Profile of patients availing psychiatry emergency services pre and post lockdown at a tertiary care center of North India

Grover, Sandeep; Dua, Devakshi; Sahoo, Swapnajeet; Chakrabarti, Subho

doi:10.1016/j.ajp.2020.102448

Cited by 9 publications

(8 citation statements)

References 21 publications

(16 reference statements)

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“…12 Finally, during the lockdown in India, patients with schizophrenia presented relatively often at emergency services compared with before the COVID-19 pandemic. 13 To our knowledge, several studies to date have examined the quantitative changes in mental health service use among patients with pre-existing mental illnesses during the pandemic. However, no study has examined the discrepancies in telepsychiatry use among subgroups with different mental illnesses, even as mental health systems worldwide have shifted to more telepsychiatry-integrated care since the COVID-19 pandemic.…”

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confidence: 99%

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Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

et al. 2021

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Background Previous studies into mental health service utilisation during the COVID-19 pandemic are limited to a few countries or specific type of service. In addition, data on changes in telepsychiatry are currently lacking. Aims We aimed to investigate whether the COVID-19 pandemic is associated with changes in mental health service utilisation, including telepsychiatry, and how these changes were distributed among patients with mental illness during the first COVID-19 outbreak. Method This retrospective study obtained routinely assessed healthcare data from a large Dutch mental healthcare institute. Data from the second quarter of 2020 (the first COVID-19 outbreak period) were compared with the pre-pandemic period between January 2018 and March 2020. Time-series analyses were performed with the quasi-Poisson generalised linear model, to examine the effect of the COVID-19 lockdown and the overall trend of mental health service utilisation per communication modality and diagnostic category. Results We analysed 204 808 care contacts of 28 038 patients. The overall number of care contacts in the second quarter of 2020 remained the same as in the previous 2 years, because the number of video consultations significantly increased (B = 2.17, P = 0.488 × 10−3) as the number of face-to-face out-patient contacts significantly decreased (B = −0.98, P = 0.011). This was true for all different diagnostic categories, although this change was less pronounced in patients with psychotic disorders. Conclusions Diminished face-to-face out-patient contacts were well-compensated by the substantial increase of video consultations during the first COVID-19 outbreak in The Netherlands. This increase was less pronounced for psychotic disorders. Further research should elucidate the need for disorder-specific digital mental healthcare delivery.

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confidence: 99%

“… 12 Finally, during the lockdown in India, patients with schizophrenia presented relatively often at emergency services compared with before the COVID-19 pandemic. 13 …”

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confidence: 99%

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

et al. 2021

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“…The significant reduction in the MPC cases registrations in the COVID study period is similar to the reduction in all types of psychiatric consultations (outpatients, inpatients, emergency visits) during the lockdown and COVID period. 18 However, when analyzed more closely, we found that the proportion of MPC cases out of the total walk-in registrations was 1.75 times greater in the COVID study period than the pre-COVID period. This finding can be interpreted in different ways.…”

Section: Discussionmentioning

confidence: 62%

Profile of Patients Availing Marital and Psychosexual Clinic Services During the Pre-COVID and COVID Era: A Study From a Tertiary Care Center

Sahoo

2022

Journal of Psychosexual Health

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Aim: To assess the profile of patients availing the marital and psychosexual clinic (MPC) services through the telemode at a tertiary care center after the imposition of lockdown and compare the same with the profile of the patients attending the outpatient services, in-person MPC services during the prelockdown period. Materials and Methods: It was a retrospective study in which comparisons were made between patients availing the MPC services from March 24, 2020 to March 23, 2021 with the profile of patients during the period of March 24, 2019 to March 23, 2020 (ie, COVID period—lockdown). Results: A total of 112 patients availed the MPC services during the COVID study period compared to 307 patients in the pre-COVID period. However, when the proportion of MPC cases among the total walk-ins was compared, during the COVID period the proportion of MPC cases increased by almost 1.75 times. During the COVID time period, there was an increase in the patients who were significantly younger ( P = .002), females ( P = .003), more from urban locality ( P = .035), and being referred by self or caregiver ( P = .001). In terms of specific diagnosis, as compared to the pre-COVID timeframe, significantly higher numbers of patients were diagnosed with premature ejaculation (PME) and PME + erectile dysfunction while the services were being provided through the telemode. Conclusion: The present study suggests an increase in the proportion of patients seeking help for marital and sexual issues while the services are being provided by telemode.

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“…This is understandable, considering the travel restrictions. 10 Present study evaluated the status of psychiatric patients during lockdown due to COVID 19 pandemic. Brief psychiatry rating scales score was higher for acute psychotic disorder cases.…”

Section: Resultsmentioning

confidence: 99%

Impact of lockdown due to COVID-19 pandemic on psychiatric patients

Ramesh

Raj

et al. 2021

Int J Community Med Public Health

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Background: There was sudden reorganization of services during lockdown due to COVID-19. Care of psychiatric patients was in threat due to closure of inpatient department and conversion of hospitals into COVID treatment centres.Methods: List of follow-up patients not attending our outpatient department during lockdown was obtained. They were contacted through telephone. Evaluation was done with Brief psychiatry rating scales (BPRS) and WHODAS2 scales. Statistical analysis of obtained data was done.Results: Comparison of BPRS total score, WHODAS domain scores and total score between outpatients and inpatients was done using independent samples ‘t’ test. It was found to be statistically significant (p<0.05). Anxiety and distractibility are the more prominent symptoms in majority of psychiatry patients.Conclusions: Psychiatric patients needs safe place, with people to talk and to take care of daily activities. It is highly recommended urgent need of creating awareness program on COVID-19 pandemic which targets this vulnerable population. It is essential to provide continued psychiatric intervention using tele-psychiatric platform and ensure their social support using community mental health services during the pandemic. A standard protocol on the management of patients with serious mental illness during an infectious disaster should be developed.

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Profile of patients availing psychiatry emergency services pre and post lockdown at a tertiary care center of North India

Cited by 9 publications

References 21 publications

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

Profile of Patients Availing Marital and Psychosexual Clinic Services During the Pre-COVID and COVID Era: A Study From a Tertiary Care Center

Impact of lockdown due to COVID-19 pandemic on psychiatric patients

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