The impact of the early phase of the COVID-19 pandemic on mental-health services in Europe

Thome, Johannes; Deloyer, Jocelyn; Coogan, Andrew N.; Bailey-Rodriguez, Deborah; Silva, Edgar F. da Cruz e; Faltraco, Frank; Grima, Cathleen; Gudjonsson, Snaebjorn Omar; Hanon, Cécile; Hollý, Martin; Joosten, Jo; Karlsson, Ingegerd; Kelemen, Gabriela; Korman, Maria; Krysta, K.; Lichterman, Boleslav; Loganovsky, K.; Marazziti, Donatella; Maraitou, Margarita; deWilmars, Serge Mertens; Reunamen, Merja; Rexhaj, Shyhrete; Sancaktar, Muhammet; Sempere, Javier; Tournier, Isabelle; Weynant, Emilie; Vis, Christiaan; Lebas, Marie Clotilde; Fond-Harmant, Laurence

doi:10.1080/15622975.2020.1844290

Cited by 49 publications

(53 citation statements)

References 35 publications

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“…USA; America [5,7,8,13,22,23,39,40,[50][51][52][53]72] Organizational adaptations in and out psychiatric hospitals…”

Section: Feedback From Field Experiencementioning

confidence: 99%

“…The COVID-19 health crisis has led health facilities, institutions, and professionals to adapt their organization as well as their practices. A series of measures have been deployed in the early stages of the health crisis to ensure continuity of care and meet the new needs generated by the crisis [5,6] while reducing the risk of SARS-CoV-2 transmission. In response to this situation, the use of digital technologies, and in particular those of telemedicine tools have grown up to an unprecedented scale.…”

Section: Introductionmentioning

confidence: 99%

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The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

Baumgart

Kane

El‐Hage

et al. 2021

IJERPH

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(1) Background: While in many countries, the psychiatric and mental health sectors had been in crisis for years, the onset of a novel coronavirus pandemic impacted their structures, organizations, and professionals worldwide. (2) Methods: To document the early impacts of the COVID-19 health crisis on psychiatry and mental health sectors, a systematic review of the international literature published in 2020 was conducted in PubMed (MEDLINE), Cairn.info, and SantéPsy (Ascodocpsy) databases. (3) Results: After applying inclusion and exclusion criteria, 72 articles from scientific journals were selected, including papers documenting the early impact of the COVID-19 pandemic on the organization of psychiatric care delivery, work processes in psychiatry and mental health units, and personal experiences of mental health professionals. This review identified the contributions aimed at preventing the onset of mental disorders in the early stages of the health crisis. It lists the organizational changes that have been implemented in the first place to ensure continuity of psychiatric care while reducing the risk of SARS-CoV-2 transmission. It questions the evolution of the rights and duties of mental health professionals in the first months of the pandemic. (4) Discussion and conclusions: Although this literature review exclusively documented the early impacts of the COVID-19 health crisis, it is of significant interest, as it pictures the unprecedent situation in which psychiatry and mental health care professionals found themselves in the first stages of the pandemic. This work is a preliminary step of a study to be conducted with mental health professionals on an international scale—the Psy-GIPO2C project—based on more than 15 group interviews, 30 individual interviews, and 2000 questionnaires. The final aim of this study is to formulate concrete recommendations for decision-makers to improve work in psychiatry and mental health.

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“…USA; America [5,7,8,13,22,23,39,40,[50][51][52][53]72] Organizational adaptations in and out psychiatric hospitals…”

Section: Feedback From Field Experiencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

Baumgart

Kane

El‐Hage

et al. 2021

IJERPH

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“…Published data are emerging on MH outcomes in community samples 10 and specific groups such as healthcare workers, 11 as well as on infection rates in MH inpatients, 12 and staff/expert concerns about MH provision. 6 13 However, there have been few studies to date quantifying changes in mental healthcare activity. 5 Single-site reports from UK services have highlighted falls in activity following the 23 March d national lockdown, followed by increased demand for some services, decreased activity for others, shifts from f2f to virtual consultations and a rise in mortality.…”

Section: Introductionmentioning

confidence: 99%

Changes in daily mental health service use and mortality at the commencement and lifting of COVID-19 ‘lockdown’ policy in 10 UK sites: a regression discontinuity in time design

et al. 2021

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ObjectivesTo investigate changes in daily mental health (MH) service use and mortality in response to the introduction and the lifting of the COVID-19 ‘lockdown’ policy in Spring 2020.DesignA regression discontinuity in time (RDiT) analysis of daily service-level activity.Setting and participantsMental healthcare data were extracted from 10 UK providers.Outcome measuresDaily (weekly for one site) deaths from all causes, referrals and discharges, inpatient care (admissions, discharges, caseloads) and community services (face-to-face (f2f)/non-f2f contacts, caseloads): Adult, older adult and child/adolescent mental health; early intervention in psychosis; home treatment teams and liaison/Accident and Emergency (A&E). Data were extracted from 1 Jan 2019 to 31 May 2020 for all sites, supplemented to 31 July 2020 for four sites. Changes around the commencement and lifting of COVID-19 ‘lockdown’ policy (23 March and 10 May, respectively) were estimated using a RDiT design with a difference-in-difference approach generating incidence rate ratios (IRRs), meta-analysed across sites.ResultsPooled estimates for the lockdown transition showed increased daily deaths (IRR 2.31, 95% CI 1.86 to 2.87), reduced referrals (IRR 0.62, 95% CI 0.55 to 0.70) and reduced inpatient admissions (IRR 0.75, 95% CI 0.67 to 0.83) and caseloads (IRR 0.85, 95% CI 0.79 to 0.91) compared with the pre lockdown period. All community services saw shifts from f2f to non-f2f contacts, but varied in caseload changes. Lift of lockdown was associated with reduced deaths (IRR 0.42, 95% CI 0.27 to 0.66), increased referrals (IRR 1.36, 95% CI 1.15 to 1.60) and increased inpatient admissions (IRR 1.21, 95% CI 1.04 to 1.42) and caseloads (IRR 1.06, 95% CI 1.00 to 1.12) compared with the lockdown period. Site-wide activity, inpatient care and community services did not return to pre lockdown levels after lift of lockdown, while number of deaths did. Between-site heterogeneity most often indicated variation in size rather than direction of effect.ConclusionsMH service delivery underwent sizeable changes during the first national lockdown, with as-yet unknown and unevaluated consequences.

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“…He further built up a 'Policy Activity Index.' Naturally, the record gives a higher position for policy activity to nations that could execute an 'expensive' policy that meets the suggested cost 12. Because of the 'Policy Activity Index,' the authors verify that school closure is the costliest to carry out across the 11 Western Balkan nations 13 Mandatory business closure and social removal policies come next. Moreover, inward border restrictions are believed to be more exorbitant contrasted with external border restrictions.…”

Section: Resultsmentioning

confidence: 99%

COVID 19 and Health Systems’ Economy in Western Balkan Societies

Ermir Shahini,

Fabiola Bali

2021

Indian Journal of Forensic Medicine & Toxicology

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The researcher is outlined to have a beginning stage for an exploration plan for health financing for COVID-19, recognizing a preliminary addressing four thematic areas, namely mobilization of results, allocation and buying, monetary danger insurance (financial risk protection) equity, and maintaining and empowering advancement for UHC. Every question would require further elaboration and unpacking, with an improvement of proper exploration approaches utilizing a combination of quantitative and qualitative methods. While there is a requirement for fitting of research questions and country-specific analyses to advise local decision-making, there will likewise be incredible worth in bigger cross-country similar examination activities to address these inquiries, permitting finding out about how various frameworks, settings, qualities, and reactions to the plague have shaped health financing results and how these can be reinforced. The results show that heterogeneous effects across occupations and workers in the Western Balkan Societies show that health care occupations that have a higher share of workers working remotely were less affected by COVID-19. Those who did take full measures were more affected.On the other hand, occupations with relatively more workers working in proximity to others were more dramatic. The investigation also dove into the research related to the financial matters of COVID-19 that has been delivered in a relatively short time. The aim is to carry rationality(coherence) to the academic and strategy banter and help further examine.

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The impact of the early phase of the COVID-19 pandemic on mental-health services in Europe

Cited by 49 publications

References 35 publications

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

Changes in daily mental health service use and mortality at the commencement and lifting of COVID-19 ‘lockdown’ policy in 10 UK sites: a regression discontinuity in time design

COVID 19 and Health Systems’ Economy in Western Balkan Societies

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