Reflection on SARS precautions in a severe intellectual disabilities hospital in Hong Kong

Wong, Samuel Yeung Shan; Lim, Wonjae; Que, Tak-Lun; Au, Deborah My

doi:10.1111/j.1365-2788.2005.00687.x

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…40 Similar practices-including isolation of at-risk individuals, infection control training and audits-were successfully implemented on some psychiatric inpatient units during the 2003 SARS outbreak. 43 Additional concerns for psychiatric inpatient units include managing agitation, given the risk of contagion, and managing patients and staff who may have been exposed to COVID-19 in the face of shortages of both personal protective equipment and staff. 44 Strategies implemented at the Centre for Addiction and Mental Health in Toronto, Canada, modeled after a system developed during the 2003 SARS outbreak, involve designating different units to segregate patients with suspected infection, diagnosed infection, or absence of infection, and assignment to every inpatient psychiatrist of backup outpatient psychiatrists prepared to seamlessly assume care in the event that an inpatient psychiatrist becomes unable to work.…”

Section: Impact Of the Covid-19 Pandemic On The Management Of Inpatie...mentioning

confidence: 99%

The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders

Kozloff

Mulsant

Stergiopoulos

et al. 2020

Schizophrenia Bulletin

331

353

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Abstract The coronavirus disease-19 (COVID-19) global pandemic has already had an unprecedented impact on populations around the world, and is anticipated to have a disproportionate burden on people with schizophrenia and related disorders. We discuss the implications of the COVID-19 global pandemic with respect to: (1) increased risk of infection and poor outcomes among people with schizophrenia, (2) anticipated adverse mental health consequences for people with schizophrenia, (3) considerations for mental health service delivery in inpatient and outpatient settings, and (4) potential impact on clinical research in schizophrenia. Recommendations emphasize rapid implementation of measures to both decrease the risk of COVID-19 transmission and maintain continuity of clinical care and research to preserve safety of both people with schizophrenia and the public.

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Section: Impact Of the Covid-19 Pandemic On The Management Of Inpatie...mentioning

confidence: 99%

The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders

Kozloff

Mulsant

Stergiopoulos

et al. 2020

Schizophrenia Bulletin

331

353

View full text Add to dashboard Cite

show abstract

“…The survey data were collected at the peak of the pandemic, when lockdown restrictions were at their height and there was considerable uncertainty and anxiety around individual outcomes of infection and the implications of the pandemic for society as a whole. There is a notable lack of such information from previous pandemics; the only published paper specifically related to this group reported the implementation of infection control measures in an inpatient unit to reduce the risk of spreading SARS amongst those with intellectual disabilities (Wong et al 2005).…”

Section: Main Results and Implicationsmentioning

confidence: 99%

Mental healthcare and service user impact of the COVID-19 pandemic: results of a UK survey of staff working with people with intellectual disability and developmental disorders

Sheehan

Dalton-Locke

Ali

et al. 2020

Preprint

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Background Very little is known about the impact of previous epidemics on the care of people with intellectual and developmental disabilities, particularly in terms of mental health services. The COVID-19 pandemic has the potential to exacerbate existing health inequalities as well as expose gaps in service provision for this vulnerable population group. Methods We investigated the responses of 648 staff working in mental healthcare with people with intellectual disabilities and/or developmental disabilities. Participants contributed to a UK-wide online survey undertaken by the National Institute for Health Research Mental Health Policy Research Unit between 22nd April and 12th May 2020. Recruitment was via professional networks, social media and third sector organisations. Quantitative data describing staff experience over three domains (challenges at work, service user and carer problems, sources of help at work) were summarised and differences between groups explored using Chi square tests. Content analysis was used to organise qualitative data focusing on service changes in response to the pandemic. Results The majority of survey respondents worked in the NHS and in community mental health services. One third had managerial responsibility. Major concerns expressed by mental healthcare staff were: difficulties for service users due to lack of access to usual support networks and health and social care services during the pandemic; and difficulties maintaining adequate levels of support secondary to increased service user need. Staff reported having to quickly adopt new digital ways of working was challenging; nevertheless, free text responses identified remote working as the innovation that staff would most like to retain after the pandemic subsides. Conclusions Understanding the experiences of staff working across different settings in mental healthcare for people with intellectual and developmental disabilities during the COVID-19 pandemic is essential in guiding contingency planning and fostering service developments to ensure the health of this vulnerable group is protected in any future disease outbreaks.

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Infectious diseases

Douglas¹

2001

Intellectual Disability and Ill Health

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Reflection on SARS precautions in a severe intellectual disabilities hospital in Hong Kong

Abstract: The practice of grouping within a standard isolation room is recommended to continue in the future. Moreover, intensive infection control training for all staff is of highest importance to safeguard the health of both staff and patient.

Cited by 5 publications

References 9 publications

The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders

The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders

Mental healthcare and service user impact of the COVID-19 pandemic: results of a UK survey of staff working with people with intellectual disability and developmental disorders

Infectious diseases

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