Acceptance of e-consult for Substance Use Disorders during the COVID 19 pandemic: A study from India

Sahu, Prashant; Mathur, Akanksha; Ganesh, A; Nair, Sujit; Chand, Prabhat; Murthy, Pratima

doi:10.1016/j.ajp.2020.102451

Cited by 15 publications

(35 citation statements)

References 25 publications

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“…Finally, changes in treatment provision were documented. Studies reported reduced treatment provision early in the pandemic, but as the pandemic progressed [52] , [53] , [54] , providers were incorporating telemedicine and other techniques [55] , [56] .…”

Section: Resultsmentioning

confidence: 99%

Substance, use in relation to COVID-19: A scoping review

Kumar

Janmohamed

Nyhan

et al. 2022

Addictive Behaviors

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Background We conducted a scoping review focused on various forms of substance use amid the pandemic, looking at both the impact of substance use on COVID-19 infection, severity, and vaccine uptake, as well as the impact that COVID-19 has had on substance use treatment and rates. Methods A scoping review, compiling both peer-reviewed and grey literature, focusing on substance use and COVID-19 was conducted on September 15 2020 and again in April 15 2021 to capture any new studies. Three bibliographic databases (Web of Science Core Collection, Embase, PubMed) and several preprint servers (EuropePMC, bioRxiv, medRxiv, F1000, PeerJ Preprints, PsyArXiv, Research Square) were searched. We included English language original studies only. Results Of 1564 articles screened in the abstract and title screening phase, we included 111 research studies (peer-reviewed: 98, grey literature: 13) that met inclusion criteria. There was limited research on substance use other than those involving tobacco or alcohol. We noted that individuals engaging in substance use had increased risk for COVID-19 severity, and Black Americans with COVID-19 and who engaged in substance use had worse outcomes than white Americans. There were issues with treatment provision earlier in the pandemic, but increased use of telehealth as the pandemic progressed. COVID-19 anxiety was associated with increased substance use. Conclusions Our scoping review of studies to date during COVID-19 uncovered notable research gaps namely the need for research efforts on vaccines, COVID-19 concerns such as anxiety and worry, and low- to middle-income countries (LMICs) and under-researched topics within substance use, and to explore the use of qualitative techniques and interventions where ap- propriate. We also noted that clinicians can screen and treat individuals exhibiting substance use to mitigate effects of the pandemic. Funding Study was funded by the Institution for Social and Policy Studies, Yale University and The Horowitz Foundation for Social Policy. DH was funded by a NIDA grant (R01DA048860). The funding body had no role in the design, analysis, or interpretation of the data in the study.

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Section: Resultsmentioning

confidence: 99%

Substance, use in relation to COVID-19: A scoping review

Kumar

Janmohamed

Nyhan

et al. 2022

Addictive Behaviors

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“…Another important way to reduce the treatment gap is to harness technology [ 57 ]. One such example is e-consult for people with SUD during the pandemic and training support to healthcare workers in distant places to manage with SUD [ 118 ]. Telehealth, group meetings and online consultations can be some ways to handle the increased demand during and after pandemic [ 119 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Murthy

Narasimha

2021

Current Opinion in Psychiatry

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107

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Purpose of review To understand the effect of COVID-19 pandemic and lockdown on persons with alcohol use disorders. Recent findings From a total of 455 titles on COVID-19 and alcohol, 227 abstracts were screened, and 95 articles were reviewed (on November 25 th , 2020). The immediate effect was an increase in alcohol related emergencies including alcohol withdrawal, related suicides, and methanol toxicity. Although there are mixed findings with respect to changes in the quantity of drinking, there are reports of binge/heavy drinking during the lockdown as well as relapse postlockdown. Psychological, social, biological, economic and policy-related factors appear to influence the changes in drinking. Although preliminary data suggest no change in alcohol use among persons with comorbid mental illness, findings in this population are presently limited. Among patients with alcohol related liver disease, outcomes appear worse and caution is warranted with the use of medications. Alcohol also appears to increases the risk of COVID-19 infection and complicates its course. Although some nations banned alcohol sales completely during lockdown, others declared it as an essential commodity, resulting in different problems across countries. Alcohol use has added to the burden of the problem particularly among vulnerable groups like the adolescents, elderly, patients with cancer, as well as health professionals. Services for patients with alcohol use disorders have been affected. Summary The COVID-19 pandemic has had considerable impact on alcohol use, with an increase in alcohol related emergencies, changes in alcohol use patterns, increased risk of contracting COVID-19, effect on alcohol policies and sales, and an effect on vulnerable groups. It is essential to understand and respond to the current situation, intervene early, and prevent further repercussions of the pandemic. Video abstract link: https://drive.google.com/file/d/1IJWtIs6e554PryKWhdma4VB--mjSZq1C/view?usp=sharing .

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“…O programa CopeColumbia, formado por 186 grupos de profissionais de saúde em um hospital, com foco no suporte emocional frente às dificuldades emergentes do contexto da pandemia, estratégias de coping e resiliência, controle do estresse e ansiedade, traumas, perdas e lutos, foi considerado um espaço seguro para o tratamento de saúde mental 32 ; assim como o programa e-consult para usuários de SPA's na Índia, pois a maioria dos profissionais revelou boa aceitação (98%) frente à intervenção psicológica realizada 24 , o que denota a evidência positiva de acessibilidade e cuidado desse tipo de atendimento. As 6.800 intervenções realizadas por meio de chamadas de vídeo e serviços de mensagens eletrônicas na República Dominicana evidenciaram o sofrimento psicológico da população na pandemia, em meio à ansiedade (43%), depressão (15%), problemas de sono (26%) e comportamentos relacionados ao suicídio (2%) 22 .…”

Section: Discussionunclassified

“…O potencial do uso da linha telefônica mostrou impacto para além da redução de problemas psicológicos, como ansiedade, depressão e transtorno de pânico [13][14][15][16][17] , e no tratamento de pacientes com psicoses 18,19 , tendo em vista o medo de contágio com o vírus. O uso da telessaúde [20][21][22][23][24][25][26] e da psicoterapia on-line ou por telefone 14 para os profissionais de saúde no enfrentamento da pandemia foi positivo, e com menor número de desistência quando comparada ao atendimento presencial 27,28 .…”

Section: Fonte: Secchi Et Al (2021)unclassified

“…De modo geral, as intervenções com programas e aplicativos virtuais foram benéficas para a saúde mental da população, na redução de sintomas depressivos 24,36 de angústias e sofrimento relacionados ao tratamento de câncer 37,38 . Contudo, a precariedade do sistema de saúde 39 , a área geográfica e as barreiras tecnológicas podem ser consideradas fatores negativos, que dificultam o acesso [40][41][42] .…”

Section: Fonte: Secchi Et Al (2021)unclassified

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