The Management of COVID-19 in Forensic Psychiatric Institutions

Wasser, Tobias; Hauser, Lori L; Kapoor, Reena

doi:10.1176/appi.ps.202000584

Cited by 10 publications

(11 citation statements)

References 4 publications

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“…This work also highlights that the unprecedented organizational adaptations implemented in psychiatric care facilities in the first months of the COVID-19 pandemic are relatively comparable from one working environment to the other, whether in general psychiatric units such as psychiatric emergency departments, or in specialized psychiatric units such as child psychiatry [29,35,43,79], geriatric psychiatry [36,42], addiction units [30,49], and even in prison psychiatry and forensic psychiatry units [31,33,53,57]. While early adaptations are globally the same from one work context and one country to another, organizational responses came faster in some countries than in others.…”

Section: Discussionmentioning

confidence: 89%

“…USA; America [5,7,8,13,22,23,39,40,[50][51][52][53]72] Organizational adaptations in and out psychiatric hospitals…”

Section: Feedback From Field Experiencementioning

confidence: 99%

“…In facilities 38 [9,13,[20][21][22][23][25][26][27][28][29][30][31]33,35,36,38,39,[41][42][43]49,52,54,55,[57][58][59][63][64][65][66][67]70,76,77,79,80] In private medical practices 3 [24,58,69] Within the community 5 [6,27,56,58,75] Related to somatic care 3 [35,59,74] Related to drug prescription 4 [53,56,…”

Section: Feedback From Field Experiencementioning

confidence: 99%

“…In addition to the challenges inherent in maintaining continuity of care within psychiatric wards, mental health professionals have been impacted by the restrictions imposed in the physical care units they work with [35,59,74]. They have also faced challenges in the prescription and delivery of psychiatric medication because of remote follow-up and possible interactions with COVID-19 drugs [53,56,73,75]. In the context of the COVID-19 pandemic, national regulations concerning psychiatric care-and more specifically remote psychiatric care and involuntary psychiatric treatment-have been reshaped in several countries [32,52,58,78,81].…”

Section: Setting Up Extra-psychiatric Care Structuresmentioning

confidence: 99%

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The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

Baumgart

Kane

El‐Hage

et al. 2021

IJERPH

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(1) Background: While in many countries, the psychiatric and mental health sectors had been in crisis for years, the onset of a novel coronavirus pandemic impacted their structures, organizations, and professionals worldwide. (2) Methods: To document the early impacts of the COVID-19 health crisis on psychiatry and mental health sectors, a systematic review of the international literature published in 2020 was conducted in PubMed (MEDLINE), Cairn.info, and SantéPsy (Ascodocpsy) databases. (3) Results: After applying inclusion and exclusion criteria, 72 articles from scientific journals were selected, including papers documenting the early impact of the COVID-19 pandemic on the organization of psychiatric care delivery, work processes in psychiatry and mental health units, and personal experiences of mental health professionals. This review identified the contributions aimed at preventing the onset of mental disorders in the early stages of the health crisis. It lists the organizational changes that have been implemented in the first place to ensure continuity of psychiatric care while reducing the risk of SARS-CoV-2 transmission. It questions the evolution of the rights and duties of mental health professionals in the first months of the pandemic. (4) Discussion and conclusions: Although this literature review exclusively documented the early impacts of the COVID-19 health crisis, it is of significant interest, as it pictures the unprecedent situation in which psychiatry and mental health care professionals found themselves in the first stages of the pandemic. This work is a preliminary step of a study to be conducted with mental health professionals on an international scale—the Psy-GIPO2C project—based on more than 15 group interviews, 30 individual interviews, and 2000 questionnaires. The final aim of this study is to formulate concrete recommendations for decision-makers to improve work in psychiatry and mental health.

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Section: Discussionmentioning

confidence: 89%

“…USA; America [5,7,8,13,22,23,39,40,[50][51][52][53]72] Organizational adaptations in and out psychiatric hospitals…”

Section: Feedback From Field Experiencementioning

confidence: 99%

Section: Feedback From Field Experiencementioning

confidence: 99%

Section: Setting Up Extra-psychiatric Care Structuresmentioning

confidence: 99%

See 2 more Smart Citations

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

Baumgart

Kane

El‐Hage

et al. 2021

IJERPH

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show abstract

“…Like the impact of COVID-19 within the prison system, changes associated with the pandemic have added to the challenges already faced by forensic mental health services ( 6 ). Indeed, recent commentaries [e.g., ( 6 – 10 )] describe immediate and long-term impacts of the pandemic on service delivery and clinical decision-making, as well as negative effects on staff and service user psychological wellbeing.…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Forensic Mental Health Services and Clinical Outcomes: A Longitudinal Study

et al. 2022

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BackgroundThe COVID-19 pandemic has had a substantial impact on forensic mental health service provision and implementation. This study aimed to provide an analysis of the impact of COVID-19 related restrictions on routine outcomes within a large forensic mental health service in London, UK.MethodWe conducted a longitudinal cohort study using data collected routinely prior to the COVID-19 pandemic (April 2018–March 2020) and then stages thereafter (March 2020–March 2021; analyzed as March–May 2020, June–September 2020, October–December 2020, January–March 2021). We used causal impact models (Bayesian structural time-series) to examine the effect of COVID-19 related changes on routine outcomes related to service provision and implementation.ResultsThere was an overall increase in long-term segregation (LTS) hours during the pandemic; 140%, (95% Cl 107, 171%) during Lockdown 1; 113%, (159% Cl 127, 192%) during post-Lockdown 1; 45% (95% Cl 23, 68%) during Lockdown 2 and, finally, 90% (95% Cl 63, 113%) during Lockdown 3. The most negative outcomes were evident during Lockdown 3. Incidents of violence were significantly more frequent during Lockdown 3 than would have been predicted based on pre-pandemic data, including physical assaults to service users (206%, 95% CI 57%, 346%), non-physical assaults to service users (206%, 95% CI 53%, 339%), and self-harm (71%, 95% CI 0.4%, 135%). Use of enforced medication also increased during Lockdown 3 (317%, 95% CI 175%, 456%).ConclusionThe pandemic and its related restrictions negatively affected some service outcomes. This resulted in increased incidents of violence and increased use of restrictive interventions, beyond what would have been expected had the pandemic not occurred.

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COVID-19: Herausforderungen für forensische Therapie und Behandlungsqualität in Einrichtungen des Maßregelvollzuges

Praus

Biebinger²,

Dreßing

2021

Nervenarzt

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The Management of COVID-19 in Forensic Psychiatric Institutions

Cited by 10 publications

References 4 publications

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

The Impact of the COVID-19 Pandemic on Forensic Mental Health Services and Clinical Outcomes: A Longitudinal Study

COVID-19: Herausforderungen für forensische Therapie und Behandlungsqualität in Einrichtungen des Maßregelvollzuges

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