Mobile Intensive Care Unit: A case management team dedicated to early psychosis in France

Lecardeur, Laurent; Meunier-Cussac, Sophie; Dollfus, Sonia

doi:10.1111/eip.12674

Cited by 8 publications

(2 citation statements)

References 25 publications

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“…These units also seem to encourage patients with psychosis to receive treatment thanks to accessibility and non-restrictive care [27]. A similar French initiative in terms of a mobile mental intensive care unit has been evaluated as functional for individuals with their first episode of psychosis and those being at risk of mental health problems [28]. Another suggestion was to build smaller units throughout a region instead of large hospitals in urban areas.…”

Section: Discussionmentioning

confidence: 99%

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Axelsson

Schønning

Bockting

et al. 2020

BMC Health Serv Res

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Background: Mental healthcare is an important component in societies' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Therefore, the aim of the current study was to describe experiences of mental healthcare among adult Europeans with mental health problems. Method: In total, 50 participants with experiences of various mental health problems were recruited for separate focus group interviews in each country. They had experiences from both the private and public sectors, and with in-and outpatient mental healthcare. The focus group interviews (N = 7) were audio recorded, transcribed verbatim and analysed through thematic analysis. The analysis yielded five themes and 13 subthemes. Results: The theme Seeking and trying to find help contained three subthemes describing personal thresholds for seeking professional help, not knowing where to get help, and the importance of receiving help promptly. The theme Awaiting assessment and treatment contained two subthemes including feelings of being prioritized or not and feelings of being abandoned during the often-lengthy referral process. The theme Treatment: a plan with individual parts contained three subthemes consisting of demands for tailored treatment plans in combination with medications and human resources and agreement on treatment. The theme Continuous and respectful care relationship contained two subthemes describing the importance of continuous care relationships characterised by empathy and respect. The theme Suggestions for improvements contained three subthemes highlighting an urge to facilitate care contacts and to increase awareness of mental health problems and a wish to be seen as an individual with potential.

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Section: Discussionmentioning

confidence: 99%

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Axelsson

Schønning

Bockting

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Therefore, despite the fear of the COVID-19 itself, the lockdown and its associated behavioral restriction might have increase prevent depressive symptoms, anxiety, and sleep disorders. For the most severe patients, some non-medication approach exists to treat depressive symptoms, anxiety and sleep disorders, such as intervention of a mobile psychiatric team, a close follow-up by a psychiatric nurse, or psychotherapy ( 53 , 54 ). However, the first lockdown was marked by a limitation in the access to psychiatric structures ( 55 , 56 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on the psychotropic drug consumption

Benistand

Vorilhon²,

Laporte³

et al. 2022

Front. Psychiatry

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ImportanceAlthough the COVID-19 pandemic has had a negative impact on mental health, there is no comprehensive longitudinal study of the entire population of a country without selection bias.ObjectiveThe objective of this study was to evaluate the prescription of psychotropic drugs during the COVID-19 pandemic, using data from the French national health data system (SNDS).Design, settings, and participantsPrescriptions for psychotropic drugs (antidepressants, anxiolytics, hypnotics, and antipsychotics) from 1 January 2015 to 30 September 2021 were collected from administrative data provided by the SNDS. This database includes more than 99% of the French population, i.e., 67 million people. The data were analyzed using an interrupted time series analysis (ITSA) model.Main outcomes and measuresConsumption of psychotropic drugs was aggregated in months and expressed in number of boxes per thousand inhabitants.ResultsDuring the study period, more than 1.3 billion boxes of psychotropic medications were dispensed. Comparison of psychotropic drug dispensing before and after the pandemic showed a relative increase of 0.76 (95 CI 0.57 to 0.95, p<0.001) boxes per month per thousand inhabitants, all classes of psychotropic drugs combined. Three classes saw their consumption increase in an almost similar proportion, respectively, by 0.23 (0.15 to 0.32, p<0.001) boxes for antidepressants, 0.27 (0.20 to 0.34, p<0.001) boxes for anxiolytics and 0.23 (0.17 to 0.30, p<0.001) boxes for hypnotics. The change in antipsychotic consumption was very small, with an increase of 0.04 boxes (0.02 to 0.06, p = 0.001) per month per thousand population.Conclusion and relevanceThe COVID-19 pandemic had led to an increase in the consumption of psychotropic drugs, confirming the significant impact of the pandemic on the mental health of the general population.

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Case management dans les Hauts-de-France : une expérimentation territoriale à large échelle

Vaglio¹

2021

Case Management Et Psychiatrie

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Mobile Intensive Care Unit: A case management team dedicated to early psychosis in France

Abstract: The Mobile Intensive Care Unit is a functional unit enabling young adults with a high-risk mental state or FEP to receive high standard of care and mobile management over 2 years, aimed at diminishing the risk of transition to chronic disease and decreasing functional impairment.

Cited by 8 publications

References 25 publications

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Effect of the COVID-19 pandemic on the psychotropic drug consumption

Case management dans les Hauts-de-France : une expérimentation territoriale à large échelle

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