The impact of COVID‐19 pandemic on people with severe mental illness

Sükut, Özge; Balik, Cemile Hürrem Ayhan

doi:10.1111/ppc.12618

Cited by 27 publications

(18 citation statements)

References 21 publications

(20 reference statements)

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“…Having schizophrenia spectrum diagnosis was found to be the second most potent risk factor, with age being the greatest risk factor (Nemani et al, 2021 ). The SMI population may be more at risk for acquiring infection due to various potential reasons such as not being able to fully understand the health risks and recommendations (e.g., due to decreasing cognitive ability and/or cognitive impairment), limited awareness of self‐care and hygiene measures, using medication continuously, and difficulties with screening and/or stay-at-home orders (Bowman et al, 2021 ; Shinn & Viron, 2020 ; Sukut & Ayhan Balik, 2020 ; Thomson et al, 2020 ; Zhang et al, 2020 ).…”

Section: How a Minnesota Act Team And Others Adjusted To The Pandemicmentioning

confidence: 99%

Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness During COVID-19

Couser

Taylor-Desir

Lewis³

et al. 2021

Community Ment Health J

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In September of 2020, Guan and colleagues wrote about their experience of an Assertive Community Psychiatry Program responding to the COVID-19 pandemic. We describe our own experience as an Assertive Community Treatment team in Minnesota responding to challenges of effectively and safely delivering service to clients. As the pandemic has progressed since last year, so has the literature, and updated references are highlighted. Common threads are woven between our experience, the experience of Guan and colleagues, and others to suggest the beginnings of a template to adapt services to a new post-pandemic world.

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Section: How a Minnesota Act Team And Others Adjusted To The Pandemicmentioning

confidence: 99%

Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness During COVID-19

Couser

Taylor-Desir

Lewis³

et al. 2021

Community Ment Health J

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“…Several systematic reviews have shown that in the general population, the COVID-19 pandemic is strongly associated with poor mental health outcomes [22][23][24]. Other reviews have documented the deleterious impact of the epidemic among those living with mental illness [25][26][27]. In addition to weight-related behaviors, there are psychosocial challenges for BS patients during the COVID-19 pandemic as well, including increased substance and alcohol misuse [28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Substance Use, Mental Health, and Weight-Related Behaviors During the COVID-19 Pandemic Among Metabolic and Bariatric Surgery Patients

et al. 2021

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Purpose The impact of the COVID-19 pandemic on behavioral issues among those who have completed bariatric surgery (BS) is not well described in ethnically diverse populations. The aim of this study was to compare the impact of COVID-19 lockdown orders and after lockdown orders were lifted on substance use, mental health, and weight-related behaviors among a sample of post-BS adults. Materials and Methods A retrospective medical chart review identified BS patients from one university-based obesity medicine clinic and two BS practices. An online non-anonymous survey was implemented in two phases: during lockdown (April 1-May 31, 2020) and after lockdown orders were lifted (June 1, 2020-September 30, 2020) to obtain information about the COVID-19 pandemic's impact on BS patients. Results A total of 189 (during lockdown=39, post-lockdown=150) participants (90.4% female, mean age 52.4 years, SD 11.1, 49.8% non-Hispanic White, 30.6% non-Hispanic Black, 16.1% Hispanic) participated. Lockdown participants were more likely to have sleep problems (74.3% vs. 56.1%, P=.039) and feel anxious (82.0% vs. 63.0%, P=.024) versus post-lockdown participants. A majority (83.4%) reported depression in both lockdown/post-lockdown. Post-lockdown participants were more than 20 times more likely to report substance use compared those in lockdown (aOR 20.56, 95% CI 2.66-158.4).

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“…It may only have been possible to discharge a certain number of service users before the ability of community teams to follow up on further discharges was compromised. Increasingly stringent COVID-19 restrictions may have had a disproportionate impact on this group (Sukut and Ayhan Balik, 2020 ); they may have experienced reduced access to medication as their supporting clinicians were less available. Related to the functioning of community teams, an interesting consideration of future work could be to understand whether the rapid discharges had a negative knock-on effect on the outcomes of service users already under community care.…”

Section: Discussionmentioning

confidence: 99%

“…Between 2005/06 to 2015/16, detentions under the MHA increased by 40% (CQC, 2018). Possible reasons for this increase include a reduction in the capacity of community mental health services and the reduced availability of mental health beds resulting from austerity (Smith et al, 2020), with the number of mental health beds available falling by 39% from 1998 to 2012 (Green & Griffiths, 2014). Despite this increase, a review by the Care Quality Commission (CQC) did not find any evidence that mental health professionals were using the MHA to admit people who did not meet the criteria for detention (CQC, 2018).…”

Section: Introductionmentioning

confidence: 99%

The effect of rapidly discharging psychiatric inpatients from Mental Health Act section during COVID-19: a cohort study

Payne-Gill

Whitfield

Beck

2021

Epidemiol Psychiatr Sci

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In March 2020, the UK government ordered mental health services to free up bed space to help manage the COVID-19 pandemic. This meant service users detained under the Mental Health Act were discharged at a higher rate than normal. We analysed whether this decision compromised the safety of this vulnerable group of service users. Methods:We utilised a cohort study design and allocated service users to either the pre-rapid discharge, rapid discharge, or post-rapid discharge group. We conducted a recurrent event analysis to assess group differences in the risk of experiencing negative outcomes during the 61 days post-discharge. We defined negative outcomes as crisis service use, re-admission to a psychiatric ward, community incidents of violence or self-harm, and death by suicide. Results:The pre-rapid discharge cohort included 258 service users, the rapid discharge cohort 127, and the post-rapid discharge cohort 76. We found no statistical association between being in the rapid discharge cohort and the risk of experiencing negative outcomes (HR: 1.14, 95% CI: 0.72-1.8, p=0.58) but a trend towards statistical significance for service users in the post-rapid discharge cohort (HR: 1.61, 95% CI: 0.91-2.83, p=0.1). Conclusions:We did not find evidence that service users rapidly discharged from section experienced poorer outcomes. This raises the possibility that the Mental Health Act is applied in an overly restrictive manner, meaning that sections for some formally detained service users could be ended earlier without compromising safety.

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The impact of COVID‐19 pandemic on people with severe mental illness

Cited by 27 publications

References 21 publications

Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness During COVID-19

Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness During COVID-19

Substance Use, Mental Health, and Weight-Related Behaviors During the COVID-19 Pandemic Among Metabolic and Bariatric Surgery Patients

The effect of rapidly discharging psychiatric inpatients from Mental Health Act section during COVID-19: a cohort study

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