Impact of COVID-19 Mitigation Efforts on Adults With Serious Mental Illness

Benjenk, Ivy; Saliba, Zeina; Duggal, Neel; Albaroudi, Asmaa; Posada, Jacqueline; Chen, Jie

doi:10.1097/nmd.0000000000001389

Cited by 4 publications

(2 citation statements)

References 28 publications

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“… 9 In addition, a study examining the impact of the COVID-19 pandemic on adults with serious mental illness found that of the 20 adults interviewed in their study, several indicated an inability to access mental health care and public health benefits. 10 …”

Section: Introductionmentioning

confidence: 99%

COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick

Ochman,

Shields

2024

INQUIRY

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Institutional betrayal occurs when the institutions that people depend on fail to protect them from harm, which was exemplified by a failure to manage COVID-19 risks. Inpatient psychiatry provides a rich context for which to understand the effects of institutional betrayal, and this is amplified in the context of the COVID-19 pandemic. Using a retrospective cohort design, we administered an online survey to former patients (n = 172) of inpatient psychiatry hospitalized at the height of the COVID-19 pandemic (March 2020 to February 2021) to understand the relationship between facilities’ use of COVID-19 mitigation activities (ie, offering or requiring face masks, keeping patients and staff 6 feet apart, access to hand sanitizer, use of telemedicine for clinical consults, and routine cleanliness of the unit) and former patients’ reports of institutional betrayal, changes in their trust in mental healthcare providers, fear of getting sick, and having contracted or witnessed someone else contract COVID-19. The quantity of COVID-19 mitigation activities was monotonically negatively associated with the probability of reporting any betrayal, the probability of reduced trust in mental healthcare providers, and the probability of being afraid of getting sick always or most of the time while hospitalized. COVID-19 mitigation activities either directly affected these psychological outcomes, or facilities that engaged in robust mitigation had greater cultures of safety and care quality. Additional qualitative work is needed to understand these mechanisms.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick

Ochman,

Shields

2024

INQUIRY

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“…Evidence of negative impacts of lockdown on people with existing MHCs and the adequacy of mental health services were reported from Switzerland [17], Italy [18] and Norway [17]. Reductions in the availability and quality of mental health services were reported from Spain [19] and significant unmet needs of service users, including inability to access welfare benefits were reported in the USA [20]. General adverse impacts of the pandemic were also reported: in Sweden 20% of people with pre-existing MHCs reported an increase in their psychiatric medication compared to pre- pandemic [21].…”

Section: Introductionmentioning

confidence: 99%

Adverse sequelae of the COVID-19 pandemic on mental health care in seven low- and middle-income countries: MASC study

Hanlon,

Lempp,

Alem

et al. 2024

Preprint

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A WHO rapid assessment of early impact of the COVID-19 pandemic on mental health services worldwide found a consistent pattern of degradation. In this context the MASC study aimed to: identify the consequences of the pandemic for mental health services and people with pre- existing mental health conditions (MHCs) in 7 low- and middle-income countries; and (2) identify good practice to mitigate these impacts. The study was conducted in Chile, Ethiopia, Georgia, Nigeria, South Africa, Sri Lanka and Ukraine. This was an observational study, using a mixed- methods convergent design, triangulating data from: (1) 144 key informants participating in semi- structured interviews or focus groups and/or a self-completed survey; (2) routine service utilization data; (3) local grey literature; and (4) expert consultation. We found clear evidence in all sites that the pandemic exacerbated pre-existing disadvantages experienced by people with MHCs and led to a deterioration in the availability and quality of care, especially for psychosocial care. Alongside increased vulnerability to COVID-19, people with MHCs faced additional barriers to accessing prevention and treatment interventions compared to the general population. To varying extents, sites showed accelerated implementation of digital technologies, but with evidence of worsening inequities in access. Where primary care-based mental health care was more developed or prioritised, systems seemed more resilient and adaptive. Our findings have the following implications. First, mental health service reductions are clear examples of ‘structural stigma’, namely policy level decisions in healthcare which place a low priority upon services for people with MHCs. Second, integration of mental health care into all general health care settings is key to ensuring accessibility and parity of physical and mental health care. Third, digital innovations should be designed to strengthen and not fragment systems. We discuss these findings in terms of anticipating such challenges in future and preparing layers of resilience.

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Exploring the Impact of COVID-19 on Community Functioning and Participation of Adults with Severe Mental Illness or Autism Spectrum Disorders: Global Perspectives and Future Implications

Tal,

Salzer

2023

Community Ment Health J

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Impact of COVID-19 Mitigation Efforts on Adults With Serious Mental Illness

Cited by 4 publications

References 28 publications

COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick

COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick

Adverse sequelae of the COVID-19 pandemic on mental health care in seven low- and middle-income countries: MASC study

Exploring the Impact of COVID-19 on Community Functioning and Participation of Adults with Severe Mental Illness or Autism Spectrum Disorders: Global Perspectives and Future Implications

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