Are masks impacting psychiatric inpatients’ treatment?

Veluri, Nikhila

doi:10.1016/j.psychres.2020.113459

Cited by 13 publications

(11 citation statements)

References 7 publications

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“…But, the safety precautions or measures (e.g., masks) compromised communication, the establishment of rapport, enabling environment for breastfeeding, and delivery of the psychological intervention, as in other reports. 26 Also, video consultation was not feasible and acceptable in rural regions, for both service providers and service users. This was because of the poor quality of internet connectivity (variable from village to village), low technological literacy, disrupted telephonic network, sex-based access to a phone (mainly husband has access to a mobile phone), illiteracy or lower education, poverty, high internet costs, and confidentiality and privacy concerns.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic and Stepped Care Model for Perinatal Depression in Rural India: Lessons Learned and the Way Forward

Ransing¹,

Kukreti

Mahadevaiah

et al. 2021

Indian Journal of Psychological Medicine

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which often leads to further widening of the treatment gap for CMDs during and after such conditions. 7,8 To reduce the treatment gap for CMDs, the government of India has taken initiatives such as an increase in the number of training institutes for psychiatry and allied courses and also postgraduate seats. 5,9 Besides, the stepped care models may be used to improve the delivery of mental health services in the rural and inaccessible regions, with a primary focus on cost-effectiveness, accessibility, and sustainability. 10 Globally, COVID-19 affected almost every aspect of health care because of the implementation of public health measures to control the spread of infection, the COVID-19-specific mortalities and

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Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic and Stepped Care Model for Perinatal Depression in Rural India: Lessons Learned and the Way Forward

Ransing¹,

Kukreti

Mahadevaiah

et al. 2021

Indian Journal of Psychological Medicine

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“…Full PPE can create uncertainty and fear in psychiatric patients. It may signify that something serious or medically dangerous is happening, that the patient must be very sick, or that staff intend to perform an undesired medical procedure on them ( Veluri, 2020 ). It is therefore important that staff and physicians introduce themselves frequently, clarify their roles and reasons for the precautions, to allay patient fears and paranoia.…”

Section: Discussionmentioning

confidence: 99%

Impact of SARS-CoV-2 infection and implementation of infection prevention and control (IPC) measures on inpatient psychiatric units

Levitt

Weller

Pandurangi

et al. 2021

Asian Journal of Psychiatry

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Psychiatric patients on inpatient care are at high risk of acquiring and transmitting communicable diseases such as SARS-CoV-2 (COVID-19). The authors conducted a retrospective review of the medical records of COVID-positive inpatients at Valleywise Health Medical Center, Arizona, USA from March to June 2020. The authors examined a cohort of COVID-positive inpatients admitted early in the pandemic to assess the ways in which the virus and infection prevention and control (IPC) measures affected patients at a large psychiatric hospital. Data was gathered for demographics, psychiatric diagnoses, COVID-19 symptoms, medical co-morbidities, and length of stay. Initial and revised hospital policies and procedures, and emergent challenges in managing this highly contagious disease in the inpatient psychiatric setting, were examined by review of relevant documents and direct observation by board certified psychiatrists who provided direct care. Significant challenges were encountered in balancing the need for a therapeutic milieu and compliance with IPC measures. During the study period, 39 patients and 15 staff members became COVID-positive. Within the covid staff, all but one had provided direct care to COVID-positive patients. Overall, behavioral health facilities were largely successful in identifying and quarantining COVID-positive patients. The hospital’s IPC policies/procedures were constantly updated to meet new guidelines and knowledge about the virus, which may have lowered transmission rates and mitigated potential complications. While basic quality and safety of providing psychiatric care were preserved, individual and group therapies’ formats and provision of a therapeutic milieu were altered and may have adversely affected patient care and/or contributed to doubling the length of stay.

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“…Moreover, the use of personal protective equipment (PPE) may further exacerbate this situation. For example, Veluri asserts that patients can experience an increase in paranoia when interacting with others wearing face masks because masks interfere with the patient’s ability to detect a clinician’s empathy [ 23 ]. Therefore, patients are reluctant to volunteer personal information, making it difficult for clinicians to develop good patient rapport, which can interfere with the provision of effective treatment and can reduce efficiency.…”

Section: Discussion Of Fraud and Diversionmentioning

confidence: 99%

Pharmacy Internal Controls: A Call for Greater Vigilance during the COVID-19 Pandemic

Mason

2020

Pharmacy

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For businesses that store physical goods, managing product inventories and financial cost accounting controls are critical. Pharmacies are under considerable scrutiny, due to the nature of their merchandise, making internal controls even more vital. Due to the emergence of COVID-19 and government mitigation strategies, the US economy has seen significant macro- and microeconomic effects. COVID-19 has changed the pharmacy working environment, which could theoretically increase rates of employee drug diversion. Therefore, better inventory management could reduce the misuse of pharmaceutical drugs from fraudulent and drug diversion activities. The author explored secondary findings to create a multidisciplinary conceptual analysis of the reasons why internal controls executed with greater diligence may be needed to avoid damaging financial, legal, and health outcomes. The author also provides a review of available internal control methods that can be used to mitigate diversion.

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Are masks impacting psychiatric inpatients’ treatment?

Cited by 13 publications

References 7 publications

COVID-19 Pandemic and Stepped Care Model for Perinatal Depression in Rural India: Lessons Learned and the Way Forward

COVID-19 Pandemic and Stepped Care Model for Perinatal Depression in Rural India: Lessons Learned and the Way Forward

Impact of SARS-CoV-2 infection and implementation of infection prevention and control (IPC) measures on inpatient psychiatric units

Pharmacy Internal Controls: A Call for Greater Vigilance during the COVID-19 Pandemic

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