falkai, Peter

doi:10.1007/s00115-021-01129-6

Cited by 27 publications

(23 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Data Protection Officer at Mainz University Medicine confirmed that no data protection vote was required because no personal data were processed. The ethics commission of the Ludwig Maximilians University Munich had already approved the first study ( 10 ), that is, the anonymous survey of hospitals or departments, in which no personal or individual patient data were collected.…”

Section: Methodsmentioning

confidence: 99%

“…A first survey of 38 hospitals and departments of psychiatry and psychotherapy in Germany in the first high incidence phase of the pandemic, spring 2020, reported a significant reduction in capacities, such as a reduction in mean occupancy of nearly 40%. A total of 84% of the institutions reported that they had established special wards or spaces for providing care for patients with SMI and comorbid SARS-CoV-2 infection, but that these areas were not used much because the first high incidence phase in Germany was not as severe as expected ( 10 ). The studies of routine data from a German psychiatric hospital network reported an overall decrease in emergency hospital admissions during this phase but an increase in the proportion of involuntary and urgent admissions ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Changes and Challenges in Inpatient Mental Health Care During the First Two High Incidence Phases of the COVID-19 Pandemic in Germany – Results From the COVID Ψ Psychiatry Survey

et al. 2022

View full text Add to dashboard Cite

Psychiatric inpatient treatment, an important pillar of mental health care, is often of longer duration in Germany than in other countries. The COVID-19 pandemic called for infection prevention and control measures and thereby led to shifts in demand and inpatient capacities. The Germany-wide COVID Ψ Psychiatry Survey surveyed department heads of German psychiatric inpatient institutions. It assessed changes in utilization during the first two high incidence phases of the pandemic (spring 2020 and winter 2020/21) and also consequences for care, telemedicine experiences, hygiene measures, treatment of patients with mental illness and co-occuring SARS-CoV-2, and coercive measures in such patients. A total of n = 71 psychiatric departments (of 346 contacted) participated in the survey. The results showed a median decrease of inpatient treatment to 80% of 2019 levels and of day hospital treatment to 50% (first phase) and 70% (second phase). Reductions were mainly due to decreases in elective admissions, and emergency admissions remained unchanged or increased in 87% of departments. Utilization was reduced for affective, anxiety, personality, and addiction disorders but appeared roughly unaffected for psychotic disorders. A lack of integration of patients into their living environment, disease exacerbations, loss of contact, and suicide attempts were reported as problems resulting from reduced capacities and insufficient outpatient treatment alternatives. Almost all departments (96%) treated patients with severe mental illness and co-occurring SARS-CoV-2 infection. The majority established special wards and separate areas for (potentially) infectious patients. Telephone and video consultations were found to provide benefits in affective and anxiety disorders. Involuntary admissions of persons without mental illness because of infection protection law violations were reported by 6% of the hospitals. The survey showed high adaptability of psychiatric departments, which managed large capacity shifts and introduced new services for infectious patients, which include telemedicine services. However, the pandemic exacerbated some of the shortcomings of the German mental health system: Avoidable complications resulted from the lack of cooperation and integrated care sequences between in- and outpatient sectors and limited options for psychiatric hospitals to provide outpatient services. Preventive approaches to handle comparable pandemic situations in the future should focus on addressing these shortcomings.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes and Challenges in Inpatient Mental Health Care During the First Two High Incidence Phases of the COVID-19 Pandemic in Germany – Results From the COVID Ψ Psychiatry Survey

et al. 2022

View full text Add to dashboard Cite

show abstract

“…For example, concerning the gender of the participant the study by Bourion-Bedes, Tarquinio, Batt, Tarquinio, and Lebreuilly ( 2021 ) reported that to be female was one of the main predictors for the perceived stress during the pandemic. Also the existence of psychotic symptoms before the pandemic (Adorjan et al., 2021 ), the physical activity before the pandemic (but see Brand et al., 2020 ) as well as the study subject have to be considered. One might assume that sports students suffer more from a reduction in physical activity and sports, which in turn might be related to their well-being.…”

Section: Physical Activity Sports and Well-being In Students During The Coronavirus Pandemicmentioning

confidence: 99%

Well-being and its relationship with sports and physical activity of students during the coronavirus pandemic

Pietsch

Linder

Jansen

2021

Ger J Exerc Sport Res

View full text Add to dashboard Cite

The main goal of this correlational study is to examine the changes in the amount and type of physical activity of students of various study programs during the coronavirus pandemic. Furthermore, the motives for these changes as well as their relationship with general well-being are investigated. Therefore, 243 students (sport science, humanities, natural sciences) answered questions concerning (a) the amount and type of their physical activity before and during the pandemic, (b) their well-being and (c) their optimism/pessimism. The main result of the study is that the type and the motives for sports and physical activity changed for the study participants during the coronavirus pandemic: Team sports and swimming decreased, while individual sports and physical activity not associated with a sports club/business and with digital media increased. In this study the difference in sports and physical activity seemed to be related to well-being, especially for the students of sport science and humanities. To conclude the study indicated that a change occurred in the type of sports and physical activity as well as change in the motives for physical exercise in students during the pandemic.

show abstract

“…Although being a respiratory disease, COVID-19 has affected the services caring for the needs of people with MH problems around the world ( Bojdani et al, 2020 ; Thome et al, 2020 ). In Germany, for instance, psychiatric clinics reduced their inpatient treatment capacity by 40% relative to the time before the onset of the pandemic ( Adorjan et al, 2021 ; Fasshauer et al, 2021b ) and length of hospital stays as well as emergency hospital admissions decreased significantly in the first phase of the pandemic ( Fasshauer et al, 2021c ). At the same time, around the world, MHS tried to guarantee continuity of care by introducing telepsychiatry ( Reay et al, 2020 ) which might represent a historical transformation emerging from the crisis.…”

Section: Introductionmentioning

confidence: 99%

Global impact of the COVID-19 pandemic on mental health services: A systematic review

Duden

Gersdorf

Stengler

2022

Journal of Psychiatric Research

View full text Add to dashboard Cite

Auswirkungen der COVID-19-Pandemie auf die Versorgungssituation in psychiatrischen Kliniken in Deutschland

Cited by 27 publications

References 18 publications

Changes and Challenges in Inpatient Mental Health Care During the First Two High Incidence Phases of the COVID-19 Pandemic in Germany – Results From the COVID Ψ Psychiatry Survey

Changes and Challenges in Inpatient Mental Health Care During the First Two High Incidence Phases of the COVID-19 Pandemic in Germany – Results From the COVID Ψ Psychiatry Survey

Well-being and its relationship with sports and physical activity of students during the coronavirus pandemic

Global impact of the COVID-19 pandemic on mental health services: A systematic review

Contact Info

Product

Resources

About