Masks in Melbourne: an inpatient mental health unit’s COVID-19 experience

Soh, Keng Chuan; Khanna, Rahul; Parsons, Alicia; Visa, Bharat; Dar, Maryam Ejareh

doi:10.1177/1039856220968394

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…The front-line reports of staff and patients in our sample echo and expand on the challenges of outbreak in other mental health settings as identified in recent studies [4,[9][10][11][12][13][14]. This suggests that while the changes to care and difficulties therein are known, specific strategies and resources to overcome these difficulties are not readily available to front-line staff.…”

Section: Discussionmentioning

confidence: 68%

A Cross-Sectional Survey of Patients and Staff on Inpatient Forensic Psychiatric Units During COVID-19 Outbreak.

et al. 2021

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Outbreaks of COVID-19 on inpatient forensic units present a unique challenge as early release is not possible and some facilities were not designed to achieve sustained social distancing [1]. The enforcement of droplet and contact (D&C) precautions required during an outbreak creates further confines and restrictions for patients that are typically subject to considerable constraint during their care. From December 2020 to January 2021 43 clinicians and 12 patients on inpatient forensic units under unit-wide D&C precautions during COVID-19 outbreaks completed a cross-sectional survey regarding their experience. Virtual focus groups were also conducted to triangulate the qualitative feedback from clinicians. The survey and focus groups found the themes of enablers, barriers, and desired changes to care provision during an outbreak. Findings are discussed within the broader context of outbreak interventions and the provision of services to those living and working on forensic inpatient units experiencing outbreaks requiring the unit-wide implementation of D&C precautions.

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Section: Discussionmentioning

confidence: 68%

A Cross-Sectional Survey of Patients and Staff on Inpatient Forensic Psychiatric Units During COVID-19 Outbreak.

et al. 2021

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“…They had to follow 15 steps to learn to tolerate the mask By the end of the intervention, all participants wore a face mask for a period of 10 min without exhibiting challenging behavior. Mask wearing did not affect the % of oxyhemoglobin saturation of participants Soh KC et al 2021 [ 47 ] Letter to editor English The challenge of face mask with PTSD patients in inpatient unit in Australia Mask-wearing hid the verbal/nonverbal communication, making difficult to establish a trusting relationship with patients. Moreover, a person, with past trauma whilst having her mouth covered, had great difficulties to cover her mouth with mask Battista RA et al 2021 [ 48 ] Observational study English 381 participants complain about side effects including psychiatric symptoms More than 35% of respondents reported worsening of mood tone while nearly 10% complained about personal protective equipment (PPE) related panic attacks Jung H et al 2021 [ 45 ] Survey English 261 psychiatric patients responded to a questionnaire about mask-wearing behaviour 37.4% wore a mask in hospital and they were more aware of the recommendation to prevent COVID-19 infection than people who did not wear a mask Halbur M et al 2021 [ 51 ] Experimental study English 12 children with ASD with a history of challenging behaviour associated with face covering (face masks and face shields) wearing.…”

Section: Resultsmentioning

confidence: 99%

Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations

Balestracci¹,

Regina²,

Sessa³

et al. 2022

Intern Emerg Med

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In the past, the use of face masks in western countries was essentially limited to occupational health. Now, because of the COVID-19 pandemic, mask-wearing has been recommended as a public health intervention. As potential side effects and some contraindications are emerging, we reviewed the literature to assess the impact of them in daily life on patient safety and to provide appropriate guidelines and recommendations. We performed a systematic review of studies investigating physiological impact, safety, and risk of masks in predefined categories of patients, which have been published in peer-reviewed journals with no time and language restrictions. Given the heterogeneity of studies, results were analyzed thematically. We used PRISMA guidelines to report our findings. Wearing a N95 respirator is more associated with worse side effects than wearing a surgical mask with the following complications: breathing difficulties (reduced FiO 2 , SpO 2 , PaO 2 increased ETCO 2 , PaCO 2 ), psychiatric symptoms (panic attacks, anxiety) and skin reactions. These complications are related to the duration of use and/or disease severity. Difficulties in communication is another issue to be considered especially with young children, older person and people with hearing impairments. Even if benefits of wearing face masks exceed the discomfort, it is recommended to take an “air break” after 1–2 h consecutively of mask-wearing. However, well-designed prospective studies are needed. The COVID-19 pandemic could represent a unique opportunity for collecting large amount of real-world data. Supplementary Information The online version contains supplementary material available at 10.1007/s11739-022-03083-w.

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“…Women also voiced the need for more therapeutic group activities and visitations from family members that had been restricted during the COVID-19 pandemic. Soh et al [36] similarly identified that COVID-19 affected clinical care and relationships. In the present study, patients desired more discharge planning and preparation, which has been found to promote the transition to home in qualitative studies [37].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an Inpatient Psychiatric Mother-Baby Unit Using a Patient Reported Experience and Outcome Measure

Branjerdporn

Hudson

Sheshinski

et al. 2022

IJERPH

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Understanding the patient experience of admission to a psychiatric mother-baby unit (MBU) informs service improvement and strengthens patient-centered care. This study aims to examine patients’ experience, satisfaction, and change in mental health status related to MBU admission. At discharge, 70 women admitted to a public MBU completed the Patient Outcome and Experience Measure (POEM), rated the usefulness of therapeutic groups, and provided written qualitative feedback. Paired sample t-tests, correlations, and thematic content analysis were completed. Women were highly satisfied with the level of care and support received, particularly for those who were voluntarily admitted. Women reported an improvement in mental health from admission to discharge. Women appreciated the staff’s interpersonal skills, provision of practical skills, education, advice, support from other women, and therapeutic groups offered. Women suggested improvements such as having greater food choices, more MBU beds, more group sessions, family visitations, which had been restricted due to COVID-19, environmental modifications, and clarity of communication surrounding discharge. This study highlights the benefits of MBUs and the specific aspects of care that are favorable in treating women with mental illnesses who are co-admitted with their baby in an MBU.

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Masks in Melbourne: an inpatient mental health unit’s COVID-19 experience

Cited by 3 publications

References 5 publications

A Cross-Sectional Survey of Patients and Staff on Inpatient Forensic Psychiatric Units During COVID-19 Outbreak.

A Cross-Sectional Survey of Patients and Staff on Inpatient Forensic Psychiatric Units During COVID-19 Outbreak.

Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations

Evaluation of an Inpatient Psychiatric Mother-Baby Unit Using a Patient Reported Experience and Outcome Measure

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